Medicine and Health Sciences Commons^™

Evaluating The Feasibility And Preliminary Effectiveness Of A Tailored Diabetes Education Program For Rural Residents, Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby

Journal of Appalachian Health

Introduction: Diabetes is a top ten Rural Healthy People 2030 priority for health improvement among rural Americans. Socioeconomic, environmental, geographic and political barriers contribute to the type 2 diabetes (T2D) prevalence and its disparate impact in rural communities. However, promoting proper self-care behaviors via self-management education can help people with diabetes better manage their condition.

Purpose: To account for the social environmental factors that affect rural residents, a tailored diabetes education program was developed, and the program’s effectiveness in improving diabetes knowledge and T2D-related health outcomes was assessed.

Methods: Using data collected from Appalachian Kentucky residents enrolled in a six-week, …

Rural Community Perspectives On Hurricane Helene In Western North Carolina, Jennifer A. Horney, Lilly Moreau, Search Wnc

Journal of Appalachian Health

Introduction: After making landfall on the Florida Gulf Coast in September 2024, Hurricane Helene impacted Western North Carolina (WNC) with historic flooding, landslides, and hurricane-force winds. More than 100 deaths in the region were attributed to the storm’s direct impacts.

Purpose: The purpose of this study was to assess community perspectives of long-term recovery in Mitchell and Yancey Counties, two rural WNC counties severely impacted by Hurricane Helene.

Methods: A 14-question interview guide was developed based on prior disaster research and the community engagement work of Sustaining Essential and Rural Community Healthcare (SEARCH). Questions covered post-Helene experiences related to access …

Exploring Systemic Challenges In The Western North Carolina Dental Safety Net: A Qualitative Analysis, Blaire Mirmow, Bill Milner, Nadia Laniado

Journal of Appalachian Health

Introduction: Despite statewide growth, rural communities in Western North Carolina (WNC) face persistent barriers to oral health care driven by chronic dental workforce shortages and systemic geographic disparities. Within this Appalachian region, the dental safety net serves as a vital yet strained support system, struggling with limited financial resources and a lack of provider participation that leaves many underserved populations without essential oral health services.

Purpose: This study aims to explore the experiences of individuals working within the WNC dental safety net to identify barriers and strategies required to strengthen the delivery of oral health care in high-need rural settings. …

Infective Endocarditis Hospitalizations In Kentucky, 2008-2018: Spatial And Temporal Trends, Meera Marji, Steve Browning, W. Jay Christian, Richard Charnigo, Steve W. Leung, Anna Kucharska-Newton

Journal of Appalachian Health

Introduction: Infective endocarditis (IE) hospitalization rates have increased significantly in the last decade, primarily due to the opioid epidemic. In 2016, Kentucky (KY) ranked among the top ten states for opioid-related overdose deaths, but limited data exist on IE trends in KY.

Purpose: This study seeks to examine county-level spatial and temporal trends in IE hospitalization rates in KY.

Methods: Hospital inpatient discharge data from 2008–2018 for KY residents aged 18 and older were analyzed. IE admissions and drug use status were identified using ICD-9 & 10 diagnosis codes. U.S. Census data calculated yearly IE hospitalization rates per 100,000 residents. …

The Effects Of Hurricane Helene On Mental Health And Physical Activity, Hunter Smathers, Robyn York, Jarrett Walbolt

Journal of Appalachian Health

Introduction: Hurricane Helene brought widespread damage to Southern Appalachia, disrupting utilities, health care, and recreation. While natural disasters are linked to declines in mental and physical health, few studies have examined their effects on distinct types of physical activity (PA).

Purpose: This study evaluated the effects of Hurricane Helene on perceived stress, depressive symptoms, post-traumatic stress disorder (PTSD) symptomology, and intentional (exercise for health benefits) and incidental (physical labor or transportation) PA. Evacuation status influence was also explored.

Methods: Twenty participants completed assessments four weeks before (BASE), immediately after (0POST), and four weeks after landfall (4POST). Measures included the Perceived …

Starting With Story, Not Symptom: Narrative Collapse And Cultural Repair In Appalachia, Wayne Coombs Ph.D.

