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2025

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Articles 211 - 240 of 570

Full-Text Articles in Health and Physical Education

The Effect Of The Actn3 Gene Variation On Physically Active Individuals' Susceptibility To Muscle Injury, Agata Leońska-Duniec, Piotr Kabelis, Agata Rzeszutko-Bełzowska Sep 2025

The Effect Of The Actn3 Gene Variation On Physically Active Individuals' Susceptibility To Muscle Injury, Agata Leońska-Duniec, Piotr Kabelis, Agata Rzeszutko-Bełzowska

Baltic Journal of Health and Physical Activity

Background: The R577X polymorphism (rs1815739) in the ACTN3 gene, which encodes α-actinin-3, results in deficiency of the functional protein in the muscles of the XX carriers, what could potentially impair muscle fiber function and increase susceptibility to injuries. Thus, this study aimed to assess the relationship between the ACTN3 R577X polymorphism and non-contact muscle injury risk in a physically active Caucasians cohort. Mate-rials and Methods: The study included 142 physically active individuals (26 females and 116 males) who experienced either single (n = 26) or multiple (n = 116) non-contact muscle injuries. The control group included 163 participants (47 females …


Electromyography Normalization And Assessment Methods For Muscle Activity: A Systematic Review And Meta-Analysis, Dariusz Tadeusz Skalski, Magdalena Prończuk, Kinga Łosińska, Ewelina Lulińska, Joanna Motowidło, Justyna Żurowska-Cegielska, Piotr Aschenbrenner, Mieszko Bartosz-Jefferies, Adam Maszczyk Sep 2025

Electromyography Normalization And Assessment Methods For Muscle Activity: A Systematic Review And Meta-Analysis, Dariusz Tadeusz Skalski, Magdalena Prończuk, Kinga Łosińska, Ewelina Lulińska, Joanna Motowidło, Justyna Żurowska-Cegielska, Piotr Aschenbrenner, Mieszko Bartosz-Jefferies, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Background: Electromyographic (EMG) normalization is essential for accurately measuring muscle activity across different populations and tasks. Various methods, including Maxi-mum Voluntary Isometric Contraction (MVIC) and Recurrence Quantification Analysis (RQA), have been employed to improve measurement reliability. However, discrepancies in results across studies necessitate a comprehensive review of normalization techniques. Objective: This report analyzed 40 research studies to evaluate EMG normalization and assessment methods, focusing on their reliability, applicability, and effectiveness across healthy and clinical populations. Methods: The studies employed a range of normalization techniques, including MVIC, submaximal contractions, task-specific approaches, and advanced methods such as RQA and Pre-Fatigue Maximal Voluntary …


Effects Of Different Loads Used In Post-Activation Potentiation Exercises On Sprint And Vertical Jump Performance Of Young Amateur Soccer Players, Emre Karaday, Yusuf Köklü, Erhan Işıkdemir, Bilal Utku Alemdaroğlu, Özlem Köklü Sep 2025

Effects Of Different Loads Used In Post-Activation Potentiation Exercises On Sprint And Vertical Jump Performance Of Young Amateur Soccer Players, Emre Karaday, Yusuf Köklü, Erhan Işıkdemir, Bilal Utku Alemdaroğlu, Özlem Köklü

Baltic Journal of Health and Physical Activity

Background: The purpose of this study was to investigate the effects of different loads used in post-activation potentiation (PAP) exercises on the vertical jump and sprint performance of young amateur soccer players. Materials and methods: Twelve young amateur soccer players (age: 16.3 ± 1.2 years; height: 172.6 ± 3.88 cm; body weight: 63.2 ± 6.7 kg; training experience: 2.3 ± 1.4 years) participated voluntarily. The half squat exercise was performed in unloaded conditions and at three different intensities (L1:80%, L2: 90%, and L3: 100% of one-repetition maximum [1RM]), and its effects on players' countermovement jump (CMJ) and 30 m sprint …


