Medicine and Health Sciences Commons^™

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 …

In This Issue Of Ijts

International Journal of Transpersonal Studies

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Winter Glory From The Bear Mountain Bridge, Steven Chen

Quill & Scope

The shadow of the Bear Mountain Bridge is visible to the left of the frame as a southbound CSX intermodal train crosses the trestle where Popolopen Creek empties into the Hudson River, following a fresh overnight snowfall that blanketed the hills. // Winter 2025

High-Grade Avm. Educational Vignette And Clinical Cases, Marcos Devanir Silva Da Costa, Marcelo Augusto Acosta Goiri, Daniela Coelho, Juan Alberto Paz Archila, Talita Helena Martins Sarti, Feres Chaddad-Neto

Archives of Neurosurgery

The arteriovenous malformation (AVM) is a vascular malformation characterized by fistulas between arteries and veins forming a nidus, without interposition of capillary vessels and of which early draining vein is identified at the digital angiography. Potential reports of its existence date from the second century AD. Spetzler and Martin (S-M) proposed a classification considering three features and Lawton then added new predictors. A maximum of 10 score can be achieved by applying the modified S-M grade system. This classification guides decision-making and the possible choice of the multimodal treatment (surgery, radiosurgery and embolization). We discuss historical, pathological, clinical and therapeutic …

Reproductive Autonomy In Immunological Intervention: Ethical Boundaries In Maternal-Fetal Immune Therapy, Marium Z. Rizvi

Journal of Health Ethics

Recent advances in immunology have broken barriers in reproductive medicine through immune-modulating therapies that support fertility and pregnancy. Treatments such as intravenous immunoglobulin (IVIG) and intralipid infusions are increasingly offered to patients with Recurrent Implantation Failure (RIF) or Recurrent Pregnancy Loss (RPL), conditions that result in miscarriages and failed IVF treatments (Pillarysetti et al., 2023). Maternal-fetal immunology reveals a delicate interplay between immune tolerance and defense: the maternal system must accept a genetically foreign fetus while preserving immunological protection. Disruptions in this balance are implicated in implantation disorders and pregnancy failure. As a result, immune-based therapies have emerged as promising …

“Primum Non Nocere”, The Role Of Research In Meeting This Primary Objective In Neurosurgical Praxis., José Antonio Soriano Sánchez, Fiacro Jiménez Ponce, José Alberto Israel Romero Rangel

Archives of Neurosurgery

The present editorial object is to make us aware of the role that scientific production has in patient safety. Our goal shall be to provide the best neurosurgical praxis parameters supported by the best scientific evidence, developed in strict alignment to current research and publishing ethics, to warrant patient safety in every process of neurosurgical care. Once this has been said, be the worldwide neurosurgical scientific community welcome to publish in Archives of Neurosurgery, a new journal that will make publishing possible for every neurosurgeon around the world, to become the scientific home of Neurosurgery.

The Sellar Barrier’S: An Important New Concept In Pituitary Surgery., Juan F. Villalonga, Alvaro Campero

Archives of Neurosurgery

The sellar barrier's concept was created by our team in Tucumán in 2019. There are currently 3 well-defined subtypes: strong, weak and mixed. Published case series studies indicate that there is a strong correlation between radiological, intraoperative findings and risk of cerebrospinal fluid (CSF) leakage. Patients with weak sellar barrier have more risk of intraoperative CSF leak. The strong sellar barrier is a protective factor for intraoperative CSF leak. The sellar barrier's concept is useful for clinical-surgical practice and for the physician-patient relationship.

States Of Consciousness Are Central To A Transpersonal Critique Of Contemporary Psychology (Editor's Introduction), Glenn Hartelius

International Journal of Transpersonal Studies

The framework used by contemporary science is infused with the particularly Western philosophy out of which it emerged. These implicit assumptions in turn shape the lens through which psychological phenomena are studied, with the result that experiences and human capabilities not favored by Western societies are marginalized by its psychology. Efforts to constructively critique these limitations as unscientific bias are regularly rebuffed as challenges to science itself, complicating efforts at correcting this limitation. Early work by Charles Tart articulated the process by which such a paradigm, once established, becomes immune to further questioning.

