Medicine and Health Sciences Commons^™

Mental Health Effects Of The Covid-19 Pandemic On Aging Lesbian, Gay, Bisexual, Transgender, And Queer Populations., Iliza Minaya, Samuel Raine, Arkene Levy, Chasity B O'Malley

HPD Articles

INTRODUCTION: The COVID-19 pandemic affected numerous subpopulations of people in unique ways. This study evaluated the impact of the COVID-19 pandemic on the mental health status of Broward County's aging lesbian, gay, bisexual, transgender, and queer (LGBTQ) seniors and identified strengths, weaknesses, and opportunities for interventions to enhance positive mental health outcomes. The study was performed from April 2021 through July 2021.

METHODS: Online surveys measuring anxiety, depression, social support, and resilience were delivered by email to 47 residents of Wilton Manors, Florida. Study data were collected and collated using research electronic data capture tools with bivariate analysis using the …

Benign Acute Childhood Myositis In A Pediatric Patient Post Influenza B Infection, Michael C. Huzior, Brendan P. Chernicki, Lisa Nguyen, Bobby Kumar

HPD Articles

Benign acute childhood myositis (BACM) is a mild and self-limited sudden onset of lower extremity pain during or following recovery from a viral illness. It is characterized by difficulty walking due to severe bilateral calf pain, which usually resolves in three days. It is typically appreciated during times of large influenza outbreaks and epidemics. The most severe complication can be rhabdomyolysis without proper treatment and can lead to renal damage and potential renal failure. There are limited reported cases of BACM and therefore no clear guidelines in the treatment or management of the condition. This case is unique in the …

Prolonged Antibiotic Use In A Preclinical Model Of Gulf War Chronic Multisymptom-Illness Causes Renal Fibrosis-Like Pathology Via Increased Micro-Rna 21-Induced Pten Inhibition That Is Correlated With Low Host, Ayushi Trivedi, Dipro Bose, Punnag Saha, Subhajit Roy, Madhura More, Jonathan Skupsky, Nancy G. Klimas, Saurabh Chatterjee

HPD Articles

Gulf War (GW) veterans show gastrointestinal disturbances and gut dysbiosis. Prolonged antibiotic treatments commonly employed in veterans, especially the use of fluoroquinolones and aminoglycosides, have also been associated with dysbiosis. This study investigates the effect of prolonged antibiotic exposure on risks of adverse renal pathology and its association with gut bacterial species abundance in underlying GWI and aims to uncover the molecular mechanisms leading to possible renal dysfunction with aging. Using a GWI mouse model, administration of a prolonged antibiotic regimen involving neomycin and enrofloxacin treatment for 5 months showed an exacerbated renal inflammation with increased NF-κB activation and pro-inflammatory …

Thrombotic And Hemorrhagic Complications Following Left Ventricular Assist Device Placement: An Emphasis On Gastrointestinal Bleeding, Stroke, And Pump Thrombosis, Joseph Phan, Kareem Elgendi, Masi Javeed, Juan M. Aranda, Mustafa M. Ahmed, Juan Vilaro, Mohammad Al-Ani, Alex M. Parker

HPD Articles

The left ventricular assist device (LVAD) is a mechanical circulatory support device that supports the heart failure patient as a bridge to transplant (BTT) or as a destination therapy for those who have other medical comorbidities or complications that disqualify them from meeting transplant criteria. In patients with severe heart failure, LVAD use has extended survival and improved signs and symptoms of cardiac congestion and low cardiac output, such as dyspnea, fatigue, and exercise intolerance. However, these devices are associated with specific hematologic and thrombotic complications. In this manuscript, we review the common hematologic complications of LVADs.