P.L.A.Y. For All Pilot: Effects Of A Community-Based, Inclusive After-School Program On Physical Activity And Motor-Skill Outcomes, Allison R. Tsuchida, Karl-Richard Hennebach, Erin E. Centeio Sep 2025

P.L.A.Y. For All Pilot: Effects Of A Community-Based, Inclusive After-School Program On Physical Activity And Motor-Skill Outcomes, Allison R. Tsuchida, Karl-Richard Hennebach, Erin E. Centeio

International Journal of Physical Activity and Health

After-school programs for physical activity (PA) can contribute to helping children and youth achieve the suggested 60 minutes a day of PA. Previous research also suggests that developing motor competency can positively impact long-term PA participation. Additionally, parent and peer support can help children and youth overcome barriers to PA participation. The primary purpose of this pilot research study was to determine the effects of an inclusive after-school program on PA levels and motor-skill outcomes for children with and without disabilities. A secondary purpose was to examine parental support for physical activity and children’s physical activity and motor skills. 38 …


Preparing The Next Generation Of Health Education Teachers For The Ethical Use Of Ai, Melissa J. Haithcox-Dennis, Reeshemah Johnson Sep 2025

Preparing The Next Generation Of Health Education Teachers For The Ethical Use Of Ai, Melissa J. Haithcox-Dennis, Reeshemah Johnson

Journal of Research Initiatives

This article examines how health education teacher preparation programs can prepare future educators to use artificial intelligence (AI) in responsible and effective ways. It begins with a brief overview of the use of AI in education, considering the growing impact of generative AI technologies on teaching and learning. The article outlines international and national standards that govern the application of AI in education, addressing key ethical concerns, including the dissemination of inaccurate health information, violations of student privacy, bias, and inequitable access to AI tools. The article emphasizes the importance of ethical decision-making and professional responsibility when integrating AI into …


Leaving The Cockpit: Understanding The Military-To-Civilian Transition Experience Of U.S. Army Special Operations Forces Aviation Veterans, Robert D. Harris Aug 2025

Leaving The Cockpit: Understanding The Military-To-Civilian Transition Experience Of U.S. Army Special Operations Forces Aviation Veterans, Robert D. Harris

Doctoral Dissertations and Projects

This study explored the military-to-civilian (MTC) transition experiences of U.S. Army Special Operations Aviation (ARSOA) veterans through a hermeneutic phenomenological approach supported by reflexive thematic analysis (RTA). ARSOA aviators operate in a demanding environment that requires advanced technical proficiency, exceptional cognitive agility, and the capacity to shift between complex tasks rapidly. They possess elite-level skills in target acquisition, decision making under pressure, and processing high volumes of information, capabilities that extend well beyond those typically expected of conventional military pilots. Thirteen former ARSOA aviators, crew chiefs, and flight medics who had separated within the past five years participated in semi-structured …


From Student To Teacher: Lgbtq+ Pre-Service Teachers’ Physical Education Experiences, Alexandra L. Stoddart, Niya St. Amant Aug 2025

From Student To Teacher: Lgbtq+ Pre-Service Teachers’ Physical Education Experiences, Alexandra L. Stoddart, Niya St. Amant

Journal of Queer and Trans Studies in Education

The first phase of an explanatory sequential design explored Lesbian, Gay, Bisexual, Transgender, Queer or Questioning (LGBTQ+) pre-service teachers’ retrospective experiences from primary and secondary school (K-12) physical education, as well as their physical education experiences in one post-secondary institution. Ahmed’s (2006; 2010) interpretation of orientation was invoked as a conceptual consideration. Quantitative results from the cross-sectional online survey indicated that K-12 physical education remains an unsafe and uncomfortable learning space for many LGBTQ+ students for a myriad of reasons. Conventional qualitative content analysis generated four categories about K-12 class pedagogy and structure, gender and sexuality, change rooms, and the …


