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Articles 4141 - 4170 of 794274
Full-Text Articles in Entire DC Network
“The Best Co I’Ve Ever Served Under”: Lieutenant-Colonel Bert Kennedy And Removal From Battalion Command In The Second World War, Matthew Barrett, Norma Graham
“The Best Co I’Ve Ever Served Under”: Lieutenant-Colonel Bert Kennedy And Removal From Battalion Command In The Second World War, Matthew Barrett, Norma Graham
Canadian Military History
Lieutenant-Colonel Albert A. Kennedy’s war service could be lifted from the pages of a suspense novel, an action-adventure story and a courtroom drama. He bravely served as commanding officer of the Hastings and Prince Edward Regiment in Italy, where he led from the front, earned the Distinguished Service Order and for a time was even held as a prisoner of war. His command of the Queen’s Own Cameron Highlanders of Canada in North West Europe, by contrast, ended in a confidential report and charges of alleged conduct prejudicial to good order and discipline. We examine Kennedy’s Second World War experiences …
“A True Sailor-Statesman”—The Ethical Quandary Of Ambassador Raymond A. Spruance In The Philippines, Andrew K. Blackley
“A True Sailor-Statesman”—The Ethical Quandary Of Ambassador Raymond A. Spruance In The Philippines, Andrew K. Blackley
Naval War College Review
After retiring from the Navy, Admiral Raymond A. Spruance took on the role of U.S. ambassador to the Philippines. Thomas Buell, a prominent Spruance biographer, previously has claimed that Spruance’s involvement in the 1953 Philippine presidential election was ethically questionable, a perspective challenged by new research.
The Cognitive Dimension Of Mobilization—Reconsidering American War Preparation In An Age Of Persistent Cognitive Warfare, Robert "Jake" Bebber
The Cognitive Dimension Of Mobilization—Reconsidering American War Preparation In An Age Of Persistent Cognitive Warfare, Robert "Jake" Bebber
Naval War College Review
American war mobilization doctrine is built on an industrial-era paradigm that assumes the primary contest is material: who can most efficiently convert economic capacity into military power. An evaluation suggests that this paradigm, while necessary, is no longer sufficient.
Setting The Stage For Surviving Cancer, Kelly Allen
Setting The Stage For Surviving Cancer, Kelly Allen
The Open Journal of Occupational Therapy
Margaret Petersen, theater artist and assistant stage manager of the Grand Rapids Ballet, is featured in the cover art for the Summer 2026 issue of the Open Journal of Occupational Therapy (OJOT). The self-portrait photograph depicts Petersen standing cheerfully on a terrace, dressed as an orange “safety cone” holding onto an IV pole. She takes in some fresh air as she receives her chemotherapy medication at the Lemmen-Holton Cancer Pavillion. Donned in orange coveralls and a modified hat topped with a small traffic cone and the word SAFETY emblazoned across the front, it is the costume she created to wear …
Occupational Therapists’ Emerging Role In Running Bereavement Support Groups, Diana Daus, Rondalyn V. Whitney, Susan Taddonio
Occupational Therapists’ Emerging Role In Running Bereavement Support Groups, Diana Daus, Rondalyn V. Whitney, Susan Taddonio
The Open Journal of Occupational Therapy
Grief is well recognized as a stress response and, as such, significantly impacts engagement in meaningful occupational performance and engagement in meaningful occupations. Prolonged grief disorder (PGD), a newly recognized diagnosis, reflects the public health risk for the bereaved. Multiple client factors and performance patterns of those experiencing grief disrupt multiple areas of occupation. This opinion paper evaluates occupational therapy’s role in bereavement groups in the occupational therapy scope of practice.
