Medicine and Health Sciences Commons^™

Emergency Action Planning In Collegiate Athletics: An Evaluation Of The Current Adoption Of Best Practice Recommendations, Kyler Conn, Ken Blood, Genna Fusco

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE
The primary objective of this study was to assess the current adoption of the National Athletic Trainers’ Association’s (NATA) best practice recommendations regarding emergency planning, outlined in the NATA Position Statement: Emergency Planning in Athletics, at the collegiate level.

Effect Of Hearing Status On Modified Balance Error Scoring System Performance, Matthew Brancaleone, Claire Akard, Jaclyn Caccese

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE
Concussion assessments typically include evaluations of self-reported symptoms, neurocognitive function, and postural control. Specifically, postural control is often assessed using the modified Balance Error Scoring System (mBESS). Although normative mBESS data exist, they may not be appropriate for all athletes, such as those who are deaf or hard-of-hearing (D/HoH). Given the relationship between the cochlea and the vestibular system, athletes who are D/HoH may exhibit differences in postural control due to potential vestibular dysfunction. Therefore, the objective of this study was to compare mBESS performance between athletes who are D/HoH and athletes who are hearing.

Spontaneous Pneumothorax In A Male High School Wrestler, Laura Breese, Sara Stiltner

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE/BACKGROUND
A pneumothorax is the presence of air in the pleural space, it is a life threatening condition and can be classified as spontaneous, acquired, or by pathophysiology. (1)(2) This specific case presents the incident of a spontaneous pneumothorax in an adolescent population.

The Confluence, Volume 4, Issue 1, Full Issue

The Confluence

No abstract provided.

Adverse Cognitions: The Effects Of Childhood Trauma On Brain Development, Faith Salamone

The Confluence

The effect of adverse experiences in childhood have been known to create lasting difficulties, even in adulthood. While it can be hard to determine the effects of childhood trauma on the brain, many studies have identified areas that appear to be negatively impacted by these adverse childhood experiences. This paper is a meta-analysis of eight articles that have attempted to investigate the effects of childhood trauma on the developing brain. These articles are specifically investigating the effects of childhood physical and/or sexual abuse. The areas that will be discussed in this paper are the prefrontal cortex, corpus callosum, the limbic …

Recommendations For Telesupervision: Promoting Ethical, Legal, And Effective University And Clinical Supervision Using Technology, Madeleine M. Stevens, Yegan Pillay, Edisa Music, Elena Shahen

Journal of Counselor Preparation and Supervision

The expansion of the use of technology in counseling has implicated counseling professionals in considering how to legally and ethically incorporate it into all facets of practice, including university and clinical supervision settings. In this article, we provide scholarship-backed recommendations for doing so as well as provide suggestions for incorporating psychodynamic and cognitive-behavioral (CBT) supervision models into telesupervision.

Exploring Race In Addiction Treatment And The Need For An Anti-Racist Approach, Jackie D. Dell, Mei Tang

Journal of Counselor Preparation and Supervision

Extensive literature documents that Black people, Indigenous people, and People of Color (BIPOC) have been historically and systematically discriminated in addiction and substance use disorder treatment and services. This systemic oppression is the result of the creation and intersection of multiple systems that are rooted in White supremacy, which continue to fail to recognize racism as a critical factor in health disparities. The complexities of the structural factors that contribute to these racial health disparities, and opportunities to better address these disparities were reviewed to discuss their impact on BIPOC clients and the necessity for anti-racist approaches to addressing addiction …

Applying Supervision To Animal Assisted Therapy: Using The Integrative Development Model, Rachel W. Rachlinski, Kelli A. Mcfarland

Journal of Counselor Preparation and Supervision

A study conducted by Hartwig and Smelser (2018) reported 91.7% of clinicians being aware of animal assisted therapy (AAT) who agree it is a legitimate treatment model. However, 57% of respondents expressed interest in receiving AAT training. Although published standards and competencies published by ACA and IAHAIO indicate the requirement for clinical supervision when implementing AAT, research does not address supervision protocols for AAT. This manuscript suggests a protocol for supervising the implementation of AAT. The consequence of untrained supervisors is the potential harm to the well-being of the client as well as the clinician and the animal. As such, …

Culturally-Affirming Service-Learning For Counselors-In-Training: Child-Parent Relationship Therapy Training With Spanish-Speaking Families, Karen M. Roller, Szu-Yu Chen, Katrina Volante

