Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 30 of 33

Full-Text Articles in Medicine and Health Sciences

Genetic Disorders: Implications For Allied Health Professionals: Two Case Studies, Michaele Smith, Jerome V. Danoff, Mina Jain, Toby M. Long Oct 2007

Genetic Disorders: Implications For Allied Health Professionals: Two Case Studies, Michaele Smith, Jerome V. Danoff, Mina Jain, Toby M. Long

Internet Journal of Allied Health Sciences and Practice

With advances in study of the human genome, increasingly accurate genetic testing has become available. Genetic-based birth defects may result in progressive dysfunction. Consequently, because of the negative associations, many people do not want to consider prognostication testing or accept the most appropriate treatments. The allied health practitioner may see this as counter to the goal of optimal health care. However, consideration must be given to the patient’s comfort with advanced knowledge. In this paper we discuss ethical, legal, and social implications of genetic testing and how these relate to patients seen in an allied health environment. First, background on …


Effects Of Participation In An Aging Game Simulation Activity On The Attitudes Of Allied Health Students Toward Older Adults, Beverly W. Henry, Carolinda Douglass, Irene M. Kostiwa Oct 2007

Effects Of Participation In An Aging Game Simulation Activity On The Attitudes Of Allied Health Students Toward Older Adults, Beverly W. Henry, Carolinda Douglass, Irene M. Kostiwa

Internet Journal of Allied Health Sciences and Practice

The Aging Game simulation activity was designed to improve medical students’ attitudes toward older adults. This study was conducted to determine if the Aging Game, adapted for use with allied health students, could yield positive results in the students’ levels of anxiety about aging and attitudes toward aging. The modified Aging Game was implemented at a large Midwestern university with 156 students from three allied health areas – nutrition and dietetics, physical therapy, and long-term care administration. All students actively engaged in the simulation activity and completed pre- and posttest questionnaires containing the Anxiety about Aging Scale (AAS) and the …


Knowledge, Attitudes, And Confidence Levels Of Dental Hygiene Students Regarding Teledentistry: A Pilot Study, Brigette Rebecca Cooper, Lynnette Marie Engeswick Oct 2007

Knowledge, Attitudes, And Confidence Levels Of Dental Hygiene Students Regarding Teledentistry: A Pilot Study, Brigette Rebecca Cooper, Lynnette Marie Engeswick

Internet Journal of Allied Health Sciences and Practice

Teledentistry provides a viable option for dental professionals to increase care in underserved areas. Dental hygiene students at a state university completed a course in teledentistry that includes performing oral health screenings on children using intraoral cameras and electronic submission of dental images to an off-site dentist for diagnosis. Purpose: The objectives of this study were to examine student knowledge, attitudes, and confidence levels before and after completion of a course on teledentistry. Method: A 5-point Likert scale survey consisting of 10 items was administered to students ages twenty-two to twenty-five (N=24) in a teledentistry course the first and last …


Challenges Facing Physiotherapy Education In Africa, Jose Frantz Oct 2007

Challenges Facing Physiotherapy Education In Africa, Jose Frantz

Internet Journal of Allied Health Sciences and Practice

Health care is changing and the demands put on health professionals are increasing. Physiotherapy education should reflect the health and social priorities of the nation. The World Confederation of Physical Therapy (WCPT) is committed to assisting physiotherapy associations in developing educational standards. Physiotherapy education in Africa however, seems to have a real need for assistance from the WCPT. The aim of this paper is to highlight the challenges facing physiotherapy education in Africa. The Delphi methodology was used to obtain information from key informants involved in the area of physiotherapy education from a variety of African countries. The majority of …


Clinical Educators' Reactions To Ageing, Anne Mandy, Kevin Lucas, Lisa Hodgson Oct 2007

Clinical Educators' Reactions To Ageing, Anne Mandy, Kevin Lucas, Lisa Hodgson

Internet Journal of Allied Health Sciences and Practice

Ageism and negative attitudes towards ageing have been identified within the literature as a cause for concern. Reactions to ageing are known to be strongly positively correlated with attitudes towards older people in general. Moreover, the link between ageist practice and quality of care is also established, but implications for education and training have not been explored. The aim of this study was to investigate the reactions to ageing of clinical and fieldwork educators of undergraduate students. Clinical and field work educators are largely responsible for all the clinical education received by these students and thus have the potential to …


Descriptive And Process Evaluation Of A Shared Primary Care Program, Evelyn Vingilis, Jann Paquette-Warren, Nick Kates, Anne-Marie Crustolo, Jaimi Greenslade, Sharon Newman Oct 2007

Descriptive And Process Evaluation Of A Shared Primary Care Program, Evelyn Vingilis, Jann Paquette-Warren, Nick Kates, Anne-Marie Crustolo, Jaimi Greenslade, Sharon Newman

