Medicine and Health Sciences Commons^™

Assessing The Availability Of Adaptive Exercise For Adults With Ambulatory Disability, Erin Cullather, Lauren R. Hersh

Cooper Rowan Medical Journal

Background: Adults with an ambulatory disability are at higher risk of obesity and sequalae from obesity than aged-matched adults without disability. Research shows adults with an ambulatory disability are less likely to participate in the recommended 150 minutes of physical activity per week than non-disabledadults. Availability ofadaptive exercise could help increase physical activity participation in adults with ambulatory disability.

Objective: This observational study examines the availability of adaptive exercise programs throughout the United States and determines how it relates to the population of adults with an ambulatory disability.

Methods: Adaptive exercise sites (n=268) were identified via internet searches to form …

Pediatric Pulmonary Arterial Hypertension; Is It Possible To Predict Its Outcome?, Hala Mounir Agha, Ranya Hegazy, Ahmed Gamal, Ranya Essam, Antoine Abd Elmessih, Ahmed Behairy, Nagib Dahdah, Ahmed Abdelwahed, Nesrine Sobhy, Noha Ali

Journal of the Saudi Heart Association

Objectives: to assess the outcome of pediatric pulmonary arterial hypertension (PAH) and to identify the predictors of morbidity and mortality of this progressive disease. Patients and methods: This prospective observational cohort study was conducted on consecutive pediatric patients with PAH. Medical history was taken with a grading of the WHO functional class as well as the serum N-terminal pro-BNP (NT pro-BNP), six minutes’ walk test (6MWT), and echocardiography at the initial assessment and at follow-up. Results: The cohort study included 71 patients; 39 patients had idiopathic and heritable PAH, 27 patients had PH secondary to CHD and five patients had …

Correlation Of Physical Activity With Vasomotor, Psychosocial, And Physical Symptoms Of Menopausal Women In A Rural Area Of Pati Regency, Indonesia, Shovia Nurul Hidayati, Winarni Winarni

Journal of Asian Midwives (JAM)

Background: Menopause often brings vasomotor, psychosocial, and physical symptoms that challenge women's well-being, yet physical activity offers a promising avenue for relief. Physical activity can improve a person's quality of life. Menopausal women in Pegandan village have varying physical activity and menopausal symptoms but it is currently unknown whether they are correlated. This study investigated the correlation between physical activity and vasomotor, psychosocial, and physical symptoms among menopausal women.
Methods: The study employed a cross-sectional design involving 47 menopausal women from Posyandu Lansia in Pegandan village, Pati regency, Indonesia. They were selected by simple random sampling. Participants' measurements for physical …

Lusaka's Colonial Legacy: Town Planning, Public Health, And The Making Of A Segregated City, 1913–1963. A Study Of Power, Inequality, And Urban Development, Wamburakwao J. Sapao

Zambia Social Science Journal

This paper explores the intersection of town planning and public health policy in Lusaka, Northern Rhodesia (now Zambia), during the colonial period (1913–1963), which was a time of significant urban growth and transformation. British colonial authorities adapted Ebenezer Howard's Garden City principles to design and manage Lusaka, but these measures perpetuated spatial control, segregation, and social engineering, thus exacerbating racial and socio-economic disparities. By analysing secondary and primary sources, including planning ordinances, zoning regulations, and public health policies, this study reveals how these measures shaped the city's development and reinforced inequalities. Despite colonial intentions for a white settler-city, Lusaka evolved …

Minimally Invasive Non-Expansile Tubular Extradural Posterior Fossa Decompression (Minted Technique) For The Management Of Chiari I.5 Malformation: Historical Overview Of Surgical Techniques, Technical Note, Proof Of Concept, Illustrative Case And Case Series. Lesser Is Better, José Alberto Israel Romero Rangel, Manuel Eduardo Soto García, Sergio Soriano Solís, Carlos Raúl Rangel Morales, Gerson Reyes Rodríguez, José Antonio Soriano Sánchez

Archives of Neurosurgery

BACKGROUND: Chiari's Malformation surgical treatment has significantly changed since the "classical" technique description by Gardner (1950). It is probably the most commonly performed approach, even when multiple techniques are available because no substantial changes nor any clear surgical objectives have been made. OBJECTIVE: To demonstrate a new cutting-edge surgical technique mastering the advantage of each surgical procedure ever described in the history of Chiari's Malformation establishing three critical points in surgical technique: clear patient-specific surgical goals, dynamic posterior fossa reconstruction, and extradural occipitoatlantal dense-adhesions release. METHODS: A comprehensive review of historically described approaches, proof of concept of surgical technique in …