Journal of Counselor Preparation and Supervision

The Spanish-speaking community is the largest underserved language group in the United States. To advance social justice advocacy and multicultural humility for this language group, the field of counselor education needs to create pedagogical scaffolding for non-Spanish-speaking counselors-in-training to work with interpreters to support Spanish-speaking families, while also enhancing language-concordant training for Spanish-English bilingual counselors-in-training. We utilized a critical race research design to explore six counselors-in-training’s experience participating in service-learning through online facilitation of Child-Parent Relationship Therapy with Spanish-speaking families. Interpretative phenomenological analysis of qualitative data yielded four major themes: (a) collaboration, (b) improved awareness, (c) growth and strength, and …

Pcsk-9 Inhibitors Treatment: The Cardiovascular Disparity, Julia Lees, Seana-Pierre Williams, Tahir Razzaq, Michael B. Roberts

The Journal of Integrated Primary Care

Introduction: According to the Center for Disease Control and Prevention (CDC) and American Heart Association (AHA), cardiovascular disease is the leading cause of death in the United States. This phenomenon disproportionally affects the African American population, who have a 31% higher mortality rate than non-Hispanic Caucasian individuals. A retrospective review of PCSK-9 medication use, specifically in a patient population that had minimal representation in the large, landmark clinical trials, can lead to better understanding about the therapeutic potential in cardiovascular disease reduction and patient outcomes attributed to medication use. Education regarding this novel drug class, medication access and patient support, …

Literature Review Of Stiff Person Syndrome, Mustafa Ansari, Adam Davis, Donald Penney

The Journal of Integrated Primary Care

Background: Stiff Person Syndrome (SPS) is a rare, debilitating autoimmune neurological disorder characterized by progressive muscle rigidity, painful spasms, and gait disturbances. It is strongly associated with autoantibodies against glutamic acid decarboxylase (GAD), leading to impaired GABAergic neurotransmission. SPS exists on a spectrum, with both classical and paraneoplastic variants, the latter often linked to malignancies such as breast cancer.

Methods: This review synthesizes current literature on the pathophysiology, clinical presentation, diagnostic criteria, and treatment modalities of SPS. We examine emerging therapies, including immunomodulatory approaches and antibody-targeted interventions, to address the heterogeneity of disease progression and treatment response.

Results: SPS remains …

Advancing Sports-Related Concussion Management: Integrating Evidence-Based Protocols, Emerging Diagnostics, And Personalized Care, Anvitha Kaguturu, Colin Rhoads, Donald Penney

The Journal of Integrated Primary Care

Background

Sports-related concussions (SRC) are a prevalent and complex public health issue, with 1.6-3.8 million cases annually in the United States. Increased awareness has led to higher rates of emergency and primary care consultations, yet many healthcare providers lack the resources or training to apply current evidence-based guidelines. The evolving understanding of concussion pathophysiology and long-term outcomes, including chronic traumatic encephalopathy (CTE), highlights the need for updated management strategies.

Objectives

This study aims to review current approaches to SRC management, from initial diagnosis to return-to-play, while exploring advances in biomarkers, neuroimaging, and genetic testing that could improve the prediction and …

A Pilot Study Of A Manualized Cognitive-Behavioral Intervention For Opioid Use Disorder Delivered In A Community-Based Public Health Organization, Michelle R. Lent, Denise Botcheos, Chad Gurdgiel, Hannah R. Callahan, Liam Gilroy

The Journal of Integrated Primary Care

This pilot study evaluated a previously untested cognitive-behavioral therapy (CBT) intervention designed specifically to treat opioid use disorder (OUD). Adults (N = 20) taking medication for OUD were recruited from a public health organization providing harm reduction and treatment services to people who use drugs in Philadelphia. Outcomes collected at baseline and 12 weeks included urinalysis-confirmed use of illicit drugs and surveys of mood (Patient Health Questionnaire-9; Generalized Anxiety Disorder-7), recovery capital (Brief Assessment of Recovery Capital-10), and cravings (Brief Substance Craving Scale). Feasibility and acceptability were assessed via retention rates, the Client Satisfaction Questionnaire-8, and the number of …

Improving The Quality Of Veteran Health Care By Optimizing Va Integrated Primary Care: 20 Years And Beyond Of The Center For Integrated Healthcare, Jennifer S. Funderburk, Robyn Shepardson, Gregory Beehler, Kyle Possemato, Kristen Perry, Christina Shook, Jessica Martin, Katherine Dollar

