Medicine and Health Sciences Commons^™

Va Dent J January, February And March 2025

Virginia Dental Journal

The January-March 2025 issue of the Virginia Dental Journal (Volume 102, Number 1) highlights various topics relevant to the dental community, including articles on supporting mental health through the SafeHaven™ program, innovative membership strategies from the ADA, and updates on legislative advocacy efforts. It also features academic content, such as pediatric dentistry abstracts and case studies, and showcases the journal's transition to a digital-only format for improved accessibility and archival capabilities. Additionally, the issue provides organizational news, awards, and practical tools for dental professionals.

Provisional Stenting Of Distal Bifurcation Of Left Main Stem With Angle Equal Or More Than 90° With And Without Final Kissing Balloon: One-Year Outcomes, Ali Mahdi Mohammed Abuajmaa, Khalid Ibrahim Amber

Journal of the Saudi Heart Association

Objective: To identify the outcomes of provisional single stent (PS) strategy without final kissing balloon (FKB) in wide angle (≥90°) distal bifurcation of the left main stem (LMS).

Methods: A pilot study of prospective interventional cohort study was conducted from January 2021 to February 2024. Patients with unprotected LMS - left anterior descending artery with LMS distal bifurcation angle ≥90° were divided into: Group I (Medina class 1,1,0 treated with PS without FKB), Group II (Medina class 1,1,1 treated with PS) which subcategorized into two subgroups; Group IIa (PS with FKB) and Group IIb (PS without FKB). One-year follow-up outcomes …

In Silico Analysis Of Cd40 Mutations And Their Implications For Quinoline-Benzoic Acid Derivatives Based Therapy In Graves' Disease, Luluk Yunaini, Diyah Kristanty, Puji Sari, Surya Dwira, Dwi Anita Suryandari, Arleni Bustami

Indonesian Journal of Medical Chemistry and Bioinformatics

Graves' disease is an autoimmune disorder in which the CD40-CD154 interaction plays a critical role in T-cell activation. In this study, in silico methods were employed to analyze the binding interactions of quinoline-benzoic acid derivatives (NSB, FSB, and NQB) with the CD40 receptor and to investigate the implications of specific CD40 mutations for drug efficacy. In this reseach conducted by molecular simulation approach with molecular docking Results Mutation analysis of CD40 identified alterations in key residues, such as R203C, which may impact ligand-independent activation and downstream TRAF binding, crucial for signal transduction. These findings highlight the therapeutic potential of quinoline-benzoic …

Pull Or Play? The Interpretation Of A Novel, Ai-Powered On-Field Decision Support Tool., Lynne Becker, Dafne Badilla, Osho Yonzon, Xiaoyu Wu, Roland Rocafort, Erik Viogan Phd, Devansh Manocha

Journal for Sports Neuroscience

The document titled "Pull or Play? The interpretation of a novel, AI-powered on-field decision support tool" explores the development and application of the Injury Impact Severity Score (IISS)™ for assessing traumatic brain injuries (TBIs), particularly in sports settings. It addresses the limitations of current assessment tools like the Glasgow Coma Scale (GCS) and proposes a more objective approach using patient-reported data and machine learning algorithms.

Key points include:

• Background: TBIs are a significant health concern with under-reported cases and a lack of effective research. Current assessment tools like the GCS have limitations in accuracy and speed, especially in dynamic …

The Benefit Of Green And Blue, Maddie Fitzgerald

D.U.Quark

No abstract provided.

Evaluating Efficiency In Laboratory Methods For Testing Sexual Assault Kits, Renee Mercer

D.U.Quark

Sexual assault kits (SAKs) are a collection of physical evidence from a sexual assault victim. SAK testing provides victims justice and helps prevent repeated crime through the addition of perpetrator DNA into criminal databases. With large numbers of SAKs being collected yearly, the limitations of common laboratory procedures and resources create a backlog of SAKs. For that reason, there is a need for more efficient testing. This review evaluates three different methods of testing throughout this process. Reverse Transcription Recombinase Polymerase Amplification and Proximity Ligation Real-Time Polymerase Chain Reaction confirms body fluid identification. The Loop-Mediated Isothermal Amplification Assay reaction amplifies …

Reliability And Validity Of Trunk Flexion-Extension Angular Velocity Measurement In Healthy Young Adults Using Ai-Enhanced Motion Capture, Joga Katayama, Kai Tennan, Sakino Harada, Aoi Hirata, Hayato Shigetoh, Junya Miyazaki