A Phenomenological Study Of Caregivers For Sexual Minority Hospice Patients, Catherine H. Bianchi Aug 2025

A Phenomenological Study Of Caregivers For Sexual Minority Hospice Patients, Catherine H. Bianchi

Electronic Theses and Dissertations

Lesbian, gay, and bisexual (LGB) individuals face disproportionate barriers in healthcare across the lifespan that persist and often intensify at the end of life. Despite hospice’s mission to provide comfort, dignity, and patient-centered support, it remains unclear whether these services equitably meet the needs of sexual minority patients. Seeking hospice care presents a unique conundrum for many LGB individuals: it necessitates inviting representatives of a historically exclusionary healthcare system into the privacy of their homes - spaces that often serve as sanctuaries of identity, safety, and autonomy. The already vulnerable experience of seeking care in one’s final days can be …


Increasing Implementation Of The Comfortable Cafeteria Program To Promote School-Age Children’S Mental Health And Well-Being, Reinecka Mondesir, Angela Labrie Blackwell Phd, Otr Aug 2025

Increasing Implementation Of The Comfortable Cafeteria Program To Promote School-Age Children’S Mental Health And Well-Being, Reinecka Mondesir, Angela Labrie Blackwell Phd, Otr

Summer 2025 OTD Capstone Symposium

Every Moment Counts (EMC) is a positive mental health promotion initiative that offers several initiatives to create inclusive environments that support student participation and emotional well-being throughout the school day. Comfortable Cafeteria, part of EMC, fosters positive mealtime experiences supporting peer interaction, emotional regulation, and inclusion. Many SBOT practitioners lack the resources to implement Comfortable Cafeteria, despite its benefits. This capstone project addresses the need for practical tools to help school-based occupational therapy (SBOT) practitioners integrate the Comfortable Cafeteria program into daily practice. Using the Multi-Tiered System of Supports (MTSS) framework, the project developed and disseminated an interactive, evidence-based video …


Holistic Approach To Managing Grade 3 Vaginismus: An Obg Physiotherapy Perspective, Nagma Khan Aug 2025

Holistic Approach To Managing Grade 3 Vaginismus: An Obg Physiotherapy Perspective, Nagma Khan

Internet Journal of Allied Health Sciences and Practice

Background: Vaginismus is a condition characterized by involuntary pelvic floor muscle contractions, which can make vaginal penetration painful or impossible. This disorder has both physical and psychological components, often leading to significant emotional distress, anxiety, and relationship difficulties. Effective management requires a holistic, multidisciplinary approach, combining physical therapy with psychological support. This case report examines the treatment of a 29-year-old woman with grade 3 vaginismus, highlighting the role of Obstetrics & Gynaecology (OBG) physiotherapy in improving both physical symptoms and emotional well-being.

Case Presentation: A 29-year-old female presented with grade 3 vaginismus, with a history of severe pelvic floor tension …


Growth, Maturation, And Selection Of Elite Youth Ice Hockey Players, Ryan Podell Aug 2025

Growth, Maturation, And Selection Of Elite Youth Ice Hockey Players, Ryan Podell

Doctoral Dissertations and Projects

Maturity status may influence the selection of elite youth ice hockey teams in the United States. Assessing biological maturity status could provide insight into the prevalence of maturation related selection biases. Thus, the purpose of this study was to establish normative maturity status ranges, determine if maturity or relative age effect selection biases existed, and compare levels of agreement between methods to predict maturity status for elite youth ice hockey players in the United States. Part one of this study assessed the biological maturity status and birth months for 126 athletes, ranging 9-16 years of age, from an elite youth …


Joint Kinematics And Kinetics During Vertical Jump Landings With Progressively Increasing External Loads, Darcie L. Yount Aug 2025

Joint Kinematics And Kinetics During Vertical Jump Landings With Progressively Increasing External Loads, Darcie L. Yount