Internet Journal of Allied Health Sciences and Practice

Purpose: This study involved the conduct of a descriptive and process evaluation to examine the implementation and maintenance of an existing local shared care program: The Hamilton Health Service Organization Mental Health and Nutrition Program located in Hamilton, Ontario, Canada. The program was organized to strengthen links between mental health, nutrition, and primary care services, to improve access to mental health and nutrition care, and to realize the benefits of improved communication, collaboration and mutual support among multiple practitioners, increased continuity of care, and increased family physicians’ comfort and skill in handling more complex problems. Method: A mixed-method, multi-measures evaluation …


Job Satisfaction Among Practicing Pharmacists: A Rasch Analysis, Patrick Hardigan, Manuel J. Carvajal Oct 2007

Job Satisfaction Among Practicing Pharmacists: A Rasch Analysis, Patrick Hardigan, Manuel J. Carvajal

Internet Journal of Allied Health Sciences and Practice

Purpose: through the application of a Rasch rating scale model, the researchers investigated the effect of gender, ethnicity, practice site, income, and age on levels of job satisfaction among practicing pharmacists. Method: The data consist of responses to a survey questionnaire mailed to a random sample of 5,000 registered pharmacists throughout the United States. A total of 820 individuals mailed back their completed form for a response rate of 16.4 percent. Results: Older, higher-wage earning pharmacists working at independent practice sites experience the greatest amount of job satisfaction.Conclusion: The most significant finding from this study is that age, income, and …


The Prevalence Of Incontinence Pre And Post-Lung Transplantation, Dianne White, Kathy Stiller Oct 2007

The Prevalence Of Incontinence Pre And Post-Lung Transplantation, Dianne White, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

An increased prevalence of urinary incontinence (UI) is reported in patients with chronic lung disease because of the stress that repeated coughing places on the pelvic floor. To date, it is not known if lung transplantation (LTx) affects the prevalence of UI. Purpose: to compare the prevalence, severity and impact of urinary / faecal incontinence in adult patients pre- and post-LTx. Method: patients registered with the Royal Adelaide Hospital Lung Transplant Unit were eligible for participation. The prevalence, severity, and impact of incontinence was measured using a questionnaire administered in a private interview. Results: Ninety-four patients (44 males, 50 females; …


Functional Balance Assessment Of Older Community Dwelling Adults: A Systematic Review Of The Literature, Felicity Anne Langley, Shylie F. H. Mackintosh Oct 2007

Functional Balance Assessment Of Older Community Dwelling Adults: A Systematic Review Of The Literature, Felicity Anne Langley, Shylie F. H. Mackintosh

Internet Journal of Allied Health Sciences and Practice

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before …


A Study Of The Self-Regulated Learning Inventory On A Hbcu Student Population In Allied Health, James E. Goodpasture, Reinhardt Lindner, Mathews Thomas Oct 2007

A Study Of The Self-Regulated Learning Inventory On A Hbcu Student Population In Allied Health, James E. Goodpasture, Reinhardt Lindner, Mathews Thomas

Internet Journal of Allied Health Sciences and Practice

Increased numbers of minorities in the allied health disciplines are sought for a number of reasons. One approach to increasing minority graduates in allied health sciences is to ensure that minority applicants have the learning behaviors necessary to succeed in the academic setting. In this study, we sought to determine if self-regulated learning, assessed via a self-report inventory, was significantly related to Grade Point Average (GPA) in undergraduate students enrolled in a historically black college or university (HBCU). The Self Regulated Learning Inventory V. 5 (SRLI V.5) was distributed to undergraduate HBCU students enrolled in allied health majors. The inventory …


Migraine And Risk Of Stroke In Young Women, Theresa A. Nacey Jul 2007

Migraine And Risk Of Stroke In Young Women, Theresa A. Nacey

Internet Journal of Allied Health Sciences and Practice

Purpose: To explore the relationship between migraine and incidence of stroke in young women by analyzing variables of oral contraceptive use, hypercoagulability, cardiac abnormalities, and silent brain infarcts. Method:Variables were reviewed through computerized databases and current literature examining evidence-based medicine studies specific to analyzing the incidence of strokes in women with migraines. Results: Six recent studies, four case control and two cohort studies, were identified. Research outcomes indicate that the risk of stroke is greater in women less than 35 years of age who had migraine with aura and who used oral contraceptives. Other pathophysiologic variables, which may link migraine …


Physical Therapy Students' Perspectives On Disability, Renee M. Williams Jul 2007