Incivility And Toxicity In Occupational Therapy Academic Environments, Sharon Gutman, Sandra Rogers, Rondalyn V. Whitney
Incivility And Toxicity In Occupational Therapy Academic Environments, Sharon Gutman, Sandra Rogers, Rondalyn V. Whitney
The Open Journal of Occupational Therapy
Toxicity in the academic environment is defined as an insidious form of behavior that is characterized by overt negativity with the intent to cause harm and includes bullying, manipulation, gas lighting, discrimination, preferential treatment, and ostracization. Reasons accounting for the existence of toxicity in academia include long-standing cultural norms of competition for scarce resources, devaluing of collaboration, unrealistic workload expectations and benchmarks for success, a milieu of excessive and negative critique, low salaries and professional rewards, and a hierarchical ranking system that encourages abuse of power without consequences. The impact of toxicity in academia on occupational therapy faculty include high …
Integrating Occupational Therapy In Homeless Street Outreach, Andrea Leflore, Cassandra Pagliaruli, Ryan Thomure
Integrating Occupational Therapy In Homeless Street Outreach, Andrea Leflore, Cassandra Pagliaruli, Ryan Thomure
The Open Journal of Occupational Therapy
People experiencing unsheltered homelessness (PEUH) face multifaceted barriers to daily activity performance, characterized by barriers to performing basic needs, maintaining immediate safety, and accessing resources to manage health and transition into housing. Systemic barriers further impact access to care with discrimination in health care and homeless settings. With homelessness steadily increasing in the U.S., federally-funded initiatives have prioritized street outreach as an effective approach to meeting people where they are living with contextually adapted services. Street outreach interventions bring resources directly to communities, prioritizing relationship building to facilitate transitions to more stable living situations. This article presents a case analysis …
Occupational Therapy Students’ Demonstration Of Interprofessional Competencies During Simulation: An Observational Analysis, Elizabeth Crampsey, Shelley Cohen Konrad, Debra J. Ford
Occupational Therapy Students’ Demonstration Of Interprofessional Competencies During Simulation: An Observational Analysis, Elizabeth Crampsey, Shelley Cohen Konrad, Debra J. Ford
The Open Journal of Occupational Therapy
Quality care and patient safety are primary goals in health care, with interprofessional collaboration as a crucial strategy to achieve them. This study reports the behavioral outcomes of Occupational Therapy (OT) students applying core competencies, like Communication and Teamwork, during a longitudinal case-based team simulation activity designed to enhance interprofessional education (IPE). The activity was designed to improve implementation of IPE competencies during a collaborative teamwork exercise with standardized patients. A content analysis using the Interprofessional Collaborator Assessment Rubric (ICAR) assessed 21 graduate OT students’ deployment of IPE core competencies while participating in a semester-long interprofessional simulation (Sim-IPE) activity. Findings …
Exploring Student And Faculty Perspectives On Professionalism In Occupational Therapy Education, Mary Roduta Roberts, Jilaine Barton, Amy Janzen, Carolina Johnson, Lauren Painchaud
Exploring Student And Faculty Perspectives On Professionalism In Occupational Therapy Education, Mary Roduta Roberts, Jilaine Barton, Amy Janzen, Carolina Johnson, Lauren Painchaud
The Open Journal of Occupational Therapy
The development of professionalism is critical for occupational therapy (OT) students to become competent occupational therapists. This paper reports on the first phase of a multi-phase project to develop and pilot a situational judgement test to support teaching, learning, and development of professionalism in an OT program. The purpose of this study was to explore faculty and students’ perspectives on professionalism and OT. Twenty-two semi-structured interviews were completed with students (n = 18) and faculty (n = 4). The main insights shared included challenges in defining professionalism in OT, the importance of context, and differing perspectives on the effectiveness of …
Perceptions Of Capstone Mentors: Differentiating Capstone And Fieldwork Students In Occupational Therapy Doctoral Capstones, Sara Stephenson, Rochelle S. Reiss
Perceptions Of Capstone Mentors: Differentiating Capstone And Fieldwork Students In Occupational Therapy Doctoral Capstones, Sara Stephenson, Rochelle S. Reiss
The Open Journal of Occupational Therapy
This qualitative descriptive study explored occupational therapy doctoral capstone (OTD) mentors’ perceptions of differences between capstone and fieldwork students to inform mentor training development. Retrospective data from 157 mentors (145 occupational therapists, 12 non-OT professionals) mentoring 178 OTD students from 2020 to 2023 were analyzed using rapid analysis integrated with Kielhofner’s Qualitative Data Analysis Procedure. Mentors were selected by students through a structured process involving interviews and alignment of professional interests, contrasting with assigned FW placements. Six themes emerged: independence/student autonomy, mentoring relationship, professional skill refinement, unique experience, project development, and negative or neutral challenges. These themes highlight capstone students’ …
Feasibility Of Therapeutic Drumming Intervention For Autistic Youth: An Exploratory Study, Zahava L. Friedman, Dina Prisco, Jorge Ochoa, Talia Nuesi, Carmen Guarino, Patricia Higgins, Danielle Centi
Feasibility Of Therapeutic Drumming Intervention For Autistic Youth: An Exploratory Study, Zahava L. Friedman, Dina Prisco, Jorge Ochoa, Talia Nuesi, Carmen Guarino, Patricia Higgins, Danielle Centi
The Open Journal of Occupational Therapy
Background: There is a need to identify a wider variety of neurodiversity-affirming interventions within the scope of occupational therapy. Therapeutic drumming, percussive music-making as a therapeutic intervention, holds potential for occupational therapy practice, though few studies have explored its efficacy with this population. The purpose of this study was to explore the design and effectiveness of therapeutic drumming for autistic youth from perspectives of drumming facilitators to identify relevant outcome variables and usefulness in the study and practice of therapeutic drumming.