Dissertations

This study examined sagittal and frontal plane kinematics and kinetics during countermovement jump (CMJ) landings performed with either a traditional barbell (BB) or a hexagonal bar (HEX) across increasing submaximal loads in recreationally active males. Generally, hip and knee flexion angles and joint mean angular velocities decreased as loads increased. Hip extension and knee flexion moments increased as load increased up to 20 kg, at which point these values decreased. Performing the CMJ with the HEX exhibited increased frontal plane stability compared with the BB group. Additionally, the BB group exhibited stiffer landing strategies, with decreased sagittal plane joint angles …


Strength Beyond Cancer: An Occupational Therapy Guidebook For African American Breast Cancer Survivors, Taihia A. Wilson Aug 2025

Strength Beyond Cancer: An Occupational Therapy Guidebook For African American Breast Cancer Survivors, Taihia A. Wilson

Student Capstone Papers

This capstone project aims to explore the nuanced and often underrepresented experiences of African American women (AAW) who have survived breast cancer (BC), with a specific focus on the recovery phase. By examining the physical, cognitive, and psychosocial obstacles encountered during survivorship, the project seeks to highlight significant gaps in care and support. The primary goal of this project is to develop an accessible and culturally responsive guidebook that provides healthy strategies to enhance quality of life (QoL), promote occupational wellbeing, and empower AAW to manage their overall health beyond treatment. This paper will begin by presenting the background and …


Nebline, August/September 2025 Aug 2025

Nebline, August/September 2025

NEBLINE Newsletter Archive from Nebraska Extension in Lancaster County

Contents

Summertime’s Natural Light Show: Fireflies by Kait Chapman

Insect Science with Kids: Bug Collecting as a Tool to Learn

The Perfect Partnership: EFNEP and SNAP-Ed Join Forces for Lifelong Nutrition and Health by Emily Gratopp

Recipe of the month by Emily Gratopp: Fruit salsa & cinnamon chips

Southeast nebraska Pasture & Acreage Expo

Southeast Nebraska Alfalfa & Wheat Expo

Landlord/Tenant Cash Rent workshop

Vegetable Gardening in the Fall by Mary Jane Frogge

GRO Big Red virtual learning series

2025 perennial plant of the year: Blue mountain mint (Pycnanthemum muticum)

Garden guide: Things to do this month by …


Black Belt Football Players' Perceptions Of Their Football And Academic Environments, Paul David Kadle Jr. Aug 2025

Black Belt Football Players' Perceptions Of Their Football And Academic Environments, Paul David Kadle Jr.

College of Education

The achievement gap between rural and non-rural schools is persistent. This study examines the achievement gap problem by analyzing two groups of rural schools to better understand their ecologies and the inner workings of rural schools. Ecological Systems Theory is the framework from which this study operates while looking at the mesosystemic relationship between the microsystems of high school football teams and classrooms in the Black Belt and otherwise rural areas of Alabama and Mississippi. A non-experimental quantitative survey design was used to answer research questions that focused on the achievement gap between Black Belt and non-Black Belt rural schools …


Engaging In Movement At Work: Exploring Engagement And Physical Activity., Spencer A. Cavan Aug 2025

Engaging In Movement At Work: Exploring Engagement And Physical Activity., Spencer A. Cavan

Electronic Theses and Dissertations

High levels of employee engagement provide organizations competitive advantages such as increased customer satisfaction, profits, and employee productivity. Despite potential benefits, the number of engaged employees is declining and organizations need to find innovative ways to enhance engagement. Emerging evidence suggests workplace physical activity may generate organizational benefits extending beyond health improvement. Therefore, the purpose of this study was to investigate perceptions of engagement among employees participating in a physical activity intervention at work. A qualitative design, guided by phenomenology, examined perceptions of workplace physical activity and perceived levels of engagement, as well as constraints related to involvement among university …