Physical Therapy Students' Perspectives On Disability, Renee M. Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this qualitative study was to examine physical therapy students’ learning about disability through an Exploring Perspectives on Disability (EPOD) learning event that was developed by School of Rehabilitative Science, McMaster University. EPOD consists of two scheduled classes discussing disability, a shadowing experience with an individual with a disability living in the community, and writing a reflective summary assignment about their learning. The EPOD was developed to broaden students’ perspectives regarding disability, promote a positive attitude about disability, and facilitate best practice approaches in community-based care. Method: Fifty-seven students in the first semester of a Master’s entry …


Assessing Clinical Placements In A B.Sc. Physiotherapy Program, Jose M. Framtz, Anthea J. Rhoda Jul 2007

Assessing Clinical Placements In A B.Sc. Physiotherapy Program, Jose M. Framtz, Anthea J. Rhoda

Internet Journal of Allied Health Sciences and Practice

Background: The clinical setting is one of the most valuable educational resources available to institutions training physiotherapy students. The experiences gained at the clinical settings assist graduates to grasp what the discipline of physiotherapy is all about. Objective: To evaluate existing clinical venues providing placement for physiotherapy students at the University of the Western Cape. Methodology: Both quantitative and qualitative methods were employed to gather data. A validated questionnaire was used to gather the quantitative information. The questionnaire consisted of a seventeen-item instrument using a Likert scale which ranged from strongly agree to strongly disagree. Five open ended questions were …


Intervention For Children With Developmental Coordination Disorder: A Systematic Review, Susan Hillier Jul 2007

Intervention For Children With Developmental Coordination Disorder: A Systematic Review, Susan Hillier

Internet Journal of Allied Health Sciences and Practice

Prevalence of children with developmental coordination disorder (DCD) is high (6-13% of all school children) and the negative impact of their movement difficulties on their participation in recreation and academic pursuits is well documented. This secondary research systematically reviewed the available literature for evidence of effectiveness of interventions that aim to improve the movement capability of children with DCD. Specified databases were searched for appropriate studies, these were retrieved and two reviewers appraised the level and quality of evidence. Thirty one studies were included between levels I and III-3 of the NH & MRC protocol. Scoring using an established critical …


For Falls Sake: Older Carers' Perceptions Of Falls And Falls Risk Factors, Shylie Mackintosh, Caroline Fryer, Michele Sutherland Jul 2007

For Falls Sake: Older Carers' Perceptions Of Falls And Falls Risk Factors, Shylie Mackintosh, Caroline Fryer, Michele Sutherland

Internet Journal of Allied Health Sciences and Practice

Purpose: Older carers play an important role in falls prevention through their influence over their dependent’s actions and by their own behaviour. This study aimed to determine the perceptions of falls and fall-related risk factors by older carers in an Australian metropolitan community to inform the development of effective falls prevention strategies in this population. Method: A questionnaire was mailed to all members of a carers group in January 2003 and responses from carers aged 60 years or above were included in the study (n=121). Results: The majority of older carers (85%) understood that falls are a problem for their …


'It's All Part Of The Package' In Rural Allied Health Work: A Pilot Study Of Rewards And Barriers In Rural Pharmacy And Social Work, Julaine Allan, Judith Crockett, Patrick Ball, Margaret Alston, Kerri Whittenbury Jul 2007

'It's All Part Of The Package' In Rural Allied Health Work: A Pilot Study Of Rewards And Barriers In Rural Pharmacy And Social Work, Julaine Allan, Judith Crockett, Patrick Ball, Margaret Alston, Kerri Whittenbury

Internet Journal of Allied Health Sciences and Practice

Objective: The objective of this pilot study was to identify personal and professional factors that influence health workers’ commitment to remaining in rural and remote areas with the aim of identifying research directions for a larger study and informing workforce recruitment and retention strategies. Design: Accidental sampling then qualitative interviews with pharmacists and social workers. Setting: Six rural communities with populations less than 5,000 in New South Wales, Australia. Methodology: Deductive and inductive analysis of data. Results: Common rewards included the value attached to pharmacists’ and social workers’ contributions to rural communities, ability to assist people to solve problems, and …


Evaluation Of The Effect Of Two Exercise Regimes In Producing Forces On Anterior Cruciate Ligaments: A Systematic Review, Carla Van Usen, Barbara Pumberger Apr 2007

Evaluation Of The Effect Of Two Exercise Regimes In Producing Forces On Anterior Cruciate Ligaments: A Systematic Review, Carla Van Usen, Barbara Pumberger

Internet Journal of Allied Health Sciences and Practice

Background: Anterior cruciate ligament (ACL) injuries are common. A goal of rehabilitation is to restore functional capacity. Currently, there are contrary opinions regarding the effectiveness of using either closed or open kinetic chain exercises (CKC, OKC) only, or a combination of both, following ACL injury, to obtain the most effective outcome. The debate also reflects the approach which places the least force on the ACL itself. Objective: To identify the evidence of effectiveness of closed versus open kinetic chain exercises, or a combination of both, in anterior cruciate ligament rehabilitation. Methods: A systematic review was undertaken of experimental studies published …


Hpers Conference Abstracts, Hpers Conference Abstracts Apr 2007

Hpers Conference Abstracts, Hpers Conference Abstracts

Internet Journal of Allied Health Sciences and Practice

No abstract provided.