Nutritional And Wellness Strategies For Neurological And Psychiatric Recovery From Postcovid Syndrome And Post-Acute Sequelae Of Covid-19, Jeffrey Schaefer, Deepesh Khanna

HPD Articles

The post-COVID syndrome was officially recognized as a disability under the Americans with Disabilities Act, indicating that this syndrome has made a significant impact on our populace. Also, post-acute sequelae of COVID-19 (PASC) is a term that describes the long-term health problems that some people experience after being infected with the virus that causes COVID-19. These problems can last for weeks, months, or even years, and can affect various parts of the body, such as the heart, lungs, brain, and blood vessels. This narrative review paper utilized the PubMed database to explore the pathophysiology of post-COVID syndrome's neurological and psychiatric …

Development And Validity Of The Student-Run Outpatient Physical Therapy Experience Survey: A Pilot Study, Teresa R. Bachman, Shannon Williams, Anne Boddy, Janet Bezner

Internet Journal of Allied Health Sciences and Practice

Purpose: The preparation of professionals who are culturally sensitive and provide patient centered care is an expected outcome of physical therapist education. A review of the literature revealed that patient experience and outcome data regarding physical therapy student-led clinics are lacking. The purpose of this pilot study was to develop a valid patient experience survey that assessed patient centeredness and cultural competence in a gender-neutral manner. Methods: Questions for a new survey, Student-run Outpatient Physical Therapy Experience Survey (SOPTES) were generated using two validated surveys, the Questionnaire of Patient’s Experiences in Post-Acute Outpatient Physical Therapy Settings (PEPAP-Q) and the Tucker-Culturally …

Physical Therapists And Physical Therapy Assistants’ Readiness Levels To Deliver Telehealth Services: A Survey Analysis, Bhavana Raja, Alicia Rabena-Amen, David Gillette, Preeti Oza, Todd E. Davenport

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to investigate physical therapists (PT) and physical therapy assistants’ (PTA) readiness to deliver telehealth (TH) services during COVID-19 pandemic. Method: IRB approved this survey analysis study. The Modified Maryland TH Readiness Assessment Tool (mMTRAT) was distributed by email to all licensed PTs and PTAs in California in October 2020. One-way analysis of variance (ANOVA) was used to compare between-groups differences for continuous demographic data. Pearson chi-square analysis was used to assess between-group distributions of categorical data. The statistical significance of between-groups median mMTRAT scores was assessed using the Mann-Whitney U test. Statistical significance …

Physical Therapy Professionals’ Opioid Knowledge And Attitudes In A Midwestern State: A Cross Sectional Survey, Steven G. Kinney, John D. Kiesel

Internet Journal of Allied Health Sciences and Practice

Purpose: To determine perspectives towards opioid use, knowledge on managing an opioid overdose, and awareness towards individuals who use opioids of Indiana physical therapy (PT) professionals. Methods: An online questionnaire was disseminated to PT professionals in Indiana from various practice settings. This questionnaire included two standardized measures, the Opioid Overdose Knowledge Scale (OOKS) and the Opioid Overdose Attitude Scale (OOAS). An additional 12 questions regarding the role of PT and other groups in the opioid crisis as well as opioid education were included. These questions were developed by discussion between investigators as well as feedback from another rehabilitation professional. Descriptive …

Screening For Social Determinants Of Health In Ohio Physical And Occupational Therapists, Zoe Pullar, Chloe Bertke, Kayla Richard, Katharine Tafelski, Amy Hassen-Miller

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to investigate if and how frequently Ohio occupational and physical therapists are screening for social determinants of health within their patient population. Method: A cross sectional electronic survey was sent out to all occupational and physical therapists in the state of Ohio who have an active license with the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (There is a single board in Ohio that represents all three of these disciplines.). Frequencies and cross tabulations were analyzed to determine relationships between asking about social determinants of health and various demographic factors. Results: …

Clinical Leadership In Athletic Training, Tyler G. Vannucci, Lindsey E. Eberman, Matthew J. Rivera, Matthew J. Drescher, Justin Young, Kenneth E. Games

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical leadership behaviors demonstrated by nurses delivering patient care are associated with improved patient outcomes and increased job satisfaction. Clinical leadership behaviors have not been studied in athletic training; therefore, the purpose of this study was to investigate athletic trainers’ frequency of demonstrating these behaviors. Method: Participates completed an electronically distributed survey consisting of demographic variables, the Clinical Leadership Survey (CLS), and the Global Rating of Clinical Leadership Scale (GRCLS). Results: We found statistically significant differences between the CLS score of those in a supervisory role (M = 65.3 ± 5.4) and those who are not (M = 63.5 …