Lifestyle Factors Contributing To Occupational Heat-Related Acute Kidney Injury, Jonathan Specht, Fabiano Amorim, Flavio De Castro Magalhaes, Zachary Mckenna, Zachary Schlader Jul 2025

Lifestyle Factors Contributing To Occupational Heat-Related Acute Kidney Injury, Jonathan Specht, Fabiano Amorim, Flavio De Castro Magalhaes, Zachary Mckenna, Zachary Schlader

Health, Exercise, and Sports Sciences ETDs

Workers worldwide are at risk for acute kidney injury due to hyperthermia and dehydration as a consequence of exertional heat stress. Limited research has explored the impact which lifestyle agents such as beverages, recreational drugs, and medications have on core temperature, hydration, and risk of acute kidney injury during physical work in the heat. To address this research gap, we explored the impact of three agents frequently used by construction workers on thermoregulation and markers of risk of acute kidney injury. First, we investigated the effect which ibuprofen ingestion has prior to one hour of running in the heat on …


Addressing Head Injuries In High School Football: An Assessment Of Best Practices And Challenges In The Area Of Concussions As Held By New Mexico Activities Association High School Varsity Football Head Coaches And Athletic Directors, Alonzo Maestas Jul 2025

Addressing Head Injuries In High School Football: An Assessment Of Best Practices And Challenges In The Area Of Concussions As Held By New Mexico Activities Association High School Varsity Football Head Coaches And Athletic Directors, Alonzo Maestas

Health, Exercise, and Sports Sciences ETDs

Youth sports participation in the United States offers children and adolescents opportunities for physical activity, skill development, social interaction, and personal achievement. However, with sports comes the risk of injury, including concussions. Concussions can have serious long-term consequences such as chronic traumatic encephalopathy (CTE). In response to the risks of concussions, New Mexico enacted a concussion law, NM Stat 22-13-31. In addition to this law, the New Mexico Activities Association (NMAA) and National Federation of High School Associations (NFHS) have also given guidance on how to manage concussions.

However, there is a gap in the literature concerning concussion education, best …


Evaluating Velocity-Based Training Compared With Percent-Based Loading In High School Football Athletes, Daniel Mullins Jul 2025

Evaluating Velocity-Based Training Compared With Percent-Based Loading In High School Football Athletes, Daniel Mullins

Doctoral Dissertations and Projects

The purpose of this study was to investigate velocity-based training (VBT) compared with percent-based training (PBT) protocols in high school American football (AF) athletes. This study evaluated the improvements in 1RM back squat, countermovement jump (CMJ), and linear sprint (LS) times from a 6-week resistance training protocol. The study also compared the total time under tension (TUT) each group experienced throughout the intervention. This randomized controlled trial with pre- and post-measures of all dependent variables included participants (n = 19, age: 16.0 ± 0.9 years, training experience: 1.7 ± 0.7 years) who were enrolled in a physical education class specifically …


Using Statistical Modeling To Help Improve The Work Environment For Nurses, Malcolm S. Demery Jul 2025

Using Statistical Modeling To Help Improve The Work Environment For Nurses, Malcolm S. Demery

Doctoral Dissertations and Projects

This study aims to investigate if statistical modeling can help to improve the nurse’s work environment by identifying and solving basic workplace stresses. The major problem addressed is the stressful situation of burnout and high turnover levels for nurses, which affects the patient and the quality of care. Therefore, this research is important since it can enhance nurse job satisfaction and retention which subsequently can result in better healthcare outcomes, lower operational costs, and better patient safety. The central research questions guiding this study are: (1) How can statistical modeling aid in the discovery and correction of underlying factors that …


Predicting Success On The National Physical Therapy Examination For Graduates Of A Physical Therapist Assistant Program: A Correlational, Logistic Regression Study, Wendy Renee Powers Mcnall Jul 2025

Predicting Success On The National Physical Therapy Examination For Graduates Of A Physical Therapist Assistant Program: A Correlational, Logistic Regression Study, Wendy Renee Powers Mcnall