The Journal of Integrated Primary Care

Primary care patients often present with mental and behavioral health concerns, such as depression or insomnia, leaving medical teams scrambling. To help fill this gap and increase access to care while aligning with patient preferences, a new service delivery model of integrated care, characterized by embedding behavioral health providers within medical teams, was embraced in a grassroots effort, with the VA being one of the first healthcare systems to implement it throughout all primary care settings. A common challenge to grassroot efforts is the lack of research establishing effectiveness and identifying ways to optimize the innovation’s impact. Innovative VA leaders …

A Retrospective Study Of Pulmonary Function Tests In Bronchiectasis: An Infectious Disease Of The Respiratory System, Vinod Mutkule, Mahesh Shinde, Vidya Bapmare, Sangramsingh Dixit, Atharva Sharma, Kshitij Sarwey, Yogeshwari Patil, Sanket Jethlia, Aayushi Dwivedi, Disha Pardeshi, Anmol Rai, Kunal Shah, Vidhi Kalwar

The University of Louisville Journal of Respiratory Infections

Introduction: Bronchiectasis, currently being recognized worldwide, is an abnormal dilatation of the bronchi and bronchioles brought on by recurrent cycles of inflammation and airway infection. Impaired pulmonary function has a predictive significance in bronchiectasis. When treating patients with suspected or confirmed respiratory diseases, pulmonary function tests (PFT) are useful examinations. Very few studies have been done on PFTs in bronchiectasis. The main aim of this study is to study PFTs in bronchiectasis.

Method: This is a retrospective observational study done on 50 patients over two years at the tertiary care center. The previous records of patients were collected from the …

The Silent Killer In Women's Prisons, Samantha Boman

Themis: Research Journal of Justice Studies and Forensic Science

If present in the body for an extended period, the human papillomavirus (HPV) can cause aberrant cells to develop in the cervix. Left undetected, these abnormalities can manifest into cancer. Incarcerated women are among the highest demographic to be diagnosed with cervical cancer - diagnoses that could be averted through HPV vaccinations, regular cervical cancer screenings, Pap smears, and comprehensive sexual education. The lack of these preventative measures points to an insufficiency of reproductive healthcare within women’s prisons. In its early stages, cervical cancer is asymptomatic. Once symptoms appear, damage to the body is irreparable. The absence of symptoms before …

Welcome To The Journal Of Integrative Physiology, Maurie J. Luetkemeier

The Journal of Integrative Physiology

The Journal of Integrative Physiology is dedicated to the development of you, the student researcher as you learn to publish your scholarly works via the peer review process. We welcome your physiology related research studies that you conduct in conjuction with your faculty mentor.

“Restless And Uneasy…Thin And Stretched”: The Ring, The Ringbearers, And Bodies In Psychological Crisis In Tolkien’S The Lord Of The Rings., Sara Brown

Journal of Tolkien Research

The attachment that Tolkien’s Ring-bearers have for the Ring, a twisted and perverted form of love, is sterile and barren; it leaves those affected unable to settle and form fruitful, loving relationships with others, an effect that Tolkien referred to as a “Ring-restlessness.” Gollum, Bilbo, and Frodo all suffer, to their own degree, from the psychological crisis caused by the Ring that renders them uneasy and agitated. This paper examines this crisis through a psychological lens, exploring how the Ringbearers are living in discord with their true selves, and struggling with the meaninglessness of life that the Ring leaves behind.

The Only Thriller J.R.R. Tolkien (Never) Wrote: Jungian Shapes Of Evil In “The New Shadow”, Martin Hauberg-Lund Laugesen, Bo Kampmann Walther

Journal of Tolkien Research

J.R.R. Tolkien's The New Shadow, a fragment set in the Fourth Age of Middle-earth, offers a rich but often overlooked exploration of the psychological and cultural implications of peace following the defeat of Sauron. Although Tolkien abandoned the project, dismissing it as a mere “thriller”, the text presents significant insights into the dynamics of generational conflict, the origins of Evil, and the moral challenges of a post-heroic world. This paper examines The New Shadow through a dual lens: first, by contextualizing Tolkien’s depiction of good and evil within Christian ethical frameworks, and second, by applying Carl Gustav Jung’s psychological …

Tolkien And Attachment Theory : A Theory To Bind Them All?, Lelie Bremont

Journal of Tolkien Research

Tolkien and Attachment theory: One Theory to Bind Them All?