Asian Journal of Physical Therapy

Background: Openpose is a motion capture system that uses artificial intelligence. This study aimed to verify the reliability and validity of motion angular velocity using Openpose in trunk flexion-extension movements (TFEM) and compare Openpose with methods that use accelerometers and marker measurements. Methods: Fifty healthy young participants were included in the study. The TFEM tasks were performed. Motion analyses were performed using accelerometers, markers, and the Openpose software. To examine the reliability and validity of the angular velocity of motion, we calculated intraclass correlation coefficients (ICC) (1,1) and ICC (1,3) for each maximum flexion and extension angular velocity. …

Case Report On Endocrine Induced Paralysis - " Unraveling The Impact Of Thyrotoxicosis On Potassium Homeostasis.", Srujith Pullipudi, Basava Chethan, Srinath K. M, Savitha Vijayakumar, Meghna B.S.

Digital Journal of Clinical Medicine

Thyrotoxic periodic paralysis (TPP) is a rare complication of hyperthyroidism, marked by episodes of muscle weakness and hypokalaemia. Although it predominantly affects young Asian men, it can also occur in females and individuals from non-Asian ethnic groups. TPP is a treatable form of hypokalaemic periodic paralysis and can often be the first indication of thyrotoxicosis. Triggers such as a high-carbohydrate diet, strenuous exercise, emotional stress, and steroid use can provoke TPP attacks. During an acute episode, the key diagnostic indicators are hypokalaemia along with elevated levels of thyroxine (T4) and triiodothyronine (T3). Treatment consists of two phases: promptly correcting hypokalaemia …

Are Maternal Adverse Childhood Experiences (Aces) And Resilience Associated With Breastfeeding Rates And Neonatal Growth?, Lily Zheng, Krystal Hunter, Hsiao-Wei M. Banks, Leslie Abraham, Alla Kushnir

Cooper Rowan Medical Journal

Background: Adverse childhood experiences (ACEs) have shown to have a negative impact on health outcomes. There is evidence of how negative childhood events adversely affect self-esteem in adulthood. Not only do ACEs have an impact on one's own life, but maternal ACEs have shown to have consequences on infants’ development as well, indicating a negative intergenerational impact.

Objectives: To analyze the relationship between maternal ACEs on infant outcomes, breastfeeding adherence, and maternal self-perception

Design/Methods: Between 2020 and 2023, 120 mother-infant pairs from a New Jersey urban hospital were approached between their 2nd trimester and the 2-month well …

Abortion Training In Family Medicine: A Post-Dobbs Examination, Innes Tounkel, Lauren Kasoff, Brittany Macdonald, Krys Foster, Allison Casola, Glen Atlas

Cooper Rowan Medical Journal

No abstract for this article type.

The Anti-Inflammatory Effects Of Perioperative Dexamethasone Administration And The Relationship To Pain: A Systematic Review And Meta-Analysis, Tyler Klecha, Ryan Gericke, Usmaan Al-Shehab, Jaime Dougherty, Glen Atlas

Cooper Rowan Medical Journal

Introduction: Post-surgical inflammation is a common adverse event that can have detrimental effects on the recovery phase for patients. Commonly associated with pain severity, inflammation can make the management of postoperative pain difficult. Of the multiple inflammatory molecules that can be found in an inflammatory response, interleukin 6 (IL-6) and C-reactive protein (CRP) are two of the most commonly assayed biomarkers of inflammation. Dexamethasone (DEX), with its anti-inflammatory properties, is thought to reduce IL-6 and CRP. It thus may reduce pain when administered perioperatively. In this review, we assessed the anti-inflammatory effects of DEX and the relationship of such …

Successful Application Of Craniosacral Therapy In A Case Of Self-Harming And Low Mood In A 13-Year-Old Female., Caro O’Neill, Angie Butterfield

Journal of Transformative Touch

This case reports on the effectiveness of CranioSacral Therapy (CST) for a 13-year-old female presenting with self-harming by cutting, self-starving and poor sleep. Seven treatments of 45 minutes each, over a period of 9 months between September 2023 and June 2024 took place and monthly treatments are still ongoing. An improvement in symptoms was recorded after the first treatment and over the period of the treatments the client did not self-harm or self-starve and her sleep improved. At the first session the client scored 24 with the Patient Health Questionnaire – 9 (PHQ-9); at the seventh session her score was …

Als Care Through A Cultural Lens: Understanding Minority Patients’ Experiences, Monique N. Green, Lindsay Gietzen

Pacific Journal of Health

Abstract

Objective: To explore the experiences of ethnic minority patients with ALS about neurological care fairness and cultural sensitivity.

Methods: Eight self-identified, ethnic minority ALS patients, recruited through online forums, participated in the study by answering questions about their demographics as well as questions about their past care experiences. The data obtained was analyzed through the thematic analysis approach to determine consensus and patterns.