A Neuromuscular Training Program Performed On Foam Is Accompanied By Improved Balance And Jump Height In Recreational Runners, Katie L. Nixon, Cameron J. Franz, Carson J. Birchmeier, Jeremy L. Knous, David C. Berry, Kisha M. Osterhoff, Merrick A. Lincoln

Internet Journal of Allied Health Sciences and Practice

Purpose: To assess balance, plyometric performance, and strength of recreational runners completing a neuromuscular training (NMT) program on a novel foam surface. Methods: After baseline testing, participants (n=14) completed 22-minute exercise sessions on foam twice weekly for eight weeks, and a post-training testing battery. Testing included lower quarter Y-balance test (LQYBT), dynamic leap and balance test (DLBT), squat jump and countermovement jump tests, and isometric strength testing of the foot and ankle via handheld dynamometry (HHD). Participants were asked to maintain their normal running routines throughout the study period and report any training missed due to injury. Results: Participants demonstrated …

An Evaluation Of A Student Allied Health Professions’ Social Prescribing Scheme, Kirstie A. Goodchild, Anya De Iongh

Internet Journal of Allied Health Sciences and Practice

Purpose: Social prescribing is a core part of healthcare policy within the NHS and requires support and contributions from all healthcare professionals, including Allied Healthcare Professionals (AHPs). The well-established medical student-led social prescribing student champion scheme (SPSCS) has been expanded to include AHPs, and AHP champions were recruited to deliver peer-led activities focused on social prescribing. This article aimed to evaluate the impact of the scheme's expansion on AHP students. Method: Fourteen AHP champions ran 21 activities that reached 524 students. Those participating in the champion-led activities were asked to complete pre- and post-session surveys to capture the impact of …

Forward Thinking And Adaptability To Sustain And Advance Ipecp In Healthcare Transformation Following The Covid-19 Pandemic, Hossein Khalili, Jyotsna Pandey, Sylvia Langlois, Vikki Park, Ryan Brown, Alla El-Awaisi, Kathleen Macmillan, Shelley Cohen Konrad, Brittany Daulton, Christopher Green, Giray Kolcu, Charlotte Mccartan, Gina Baugh, Andrea Pfeifle, Lisa Wetzlmair, Inci Kolcu, Anthony P. Breitbach

Internet Journal of Allied Health Sciences and Practice

The proliferation of the novel SARS-CoV-2 (COVID-19) virus across the globe in 2020 produced a shared trauma internationally of unprecedented devastation, disruption, and death. At the same time, the pandemic has been a transformation catalyst accelerating the implementation and adoption of long overdue changes in healthcare education and practice, including telehealth and virtual learning. The COVID-19 pandemic has placed healthcare at a crossroads, either viewing it as a temporary situation that requires short-term solutions, or as a major disruption that presents opportunities for innovation for sustainable development and transformation. As COVID-19 transitions from pandemic to endemic, we have a unique …

Influence Of Personality On Ethical Decision-Making In Communication Sciences And Disorders, Jennifer K. Binkley, Terry W. Baggs

Internet Journal of Allied Health Sciences and Practice

Purpose: A relationship between personality and ethical decision-making has been demonstrated in professions both within and outside of healthcare. However, this relationship has not been examined in the rehabilitation therapies, including speech-language pathology (SLP). Given the ethical dilemmas faced by therapists, it is important to assess this relationship and to modify ethical training when warranted. Methods: A total of 175 undergraduate communication sciences and disorders students participated in completing the Kiersey Temperament Sorter II and the Defining Issues Test-2. Scores were statistically compared to determine the relationship between the two assessments. Results: Based on a model of moral reasoning development, …

A Work Readiness Scale For Allied Health Graduates, Vidya Lawton, Emre Ilhan, Verity Pacey, Taryn M. Jones, Arlene Walker, Catherine M. Dean