Traumatic Injuries Of The Common Peroneal Nerve And Current Surgical Strategies For Improving Foot Drop. A Clinical Series And Literature Review., Carlos Alberto Rodríguez Aceves, María Elena Córdoba Mosqueda, Racob Alberto García Velazco, Humberto González Ugalde, Héctor Antonio Soriano Solís, Fabiola Estela Elizabeth Ortega Ponce, Kartik G. Krishnan

Archives of Neurosurgery

Background: Common peroneal nerve injuries are the most frequent nerve injuries in the lower extremity. They may produce severe gait deficits because of weakness or absence in ankle dorsiflexion. Functional improvement after injury, despite any intervention, remains unpredictable. There are various surgical strategies aimed to restore foot drop, but no consensus exists regarding the best surgical treatment.

Objective: In this article, we report our experience and reviewing general aspects of common peroneal nerve anatomy and lesions, current surgical strategies to restore functionality, and the overall outcomes previously published in the literature.

Methods: Retrospective review of patients with foot drop secondary …

Validation Of The Distress Thermometer In A Mexican Population With Brain Tumors: A Diagnostic Accuracy Study, Dan Morgenstern-Kaplan, Sergio Moreno-Jiménez, Fernanda Páez-Plascencia, Angel Ruiz-Chow, Fabiola Flores-Vázquez

Archives of Neurosurgery

Objective: Mental health in cancer patients must be addressed. This study's main objective was to evaluate the sensitivity and specificity of the DT in a population of patients with brain tumors and determine the optimal cut-off point for the DT. Methods: We performed a cross-sectional study at the National Institute of Neurology and Neurosurgery in Mexico City, in a cohort of 110 patients. Results: Of the 108 participants with brain tumors that were included in the analysis (2 patients excluded by incomplete DT), 40 had gliomas, 31 had pituitary adenomas, 21 had meningiomas, and 16 had other types of tumors. …

Suprameatal Tubercle Classification; Its Implementation On Clinical Cases, Humberto Reyna Mendez, Jose Alfredo Espinosa Mora, Laura Ubaldo Reyes, Alberto Angeles Castellanos, Ignacio Mora Magaña, Mauro Alberto Segura Lozano, Rachel Blue, John Yk Lee, Diego Mendez Rosito

Archives of Neurosurgery

Abstract:

Background: The suprameatal tubercle (SMT) is a variable prominence of the petrosal surface of the temporal bone that lies above the internal acoustic meatus. An enlarged SMT may present an obstacle during surgeries of the posterior fossa, including microvascular decompression or by itself cause trigeminal neuralgia.

Methods: Based on our prior study of 200 temporal bones, its data collection and establishing a classification of the SMT this extension study exemplifies its clinical application.

Results: According to the classification of the SMT four selected cases are clinically and anatomically correlated to exemplify the utility of this classification.

Conclusion: The SMT …

The Pipeline Endovascular Device Versus The Flow Re-Direction Endoluminal Device For Cerebral Aneurysm. A One-Year Follow-Up In A Single-Center Experience, Omar Pichardo, Alan Picazo, Omar Castillon, Jonathan Zuniga, Gustavo Alan Juarez Jimenez

Archives of Neurosurgery

Background: The Flow Diverters are devices derived from brain stents, made up of a network of microfilaments of various materials that allow the vessel remodeling. The Pipeline Embolization Device and The Flow Re-Direction Endoluminal Device are the two devices with more global clinical experience. Our objective is to compare the 1-year results using these devices in a cohort of patients assessing their occlusion rate and their clinical outcome as by the modified Rankin Score (mRS).

Methods: In this retrospective nested case-control cohort study, we reviewed the medical records of patients undergoing treatment with a Flow Diverter stent for brain aneurysms …

Chiari Formation And Atlantoaxial Instability. Commentary On Minimally Invasive Non-Expansile Tubular Extradural Posterior Fossa Decompression (Minted Technique) For The Management Of Chiari I.5 Malformation: Historical Overview Of Surgical Techniques, Technical Note, Proof Of Concept, Illustrative Case And Case Series. Lesser Is Better, Atul Goel