Journal of Appalachian Health

Appalachia’s opioid crisis reflects uneven burdens, especially in distressed coalfield counties, and it cannot be solved by symptom tracking alone. This commentary argues for a narrative shift, starting with story and cultural repair alongside clinical care. Narrative collapse is defined here as the loss of shared, dependable public meaning across groups, not the absence of storytelling in families, churches, and recovery circles. Trauma science suggests that chronic threat reshapes nervous systems across generations, making safety a prerequisite for renewed trust. Drawing on narrative identity research, the piece proposes peer story work as infrastructure that can reduce shame, support treatment engagement, …

The Social Determinants Of Health And Cancer, Joshua Williams

Ex Sapientia Loqui

The social determinants of health, as defined by the World Health Organization (WHO), are “the conditions in which people are born, grow, live, work and age, and people’s access to power, money and resources.” Epidemiologists have long studied the nexus between social forces and disease and have widely agreed that such forces are directly causal of pathologies. This paper is an analytic review of the existing literature on several social determinants— namely socioeconomic status (SES), race and ethnicity, age, working and living conditions, and social integration— and how they pertain to the causation, progression, and treatment of cancer.

Galen Of Pergamum: Life, Literature, And Legacy, Elyse Rogers

Ex Sapientia Loqui

Galen of Pergamum was a second-century physician whose work had an enduring impact on the field of medicine. His extensive writings were the primary reference and teaching materials for the medical community for over a millennium. While his ideas were revolutionary for his time, they were eventually outdated. Nevertheless, there was a continued reliance on his authority, which hindered scientific advancement. Galen both advanced the world of medicine with his emphasis on observational analysis and constrained its progress through the profound dominance of his theories.

This paper aims to understand the life of Galen and the significance of his work …

Outcome And Clinical Characteristics Of Diaphragm Dysfunction After Pediatric Cardiac Surgery: From Detection To Plication, Muhammad Shahzad, Muhammad Bokir, Haifa Almuhanna, Abdulaziz Alanazi, Zehra Alabbas, Reem Beheri, Yasser Abdulrhman Alheraish, Khaled Alarwan

Journal of the Saudi Heart Association

Background:

Diaphragm paralysis (DP) due to phrenic nerve injury is a rare but serious complication of pediatric cardiac surgery (0.3–5% of cases). It presents as an extubation failure or difficulty weaning from ventilation. Early recognition and management are essential.

Objectives:

This study aimed to evaluate the incidence, clinical characteristic and outcome of diaphragm paralysis after heart surgery in children.

Methods:

A retrospective single-center review (2019–2024) was conducted of ultrasound-confirmed DP case. Demographics, surgical details, ventilatory course, interventions, and outcomes were analyzed. Partial and complete DP were compared using multivariate logistic regression to identify predictors.

Results:

Out of 2,280 surgeries, 108 …

Effects Of Gnrh And Hcg Administration On Conception Rate And The Subsequent Estrous Cycle On Day 12 Following Artificial Insemination In Holstein Cows, Mustafa Hi̇lmi̇ Yaranoğlu, Hüseyi̇n Erdem

Turkish Journal of Veterinary & Animal Sciences

The present study investigates the effects of gonadotropin-releasing hormone (GnRH) and human chorionic gonadotropin administration on the conception rate of cows 12 days after artificial insemination (AI). Included in the study were 150 high milkyielding Holstein cows housed under the same husbandry and feeding conditions. All had calved at least once between the ages of 2.5 and 6 years, and were between 90 and 220 days in milk. In accordance with the farm’s reproductive management approach, a controlled internal drug release (CIDR) device was inserted into the vagina concurrent with a GnRH injection (day 0), and the device was removed …

Effects Of Preslaughter Fasting On Ph And Bacterial Contamination In Akkaraman And Anatolian Merino Sheep, Sai̇m Boztepe, Özcan Şahi̇n, Talha Demi̇rci̇, Gi̇zem Coşkun, İbrahi̇m Ayteki̇n, İsmai̇l Keski̇n