Internet Journal of Allied Health Sciences and Practice

Purpose: The transition for allied health graduates from university to the workforce has been perceived to be difficult and overwhelming, leading to early attrition within healthcare professions. Work readiness is a crucial aspect of successful transition to the workforce, however, the elements of work readiness are not clearly defined. The purpose of this project was to refine the measurement of work-readiness in allied health graduates. Method: A 62-item Work Readiness Scale for Allied Health Professionals (WRS-AH), based on a work readiness scale for a generic population of graduates, was validated and refined using an exploratory factor analysis. Results …

The Object Play Of Young Children On The Autism Spectrum: A Narrative Review Of Strengths-Based Literature, Sharon Eva

Internet Journal of Allied Health Sciences and Practice

Purpose: The play in young children with autism has been historically seen as deficits-based, with a focus on the limitations of autistic object play. More recently, there has been a shift towards a strengths-based view of autistic object play, where their play preferences and skills are viewed as vehicles for meaningful engagement and as having potential for learning. The aims of this narrative review are two-fold: to identify themes in the existing literature regarding the object play of young children with autism; and, to summarize the existing literature specifically examining object play in young autistic children from a strengths-based point …

Remote Teleassessment And Telerehabilitation Of A Comprehensive Exercise Training Protocol For Older Adults: Design And Methodology Of A Usability Protocol, Savitha Subramaniam, Spyros Kitsiou, Tanvi Bhatt

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: The design, usability, safety, and feasibility of a telehealth protocol comprising teleassessment and tele rehabilitation to evaluate and improve physical and cognitive function among older adults was assessed. Methods: Healthy older adults (n=23) participated in a pre-post tele-assessment of a 4-week (3 sessions/week) telerehabilitation session. Tele-assessment was performed to evaluate balance, gait function, and cognition. Tele-rehabilitation sessions comprised of balance games, dancing, dual-tasking, yoga, and tai-chi exercises. Results: There were no adverse events reported to indicate concerns with the safety of the current telehealth protocol. Conclusion: The proposed telehealth protocol to assess and improve physical and cognitive function …

A Model For Teaching Financial Literacy In A Doctor Of Physical Therapy Program Using The Five Stages Of Career Development, Madeline Ratoza, Rupal Patel, Fabian Bizama, F Scott Feil

Internet Journal of Allied Health Sciences and Practice

Purpose: The cost of higher education programs across allied health disciplines have increased substantially in recent years while salaries have remained relatively stagnant. The result of which is an increase in debt burden for graduates of allied health professional programs. One possible intervention to improve the experience of graduates is to improve financial literacy; however, research on the effectiveness of financial literacy education in higher education is scant. Therefore, the purpose of this study was to understand the effectiveness of a financial literacy and career planning seminar in a Doctor of Physical Therapy (DPT) program. Specifically, this study aimed to …

Stressed Fracture: The Relationship Between Coping Strategies And Workload In Secondary School Athletic Trainers, Andrew Gallucci, Katherine M. Lee, Leslie W. Oglesby, Anna Porter, Leslee Funderburk, Jeff S. Forsse

Internet Journal of Allied Health Sciences and Practice

Purpose: The work environment for an athletic trainer (AT) working in a secondary school is typified by heavy workloads and job-related stress. Occupational stress can have negative effects on productivity, absenteeism, employee turnover, and quality of life. Research suggests that personal and situational factors can influence the coping process adopted by an individual. The approach-avoidance framework suggests that people cope with a stressor by either attempting to reduce it or removing oneself from that stressor. Previous research on other healthcare professionals suggested that use of avoidance coping was correlated with higher levels of job stress and those who perceived greater …

How Traits Of Emotional Intelligence Affect Perceived Stress In Entry-Level Doctor Of Occupational Therapy Students, Heidi A. Carpenter, Chelsey Edwards, Scott Richardson

Internet Journal of Allied Health Sciences and Practice

Purpose: Students in an entry-level Doctor of Occupational Therapy (OTD) programs are subject to high levels of stress and emotional burnout. Effective management of stress impacts life satisfaction and academic performance. Emotional intelligence (EI) has been shown to relate to lower stress levels in allied health students. Despite this, little has been done to investigate the emotional demands of an occupational therapy education. Methods: Participants were a convenience sample of 51 entry-level Doctor of Occupational Therapy Students recruited from the Southwest and Midwest cohorts of an OTD program. The participants were surveyed approximately 30 days after beginning their semester curriculum. …

