Medicine and Health Sciences Commons^™

Impact Of County-Level Urbanicity On Quality Of Life For People With Intellectual And Developmental Disabilities In A Rural State., Alyssa M. Smith, Allison Caudill

Developmental Disabilities Network Journal

People with intellectual and developmental disabilities (IDD) face challenges, such as decreased access to physical, environmental, and social health-related services that can negatively impact their overall quality of life (QoL). Additionally, people living in rural communities may experience geographic distancing and other factors, like decreased transportation and available housing, that contribute to increased isolation and decreased health outcomes, overall. It is important to consider the QoL of people with IDD living in these communities given the additional intersectional constraints of rurality and having an intellectual disability or other co-occurring conditions. A secondary data analysis reviewed closed and open-ended survey data …

Impact Of A Narrative Language Intervention On Language, Behavior, And Self-Concept Among Bilingual Children With Developmental Language Disorder, Nancy Tarshis Ma, Ms, Ccc-Slp, Kathleen Mcgrath Mss, Lsw, Ida Barresi Ma, Ccc-Slp, Risa Battino Ms, Ccc-Slp, Bcs-F, Sarah Henderson Msed, Ms, Ccc-Slp, Shankar Viswanathan Drph, Jee-Young Moon Phd, Karen Bonuck Phd

Developmental Disabilities Network Journal

The growing research on narrative interventions is promising but has gaps regarding cultural/linguistic diversity and outcomes beyond language. We evaluated whether a structured, oral narrative intervention affects narrative language, problem behaviors, and self-concept in a diverse group of children with developmental language disorder. A 10-session intervention was implemented within routine care. Baseline and follow-up data included: (a) Narrative recordings—coded by therapists using the CUBED Narrative Language Measure, (b) Child Behavior Checklist—a parent-reported behavioral assessment, and (c) the Piers-Harris Children’s Self-Concept Scale. Among the sample’s n = 33 children, aged 6-16, 55.6% were bilingual. Post intervention, participants’ narrative language scores improved …

Disability Education In Medical Schools: A Paradigm Shift For Inclusive Care, Hannah Ship Md, Mph, Sahana Shankar M.D., Rochelle Baer Lcsw, Jeffrey Brosco M.D., Ph.D., Jairo Arana, Damian Gregory, Robert Irwin M.D., Gauri Agarwal M.D., Sabrina Taldone Md, Mba, Sheryl Eisenberg Michalowski Ma, Daniel Quintero M.D., Anna Shah M.D., Frank Woo M.D., Michelle Schladant Ph.D., Ashley Falcon Phd, Mph

Developmental Disabilities Network Journal

Disability education for medical students is often insufficient and can contribute to health disparities for people with disabilities. Our interdisciplinary curriculum development team created a longitudinal 4-year disability education model aimed at improving patient care for people with disabilities. Central to our curriculum are progressive sessions aligned with students' medical journey, including three required sessions covering interdisciplinary healthcare teams, implicit bias, health disparities, disability culture, shared decision-making, communication, and self-determination. Through the inclusion of people with disabilities, an interdisciplinary curriculum development team, and trainee-driven advocacy, our longitudinal multi-phasic disability education curriculum seeks to mitigate health disparities. Our innovative approach addresses …

Barriers To Health Care Among Adults With Disabilities In Connecticut, Mary Beth Bruder Phd, Tara M. Lutz Phd, Kelly E. Ferreira Phd

Developmental Disabilities Network Journal

It is estimated that 25% of adults in the US are living with one or more disabilities. Persons with disabilities (PWD) have unmet health care needs, experience health disparities compared to those without disabilities. Barriers to quality health care include structural barriers such as access to transportation, physical access to facilities, and lack of accessible medical equipment. Other barriers include the knowledge, skills, beliefs, and attitudes of health care providers to meet the needs of PWD. To examine the barriers to health care experienced by adults with disabilities in Connecticut, the University of Connecticut Center for Excellence in Developmental Disabilities …

Applying A Framework Of Epistemic Injustice To Understand The Impact Of Covid-19 On People With Intellectual And Developmental Disabilities, Sarah Lineberry, Matthew Bogenschutz