Archives of Neurosurgery

The authors have reviewed Chiari formation treatment and have put-forth their personal experience with minimally invasive techniques to perform foramen magnum decompression surgery. Based on the historical review of the subject, the authors have discussed the historical validity of only bone decompression, extra-arachnoidal decompression, and tonsillectomy. The article falls in line with the current minimally invasive surgery wave, a slightly larger cousin of the buttonhole surgery trend. It may be pertinent that I review my understanding of the subject based on the ongoing experience of nearly four decades. In the year 1998, we identified that the posterior fossa volume in …

Archives Of Neurosurgery: The Scientific Home Of Neurosurgery. The Creation Of The Unique Diamond-Open Access Journal In Neurosurgery With An Author-Friendly Advisory Peer-Reviewing And Publishing Policy Within Reach Of Everyone In The World… Born From The Ashes Of A World-Chaos., José Alberto Israel Romero Rangel, Fiacro Jiménez Ponce, José Antonio Soriano Sánchez

Archives of Neurosurgery

This is an editorial article.

Microendoscopic Versus Open Discectomy For The Treatment Of Extruded Lumbar Disc Herniation: A Comparative Cohort Study, Juan Guapo Mendoza, Antonio Guapo Mendoza, Juan Arturo Muciño Mercado, Sonia Melisa Juarez, Arturo Gonzalez, Vianney Guapo Ortiz

Archives of Neurosurgery

Background: Lumbosciatica syndrome affects millions of people worldwide, usually caused by a herniated disc. Most patients with extruded herniated discs are highly symptomatic, and they respond better to surgical treatment. Several studies have tried to compare the efficacy and benefits of microendoscopic discectomy (MED) and open discectomy (OD).

Objective: The objective of this study was to compare the results and complications of our MED experience versus standard OD in patients with lumbar disc extrusion.

Material and methods: We included patients from 18 to 60 years with radicular pain syndrome and single-level extruded disc herniation between January 2015 and December 2020. …

Hypothalamic Hamartoma Related To Pallister-Hall Syndrome In An Adolescent Patient: Illustrative Case., Victor Ramzes Chavez-Herrera, Roberto Casarrubias-Islas, Karen A Leal-Tapia, Rosa L Margarita Flores-Salgado, Juan C Huicochea-Montiel, Bayron A Sandoval-Bonilla

Archives of Neurosurgery

Background: Hypothalamic hamartomas in relationship to Pallister-Hall syndrome are extremely rare; just over 100 cases have been reported. Most hypothalamic hamartomas are sporadic.

Observation(s): A 17-year-old boy presented with a 3-year history of gelastic seizures and a suprasellar mass. The complete physical examination, blood work, and study images resulted in bilateral mesial-polydactyl, metacarpal syndactyly, glandular hypospadias, and hypoplastic nails. There were no hormone or neurological manifestations. MRI studies demonstrated a large non-enhancing suprasellar mass adjacent to the hypothalamus and displaced normal structures. An open biopsy of the mass and genetic studies were carried out to confirm the presumptive diagnosis. After …

Congress Proceedings Of The Xxviii Meeting Of The Mexican Society Of Neurological Surgery

Archives of Neurosurgery

No Abstract for this article.

Does Holding Healthcare Providers Accountable For Every Mistake Improve Patient Safety, Or Does It Hinder Open Reporting And Learning?, Amir Arshia Emam Jomeh, Eleanor Roy

Journal of Health Ethics

Medical errors are a major cause of death and harm in healthcare, yet most go unreported due to fear of punishment. This essay explores whether holding healthcare workers fully accountable for every mistake improves safety or creates a harmful blame culture. Using the case of Dr. Hadiza Bawa-Garba, it shows how individual punishment can overlook deeper system failures, such as staff shortages and poor communication. The essay compares this with Denmark’s non-punitive reporting system, which encourages healthcare professionals to report errors without fear, leading to real improvements in patient safety. Blame cultures, on the other hand, discourage openness and violate …

Who Should Be Held Accountable In Technology-Induced Medical Errors? Evaluating The Roles Of Healthcare Providers, Technology Developers, And Hospital Systems, Eleanor Roy, Amir Arshia Emam Jomeh

Journal of Health Ethics

The integration of technologies such as artificial intelligence, electronic health records, and automated diagnostic systems has significantly altered clinical practice. While these tools enhance efficiency and diagnostic accuracy, they have also introduced new forms of medical error, raising complex questions about responsibility. This article examines the ethical dimensions of accountability in technology-induced harm by evaluating the roles of healthcare providers, technology developers, and hospital systems. Drawing on the four pillars of medical ethics; autonomy, beneficence, non-maleficence, and justice, it explores the overlapping responsibilities of each stakeholder and the challenges that arise when harm occurs. Through analysis of the Therac-25 radiation …