Methodology: This exploratory feasibility study recruited twelve facilitators and 10 autistic youth. An occupational therapy graduate student …
Service Disruptions In Early Intervention Amid Covid-19: Understanding Challenges Faced By Families And Providers, Tiana T. Nguyen, Samantha Mong, Juliana Lainez, Domenique Embrey
Service Disruptions In Early Intervention Amid Covid-19: Understanding Challenges Faced By Families And Providers, Tiana T. Nguyen, Samantha Mong, Juliana Lainez, Domenique Embrey
The Open Journal of Occupational Therapy
Background: Infants at risk for developmental delays require early intervention (EI) services to support their development. However, many families face barriers to receiving services, which were exacerbated by the COVID-19 pandemic.
Objective: This qualitative study examined how COVID-19 impacted access to EI therapy services from the perspectives of families and EI providers in the San Francisco Bay Area. The study aimed to identify existing barriers and new pandemic-specific challenges to inform strategies for improving continuity and quality of EI care during future service disruptions.
Methods: Semi-structured virtual interviews were conducted with caregivers of eligible infants and EI providers. …
Theme Park Experiences Of Families With A Disabled Child Regarding Accessibility And Participation: Mixed Methods Study, Kylie Allan, Karen Park
Theme Park Experiences Of Families With A Disabled Child Regarding Accessibility And Participation: Mixed Methods Study, Kylie Allan, Karen Park
The Open Journal of Occupational Therapy
Background: Despite the large number of children with disabilities, there is little research focused on the experiences families with a child who has a disability have while at theme parks. Both play and leisure participation offer meaningful opportunities for self-expression and can support skill acquisition and building social connections, particularly in family-oriented environments, like amusement parks.
Methods: Using environmental assessments, surveys, and semi-structured interviews, this mixed-methods study explored the experiences of these families, specifically looking at accessibility and participation in the theme park environment. Thirty-seven parents and guardians completed the online survey, while 10 individuals also elected to …
The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller
The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller
The Open Journal of Occupational Therapy
Background: It is fundamental to understand why older adults choose and use technology to fully understand how to meet the needs of an aging population in a technologically advanced society. This research aimed to design and implement a holistic technology training program for older adults that explores using a laptop beyond basic internet use.
Method: A pre-post mixed-method survey study took place at a local senior center. A classroom-style program was designed to deliver information and instruction using a digital device. An 11-item survey on attitudes toward technology using a 7-point Likert scale with qualitative responses was used to collect …
The Content Validity Of The Functional Cognition Index In Instrumental Activities Of Daily Living (Fci-Iadl) As A Screening Tool For Mild Cognitive Impairment (Mci) In Older Adults In Singapore, Namrata P. Sadarangani, Phyllis Simon
The Content Validity Of The Functional Cognition Index In Instrumental Activities Of Daily Living (Fci-Iadl) As A Screening Tool For Mild Cognitive Impairment (Mci) In Older Adults In Singapore, Namrata P. Sadarangani, Phyllis Simon
The Open Journal of Occupational Therapy
Background: Mild Cognitive Impairment (MCI) is a syndrome that is considered a transition phase between healthy cognitive aging and dementia. The person may have subjective memory complaints, substantiated by family or caregiver and/or impaired executive function, that lead to difficulties performing complex Instrumental Activities of Daily Living (IADLs). Our objective was to develop a tool to assess functional cognition in IADLs as a screen for MCI in older adults.