Endoscopic–Assisted Surgery For Cerebello Pontine Angle Pathology: Technical Note And Surgical Results In A Series Of Patients, Jaime Jesus Martinez Anda, Pablo David Guerrero Suarez, Diego Pineda Martínez, Rafael Avendaño Pradel, Ernesto Javier Jurado Delgado, Ricardo Santiago Villlagrana Sánchez, Juan Carlos Cisneros Lesser, Carolina De La Llata Segura, Rogelio Revuelta Gutiérrez

Archives of Neurosurgery

Objectives: Endoscopic–assisted surgery combined with the operating microscope has been described for several surgical techniques and pathologies of the cerebellopontine angle (CPA). The use of an endoscope allows for a panoramic view of the CPA cistern and a high degree of maneuverability in narrow cisternal spaces that enable the surgeon to deal with most CPA lesions safely. We performed an observational study to describe the surgical anatomy and technique for endoscopic-assisted CPA surgery, describing our experience in a case series of patients with CPA pathology. Methods: Anatomical and surgical technique description of endoscopic-assisted surgery for CPA pathology, based on observations …

Neurosurgical Praxis Guidelines During The Covid-19 Outbreak. Consensus-Based On Currently Available Literature., José Antonio Soriano Sánchez, Bárbara Nettel Rueda, José Alberto Israel Romero Rangel, Armando Alpizar Aguirre, Miguel Ángel Andrade-Ramos, Ulises García Dr., Diego Mendez Rosito, Jorge A. Santos, Sara Patricia Pérez Reyes, Julian Eduardo Soto Abraham, Jose E. Valerio Pascua, Marco Antonio Barajas Romero, Eduardo Díaz Juárez, Alma Griselda Ramírez Reyes, Maria Elena Gonzalez, Claudia Katiutska González Valdez, Félix Domínguez Cortinas, Noé Santiago Ramírez, Tenoch Herrada Pineda, Manuel Eduardo Soto García, Edgar Nathal Vera, Gustavo Melo Guzmán

Archives of Neurosurgery

INTRODUCTION: The World Health Organization recommended several strategies to contain the COVID-19 pandemic, including optimization of care for all patients, especially the seriously ill. Given the strain, the pandemic has posed on healthcare systems around the world, many neurosurgical associations have provided triage recommendations for patients to save resources for the pandemic. We aimed to provide practical recommendations based on specific illnesses requiring surgical procedures commonly performed by neurosurgeons on a life-threatening basis of patient illness. We consider this guideline will help neurosurgeons for the appropriate triage of patients on a daily-situation basis during this pandemic.

METHODS: The Mexican Society …

Waldorf Education: New Perspectives On A Holistic Approach, Martyn Rawson

International Journal of Transpersonal Studies

This article outlines some of the core ideas underlying the practices of Waldorf education as re-envisioned by an experienced practitioner, as a contribution to the discussion about the educational implications of transpersonal psychology. It outlines a pedagogical anthropology that takes the spiritual dimension into account. It distinguishes between the lived body, the emergent psyche and the agentic Self as the spiritual core of being in the person. Learning is explained as a transformative process that involves the changing relationships to one’s own body, to others and to the world through which potentialities become abilities. The aim of the transformative education …

Living Guidelines: A Giant Leap For Patient Care, Clinical Practice, And Dental Journalism, Christopher J. Smiley

AADEJ - The Communicator

Dr. Smiley's President's message recognizes the collaboration between the American Dental Association (ADA), the University of Pennsylvania and other stakeholders in launching the "living guideline collaboration" as a significant advancement for the profession. This initiative, focusing on oral health, will be continually updating clinical practice guidelines with new evidence, providing timely, rigorously reviewed, and reliable clinical guidance. He notes that previous ADA Clinical Practice Guidelines (CPGs) were high-quality but many are now outdated, a point emphasized by the ADA Science & Research Institute’s External Review Committee. The Living Guideline Program, a collaboration with the University of Pennsylvania School of Dental …