Developmental Disabilities Network Journal

Epistemic injustice, the theory of unfairness related to knowledge, is a useful framework for understanding the ways in which historic and ongoing marginalization and stereotypes have shaped the ways that people with intellectual and developmental disabilities (IDD) have been impacted by the COVID-19 pandemic. We conducted a scoping review of the literature and divided findings into physical health (cases, hospitalization, and death) and psychosocial outcomes (access to services, mental health symptoms, community participation, etc.). Impacts were then analyzed using the key principles of epistemic injustice. Findings suggest that people with intellectual and developmental disabilities (IDD) experienced high rates of negative …

Consensus Of The National Heart Center In Collaboration With The Saudi Arabian Cardiac Interventional Society On The Clinical Use Of Intracoronary Imaging, Mirvat Alasnag, Mognee Alameer, Ahmed Alshehri, Hind Alosaimi, Faisal Alqoofi, Hussain Alzayer, Wail Alkashkari, Adel Tash, Waqar H Ahmed

Journal of the Saudi Heart Association

Objectives: Studies show that intracoronary imaging (ICI)-guided PCI is associated with a significantly lower risk of stroke, Q-wave myocardial infarction, and death compared to angiography-guided PCI in the management of acute coronary syndromes, complex coronary lesions and left-main interventions. Despite these well-established clinical benefits, the utilization of ICI-guided PCI in Saudi Arabia remains suboptimal.

Methods: The National Heart Center (NHC) and the Saudi Arabian Cardiac Interventional Society (SACIS) gathered national experts to develop a consensus document on how to integrate ICI-guided PCI in routine clinical practice in Saudi Arabia. The consensus was based on the nominal group technique, whereby a …

Outcomes In Dogs Undergoing Surgical Correction For Septic Peritonitis: A Retrospective Study In 61 Cases (2019-2022), Krishaporn Kradangnga, Naipaporn Kongrattanachat, Wichulada Suwansukroj, Jiraporn Supasombatolan, Chayanon Tiaraksa

The Thai Journal of Veterinary Medicine

This retrospective study described clinical parameters, evaluated the chance of death (hazard ratio) and compared outcomes until hospital discharge in septic peritonitis dogs that underwent surgery in 61 cases at a single academic referral hospital population. The surgical records of 223 dogs with suspected septic peritonitis requiring surgical intervention were reviewed and a total of 61 dogs, primarily mixed breed (34.43%), with intraoperative gross lesions and cytology confirmed septic peritonitis were included in the study. The gastrointestinal tract was the most common source of septic peritonitis (52.46%). The overall survival to hospital discharge was 52.46%. Admission time until surgery, drain …

Evaluation For Mothers' Knowledge Of Childhood Tonsillitis, Ali Tahssen Alwan, Shukiryia Shadhan Chyad, Sahira Ayyed Abdul-Sahib

Maaen Journal for Medical Sciences

Background: the inflammation of the tonsils is known as Tonsillitis; it is a well-known clinical condition that an infection of either virus or bacteria. It significantly affects children especially.

The aim of the present study was to identify knowledge of mother toward childhood tonsillitis and to find the relationship between mothers' knowledge of childhood of tonsillitis and some variables.

Methods: A cross section study design was adopted in order to achieve the objectives of study. data collection began from 17th September 2023 until 30th January 2024. A non-probability convenience sample of 160 mothers were recruited to the study. …

Using Clear Aligners To Correct Severe Unilateral Lower Premolar Tilting By Lower Arch Expansion, Yu-Chen Cheng, Huei-Mei Tsai, Yi-Min Liu, Tzu-Wen Su, Yu-Ling Cheng

Taiwanese Journal of Orthodontics

This case report describes the treatment of a young female adult presenting with a moderate mandibular overgrowth relative to the maxilla. Accompanying malocclusion included procumbent upper anterior teeth, deep overbite, a complete buccal crossbite at the upper left molar, and tilted lower right premolar. The upper dental arch exhibited a tapered form, the lingually blocked-out premolar contributed to a collapsed alveolar ridge. The patient was treated with clear aligners instead of fixed appliances.