Method: A Qualtrics survey questionnaire was rated by 15 content experts on the relevance of the 22 test item questions to the cognitive domains being measured using a 4-point …
Reframing Occupational Therapy In A Reactive Health System Through Prevention And Caregiver Training, Rosanne Dizazzo-Miller
Reframing Occupational Therapy In A Reactive Health System Through Prevention And Caregiver Training, Rosanne Dizazzo-Miller
The Open Journal of Occupational Therapy
This article explores the expanding role of occupational therapy in chronic disease management, prevention, and caregiver supported care. Occupational therapy is uniquely positioned to support health promotion and caregiver training but remains underused in prevention-focused health care models. Current literature from the Open Journal of Occupational Therapy highlights the importance of caregiver training, the systemic barriers limiting occupational therapy's role in chronic disease management, and the need for the profession to embrace a broader role within this area of practice.
A Mixed-Methods Pilot Investigation Of Act Workshops In Integrated Primary Care, Katherine Buckheit, Kyle Possemato, Mara Sindoni, Luke Mitzel, Niranjala Yogaratnam, Allyson Smith, Lilian Dindo
A Mixed-Methods Pilot Investigation Of Act Workshops In Integrated Primary Care, Katherine Buckheit, Kyle Possemato, Mara Sindoni, Luke Mitzel, Niranjala Yogaratnam, Allyson Smith, Lilian Dindo
The Journal of Integrated Primary Care
Mental health symptoms are prevalent and associated with considerable disease burden. However, most individuals who would benefit from mental health treatment do not receive appropriate care. Barriers such as logistical challenges and stigma often prevent access to traditional services. Alternative delivery modalities and settings may reduce these barriers. This pilot study evaluated the acceptability and preliminary effectiveness of single day Acceptance and Commitment Therapy (ACT) workshops delivered in a non-traditional setting, integrated primary care. Acceptability was operationalized as treatment engagement and treatment satisfaction. Preliminary effectiveness was operationalized as within-condition change in mental health symptoms. Participants were 32 Veterans Affairs (VA) …
Enhancing Student Evaluation: A Study Of Formative And Summative Assessment Practices In Primary Schools, Niman Dreshaj, Isa Spahiu, Zarije Nuredini Spahiu, Suzana Ejupi
Enhancing Student Evaluation: A Study Of Formative And Summative Assessment Practices In Primary Schools, Niman Dreshaj, Isa Spahiu, Zarije Nuredini Spahiu, Suzana Ejupi
Khazar Journal of Humanities and Social Sciences
This article explores assessment in the Kosovo primary education system, focusing on the content to be assessed and the methods used to measure student learning. The study seeks to characterize typical assessment methods, including assessment models, to determine the extent to which they contribute to the quality of teaching and to students' learning. The study focuses in particular on formative and summative assessment, exploring their use in practice and the teacher attributes within this context. Initial results indicate that the predominant use of summative assessment is sensitive to demographic characteristics, such as teacher age and level of professional training. Older …
Negotiating Laughter: Power, Gender, And Classroom Discourse In Pakistani University Settings, Maheen Zahra, Rahat Bashir, Kanwal Zahra
Negotiating Laughter: Power, Gender, And Classroom Discourse In Pakistani University Settings, Maheen Zahra, Rahat Bashir, Kanwal Zahra
Khazar Journal of Humanities and Social Sciences
The aim of this study is to explore how laughter is used as an interactional and socially situated discourse in Pakistani university classrooms at different academic levels. A total of 29 episodes of laughter, out of 32 observed classrooms, were documented through detailed field notes, analyzing how the laughter was initiated, processed, and regulated within the classroom. The findings revealed that laughter is not only an expression of amusement, but it is also a complicated communicative discourse, which is used as a pedagogical tool to maintain power hierarchies and relations as per socio-cultural norms. At the undergraduate level, laughter usually …
The Interrelation Between Technology And Art In ``Brave New World'' And ``Never Let Me Go'', Nubar Aghalarova
The Interrelation Between Technology And Art In ``Brave New World'' And ``Never Let Me Go'', Nubar Aghalarova
Khazar Journal of Humanities and Social Sciences
This paper examines the role of technology and art in dystopian literature and their interrelation in Aldous Huxley's Brave New World and Kazuo Ishiguro's Never Let Me Go (2005). Both dystopian novels depict the societies where technological advancements profoundly influence and control human life, creativity, and individuality. In Brave New World, technology is used to control and dehumanize individuals and to achieve social stability. Art is limited to suppress humans' emotions and self-expression as the world controllers want to do everything that they can erase the past. In Never Let Me Go, technology plays an important role in …