Results: Participants reported varied experiences, with some expressing satisfaction in their care, while others highlighted issues such as perceived discrimination, lack of cultural sensitivity, communication challenges, and the need for self-advocacy. Some highlighted the need to …

Demography, Annual Incidence, And Risk Factors Of Inhibitors For Pediatric Hemophilia A In Basra Center For Hereditary Blood Diseases, Oula Alsaad, Azeezah Mohammed Mohsin

Iraqi National Journal of Medicine

Background: Hemophilia A is a rare X-linked congenital bleeding disorder characterized by a tendency to bleed. This is the primary tendency of the disorder, with most of the bleeding occurring internally into the joints. A significant complication of hemophilia treatment is the development of neutralizing antibodies against factor VIII replacement therapy, known as inhibitors. Aim: This study aimed to investigate the demography of pediatric hemophilia A patients at the Basra Center for Hereditary Blood Diseases and assess the annual incidence of positive inhibitors and their associated risk factors. Methods: A descriptive, retrospective, registry-based study was conducted for hemophilia A patients …

Decriminalizing Disease: A Health Justice Approach To Infectious Diseases And Criminal Law, Sean E. Bland

Arkansas Law Review

Infectious diseases, also called communicable diseases, are largely a public health issue and should not be criminalized. This Article seeks to re-frame the discussion around the legal framework for infectious diseases in a way that moves beyond a punishment mindset and toward a health justice mindset. The focus in this Article is on health justice rather than traditional understandings of public health, defined as the science and practice of improving the health of people and their communities. The Article makes three novel contributions. First, it applies a health justice framework to the critique of infectious disease criminalization. Second, the Article …

The Healing Power Of Antitrust, Theodosia Stavroulaki

Northwestern University Law Review

Millions of Americans live in hospital deserts—communities where people lack geographic access to hospitals and primary care physicians. People living in these deserts often miss doctor appointments, delay necessary care, and stop adhering to their treatment. In this way, hospital deserts exacerbate the health disparities plaguing America. This Article demonstrates that hospital deserts are not inevitable but the result of several business strategies—including noncompete agreements and merging with competitors—and antitrust enforcers’ unwillingness to recognize these harmful practices as antitrust violations. To cure the issue of hospital deserts, this Article makes three proposals. First, antitrust enforcers and the courts should expand …

Prevalence Of Flat Foot Among School-Age Girls And Its Relationship With Body Mass Index And Activity Level, Hisham Mohamed Hussein, Ehab Kamel, Walid Mohamed Kamel, Ibrahim Metwally Dewir, Ahmed Abdelmoniem Ibrahim

Internet Journal of Allied Health Sciences and Practice

Background: The foot and ankle are important structures in the skeletal system of the human body. Deviation in normal structure of the foot,such as in flat foot deformity, can lead to many health problems. Our study aimed to explore the prevalence of flexible flat foot (FFF) among school-age female students in the Ha’il region, Saudi Arabia, and to assess the association between the body mass index (BMI), activity level, and FFF in the selected samples. Materials and Methods: This cross-sectional study included 543 female students between 7 and 12 years of age. Data regarding age, height, weight, level …

Relationship Between Gross Motor Function And Quality Of Life In Children With Unilateral And Bilateral Cerebral Palsy, Ünal Değer, Akmer Mutlu

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: It is known that quality of life (QoL) is negatively affected in children with cerebral palsy (CP). This study investigated the correlation between gross motor function and QoL in children with unilateral and bilateral CP at levels I and II according to the Gross Motor Classification System. Methods: Fourty individuals with CP, ages between 8-18 years, were included in this study. The Gross Motor Function Measure (GMFM) was used to evaluate the children’s gross motor functions, and the Gross Motor Function Classification System (GMFCS) was used to determine levels. QoL was evaluated with the Quality of Life …

Mantra Meditation For Chronically Impaired Attention After Stroke: A Trial Using Single-Case Experimental Design, Cheryl Carrico, Dana Howell, John A. Patterson, Richard D. Andreatta, Camille Skubik-Peplaski

Internet Journal of Allied Health Sciences and Practice

Purpose: Impaired attention after stroke is a common problem for which rehabilitation would potentially be indicated. Systematic review evidence has revealed a lack of high-quality research that supports the effectiveness of standard-of-care cognitive rehabilitation for sustained attention, alertness, and functional impact on daily life after stroke. Standard-of-care cognitive rehabilitation does not include meditation. Meditation has been defined in contemporary scientific literature as a regime entailing voluntary self-regulation of attention. As such, meditation could potentially improve attention in keeping with tenets of neuroplasticity. The present study investigated whether mantra meditation would benefit attention for adults with chronically impaired attention after right-hemisphere …

Physiotherapists' Knowledge Of Ageing And Its Associated Factors, Unyime Jasper, Olayinka Akinrolie, Cornelius Mahdi Ishaku, Nnamdi Mgbemena

Internet Journal of Allied Health Sciences and Practice

Purpose: To evaluate knowledge of ageing and its associated factors among Nigerian physiotherapists (PTs).