Correct The Skeletal Class Iii Malocclusion With Severe Dental Compensation And Lateral Open Bite By Indirect Use Of Maxillary Tads, Jui-Hsien Yang, Jane Kuo, Fu-Hui Tsai, Yun-Yun Wu

Taiwanese Journal of Orthodontics

The case reports a young woman with skeletal Class III (ANB= −0.5°) who was successfully treated with camouflage orthodontics even she already had severe dental compensation. A nonsurgical approach was adopted because of patient and parental concerns regarding surgical risk. Bilateral maxillary temporary anchorage devices (TADs) were inserted at the infrazygomatic crest, and Class III elastics were used to connect the bilateral lower arch canines to the miniscrews during arch leveling. The treatment resulted in a Class I molar relationship and a +3.0 mm overbite and improved the skeletal Class III relationship (ANB =+2.0°); with notable success in lower arch …

Improved Super-Elastic Ti-Ni Alloy Wire For The Treatment Of Angle Class Ii Malocclusion Combined With 3 Lower Incisors And Scissors Bite Case, Yu-Hsiang Chang, Yuan-Hou Chen, Tzu-Hsin Lee, Yu-Cheng Lo, Jian-Hong Yu

Taiwanese Journal of Orthodontics

A 16-year-old male adolescent came to our orthodontic clinic with a chief complaint of poor dental alignment. Clinical examination revealed Angle Class II malocclusion with tooth #12 blocked-in and tooth #41 congenital missing. Large anterior overjet and posterior buccal crossbite between #17 and #47 were also noted. Cephalometric analysis indicated a low mandibular plane angle. To acquire a harmonious arch coordination and to relieve anterior crowding, teeth #14 and #24 were extracted. Mechanism involved intermaxillary elastics for a better intercuspal interdigitation, mechanical stress for tooth #12 alignment, and vertical offset to eliminate antagonistic interference for easy correction of scissors bite. …

Timing Of Orthodontic Treatment (Part I), Ib Leth Nielsen

Taiwanese Journal of Orthodontics

The need and demand for orthodontic treatment has been studied in many countries around the world. Much of the discussion of this topic has centered around who should receive treatment and at what age. The examinations of school children have mostly been done by orthodontists with assistance from residents and outcomes have varied from country to country. In this review we will look at some of these studies and their findings to get a better idea of the size of the problem and what criteria have been used. Much has been said and written about the timing and in recent …

Relationship Between Posterior Cranial Base Inclination And Skeletal Jaw Patterns, Ratna Sugiartati Arif, Maria Purbiati, Krisnawati E. Tarman

Taiwanese Journal of Orthodontics

Introduction: Variations in nasion (N) could influence the measurement of ANB, thus affecting the interpretation of skeletal jaw relationship. Points sella (S) and N represent the anterior cranial base, a crucial role in determining the skeletal jaw patterns. Improper S-N line can affect results of lateral cephalometric analysis, as a highly tilted S-N line relative to the Frankfort Horizontal Plane (FHP) can lead to discrepancies between the analysis results and true morphology. Therefore, alternative methods, such as analysing the posterior cranial base (sella to basion, S-Ba), are needed to establish a diagnosis.

Objective: To determine relationship between posterior …

Strength And Conditioning Habits Of Polish Amateur Endurance Runners, Zbigniew Jost, Maciej Chroboczek

Baltic Journal of Health and Physical Activity

Introduction: Correctly performed Strength & Conditioning (S&C) training is important in terms of improving sports performance. This survey was to check S&C habits among amateur runners in Poland. Materials and Methods: The questionnaire dealt with 1) personal and anthropometric data, 2) advancement / fitness level and 3) training habits, which was correctly filled in by 923 people. The participants were matched to five fitness levels (LG1–LG5) depending on sex (W/M) and the selected distance (5K/10K/Half-Marathon). Results: More than half of the respondents (n = 467, 50.6%) considered S&C as very important. The most frequently used S&C activities were uphill runs …