Ever since the first publication of The Hobbit in 1937, Tolkien’s works have been dominating the fantasy genre, often imitated but rarely equalled. Dozens of scholars over decades have looked for the reason behind this success, the secret ingredient that made Middle-earth so compelling.

Nicole Guédeney is a French psychiatrist specializing in Attachment Theory. Attachment Theory emerged in the early 20^th century and combines psychology with anthropology and ethnology to explore the early attachments created between a baby and the adults surrounding them and how these attachments determine the …

Perceiving The Perceiver: “Viewing” Sauron Through The Gestalt Theory Of Perception, Cameron Bourquein

Journal of Tolkien Research

This paper uses Gestalt theory, the Gestalt laws of perception, and the reception theory of Wolfgang Iser to elucidate the character “Sauron” as he appears in The Lord of the Rings, The Rings of Power, and Tolkien’s wider legendarium. It argues firstly that Sauron’s high degree of indeterminacy and ambiguity suggests he can be read as a gestalt entity, one the reader creates by mentally constructing a whole from (seemingly) disparate parts. Building on the semiotics work of Nagy (2013), it argues that Sauron in The Lord of the Rings can be read as gestalt across the spatial, …

Fears And Pains And Rages: The Psychology Of Gandalf's Anger, Nicholas Birns

Journal of Tolkien Research

We are used to seeing emotions in Tolkien as coded morally. Lust or possessiveness is evil whereas care and forbearance are good. There are some emotions, though, that cross these moral boundaries and one of these is anger Moreover, anger in Tolkien is very coded in terms of gender, as it is nearly always male rage. After examining the cases of Saruman and Wormtongue (angry because the world will not cooperate with their plans) and Thingol (angry because he realizes he has just postponed his doom rather than staved it off), we will examine the case of Gandalf. Gandalf is …

Assessing The Relationship Between Planter Fascia And Planter Calcaneonavicular Ligament Thickness In Individuals Suffering From Planter Fasciitis Using Musculoskeletal Ultrasonography, Wessam Eissa Hamed Attia

Journal of Medicine in Scientific Research

Abstract Objective: There is uncertainty regarding how thick spring ligament is in persons with plantar fasciitis complaints, despite the fact that they exhibit laxity of this ligament. The purpose of this study was to use an ultrasonic imaging system (US) to clarify the anatomical features of spring ligament in individuals who suffer from plantar fasciitis. Methods: The study was conducted on 30 feet of thirty patients suffering from plantar fasciitis representing the painful group and 30 feet of thirty healthy individuals that have no planter pain representing the healthy group that were chosen from Mataria Teaching Hospital's rheumatology and rehabilitation …

A Comparative Evaluation Of Local And Imported Ciprofloxacin Tablets Marketed In Yemen, Tareq Maqlam, Abdullah H Maad

Al-Ameed Journal for Medical Research and Health Sciences

Ciprofloxacin is one of the most common antibacterial drugs used mainly for gastrointestinal and urinary tract infections. This study aimed to compare the quality specifications of two Yemeni ciprofloxacin hydrochloride tablet products with two non-Yemeni brands. Samples were randomly selected from different batch numbers and subjected to physicochemical testing in accordance with pharmacopeial monographs. Additionally, microbiological susceptibility testing was performed against Staphylococcus aureus and Escherichia coli. All tested products complied with pharmacopoeial standards for weight uniformity (Escherichia coli and Staphylococcus aureus, with brand D demonstrating the highest activity. These findings suggest that Yemeni ciprofloxacin tablets meet quality standards …

5x-Multiplier Vs 3-Tier Model For Discharge Opioid Prescriptions After Intra-Abdominal Cancer Surgery: Randomized Clinical Trial Protocol, Brittany C. Fields, Timothy E. Newhook, Heather A. Lillemoe, Wei Qiao, Jose A. Karam, Surena F. Matin, Larissa A. Meyer, Ching-Wei D. Tzeng

Advances in Cancer Education and Quality Improvement

Background

Surgeons provide up to 10% of total opioid prescriptions across all specialties, and more than one-third of surgeon-prescribed medications are opioids. Patient-reported opioid consumption and risk of persistent opioid use beyond the postoperative recovery period correlate with the initial opioid quantity prescribed at discharge. Interventions to reduce postoperative opioid prescribing have demonstrated no adverse effects on pain control or increased need for prescription refill; however, in the absence of standardized prescription protocols, opioid prescribing practices vary widely.