Methods: We used a three-part questionnaire. Knowledge of ageing was evaluated with Palmore’s Facts on Aging Quiz (FAQ). Certain questions in the FAQ were modified to reflect the local setting. We conducted a validity and reliability check on the questionnaire using test-retest with 10 PTs. Data were analysed using descriptive statistics, t-test, ANOVA and multiple linear regression.

Resullts: Out of 204 PTs invited, 186 agreed to participate. Test-retest of the FAQ revealed a Cronbach alpha of 0.78. The age of participants ranged from …

Prevalence And Efficacy Of Coping Strategies Utilized By Entry-Level Occupational Therapy Students, Elena Wong Espiritu, Natalie N. Michaels, Caitlin Bender, Megan M. Cusick, D. Rachel Hicks, Hanna Mcclain, Lavanya Reddy, Samantha Wu

Internet Journal of Allied Health Sciences and Practice

Abstract

Background: Stress among occupational therapy graduate students has continued to increase over the last decade due to high academic expectations, difficulty integrating didactic and clinical knowledge, intense class schedules, financial strain, and difficulty balancing work, school, leisure pursuits, and social participation. However, there is limited evidence in the current literature addressing coping strategies used by entry-level occupational therapy students in response to stressors. Purpose: The purpose of this study was to identify which coping strategies occupational therapy students most commonly use, and to describe which coping strategies they found to be most and least effective from the student perspective. …

Rapid Weight Regain Is Not Linked To Success In Professional Ufc Fighters During Competition, Antonella V. Schwarz, Peter J. Byers, Lauren Stern, Gabriel J. Sanders, Tobin Silver, Jose Antonio, Corey Peacock

Internet Journal of Allied Health Sciences and Practice

Background: Although previous research has explored rapid weight loss (RWL) and rapid weight regain (RWRG) of Mixed Martial Arts (MMA) athletes, there is a lack of research analyzing this in fighters for the Ultimate Fighting Championship (UFC). There is also a lack of literature analyzing how RWRG in MMA athletes affects performance outcomes. Therefore, the purpose of this study was to compare official versus fight-night weigh-ins and whether the percentage change influenced winning or losing records in UFC athletes. Methods: Twenty-four official and fight-night weights were obtained utilizing the commission-calibrated scale. Paired Samples T-Tests were utilized to determine if official …

The Effect Of Occupational Therapy Intervention Based On A Multicontext Approach In A Patient With Traumatic Brain Injury: A Case Study, Medine Nur Özata Değerli, Yusuf İslam Değerli, Selen Aydöner

Internet Journal of Allied Health Sciences and Practice

After traumatic brain injury, individuals often experience a variety of cognitive problems. Executive function skills are usually affected, including planning, motivation, multitasking, flexible thinking, performance monitoring, memory, self-awareness, and error detection and correction. Problems in executive function skills can lead to reduced performance of instrumental activities of daily living and dependence on others for these activities in individuals with traumatic brain injury. The multicontext approach is a framework built on the combination of remedial and compensatory techniques that focuses on generalizing learning transfer in cognitive rehabilitation. This study examined the effect of an 8-week multicontext occupational therapy intervention on cognitive …

Examining The Impact Of An Education Intervention On Parents' Perceptions Of Sport Specialization, Lauren Schlacht Butler, Justin S. Disanti, Joseph J. Janosky, Jane S. Chung, James F. Russomano, Amanda M. Black, Shelly Fetchen Dicesaro, Eric Post, Jonathan A. Santana, Troy M. Smurawa, Tamara Valovich Mcleod

Internet Journal of Allied Health Sciences and Practice

PURPOSE: Several organizations have developed educational materials to provide stakeholders with information about the health risks of early sport specialization (ESS), though the impact of these efforts is not yet known. Therefore, the purpose of this study was to describe and assess the effect of an educational intervention on parental knowledge and perceptions of ESS. We hypothesized that a video-based educational intervention would increase parental knowledge and change perceptions of ESS. METHODS: Eighty-three parents of youth athletes completed a web-based survey. Participants were randomized into an intervention (ESS video) or control (concussion video) group. Each group completed a pre-and post-intervention …

Athletic Trainers Experience With Different Modes Of Workplace Bullying Across Various Practice Settings: A Cross-Sectional Study, Celest Weuve, William Pitney

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to examine the prevalence of face-to-face workplace bullying (WPB) and cyber-WPB in various athletic training practice settings and whether differences exist. We also sought to examine the relationship between the above modes of WPB.