The Effect Of 6-Week Eeg-Biofeedback Training In Normobaric Hypoxia And Normoxia Conditions On Reaction Time In Elite Judo Athletes, Magdalena Prończuk, Joanna Motowidło, Ewelina Lulińska, Dariusz T. Skalski, Jarosław Markowski, Jan Pilch, Maciej Kostrzewa, Artur Terbalyan, Karol Skotniczny, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Introduction: The purpose of this study was to evaluate the effect of Biofeedback Training in normoxic and normobaric hypoxic conditions on reaction times in judo athletes. Material and methods: The participants in the experimental group underwent thetha/beta1 training under simulated hypoxic conditions in a laboratory equipped with a normobaric hypoxia generation system (LOS-HYP1/3NU, Lowoxygen Systems, Germany), at a simulated altitude of 2500m above sea level (FiO₂ = 15.5%). Each cycle of the study consisted of 15 training sessions. The training sessions lasted for 20 minutes, with 4 sets of 4 minutes each and a 1-minute break in between. In …

Anxiety And Depression Amongst Female Athletes, Dp Golden, Re Obmann, Em Moore

Clinical Practice in Athletic Training

Context: Anxiety (categorized by a feeling of fear, dread, and uneasiness) and depression (mood disorder causing feelings of persistent sadness and loss of interest in things an individual once loved) are two major mental health disorders effecting females considerably who participate in sport. Females are more likely to present with anxiety (55-60%)1 and depression (1.844 times)2 compared to males. The purpose of this study was to examine the prevalence between mental health comorbidities (anxiety and depression), across female athletes aged 18-40. Methods: An anonymous survey was distributed via snowball sampling using social media. Demographic data, Generalized Anxiety Disorder-7 (GAD-7), validated …

Effects Of Sex Hormones And The Menstrual Cycle On Knee Joint Laxity In Physically Active Females: A Critically Appraised Topic, Ae Eicher, Rj Gage, K Park-Braswell

Clinical Practice in Athletic Training

Clinical Scenario: In recent years, females have exhibited increased physical activity and sport participation than ever before. Recent studies have identified a rising incidence rate of ACL injuries and indicate that the risk of ACL tears is greater in females than males. Knee laxity and physiological variation in women during the menstrual cycle have demonstrated increased ligament laxity, therefore, varying hormone concentrations may contribute to changes in ligamentous mechanical properties. Despite these findings, it remains unclear whether fluctuating sex hormone concentrations directly correlate to measurable changes in knee laxity. Clinical Question: How do fluctuations in sex hormones throughout the menstruation …

Individual Goal And Velocity Based Throwing Program For Collegiate Baseball Pitchers With Medial Elbow Injuries, Le Trail, Jm Cline, Ap Jacobsen

Clinical Practice in Athletic Training

Background: A 22-year-old male collegiate baseball pitcher experienced sudden pain in the medial left elbow following feeling a pop when pitching. The pitcher was removed from the competition and was evaluated with a point-of-care ultrasound at the conclusion of the competition. Ultrasound revealed an intact ulnar collateral ligament (UCL) and no edema. Differential Diagnosis: UCL sprain, Wrist flexor strain Treatment: The patient was referred to a primary care sports medicine physician for further evaluation. The physician found no tenderness or laxity at the UCL and ordered an MRI arthrogram for further diagnostic information. MRI revealed a grade II flexor digitorum …

Presentation Of An Accessory Navicular Bone In A Collegiate Women’S Field Hockey Player: A Type 3 Clinical Case Study, N Sutker, J Franco, K Mallory, B Hansberger

Clinical Practice in Athletic Training

Background: The accessory navicular is an extra bone located posterior and medial to the navicular tuberosity. The prevalence of accessory navicular has been reported to be 4 - 21% in the general population though this anatomical variant may often be overlooked during differential diagnosis. This case presents a female collegiate field hockey patient that was initially diagnosed with a midfoot sprain but was later determined to have an accessory navicular bone which required surgical removal. Patient: A 19-year-old female Division I collegiate field hockey patient presented to the athletic training clinic with pain in her left medial foot. The patient …

Changes In Neural Excitability Following 6-Week Of Balance Training In Individuals With Chronic Ankle Instability, Sh Chung, J Freeman, Rs Mccann