The Effectiveness Of Student-Driven Pro Bono Physical Therapy Services On Self-Reported Outcomes Of Community-Dwelling Adults With Musculoskeletal Conditions, Elise Harris, Tamara Hefferon, Peyton Oules, Katherine Sarnacki, Benjamin Galaviz, Jake Robert Gaston

Internet Journal of Allied Health Sciences and Practice

Purpose: Student-driven pro bono clinics provide a profound clinical education experience for health professional students while serving members of the community. Currently, there is little research on how the pro-bono clinic impacts the community members involved. The purpose of this study was to examine outcomes following discharge from a pro bono clinic held through an entry-level physical therapy program. Methods: Forty-one volunteer community members, 19 males (M) (46.3%) and 22 females (F) (53.6%), participated in this study. Ages ranged from 20-90 years, with a mean age of 41(17) years. Each community member completed the Wong-Baker FACES Pain Rating Scale (WBFS), …

Working Hours, Sleep, And Burnout Among Athletic Trainers Employed In College Athletics: A Cross-Sectional Study, Stephanie M. Singe, Catherine G. Mydosh, Alexandrya Cairns, Christianne M. Eason

Internet Journal of Allied Health Sciences and Practice

Purpose: Burnout continues to be an important concern for athletic trainers working in the collegiate sport setting. The purpose of the study was to examine the relationships between working hours, sleep, and burnout among athletic trainers providing patient care in the collegiate setting. Methods: A web-based (Qualtrics, Provo, UT) cross-sectional study using a self-reported questionnaire was used to collect demographics and data on working hours, sleep, and burnout. The Copenhagen Burnout Inventory (CBI) was used to determine burnout. Results: The mean age of our participants (n=1006) was 33 ∓ 9 years; 37.6% (n=378) were male, 61.5% (619), and 1.1% …

A Model For Professionalism Evaluation: Using The Rise Assessment Tool Across Dpt Didactic And Integrated Clinical Education, Rebecca Edgeworth Ditwiler, Laura Lee Swisher, Barbara Reddien Wagner, Stephanie Ann Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: There are limited options for professionalism evaluation during short term clinical experiences in physical therapy education. The purpose of this report is to describe the development of a new assessment tool (RISE) [Respect for Others, Integrity & Compliance, Self-Awareness & Commitment to Development, and Engagement & Work Ethic] as part of a longitudinal professional development model in the DPT didactic curriculum (RISE-SA) and integrated clinical education (RISE-CI). Primary goals of the RISE were to clearly define evaluation criteria, offer quick formative feedback, promote communication between clinical and academic faculty, and create objective professionalism …

Hearing Loss As A Risk Factor For Cognitive Decline In The Elderly: A Rapid Review, Natalie Large, Nannette Nicholson

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this rapid review was to identify and evaluate evidence exploring hearing loss as a risk factor for cognitive decline in the elderly population. Methods: A literature search was performed in three databases: CINAHL, Cochrane Central, and PubMed. The PRISMA template was used to record the search and selection process. Search criteria included older adults aged 65 and up with diagnosed or self-reported hearing loss and no previous diagnosis of dementia or Alzheimer’s disease. Participants were excluded if they had been diagnosed with dementia or tested for it before the study began. Hearing loss was categorized using …

Effects Of A Dynamic Arm Stabilizer On Varus Elbow Torque, Arm Speed, And Velocity In Collegiate Baseball Players: A Pilot Study, Andrew Cage, Laurel Trail, Lynzi Warner, Brandon J. Warner

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to assess the effect a dynamic arm stabilizer had on varus elbow torque, arm speed, and throw velocity during baseball throwing. Methods: 8 collegiate baseball players (age= 20 ± 1 years, height= 183.5 ± 6.5 cm, weight= 85.6 ± 7.7 kg) participated in this study. Participants were randomly assigned to throw their first set of 25 throws at 90 feet wearing a dynamic arm stabilizer or throw their second set of 25 throws at 90 feet not wearing a dynamic arm stabilizer. After completing the first set of throws, the participants threw a …