Removal Of Fluoridation Caused 700% Increase In Serious Dental Infections

Bulletin of the Ninth District Dental Association

Yorktown Totwn Supervisor Lachterman is waiting for a decision by the EPA per court order to act concerning possibility of IQ loss at current fluoridation levels before making a final decision on town fluoridation. The court decision was based on a report by the National Toxicology Program of foreign studies of high dose exposure that the public health community deemed as having “high bias,” i.e., questionable studies and results. The EPA has decided to appeal the decision. Evidence-based studies deemed as having low bias have consistently shown no harm to IQ at fluoridation levels of 1.5mg/L, twice the amount of …

Paul Revere-Founding Father And America’S First Forensic Dentist, William J. Maloney

Bulletin of the Ninth District Dental Association

Paul Revere is remembered today for his many contributions to the independence efforts of the American colonies. It is also well-known that he was a skilled goldsmith and silversmith. Revere put these skills to use in providing dental care to the people of Boston. Revere had acquired his dental knowledge from John Baker- a dentist who emigrated from Europe to America in 1760 and is considered to be the first dentist to practice in North America. In his dental practice, Revere cleaned teeth and replaced missing teeth by wiring in replacement teeth usually utilizing various metals and animal bone.

A Cross-Sectional Survey And Latent Class Analysis Of Knowledge On Peripheral Arterial Disease In Hong Kong, Angel Lai, Guang-Ming Tan, Bryan P. Yan

Journal of the Hong Kong College of Cardiology

BACKGROUND: Peripheral arterial disease (PAD) is prevalent and associated with significant cardiovascular (CV) mortality. However, it remains under-recognized, particularly in Asian countries. This study aims to assess awareness of PAD, its risk factors, and perceived consequences in relation to other CV diseases to inform strategies for improving clinical care.

METHODS: A total of 1,008 adults attending outpatient clinics at a university-affiliated tertiary hospital were recruited between January-August 2020 for a phone questionnaire. Differences between awareness groups were analysed by Pearson’s Chi-square test, predictors of PAD awareness were determined using multivariate logistic regression, and latent class analysis (LCA) was performed to …

Micra Leadless Pacemaker Implantation Via Transjugular Approach, Yuen-Fung Yiu, Ngai-Yin Chan

Journal of the Hong Kong College of Cardiology

Leadless pacemaker implantation offers a safe and effective option for patients with limited venous access or high bleeding risk. The procedure usually necessitates insertion of a large-bore sheath over the femoral vein. We report a case of successful Micra^TM implantation via transjugular approach in a patient with inferior vena cava obstruction.

Will Conduction System Pacing Replace Biventricular Pacing For Treating Heart Failure In Patients With Wide Qrs Duration?, Chan Yat Sun Joseph

Journal of the Hong Kong College of Cardiology

Conduction system pacing CSP) is an emerging therapy for resynchronization of patients with heart failure and wide QRS duration. It has been proposed to replace cardiac resynchronization therapy with biventricular pacing (CRT with BVP) mainly because of shortcoming of CRT with BVP including failure to implant coronary sinus leads and unsatisfactory response in certain subset of heart failure patients. The current evidence for CSP in heart failure patients with wide QRS duration is reviewed and the gap in evidence in supporting CSP to replace CRT with BVP is discussed.

Challenges Faced In Managing The Hemodynamic Status Due To Recurrent Gastrointestinal Bleeding In Typhoid Fever With Uncorrected Double Outlet Right Ventricle Patient: A Case Report, Kellyn Trycia Zenjaya, Lindawati Wijoyo, Jovan Amadeo Muliyanto, Rizqi Rokhmadhoni Pikir, Dwi Putri Lestari, Esthy Poespitaningtyas

Journal of the Hong Kong College of Cardiology

Double Outlet Right Ventricle (DORV) is a rare cyanotic congenital heart defect often associated with polycythemia and bleeding risk. A 7-year-old boy with uncorrected DORV presented with fever, melena, and shock. He was cyanotic, tachypneic, and tachycardic, with SpO₂ of 68% and a harsh ejection systolic murmur. Labs showed anemia, thrombocytopenia, leukocytosis, and prolonged APTT. Tubex TF IgM was strongly positive. A diagnosis of typhoid fever with gastrointestinal bleeding and uncorrected DORV was made. Management included oxygen, inotropes, and fluid resuscitation. Propranolol was withheld. Severe infection with underlying cyanotic heart disease and coagulopathy presents a critical management dilemma.