Turkish Journal of Veterinary & Animal Sciences

The present study investigates the effects of the preslaughter fasting on pH and bacterial contamination in Akkaraman and Anatolian Merino sheep. Included in the study were 10 Akkaraman and 10 Anatolian Merino sheep (n = 20) that were fasted for 24 h prior to slaughter, and a further 10 Akkaraman and 10 Anatolian Merino sheep (n = 20) that continued to be fed until slaughter as a control group. The total mesophilic aerobic bacteria (TMAB) measured at 0 and 24 h in the fasting Akkaraman and Anatolian Merino sheep were 4.87/4.79 and 4.75/5.57 log CFU/g, respectively, and the corresponding Enterobacteriaceae …

The Effects Of Sodium Perborate Tetrahydrate On Digestibility And Nutrient Transporters In Rats, Büşra Özmen, Emre Şahi̇n, Muhammed Tokmak, Veysi̇ Kayri̇, Ramazan Özmen, Kazi̇m Şahi̇n

Turkish Journal of Veterinary & Animal Sciences

Boron (B) is an essential micronutrient involved in hormone activity, energy metabolism, antioxidant defense, bone development, wound healing, and immune function. The present study explores the effects of sodium perborate tetrahydrate (SPT) on nutrient digestibility and the modulation of specific nutrient transporters in the jejunum and ileum of rats. A total of 40 rats were divided into four equal groups: 1) control, 2) SPT 0.5 (0.5 mg B/kg body weight [BW]), 3) SPT 1 (1 mg B/kg BW), and 4) SPT 2 (2 mg B/kg BW), and were fed the respective diets for a period of 4 weeks. The digestibility …

Morphology And Histology Of The Developing Ovary In Malaysian Village Chicken (Gallus Gallus Domesticus) Chicks, Nur Athirah Lope Abdul Rashid, Mazlina Mazlan, Intan Shameha Abdul Razak, Rozaini Mohd Zohdi, Awang Hazmi Awang Junaidi

Turkish Journal of Veterinary & Animal Sciences

The Malaysian village chicken (MVC; Gallus gallus domesticus) is an indigenous breed derived from the red junglefowl (Gallus gallus), exhibiting slower growth and reproductive rates. The MVC plays an important ecological role in local farming systems and represents a valuable genetic resource. However, detailed information on ovarian development in this breed remains limited. This study provides the first comprehensive morphological and histological characterization of the developing ovary in MVC chicks. A total of 20 chicks aged 1, 2, 4, and 8 weeks (n = 5 per age group) were examined. These MVC chicks possessed a single functional left ovary positioned …

Housing System And Gender Effect On Carcass And Meat Quality Characteristics In Turkish Pekin Ducks, Hasan Önder, Uğur Şen, Mi̇ne Yilmaz, Si̇bel Bozkurt, Eli̇f Ci̇lavdaroğlu, Di̇lek Gökçek, Ahmet Uçar, Kadi̇r Erensoy, Burcu Kurnaz

Turkish Journal of Veterinary & Animal Sciences

Improving meat quality is one of the most important aims for scientists and breeders. This study aimed to evaluate the effects of housing system (indoor vs. free-range) and gender on carcass and meat quality traits in Pekin ducks. The animal material consisted of 20 male and 20 female birds in each housing system. Our results show cold carcass weights of 3174.10 ± 80.65 g and 2672.60 ± 59.63 g for male and female birds in the indoor housing system and 2821.10 ± 50.53 g and 2306.90 ± 43.32 g for male and female birds in the free-range housing system. The …

Age-Related Estimates Of Genetic Parameters For Growth And Ultrasonic M. Longissimus Thoracis Et Lumborum Muscle Traits In Eşme Lambs, İbrahi̇m Cemal, Orhan Karaca, Onur Yilmaz, Nezi̇h Ata