Method: A cross-sectional design, using the Athletic Training Workplace Environment survey, including the Negative Acts Questionnaire—Revised (NAQ-R), explored whether participants perceived WPB had occurred. Identification of bullied participants was done by assigning 1 point for every NAQ-R item with a weekly or daily frequency and those participants with a score of 2 or more points were classified as having …

Fostering Future Professional Contemporary Collaboration, Rene'e M. Huth, Jordan M. Tucker

Internet Journal of Allied Health Sciences and Practice

Collaborative teamwork needs to be fostered early and often to meet contemporary practice ideals. This qualitative phenomenological designed study’s purpose was to investigate student physical therapists (SPTs) and student physical therapist assistants' (SPTAs) perceptions of an intraprofessional online activity reflective of contemporary home health and telehealth settings. A convenience sample of 25 SPTs from one program and 24 SPTAs from another program met synchronously online to view a video case of an ambulatory patient with dementia, develop a plan of care, and discuss appropriate interventions reflective of practice in Virginia. Following interactions, students wrote reflections on their experiences that were …

Patient Adherence And Outcomes In Home Exercise Programs For Obese Osteoarthritic Patients: A Meta-Analysis, Areeba Khan, Kiran Yameen

Internet Journal of Allied Health Sciences and Practice

Background: Globally, knee osteoarthritis affects millions of individuals, reflecting a 113% increase in the disease prevalence. This investigation delves into the intricate dynamics among excess weight, joint degeneration, and patient adherence to home exercise regimens with and without digital supervision. Methods: The study protocol follows PRISMA guidelines for review articles. A thorough search was conducted by two researchers who examined six databases for article selection using the keywords, “exercise," "rehabilitation," "obesity,", “knee osteoarthritis,” and "pain". Only those articles that were conducted between 2019 to 2023, published in the English language, and that examined the effects of home exercise program …

Cervicogenic Headaches And Cervical Dystonia In A Young Equestrian Athlete: A Case Report, Jennifer Austin, Kelsey J. Robinson

Internet Journal of Allied Health Sciences and Practice

Purpose: This case outlines the complexity of differential diagnosis and management of headache-related symptoms when multiple diagnoses are present, implication for patient well-being, and the need for improved healthcare provider preparation. Case Presentation: A 16-year-old female equestrian athlete, competitive in eventing, presented with headaches, dizziness, and syncope events, with no history of head or neck trauma. Upon initial evaluation, cardiovascular screen and head CT were insignificant. During subsequent evaluation by another provider nearly 3 years later, the patient presented with advanced symptoms. Management and Outcomes: Initial management included prescription of oral contraceptives, methocarbamol, and ibuprofen PRN, which provided partial relief …

A Quasi-Experimental Study Examining The Effects Of A Proprioceptive Rehabilitation Protocol For The Cervical Spine On Balance And Function Using A Laser Head Light In Older Community Dwelling Individuals, Vern M. Swanson Jr., M. Samuel Cheng, Leah Nof, Eric Shamus, Phd

Internet Journal of Allied Health Sciences and Practice

Purpose: Falls continue to be a major health issue when considering health risks for older individuals. The multi-factorial nature of falls in older adults leads to an overwhelming number of causal factors. Cervical joint position sense and joint position error could be additional factors that could influence the fall risk of older individuals. This research examined the effects of a proprioceptive rehabilitation protocol for the cervical spine using a laser head set in older community dwelling individuals. Methods: Sixty (60) subjects were purposively assigned into an experimental and a control group. Control group subjects were given a general lower extremity …

Assessment Of Physical Therapy Students’ Self-Efficacy And Accuracy Measuring Blood Pressure Using A Low-Fidelity Task Trainer, Daniel C. Dale, Deborah M. Wendland, Tiffany Haney

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine if use of a task trainer in physical therapy education improves the self-efficacy and accuracy of students when assessing blood pressure measurements. Methods: Participants from consecutive cohorts of Doctor of Physical Therapy (DPT) students (38 students per cohort) participated in the first semester of their first year of study in a DPT program. The study was conducted concurrently with the course in which the measurement of blood pressure and pulse rate are typically taught. In addition to traditional classroom instruction and lab practice for both groups, the experimental group also had …