Comparison Of Clinical Outcomes Between Provisional Stenting And Two-Stent Approach For True Left Main Bifurcation Lesions In The Era Of Imaging Guided Percutaneous Coronary Intervention, Ming Leo Lau, Ho Fai Daniel Fong, Nim Pong Kwong

Journal of the Hong Kong College of Cardiology

Background

Currently there are two strategies in Percutaneous Coronary Intervention (PCI) of the true left main (LM) bifurcation lesions: provisional stenting and two-stent technique. The optimal treatment strategy for true LM bifurcation lesions is undetermined. In addition, the percentage of use of imaging-guiding in these studies was low. We would like to undertake a retrospective cohort study to compare the clinical outcomes of provisional stenting versus two-stent technique in treating the true LM bifurcation lesions with the help of intravascular imaging.

Methods

Data of consecutive patients undergoing PCI of true LM bifurcation lesions in Yan Chai Hospital from January, 2018 …

An Unusual Cause Of Acute Constrictive Pericarditis, Yue Hin Tang, Raymond Chi Yan Fung

Journal of the Hong Kong College of Cardiology

Constrictive pericarditis, a condition where the pericardium thickens and constricts, has long been considered as a chronic sequela of prior insults to the pericardium such as heart surgery, repeated pericarditis, tuberculosis infection, radiation exposure, etc. Susceptible populations are thus expected to be middle-aged.

We present a case in which a young gentleman was diagnosed with acute constrictive pericarditis due to Adult-onset Still’s disease with macrophage activation syndrome. This case illustrated that constrictive pericarditis could happen in acute settings and thus the importance of cardiologists to maintain open-minded in search of a diagnosis

Bridging Awareness, Risk, And Innovation In Peripheral Arterial Disease, Guang-Ming Tan, Bryan P. Yan

Journal of the Hong Kong College of Cardiology

No abstract for this article type.

Machine Learning-Based Risk Stratification For Limb-Related Outcomes In Peripheral Artery Disease Patients Undergoing Percutaneous Transluminal Angioplasty, Yujia Zhang, Zhoudong Jing, Zhiqiang Liu, Angel Lai, Guangming Tan, Bryan P Yan

Journal of the Hong Kong College of Cardiology

Background: Patients with peripheral artery disease (PAD) remain at high risk of mortality and major adverse limb events (MALE) after endovascular revascularization, yet outcome prediction tools are limited. We apply machine learning (ML) to improve prognostic stratification in this population. Methods: PAD patients undergoing percutaneous transluminal angioplasty (PTA) between 2007 and 2024 were included. The primary endpoint was 1-year major adverse limb events (MALE) or all-cause death. Data were divided into training (70%) and testing (30%) sets. Six ML models were developed, and performance was evaluated using the area under the receiver operating characteristic curve (AUC). Feature importance and risk …

Beyond Involuntary Movements: A Case Of Diabetic Striatopathy Complicated By Cardiac Arrest, Deepa M

Manipal Journal of Nursing and Health Sciences

Abstract

Diabetic striatopathy (DS) is a rare neurological manifestation of poorly controlled diabetes mellitus, typically characterized by hemichorea–hemiballismus and distinctive basal ganglia abnormalities on neuroimaging. We report the case of a 57-year-old woman with type 2 diabetes mellitus who presented with generalized choreiform and ballistic movements and subsequently developed an in-hospital cardiac arrest. Diagnostic evaluation revealed uncontrolled hyperglycemia (random blood glucose 243 mg/dL; HbA1c 8.3%) without ketosis, with neuroimaging findings consistent with DS. The patient was initially managed in the casualty department and subsequently admitted to a neuro stepdown intensive care unit, where she remained for 10 days. Comprehensive medical, …

Building Healthcare Students’ Research Skills Through Co-Creating A Game To Teach Research: A Qualitative Study, Lise Johns, Leanne Bisset, Stacey Weightman, Gary Grant, Mary-Ann Shuker, Thea Van De Mortel

Health Professions Education

Purpose. Healthcare students may lack the knowledge and confidence to apply research. This study evaluated the impact of immersion in student-academic co-creation and evaluation of a gamified resource on healthcare students’ research knowledge, and confidence.