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive, correlational study was to assess if practice examinations and self-efficacy influence first-attempt passing scores on the National Physical Therapist Examination for physical therapist assistants. This study is important because, upon graduation from an accredited program, graduates must pass a rigorous national examination to obtain licensure to practice. Concurrently, accreditation standards require physical therapist assistant programs to maintain licensure examination pass rates of 85% for program graduates. With the high-stakes examination affecting the future of graduates and program accreditation status, effective preparation and assessment tools mutually benefit stakeholders. The study utilized binomial logistic regression to …


Enhancing Medication Communication In The Acute Care Setting To Strengthen Patient Comprehension And Retention, Ashleigh C. Christensen Jul 2025

Enhancing Medication Communication In The Acute Care Setting To Strengthen Patient Comprehension And Retention, Ashleigh C. Christensen

Student Scholarly Projects

Practice Problem: Research has shown that breakdowns in communication, especially in the context of medication education, play a critical role in the delivery of safe and effective patient care. These findings underscore the need to prioritize effective communication in medication education. In the acute care setting, effective communication is essential for ensuring patient safety, adherence, and improved patient-centered outcomes.

PICOT: In clinical staff providing direct patient care in the acute care setting (P), does the implementation of the evidence-based teach-back method (I), as compared to current practice (C), improve patient knowledge, understanding, and self-management upon discharge (O), over ten weeks …


Exploring Physician Associates’ Perceptions Of Motivational Interviewing: A Phenomenological Study, Thaddeus Riley Jul 2025

Exploring Physician Associates’ Perceptions Of Motivational Interviewing: A Phenomenological Study, Thaddeus Riley

Graduate Theses, Dissertations, and Capstones

Longer lifespans across the population are contributing to a rise in chronic illnesses that require ongoing treatment. This increase has furthered the need for evidence-based clinical tools to effectively treat long-term diseases. Motivational Interviewing (MI) is an evidence-based method used by physicians and other healthcare practitioners, including physician associates (PAs), to help patients facilitate health behavior changes. PAs are licensed, highly trained healthcare professionals who practice medicine across all specialties and settings. PAs focus on patient-centered, team-based care and play a key role in expanding access to healthcare and improving overall health outcomes (AAPA, 2023b). While MI’s efficacy has been …


Screening For Bullying In A Middle School Setting, Paige Bernau Jul 2025

Screening For Bullying In A Middle School Setting, Paige Bernau

Dissertations

Problem: Bullied youth are two and a half times more likely to experience depression and three times more likely to experience anxiety and suicidal ideation than their peers (Li et al., 2024). Schools represent a key access point for mental health support and treatment for youth (Duong et al., 2020). Despite this, schools typically do not have formal bullying screening integrated into student support services.

Methods: This program evaluation used a descriptive, observational design to evaluate a bullying screening program in a suburban middle-school. This program used the California Bullying Victimization Scale (CBVS) to assess for bullying victimization (BV) followed …


Under Pressure: Performance Loads And Recovery In Ncaa Division I Women’S Soccer During Fixture Congestion, Jade X. Dawson, Fabiano T. Amorim Jul 2025

Under Pressure: Performance Loads And Recovery In Ncaa Division I Women’S Soccer During Fixture Congestion, Jade X. Dawson, Fabiano T. Amorim

Health, Exercise, and Sports Sciences ETDs

Soccer places high physiological demands on athletes, and match congestion—playing more than two games per week—is a growing concern at the NCAA Division I level. Limited recovery time between matches can impair performance and increase injury risk, prompting widespread use of recovery strategies. However, research on their effectiveness remains inconclusive, and most existing studies focus on male athletes, leaving a gap in evidence specific to female players. This review and observational study aim to evaluate non-nutritional recovery strategies in NCAA Division I women’s soccer and examine how recovery duration influences performance.