Turkish Journal of Veterinary & Animal Sciences

The growth performance and ultrasonic M. longissimus thoracis et lumborum (LTL) muscle traits of 2397 Eşme lambs raised in the Eşme district of Uşak province, an important lamb production area in Western Anatolia, were evaluated at 3 months (n = 1690) and 5 months (n = 707) of age. The average age of the lambs at the time of the first measurement (at weaning) was 100.15 days, and 152.37 days at the second. At 3 months of age, the average live weight (LW) was 29.34 kg and the average daily gain (ADG) was 248.35 g/day. By month 5, the LW …

Effect Of Different Pellet Binders On Palm Kernel On Growth Performance And Nutrient Digestibility In Broiler Chicken, Nuun Marfuah, Burhanudin Sundu, Rusdi Rusdi, Sugiarto Sugiarto

Jurnal Ilmu Ternak Universitas Padjadjaran

Feed plays a paramount role in supporting growth, metabolism, and production performance. Their high price encourages the utilization of inexpensive and alternative feed ingredients. PKM, one such feed ingredient, is produced by palm oil industries. However, there is still a very limited application because of its high crude fiber content, which needs processing technologies like pelletization with binder addition. Based on this background, this experiment has been conducted to study the effect of various types of natural and commercial binders in 15% PKM-based pellets on performance and nutrient digestibility of broilers. The study was done for five weeks using 150 …

Evaluative Trialing: A Grounded Theory Of Preservice Speech-Language Pathologists’ Learning Processes With Speech-Generating Devices, Elizabeth M. Leatherman, Stacy Gasvoda, Jane R. Wegner, Nancy C. Brady

Teaching and Learning in Communication Sciences & Disorders

Although preservice SLPs are required to receive training in AAC as part of their preparation, there is limited understanding of what teaching and learning methods are effective in developing preservice SLPs’ competence in this area, including their competence with AAC systems. This study explored how preservice SLPs engage in hands-on learning experiences with a speech-generating device (SGD). Fifteen undergraduate students majoring in speech-language-hearing completed a brief online introductory module on AAC and then engaged in a think-aloud task with an SGD. Qualitative analysis was used to develop grounded theory that explained students’ hands-on learning process. The emerging theory revealed a …

From Stories To Speech: Cultivating Cultural Competence And Linguistic Awareness In Future Slps, Alexis Lawton

Teaching and Learning in Communication Sciences & Disorders

This manuscript reports on a pilot study examining how storytelling and linguistic diversity may cultivate cultural competence in graduate students in speech-language pathology (SLP). Through engagement with traditional folk tales, students explored the cultural significance of narratives and the linguistic features that shape them. The assignment emphasized adapting stories for diverse audiences while highlighting culturally relevant vocabulary, dialectal variations, and the complexities of language use. Facilitated discussions following student presentations prompted reflections on how these elements influence communication and understanding. Preliminary findings suggest that narrative exploration can foster both cultural and linguistic awareness, equipping students with emerging skills to provide …

Benefits And Barriers: Csd Faculty Attitudes Toward Student Accommodations, Erika Squires, Lori A. Pakulski, Celeste Domsch

Teaching and Learning in Communication Sciences & Disorders

Purpose: Academic accommodations in Communication Sciences and Disorders (CSD) have been explored via university websites and surveys of clinical educators, but little is known about CSD faculty attitudes toward accommodations in higher education. This study explored the types of accommodations faculty report and the benefits and barriers they encounter in doing so.

Method: A cross-sectional, mixed-methods study design was used to survey CSD faculty and instructors about the types of accommodations used by CSD students and the benefits and barriers associated with accommodations. Descriptive statistics were used to summarize participants’ responses. Qualitative analyses were used to identify themes on benefits …

Creativity And Generosity: From Therapy To Canvas, Kelly Allen

The Open Journal of Occupational Therapy

Teresa Grzeslo, a retired occupational therapist and artist from Chicago, IL, created the artwork for the Spring 2026 issue of the Open Journal of Occupational Therapy (OJOT). The acrylic painting, Wetland Heron (2023), features a great blue heron with its characteristic piercing gaze and elegant form, standing still in a marshland environment among tall grasses and shallow water. Painted using only her right side while seated in her wheelchair at home in her art studio, the painting’s rich textures and detail reflect careful observation and a reverence for birds and wildlife. Grzeslo’s artistic practice began after developing multiple sclerosis (MS), …