Title: Assessment Of Student Perception Regarding Clinical Training In Undergraduate Dental Programs Using Clin Ed Iq., Sanaa Ahmed, Samira Adnan, Syed Mahmood Haider

Internet Journal of Allied Health Sciences and Practice

Purpose. Clinical training is essential part of the dental curriculum. Both clinical environment and Teachers are essential factors which affect the acquired clinical skills. The objective was to assess the perceptions of dental students regarding their clinical training. Methods. This mixed method study using Clin Ed IQ questionnaire was conducted on Dental students graduating from both Private and Public sector institutes of Karachi. The questionnaire had four sections, the first three based on various aspect of clinical training, with responses based on 5-point Likert scale. Section four had open-ended items about dental curriculum. Results. For responses of 220 participants related …

Utilization Of The Canadian Interprofessional Health Collaborative As An Evaluation Framework For Student Participation In A Community-Engaged Project, Elise Boyle, Benjamin Feiten, Amy A. Abbott, Sadie Schultes, Shelby Hoffmann, Emily Knezevich, Vanessa D. Jewell

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education is a foundational component of many health professions educational programs as it contributes to the goals of the Quadruple Aim by prioritizing collaborative and streamlined quality healthcare. Furthermore, student engagement in interprofessional educational activities provides opportunities to better understand their own and others’ health profession disciplines. The purpose of this project was to utilize Canadian Interprofessional Health Collaborative (CIHC) to evaluate a framework for student engagement in a community-engaged project focused on reducing barriers to care in people living with type 1 diabetes in rural communities. Methods: As members of an interprofessional, type 1 diabetes, community-engaged research …

Progressive Glenohumeral Instability In An Adolescent Ice Hockey Athlete: A Case Report, Kelsey J. Robinson, Jennifer Austin

Internet Journal of Allied Health Sciences and Practice

This case follows the injury presentation of a 16-year-old male, right-hand dominant, left-hand shot, Tier I ice hockey player who sustained an initial injury to the left shoulder from a body check during a game. What follows is a cascade of events involving 3 injuries and 2 surgeries, highlighting the complex and potentially compounding nature of instability. Glenohumeral (GH) instability among collision athletes is rare in the absence of contributing genetic conditions or a dislocation or subluxation event. Authors discuss the key concepts related to the diagnosis and management of GH instability, with a special emphasis on subtle injury indicators …

Perceptions Of Incivility Among Students And Faculty In Entry-Level Health Professional Programs, Kristen Barta, Germaine Ferreira, Manuel A. Domenech

Internet Journal of Allied Health Sciences and Practice

Purpose: Online education is growing in popularity but has the potential to result in cyber incivility leading to disruptions in the learning environment. There is little known about the differences in attitudes between students and faculty in the online learning experience regarding cyber civility. The purpose of this study was to analytically measure student and faculty perceptions and attitudes of cyber incivility. Methods: A convenience sample of 180 (34 faculty and 146 students) participants from a health care university were recruited. A 27-item survey was given to record the perceptions of students and faculty on issues of cyber civility. An …

Student Athletic Therapists' Knowledge Of Pain-Relieving Medications: A Nationwide Study, Jackie Vandertuin, Dalya Abdulla, Stephanie Lowther, Joshua Collins

Internet Journal of Allied Health Sciences and Practice

Purpose: Misuse of pain-relieving medications (PRMs), including opioids, is high among injured athletes. Athletes are increasingly relying on PRMs and as a result, it is likely that student athletic therapists (SATs) have managed athletes who have misused PRMs and may have potentially missed important symptoms placing athletes in harm. While dispensing PRMs is not within the scope of practice of the SAT, recognition and referral are. Previous research has found that SATs feel ill prepared to recognize PRM misuse and feel tremendous pressure to provide correct health information to the athlete. The purpose of this study was to expand on …