Method. A qualitative descriptive design was utilised. Student partners contributed to all aspects of design, implementation, and evaluation of the game. Students’ perceptions of this process were evaluated via a group interview and thematic analysis.

Results. Six undergraduate students from five healthcare disciplines participated. Two overarching themes were identified. The first related to impacts of the immersion process on students’ own research knowledge and confidence, …

Pediatric Occupational Therapists' Perception Of How Nature-Based Play Affects Fine Motor Development, Abbi M. Rosenow, Donia P. Timby, Jacquelyn D. Wiersma-Mosley, Amanda Terrell

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

This study explored the benefits of nature-based pediatric occupational therapy (OT) and the influence of nature and nature-based play on fine motor development. It was hypothesized that nature and nature-based play would positively impact a child’s fine motor skills (FMS) and that nature-based OT would offer unique benefits to a child’s therapeutic experience. To examine these relationships, a survey was distributed to pediatric occupational therapists (OTs) across the United States. The survey was designed to gather insights into how OT supports fine motor development, how nature-based play/therapy enhances these skills, and the perceived benefits of incorporating nature into therapeutic practices. …

Hemifacial Spasm Due To Dolichoectasia Of Vertebral And Basilar Arteries, Meena Iyer, Shasthara Paneyala Dr.

Digital Journal of Clinical Medicine

Dolichoectasia refers to the non-focal dilatation and tortuosity of arteries, primarily affecting the vertebral and basilar arteries due to severe tunica intima degeneration. It is associated with genetic predisposition and atherosclerosis, leading to vessel wall weakening. Patients may remain asymptomatic or develop neurological deficits due to mass effect. We report a case of a 60-year-old male presenting with hemifacial spasm secondary to vertebral artery dolichoectasia. Magnetic Resonance Angiography (MRA) revealed ectatic and tortuous basilar and vertebral arteries, with the left vertebral artery compressing the left facial nerve complex. Using Smoker’s criteria, a diagnosis of dolichoectasia was confirmed. Dolichoectasia-induced hemifacial spasm …

Comparison Of The Effectiveness Of Preoperative Dexmedetomidine Nebulization Versus Lignocaine Nebulization In Attenuation Of Stress Response During Direct Laryngoscopy And Endotracheal Intubation In Elective Surgeries Under General Anaesthesia: A Randomised Control Study At A Tertiary Care Hospital, Mandya, Sumayya E., Kiran A V., Santhosh M C B., Shivakumar G

Digital Journal of Clinical Medicine

Introduction: Direct laryngoscopy and tracheal intubation are known to provoke harmful stimuli that can lead to transient, unpredictable, and variable hemodynamic alterations, primarily due to heightened sympathoadrenal activity.¹ Various pharmacological agents have been explored to mitigate this stress response; however, none have emerged as optimal.²

Aim: This study aims to compare the effects of nebulized dexmedetomidine in comparison to nebulized lignocaine on the hemodynamic stress response during direct laryngoscopy and tracheal intubation, including any adverse effects in patients undergoing general endotracheal anesthesia.

Materials and Methods: Informed consent was obtained from 60 patients aged 18 to …

Lymphoma Chronicles: Insights From A Distinct Hodgkin's Lymphoma Case Report, Srirangam Shankaralingam, Vibha Nagaragatta

Digital Journal of Clinical Medicine

Hodgkin lymphoma (HL) is a kind of lymphatic malignancy distinguished by the presence of Reed-Sternberg cells. It often manifests as painless lymphadenopathy and systemic symptoms (B symptoms and can affect a variety of lymphoid tissues. The causes of HL are complicated and include genetic predisposition, environmental conditions and viral infections, particularly the Epstein-Barr virus (EBV). The diagnosis is primarily based on histological evaluation of lymph node samples, with immunophenotyping assisting classification. Herein, we report a case of classical Hodgkin’s lymphoma (HL) in an otherwise healthy 31-year-old male who had a mass per abdomen for a year and recently noticed a …