Exploring Chatgpt's Role In Developing Productive Language Skills: A Systematic Review, Milana Abbasova, Eljan Salimli
Exploring Chatgpt's Role In Developing Productive Language Skills: A Systematic Review, Milana Abbasova, Eljan Salimli
Khazar Journal of Humanities and Social Sciences
Although the interactive features of ChatGPT offer substantial benefits for language education, its integration presents complex pedagogical and ethical challenges. This systematic review critically evaluates the capabilities and limitations of ChatGPT in enhancing expressive language capabilities, specifically speaking and writing. Adhering to PRISMA guidelines, a rigorous search of the ERIC database and a forward snowballing technique via Google Scholar yielded an initial pool of 1,124 records, culminating in the final selection of 22 empirical studies for in-depth analysis. Grounded in Vygotsky's Sociocultural Theory and the SAMR integration model, the findings conceptualize ChatGPT as a virtual ``More Knowledgeable Other'' that provides …
Exploring University Students' Acceptance Of Generative Ai For Writing: An Extended Technology Acceptance Model (Tam 3) Perspective, Ikram Ullah, Huma Batool, Sadia Irshad
Exploring University Students' Acceptance Of Generative Ai For Writing: An Extended Technology Acceptance Model (Tam 3) Perspective, Ikram Ullah, Huma Batool, Sadia Irshad
Khazar Journal of Humanities and Social Sciences
Generative AI presents significant potential for improving students' writing, and its acceptance is influenced by varied factors. The present study aims at exploring the factors by examining six vital constructs of Technology Acceptance Model (TAM) 3 (Venkatesh & Bala, 2008)—academic relevance, output quality, self-efficacy, playfulness, anxiety, and perceived enjoyment—and their impact on perceived usefulness, perceived ease of use, and behavioral intention of students. Using a quantitative research approach, a sample size of 345 university students from Computer Science, Management Science, and Arts and Humanities voluntarily participated in an online cross-sectional survey questionnaire. The data was analyzed by SPSS 23.0 and …
Emotional Vs. Informational Framing And Campaign Reach In Crowdfunding: Evidence From 15,901 For-Profit And Charitable Campaigns On Kickstarter And Kiva, Marco Trotta
Idaho Conference on Undergraduate Research
Crowdfunding campaigns rely heavily on how they tell their story. This study asks whether the emotional tone of a campaign description shapes how many backers it attracts, and whether that relationship looks different for for-profit campaigns compared to charitable ones. This paper analyzed 15,901 campaigns drawn from Kickstarter and Kiva, classifying each description as either emotional or informational and measuring reach by backer count.
The results are consistent across both campaign types. For-profit campaigns using emotional language had roughly 11.6% fewer backers than their informational counterparts. Emotional charitable campaigns also underperformed, attracting about 13.6% fewer backers relative to the informational …
Co-Designing Translanguaging-Informed Transformative Socioemotional Learning With Bilingual Kindergarten Teachers In Colombia, Catherine Restrepo-Widney
Co-Designing Translanguaging-Informed Transformative Socioemotional Learning With Bilingual Kindergarten Teachers In Colombia, Catherine Restrepo-Widney
Electronic Theses and Dissertations 2020 - Present
Emergent bilingual children enter early childhood classrooms with rich, dynamic linguistic repertoires that span languages, cultural practices, and ways of knowing. Socioemotional learning (SEL) often fails to meaningfully incorporate children’s linguistic and cultural repertoires, reflecting critiques that many SEL frameworks privilege individualistic, culturally narrow competencies that may marginalize learners from diverse backgrounds. This is particularly consequential in early childhood dual language bilingual education (DLBE), where children's heritage languages are central to authentic emotional connection and identity development, and where empirical models for culturally sustaining SEL remain limited. Through a participatory design research approach structured around iterative cycles of collaborative inquiry, …
The Role Of Mental Health In Postoperative Complications: A Literature Review, Kayla Monet Alwahhamy, Abbas Rasoul Alwahhamy
The Role Of Mental Health In Postoperative Complications: A Literature Review, Kayla Monet Alwahhamy, Abbas Rasoul Alwahhamy
Iraqi National Journal of Medicine
Background: Currently, it is not standard practice to screen all surgical patients both pre- and postoperatively for either a prior history of mental health disorders (MHD) or active symptoms of MHD at the time of surgery. This is despite growing evidence that MHDs may impact wound healing and are recognized as a mortality risk factor in many patients. Aim: This review aims to evaluate existing literature examining mental health (MH) in surgical patients, assess whether there is a relationship between MHDs and postoperative complication rates, and determine whether outcomes differ based on the timing of MHD manifestation (pre- …