The Occupation Of Dance And Its Potential Effects On Trauma, Magan Higgins Gramling

The Open Journal of Occupational Therapy

Trauma is a complex phenomenon. Because of its subjective nature, it can be defined in a variety of ways depending on the health care provider being asked. Though there are various forms of trauma, most definitions are comprised of components that establish its broad understanding of an emotional response to a disturbing incident. Trauma is a subjective experience and can occur in any setting, to any person. How trauma is stored in the body is less subjective though, with most experts understanding it not only lives in the brain, but also in the very cells affecting health and wellness on …

Perspectives On An Unconventional Partnership Between Occupational Therapists And Pediatric Dental Professionals, Marissa Holsonback, Reeti Douglas, Leslie Gazdeck

The Open Journal of Occupational Therapy

Pediatric clients with disabilities are at increased risk for dental problems, including periodontal disease. Developmental delay and sensory processing dysfunction hinder acceptance of the stimulating dental environment and engagement in oral care routines at home. This health disparity is magnified by many dental professionals’ lack of training and confidence with children who have special needs. The holistic occupational therapy scope of practice is inclusive of oral care, pediatric diagnoses, sensory integration, and behavior management, allowing occupational therapists to collaborate with pediatric dental professionals to address the oral health disparity. This perspective manuscript provides occupational therapists with an evidence-supported understanding of …

Occupational Therapy Fieldwork Educators’ Perceptions Of Ot Student Rapport-Building Abilities During Level Ii Fieldwork, Carson Elwell, Tylar Fallaw, Ryan Harley, Abby Key, Kathleen Maley, Ryan M. Carrick

The Open Journal of Occupational Therapy

Background: The aim of this study was to inform Occupational Therapy (OT) practice and future OT educational content through identification of rapport- building components. Fieldwork educators are uniquely positioned to assess OT students’ abilities and readiness for client rapport building during fieldwork.

Methods: A descriptive survey of 55 fieldwork educators (FWEs) investigated skills that FWEs consider necessary for OT students to build client rapport at a Level II fieldwork experience. A Qualtrics survey assessed FWEs’ perceptions of OT student rapport- building readiness components at the beginning of Level II fieldwork.

Results: Data from 55 responses revealed that …

The Use Of Gamification In Occupational Therapy Education, Chris Mulligan, Leslie Bennett, Donald F. Graves

The Open Journal of Occupational Therapy

Gamification is an approach to game-based learning, also called educational games. These fun supplemental tools are infused into K-12 and higher education curriculums. This study aimed to discover faculty and student perspectives and explore gamification or game-based learning in accredited occupational therapy graduate programs through the lens of faculty (n = 47) and students (n =54). The primary researcher distributed two anonymous surveys: Survey 1 to current faculty and Survey 2 to students in occupational therapy programs, examining their use of game-based learning tools. The findings revealed that most faculty (n = 38, 85%) and students (n = 48, 92%) …

Occupational Therapy Student Performance In Level Ii Fieldwork Before And During A Global Pandemic, Ann M. Marsico, Cara A. Lekovitch, Ketki Raina

The Open Journal of Occupational Therapy

The COVID-19 pandemic disrupted academic curricula and clinical settings, creating uncertainty about its impact on occupational therapy (OT) student learning, fieldwork performance, and competence. This study examined OT student performance during Level II fieldwork and the support required from the Academic Fieldwork Coordinator (AFWC) across prepandemic (2019), emerging (2020), and postemergence (2021–2022) periods in an accredited entry-level OT doctorate (OTD) program. The study used a retrospective observational study and employe secondary data analysis using the American Occupational Therapy Association Fieldwork Performance Evaluation (AOTA FWPE) from 2019–2022. Two-hundred and two OTD students from four cohorts at one institution participated. Student performance …