Match load data were collected from eleven female athletes …


Exploring The Impact Of A Middle Level School Therapy Dog On Students And Staff And Connections To Best Practices In Middle School Education, Brandye Nobiling, Sherry Maykrantz, Tara Downes, Joshua Nobiling Jul 2025

Exploring The Impact Of A Middle Level School Therapy Dog On Students And Staff And Connections To Best Practices In Middle School Education, Brandye Nobiling, Sherry Maykrantz, Tara Downes, Joshua Nobiling

Current Issues in Middle Level Education

The presence of therapy dogs in schools has increased due to the growing body of research showing positive effects of assisted-animal interaction. But there is little published research on how an innovation such as a therapy dog connects to best practices in middle level education. The goal of the research was to use the Diffusion of Innovation (DOI) theory to connect the implementation of a therapy dog to the Association for Middle Level Education’s (AMLE) essential attributes and characteristics as well as components of the Centers for Disease Control and Prevention’s Whole School, Whole Community, Whole Child (WSCC) model. Focus …


The Effectiveness Of Myofascial Massage Of The Gastrocnemius Muscle On The Threshold And Pain Tolerance., Karolina Pawlikowska, Aleksandra Jażdżewska, Jakub Kortas Jul 2025

The Effectiveness Of Myofascial Massage Of The Gastrocnemius Muscle On The Threshold And Pain Tolerance., Karolina Pawlikowska, Aleksandra Jażdżewska, Jakub Kortas

Baltic Journal of Health and Physical Activity

Background: The aim of the study was to assess the effectiveness of the myofascial self-massage technique of the gastrocnemius muscle in determining the possibility of increasing pain tolerance and individual pain threshold, which could increase exercise efficiency, allow for greater training loads and accelerate post-exercise regeneration, as well as to determine the subjective assessment of pain intensity using the VAS scale. Material and Methods: 85 students at Gdansk University of Physical Education and Sport took part in the research, including 37 women and 48 men aged 19–25 years. (M = 20.7; SD = 1.07). The test consisted of applying pressure …


Reassessing Readiness: Physical Performance Trajectories And Future Physical Military Readiness, Giovanna Leone Jul 2025

Reassessing Readiness: Physical Performance Trajectories And Future Physical Military Readiness, Giovanna Leone

Theses and Dissertations

This dissertation consists of three studies integrating frequentist and machine learning techniques to examine physical fitness trajectories and future physical military readiness. Study 1 consists of a cross-sectional examination of Physical Fitness Test (PFT) scores from four cohorts of first-year Cadets at a Senior Military College from 2019 to 2022. Study 2 consists of a longitudinal examination of PFT performance from one cohort of Cadets across a baseline test and three years of training at a Senior Military College. Study 3 examines predictive machine learning and growth curve modeling methods to project future physical military readiness based on motor competence …


Transforming Primary Care: Innovative Post Graduate Pa Training For Real-World Solutions, Kenneth Botelho, James Ali Jun 2025

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 …


Mediating Role Of Self-Efficacy In The Association Between Fatigue And Depressive Symptoms In Females With Rheumatoid Arthritis, I-Yu Hsiao, Hanoch Livneh, Chieh-Tsung Yen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai Jun 2025

Mediating Role Of Self-Efficacy In The Association Between Fatigue And Depressive Symptoms In Females With Rheumatoid Arthritis, I-Yu Hsiao, Hanoch Livneh, Chieh-Tsung Yen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background and Objectives: Extant research on the relationship between fatigue and depression in people with rheumatic diseases portrays a divergent picture. While caring for persons with this medical condition, one issue that represents individual confidence in carrying out specific tasks, namely self-efficacy level, has attracted significant attention. Yet, the information regarding whether self-efficacy may pose a clue linking these two major symptoms is still unknown. The aim of this study, therefore, is to examine whether self-efficacy mediates the association between fatigue and depressive symptoms among persons with rheumatoid arthritis (RA). Materials and Method: A cross-sectional study of 224 …