Objective

The study objective is to identify the opioid prescribing model that provides the lowest oral morphine equivalents (OME) volume prescribed at …

Synthesis And Characterization Of Schiff Base Compounds Produced From 6-Bromo-4-Fluoro-2 Aminobenzothazol Assessment Against Antibacterial Activity, Hiba I. Abdullah, Wissam M. R. Al-Joboury, Ibrahim F.O. Aljoboury, Ibtihal K. Hameed, Khalid A. Al-Badrany, Mahmod A. Abdulqader

AUIQ Complementary Biological System

Schiff bases exhibit a wide range of biological activities, including antibacterial, antifungal, anticancer, and anti-inflammatory properties. The aim of study was to synthesized 2-amino-benzothiazole derivatives and showed their novel structure leads to potent antimicrobial activity. The Schiff base compounds derived from 6-bromo-4-fluoro-2-aminobenzothazol was prepared from the reaction of 6-bromo-4-fluoro-2-aminobenzothazol compound (W1) with potassium thiocyanate in the presence of bromine. Unsaturated Alpha-Beta (W2-6) compounds were obtained from the reaction of and aromatic benzaldehyd with para -hydroxy acetophenone in a basal medium. The interaction of alpha-beta - unsaturated compounds with 4,6-dichloro-2-aminobenzothiazole gives compounds (W7-11) 4-(1-(4,6-dichlorobenzothiazole-2-El amino) - 3-aryl) phenol. The prepared compounds …

Estimation Of Some Biomarkers Related To Bone Turnover In Iraqi Women, Wafaa Raji Alfatlawi

AUIQ Complementary Biological System

Osteoporosis is defined as a heterogeneous bone disease that leads to weakening in the structure of bones. Bone structure remains dynamic throughout an individual’s life, it undergoes continuous growth and resorption in a specific mechanism called bone turnover. Osteoporosis assumes the perturbation of equilibrium of the growth to destruction towards the destructive away. Bone turnover markers consider as indicators for pathway of bone turning over, it classified into two groups: first group to build the bones, the second group to break it down. By using bio tests and assays, these markers can be evaluated to monitor the activity of the …

Assessing Knowledge, Attitudes, And Practices Regarding Refractive Errors And Spectacle Wear Among Children In Sana’A: A Cross-Sectional Study, Tariek Aldoais, Zakarya Rageh, Khaled Al-Hemyari, Saleh Altheeb, Abdulmogni Al-Barrag, Mahfouth Bamashmus

AUIQ Complementary Biological System

Background: Understanding the knowledge, attitudes, and practices (KAP) regarding refractive errors and spectacle use is essential for promoting eye health and effective vision correction, especially in children.

Objective: This study assessed the demographic characteristics, knowledge, attitudes, and practices of participants concerning refractive errors and spectacle use, focusing on correlations influencing these factors.

Methods: A cross-sectional study of 228 participants analyzed demographic data, duration of glasses use, and responses to a structured questionnaire on KAP related to refractive errors and spectacles.

Results: Among participants, 53.1% were female, and 45.2% were aged 8–13 years. Glasses use for 1–3 years was reported by …

Mentorship Across A Decade: From Early Career To Mid-Career, Jessica Immonen

The Journal of Integrative Physiology

As a member of the editorial board of the Journal of Integrative Physiology, I was asked to share my reflections on mentoring. The way I functioned as a mentor when I was a junior faculty member was strongly shaped by the mentorship I received through my training years. The way I function as a mentor in my mid-career era has brought pearls from my training mentors but it has become unique to me as a person and a professional.

Ultrasound-Guided Sciatic And Femoral Nerve Block For Perioperative Pain Management In A Thai Crossbreed Dog Undergoing Tibial Plateau Leveling Osteotomy (Tplo): A Case Report, Wutti Bunjerdsuwan, Sirirat Niyom

The Thai Journal of Veterinary Medicine

This case report presents the use of ultrasound-guided sciatic and femoral nerve blocks as an alternative analgesic technique for perioperative pain control in a Thai crossbreed dog undergoing left tibial plateau leveling osteotomy (TPLO). The orthopedic examination revealed a 4/5 left hindlimb lameness score, with positive results on both the tibial compression test (TCT) and cranial drawer test (CDT). Radiographic evaluation showed the absence of a fat pad sign and osteophyte formation around the left stifle joint. A definitive diagnosis of left cranial cruciate ligament rupture (CCLR) was made. The dog underwent CCLR correction via TPLO, with perioperative pain managed …