Exploring Stress Contagion: The Effect Of Faculty Stress Levels On Occupational Therapy Graduate Students, Dana Kolbfleisch

The Open Journal of Occupational Therapy

Research has indicated a relationship between faculty and students as it pertains to stress levels and subsequent well-being in occupational therapy (OT) programs (Grab et al., 2021), a potential indication of a stress contagion effect. This research aimed to determine if faculty stress levels affect student stress levels in OT graduate programs. The researcher used an ecological correlational study design with a nonprobability convenience sampling procedure. Faculty and students (n = 19 and n = 165, respectively) from 367 accredited OT graduate programs across the United States completed a survey consisting of demographic questions and the PSS-10. In addition, OT …

A Study Of Artificial Intelligence (Ai) Use Among Entry-Level Occupational Therapy Doctoral Students, Gustavo Reinoso, Rachel Allen-Mchugh, Thomas Decker, Yolanda Griffiths, Stacey Huffman-Main, Leslie Jackson, Ashley Murray, Jamie Rognes, Christine Urish

The Open Journal of Occupational Therapy

Artificial intelligence (AI) is increasingly integrated into higher education, yet little research explores its use among entry-level occupational therapy doctoral (OTD) students. This study developed a scale to assess AI usage and perceptions, examining differences across academic years. Eighty OTD students from a mid-sized urban university completed a 44-item survey refined using a Delphi method with nine faculty experts. Exploratory factor analysis identified three subscales—Efficiency and Adaptability, Academic Integrity Concerns, and the Student-Professor Divide—accounting for 46.04% of the variance (Cronbach’s α = .72–.93). Multivariate analysis of variance revealed significant effects of academic year on subscale scores (Wilks’ Λ = .822, …

Ethically Integrating Ai In Occupational Therapy Education: Enhancing Learning And Practice For The Future, Amy Sadek, Sabrina Gowette

The Open Journal of Occupational Therapy

Artificial intelligence (AI) has been around since the 1950s and is gaining traction in higher education and among health care professions. In this era of technology, it is imperative we equip both educators and students to have tech centric skills to support learning, improve efficiency, and enhance skills. Faculty and students alike need to be able to understand the ethics behind using digital information, such as that from AI tools and sources. As educators and students become more reliant on technology, and specifically AI, it is imperative not to lose the human connection in education. Educators are an integral part …

Doing Drag: Exploring The Experiences Of Drag As An Occupation For Performers In California, Alicia Montes, Anna Ranario, Lilibeth Rosales, Eileen Spahle, Nathan Gelman, Laura Greiss Hess, Karen Mccarthy

The Open Journal of Occupational Therapy

Background: Drag is a performative art where individuals explore identity, challenge societal norms, and foster community through exaggerated gendered performance. Drag in the United States is facing potential restrictions and remains underexplored in occupational science and occupational therapy literature.

Methods: This qualitative study explored the experiences of drag performers in California, applying an occupational perspective through the framework of form, function, and meaning. Five drag performers were interviewed. Reflective thematic analysis was used to interpret qualitative data.

Findings: Identity was the central theme, interconnected with form, belonging, non-belonging, meaning and motivation, and resistive occupation. Findings highlight drag …

Addressing Feeding And Eating Issues With The Pediatric Population Using A Telehealth Service Delivery Model: A Case Report, Lyndsay Fait, Raegan Furman, Devani Emery, Bryan M. Gee

The Open Journal of Occupational Therapy

Background: This case report reviews the implementation of telehealth-based occupational therapy interventions for pediatric feeding issues in a client with autism spectrum disorder (ASD) and Avoidant/Restrictive Food Intake Disorder (ARFID). It highlights the use of a synchronous telehealth service delivery model to address sensory-based feeding issues.

Method: A single-patient case report was conducted, outlining the occupational therapy process with an 11-year-old male with ASD and ARFID who receives most nutrition through G-tube feedings and presents food selectivity. Telehealth sessions were conducted via Zoom, with occupational therapy assistant students providing interventions under faculty supervision.

Results: Telehealth interventions were successfully implemented to …