Capacity Determination And False Beliefs: A Case Study On The Application Of Evaluation Frameworks With Resulting Recommendations, Dessislava S. Fessenko

Journal of Health Ethics

False beliefs may interfere with medical decision-making by casting doubt about the patient’s decision-making capacity. The latter is typically assessed against a set of established criteria requiring the patient’s cognitive aptness for self-governance. I argue that a capacity determination solely based on these criteria may prove insufficient when the patient entertains false beliefs. I further illustrate how alternative evaluation frameworks are better suited to assess the impact of false beliefs on the patient’s state of mind, values, overall worldviews and pursuit of wellbeing, and therefore, for the actual moral significance of false beliefs. It appears prudent to integrate these alternative …

The Impact Of Medical Ethics On Healthcare Professionals And Patient Outcomes In Resource-Poor Settings: A Focus On Ethical Challenges And Solutions, Amir Arshia Emam Jomeh, Eleanor Roy

Journal of Health Ethics

Background: Developing countries face major challenges to their healthcare system such as resource scarcity and reduced patient autonomy amongst women. The strained healthcare system often leads doctors to compromise ethical protocols and reduce their standard of care.

Aims: To explain why medical ethics are important for healthcare professionals in the context of resource-poor countries.

Findings: Many healthcare professionals lack adequate knowledge of medical ethics in developing countries. In addition, doctors make difficult decisions such as patient prioritization and resource allocation without clear ethical guidance or protocols. Women also face diminished patient autonomy in developing countries, which has been linked to …

Should Medical Assisted Suicide Be Legalised Worldwide? A Critical Examination Of Ethical Justifications And Challenges In Contemporary Healthcare, Eleanor Roy, Amir Arshia Emam Jomeh

Journal of Health Ethics

The legalisation of medical assisted suicide (MAS) is a complex ethical issue at the intersection of autonomy, non-maleficence, and justice. This paper critically examines whether MAS should be legalised worldwide, evaluating ethical justifications, regulatory challenges, and societal risks. A primary argument in favour of MAS is patient autonomy, allowing individuals to make informed end-of-life decisions, particularly in cases of terminal illness and intractable suffering. MAS is also framed as a harm-reduction strategy, preventing patients from resorting to unsafe methods of suicide.

However, ethical concerns regarding coercion, socioeconomic disparities, and the "slippery slope" effect present significant opposition. Case studies from jurisdictions …

The Ethical Justification Of Application Of Long-Acting Reversible Contraception In Patients With Intellectual Disabilities, Kelly Savitri

Journal of Health Ethics

This paper explores the ethical justification for the use of Long-Acting Reversible Contraception (LARC) in patients with intellectual disabilities, particularly in scenarios where patients cannot provide informed consent. The tension between respecting autonomy and ensuring beneficence presents a complex challenge for healthcare providers. Drawing on historical context, current reproductive justice issues, and evolving societal attitudes towards individuals with intellectual disabilities, this essay argues for a semi-discrete model that recognizes the need to prioritize patient health and safety while valuing their autonomy. By examining the implications of both past and present practices, this study highlights the necessity for healthcare providers to …

Debating Member-Checks Of Exceptional Human Experiences, James Houran, Everton De Oliveira Maraldi, Beth M. Houran

International Journal of Transpersonal Studies

This integrative essay reflects on member-checking and engaged research approaches in the study of exceptional human experiences (EHEs)—subjective accounts that often challenge conventional views of consciousness and physical reality. Member-checking, or inviting research participants to review data or interpretations, can improve credibility by aligning research with their lived experience. While benefits include transparency and insight, risks include confirmatory bias, emotional distress, power asymmetries, and logistical complexity. The evolving nature of EHEs further complicates participant validation. We therefore advocate a six-level "fit-for-purpose" system to balance rigor with ethical care and responsiveness. We also explore digital, asynchronous, and AI-assisted strategies to enhance …

The Filipino Experience Of Kutob: Understanding Culturally-Informed Hyper-Intuition, Carl Lorenz Gaston Cervantes