Community Health Workers’ Experiences Distributing Harm Reduction Supplies During Covid-19 In The Barren River Area Development District, Angel Nichole Shoemake
Community Health Workers’ Experiences Distributing Harm Reduction Supplies During Covid-19 In The Barren River Area Development District, Angel Nichole Shoemake
Walden Dissertations and Doctoral Studies
Community health workers (CHWs) distributing sterile injecting equipment help reduce infectious disease transmission among people who inject drugs; however, limited research exists regarding their experiences delivering harm reduction services during public health emergencies in rural areas. The purpose of this qualitative study was to explore CHWs’ experiences and perceptions of health risks, operational barriers, and social influences affecting harm reduction service delivery during the COVID-19 pandemic in the Barren River Area Development District. The health belief model guided this study, emphasizing perceived susceptibility, severity, barriers, benefits, and self-efficacy. Data were collected through semistructured Zoom interviews with eight purposively sampled CHWs …
Examining Hiv Testing In Black Americans In The Southern United States: Association Between Sexual Orientation, Gender Identity, Healthcare Access, And Hiv High-Risk Behaviors, Shavon Wolfe
Walden Dissertations and Doctoral Studies
Examining factors that affect HIV testing in the Black/African American population is important because socioeconomic hardship, stigma, and restricted access to healthcare all lead to gaps in early diagnosis and prevention treatment to prevent further spread of infection. However, most studies have focused on these factors separately, leaving less understanding of how they work together to influence HIV testing behavior. Guided by the health belief model, this study examined the relationship between sexual orientation, gender identity, healthcare access, and HIV high-risk behaviors. The study examined the relationship between sexual orientation, gender identity, healthcare access, and HIV testing, and the influence …
Increasing Patient Education On Obesity, Claire Maddux, Linda Hughes
Increasing Patient Education On Obesity, Claire Maddux, Linda Hughes
Group: Nebraska Methodist College
Obesity is a prevalent and undertreated chronic disease associated with significant morbidity and mortality, yet patient education and engagement in treatment remain limited in primary care. This quality improvement project aimed to evaluate the effectiveness of a brief, theory-driven educational handout in improving patient knowledge, self-awareness, and readiness to engage in obesity-related care. The intervention was implemented in a Midwestern primary care clinic and targeted adult patients with a body mass index of 30 or greater. Participants were provided with an educational handout and completed pre- and post-handout tests assessing knowledge of obesity etiology, risks, and treatment options, as well …
Toward An Integrated Framework For Character Education: A Comparative Analysis Of Character.Org’S 11 Principles, The Jubilee Centre Character Education Framework For Schools, And Primed For Character Education, Liliana Borrero
Dissertations
Abstract
Character education is widely recognized as an essential component of schooling; however, it lacks a coherent framework that draws on the shared conceptual ground underlying the current dominant frameworks. This qualitative study systematically compared three influential character education frameworks: Character.org’s 11 Principles for Schools, the Jubilee Centre’s Framework for Character Education in Schools, and PRIMED for Character Education. The purpose of the study was to determine the extent to which these frameworks converge and diverge in their conceptualizations of effective character education and to assess the feasibility of integrating their cross-cutting elements into an integrated framework. Using thematic analysis …
Premature Ventricular Contractions As A Result Of Subacute Myocarditis In A Professional Football Player, Charlotte Pirquet, Daniel Underberg, Brian Osler, Derek Schwabe-Warf, David Shipon
Premature Ventricular Contractions As A Result Of Subacute Myocarditis In A Professional Football Player, Charlotte Pirquet, Daniel Underberg, Brian Osler, Derek Schwabe-Warf, David Shipon
Department of Medicine Faculty Papers
BACKGROUND: Return-to-play (RTP) decisions for professional athletes with arrhythmias are challenging, particularly when the diagnosis is uncertain.
CASE SUMMARY: A 33-year-old professional football player presented for RTP evaluation of premature ventricular contractions (PVCs) and atypical chest pain. Work-up was significant for fragmented R waves and PVCs on electrocardiogram as well as late gadolinium enhancement on cardiac magnetic resonance imaging. Positron emission tomography scan was normal. These findings suggested possible subacute myocarditis. He elected to rest for 2 to 3 months and was treated with guideline-directed medical therapy. Risk stratification highlighted increased risks associated with late gadolinium enhancement and incomplete genetic …