Clinical Practice in Athletic Training

Context: Individuals with chronic ankle instability (CAI) often struggle with balance issues due to changes in the central nervous system (CNS). Specifically, difficulties in modulating spinal reflexive excitability and enhancing corticospinal excitability contribute to poor balance, indicating challenges in transferring control to supraspinal centers. A recent study found that a single session of balance training could positively impact the CNS, improving spinal reflexive excitability modulation and corticospinal excitability in CAI patients. However, there is limited research on the effects of long-term balance training on neural excitability in CAI individuals. Therefore, this study aimed to investigate the effects of a 6-week …

Chronic Neck Pain, Vasculopathy, And Pre-Syncope In A Young Adult: A Type 4 Case Study, Tn Crane, K Moore, A Field

Clinical Practice in Athletic Training

Background: The patient is a 23-year-old college female presenting with chronic cervicalgia, bilateral upper extremity neurovascular symptoms, and insidious pre-syncope episodes over the past 3.5 years. Upper extremity neurovascular symptoms include bilateral numbness and tingling into the hands and bilateral throbbing arm pain originating proximal to the elbow and traveling to the fingers, which worsens with cervical rotation bilaterally. The patient has experienced 10 episodes of pre-syncope lasting less than 30 seconds that occur with cervical flexion, extension, or bilateral rotation. Pre-syncope symptoms include lightheadedness, blurry vision, increased neck/arm pain, headache, and malaise. Upon clinical evaluation, no obvious deformity, discoloration, …

Cyclops Lesion In A Collegiate Men’S Lacrosse Player: A Type 4 Clinical Case Study, K Powers, R Moen, G Siarkas

Clinical Practice in Athletic Training

Background: In late July 2023, a 20-year-old male division I lacrosse player reported to the Athletic Training clinic with pain, swelling, and an inability to fully extend his left knee. Evaluation revealed an extension deficit of 5 – 10° during active range of motion (ROM). The patient had previously undergone a double-bundle procedure to repair a torn anterior cruciate ligament (ACL) in his left knee in November 2022. Following this surgery, the patient completed a standard but conservative ACL reconstruction (ACLR) rehabilitation program as prescribed by the sports medicine team but switched to a light strength training regimen on his …

How Comorbidity With Adhd Impacts On Neurocognitive Performance In Adolescents After Sport-Related Concussions: A Scoping Review, T Chiba, Dm Emerson

Clinical Practice in Athletic Training

Context: The number of sport-related concussions (SRCs) is higher in adolescents than in other age groups and accounts for 32% of concussions. Athletes with attention-deficit hyperactivity disorder (ADHD) have a higher risk of previous history of concussion and future concussion risk compared with those without ADHD. People with ADHD present lower baseline scores of neurocognitive performances compared with those without ADHD. Neurocognitive deficits after SRC lead to increase risk of musculoskeletal injuries or another concussion after return to play (RTP) and affect RTP process. There is no consensus regarding the management of SRCs for those with ADHD. This scoping review …

How Does Your Garden Grow? Development Of A Calculator To Evaluate The Economic And Dietary Impact Of Edible Gardens, Sofia O. Sanchez, Katie Funderburk, Erin Reznicek, Sondra M. Parmer

Journal of Extension

Edible gardens can increase fruit and vegetable availability and access. Weighing produce is a method to evaluate gardens, however there are limited methods that translate garden yields to dietary yields and that document Supplemental Nutrition Assistance Program – Education (SNAP-Ed) garden yields. We developed a Garden Harvest Calculator to evaluate edible garden economic and dietary impact. Over three spring-to-summer growing seasons, 12 – 18 gardens produced 6,499 pounds of produce worth $11,606.95. This equates to 24,922 cups, enough for 4,984 adults to meet dietary recommendations. SNAP-Ed supported gardens may positively contribute to dietary needs while reducing barriers to food access.