International Journal of Transpersonal Studies

Kutob is a Filipino concept that usually refers to a sense of what may happen. It is often experienced as an omen of negative events. Despite its apparent ubiquity in everyday conversations, there is a lack of sincere academic reflection surrounding the topic of kutob. Relying on foreign (that is, western) approaches and frameworks to understand this concept may only limit it to certain categories of psychological thought. In this paper, I use the lens of indigenous psychology—in particular, Sikolohiyang Pilipino (Filipino psychology)—to identify the nuances and contexts of kutob. I show how kutob is a function of the dynamic …

Integral And Transpersonal Education, Heidi Fraser Hageman

International Journal of Transpersonal Studies

N/A

Teaching In The Transpersonal Paradigm, Christopher M. Bache

International Journal of Transpersonal Studies

This article explores the transpersonal dynamics of teaching by presenting two core themes of The Living Classroom: 1) the synchronicities and energetic resonances that radiated invisibly around me as my spiritual practice deepened over time and 2) the “learning fields” that surround well-taught courses—fields of collective consciousness that can trigger new insights and powerful transformations in our students.

Process-Oriented: A Creative Approach To Transformative Learning, Dorit Netzer

International Journal of Transpersonal Studies

In this intrinsic case study, the author explores the value of creative expression as a process-oriented approach to transformative learning through her experience of designing and facilitating a graduate art-therapy studio workshop. The author grounds her teaching in a humanistic view of creativity and transpersonal, transformative learning theories pertaining to expressive ways of knowing. Excerpts from one group of students’ responses to the course in terms of its impact on their personal-professional identity were grouped under four major themes: Purposeful Encounter; Authenticity; Expressive Mediums for Self-Care; and Shared Discovery. Conclusions from this case may be relevant to other educational settings …

Millennium School: An Experiment In Transpersonal Education For Early Adolescents, Jenny Wade

International Journal of Transpersonal Studies

This article describes the design, curriculum, culture, and values of an experiment in transpersonal education for young adolescents, the Millennium middle school in San Francisco, CA. The overarching design of the school was to help children exiting the latency period of child development, who exhibit the rudiments of Wade’s Authentic consciousness or Maslow’s Self-actualization motive stage, consolidate that level rather than losing it, as the vast majority do, because of social pressures that make earlier stages of development more adaptable in most contemporary societies. Early adolescence is a time when peer pressure, individuation from the family, and puberty are strong …

Book Review "Processing Reality: Finding Meaning In Death, Psychedelics And Sobriety," By John H. Buchanan, Christopher M. Aanstoos

International Journal of Transpersonal Studies

N/A

Transpersonal Education: A Glimmer Of Light To Compulsory Education?, Scott Buckler, Harriett Moore

International Journal of Transpersonal Studies

Arguably transpersonal education is still in its infancy in relation to defining the area and from this, implementing into practice. While broad themes exist, such themes tend to apply to graduate or postgraduate education. The purpose of this article is to revisit definitions of transpersonal education in relation to compulsory schooling (elementary school through to the end of secondary school). From this, a series of principles and practices have been identified and presented to educators and students for validation purposes. Although a range of transpersonal practices are discussed, the implementation of a martial art inspired ‘Mindful Movement Program’ is introduced …

Teaching For Transpersonal Learning, Paul F. Cunningham

International Journal of Transpersonal Studies

This article addresses the “why,” “what,” and “how” of teaching for transpersonal learning. Why transpersonal education is relevant for addressing modern social problems and the global ecological crisis, what it is like to teach for transpersonal learning, and how transpersonal learning becomes transformative are discussed. Three promising options in technology and consciousness studies for transpersonal learning—transpersonal media, multistate studies, and entheogenic education—are described and the challenges of introducing transpersonal education into academic settings and assessing educational (student) learning outcomes are reviewed. The relevance of Mezirow’s Transformation Theory to transpersonal educational psychology, with special attention to ecological perspective transformation, is then …

How Widely Are Near-Death Experiences Recognized In Indian Society And Health Care? A Preliminary Survey, Jimmy Mathew, Sreelakshmi Rajeev, Jerry Paul, Subramnia Iyer

International Journal of Transpersonal Studies

Patients who have had near-death experiences are often profoundly changed by the event, and they and their families can find these phenomena bewildering or even distubing. Despite this, awareness of near-death experiences appears to be minimal among health care providers in India. This cross-sectional study was conducted with 100 individuals who attend patients at the Amrita Institute of Medical Sciences in Kochi, Kerala, India, and with 100 physicians at the same institution. Acquaintance with the phenomenon of near-death experiences was found to be quite low among both samples—lower than rates seen in Western societies. Almost half of the physicians who …