A Qualitative Study Evaluating Athletic Trainers’ Self-Perceived Knowledge And Knowledge Acquisition Of Concussion Biomarkers, Kgs Swindell, T Mccormick, Jm Allen

Clinical Practice in Athletic Training

Context: Rapid movement of the brain caused by a concussion can damage brain cells and create chemical changes within the brain, which may cause lasting neurological, cognitive, and behavioral symptoms. It is suggested that following a trauma, biomarkers can be released which may be useful in accurately diagnosing concussions. Potential biomarkers being studied include β-amyloid peptide 42 [Aβ42], S100 calcium-binding protein B [S100B], glial fibrillation acidic protein [GFAB], microtubule-associated protein 2 [MAP2], and 2’,3’-cyclic-nucleotide 3'- phosphodiesterase [CNPase]. This study focuses on evaluating AT knowledge and awareness of biomarkers, with sub-analyses evaluating ATs’ perception of current knowledge of biomarkers, and the …

An Investigation Of Lower Extremity Injuries In Soccer Athletes Related To Their Playing Environment, Ak Whitlock, K Francis, H Maloney

Clinical Practice in Athletic Training

Context: The goal of this study was to investigate a connection between cleat type, surface type, and increased lower extremity injury rates in soccer athletes. Our hypothesis was that the cleat model, surface type, and facility affected the lower extremity injury rate among soccer athletes. Methods: A review of survey results distributed to the male and female soccer from an NCAA D-I program was completed. The survey investigated athlete injury history related to the specific shoe worn and the field surface information where the injury occurred. Measures of central tendency were calculated. Data was analyzed using a correlation analysis with …

Anaerobic Capacity And Lower Body Strength Deficits Related To Thermal Protective Gear In Rural Volunteer Firefighters, J Diggins, R Shagena, T Patrick, A Catanese

Clinical Practice in Athletic Training

Context: Firefighting is a dangerous job with occupational hazards, strenuous shifts, and increased work- related fatigue that contributes to risk of injury. The weight of thermal protective gear (TPG) may increase neuromuscular challenges while on-duty. The purpose of this study was to investigate the influence of TPG on volunteer firefighters’ anaerobic and lower body strength performance. Methods: Nine healthy males (mean±SD: age= 41±9.3 years; ungeared body mass= 96.47 ± 14.51kg; ungeared height=181.67 ± 4.48cm; VFF experience 8 years) participated in a cross-sectional correlation study during three visits to a university research laboratory. Participants’ TPG included thermal pants, jacket, boots, and …

Athletic Trainers’ Attitudes Towards Concussion Biomarkers And Their Future Use In Concussion Diagnosis, Jm Allen, T Mccormick, Kgs Swindell, T Campbell

Clinical Practice in Athletic Training

Context: Currently, concussions are diagnosed using subjective criteria that typically require baseline measurements to be considered accurate. In some cases, symptoms may not be immediately evident following a brain injury. Recently, studies have begun analyzing the possibility of using biomarkers as a means of objectively diagnosing concussions. However, more research and information on biomarkers are required before implementation of diagnostic methods are possible; therefore, the purpose of our study was to explore and analyze current practicing athletic trainers’ attitudes toward the future implementation of concussion biomarkers in clinical practices. Methods: A phenomenological qualitative research design was used to gather information …

Caffeine Consumption On Sports Performance Measures In College Athletes: A Critically Appraised Topic, Ja Wills, Al Fraley

Clinical Practice in Athletic Training

Focused Clinical Question: How does caffeine (CAF) consumption affect sports performance measures in healthy college athletes? Data Sources: In December 2023, PubMed was utilized to search key terms, including collegiate athlete, caffeine, and performance measures. A publication time frame from 2013-2023 was established. Study Selections: Inclusion criteria consisted of studies investigating collegiate athletes ingesting CAF and its impact on anaerobic, agility, and speed performance measures. Exclusion criteria consisted of participants with current injuries and ingredients consumed in addition to CAF. Data Extraction: Outcomes included sports performance measures such as: vertical jump test, 60- and 100-meter time trials, reaction time, maximum …

Citation Accuracy Of Scholarly Journal Articles In Sports Medicine, Lk Warner, Le Trail, Bj Warner, Sa Cage

Clinical Practice in Athletic Training

Context: Previous research has expounded on the importance of accurate use of references in scholarly manuscripts. A thorough and appropriate use of references allows authors to validate and lend credence to the position they are attempting to take on their subject matter.Reference errors have been well documented in multiple scholarly journals covering healthcare topics. To date, there does not appear to be a description of the accuracy of reference lists in sports medicine scholarly journal articles. Therefore, the purpose of this study was to describe the rate of reference errors in sports medicine literature. Methods: We examined four peer-reviewed sports …