Relation Between Payer Source And Functional Outcomes, Visits And Treatment Duration In Patients With Lumbar Dysfunction, Leah Nof, Shari Rone-Adams, Dennis L. Hart Apr 2007

Relation Between Payer Source And Functional Outcomes, Visits And Treatment Duration In Patients With Lumbar Dysfunction, Leah Nof, Shari Rone-Adams, Dennis L. Hart

Internet Journal of Allied Health Sciences and Practice

Background: The differences in the utilization of healthcare services and resultant charges for symptoms like back pain has necessitated those payers of healthcare services in the United States (US) make efficient decisions relative to resource utilization. Studies involving both public and private payers of healthcare services in the United States have shown that payer source makes a difference in utilization of resources and patient outcomes. With the current focus on efficient and effective treatment, further research is needed on the relationship between payer source and patient outcomes. Purpose:To examine the association between payer source and number of visits, duration of …


Compassion And Integrity In Health Professions Education, Randy D. Danielsen, James F. Cawley Apr 2007

Compassion And Integrity In Health Professions Education, Randy D. Danielsen, James F. Cawley

Internet Journal of Allied Health Sciences and Practice

Issues related to professionalism have come to the fore in health professions education. Strategies designed to evaluate and increase components of professionalism are now of interest to educators. Skills in improving levels of professionalism can be accurately assessed and taught. Professionalism encompasses attributes of compassion and integrity. Tools to measure indices of compassion have been developed. There are three critical stages in which attributes of compassion and integrity can be assessed: prior to admission, during education, and graduation standards. One effective means of transferring skills related to professionalism is modeling. Health professions educators need to be more aware of the …


Using The Power Of Student Reflection To Enhance Professional Development, Sonia S. Zimmerman, Debra J. Byram Hanson, Jan E. Stube, Janet S. Jedlicka, Lavonne Fox Apr 2007

Using The Power Of Student Reflection To Enhance Professional Development, Sonia S. Zimmerman, Debra J. Byram Hanson, Jan E. Stube, Janet S. Jedlicka, Lavonne Fox

Internet Journal of Allied Health Sciences and Practice

Student personal and professional development is an area of increasing importance in professional education programs. The practitioner of the future needs to be able to reflect and self-assess his/her learning in order to take intentional steps toward developing or continuing competency. The purpose of this article is to describe the evolution of one program’s process of incorporating self-reflection and feedback as an integral part of the curriculum. Examples of the guiding questions are included. The value of a self-reflective student evaluation process in the development of reflective practice and its implementation within a professional healthcare curriculum and future practice environments …


Introduction Of An Emerging Technology Device Through Powerpoint® Training, Rebecca I. Estes, Jimmy H. Ishee Apr 2007

Introduction Of An Emerging Technology Device Through Powerpoint® Training, Rebecca I. Estes, Jimmy H. Ishee

Internet Journal of Allied Health Sciences and Practice

Successful inclusion of assistive technology in intervention is limited by training and the level of comfort with technology of treating occupational therapists. Experienced and new therapists need exposure and training on high technology assistive devices newly introduced on the market. The purpose of the study was to identify the effect of a PowerPoint presentation to introduce an emerging high technology device on two groups: 30 licensed occupational therapists and 27 students in an entry level master of occupational therapy program. The PowerPoint developed introduced and educated participants on the Assistive Dining Device. Participants completed a demographic form, the Survey of …


Can Human Patient Simulators Be Used In Physiotherapy Education?, Annette Jones, Lorraine Sheppard Apr 2007

Can Human Patient Simulators Be Used In Physiotherapy Education?, Annette Jones, Lorraine Sheppard

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to review the evidence for the use of human patient simulators in physiotherapy education. Method: A review of the physiotherapy literature was undertaken. Due to the lack of studies found the search was expanded to include health professional education. Exclusion criteria were then applied to the identified literature and critical appraisal undertaken. Results: Due to the differences in methodology employed in the studies identified a meta-analysis could not be performed. The studies identified repeat practice and the ability to control the learning environment as positive aspects for learning using human patient simulators. In …


Framing A Vision For Physiotherapy Research: Synthesizing Educators' Viewpoints In Cape Town, Quinette Louw, Karen Grimmer-Somers, Lynette Crous, Margaret Marais, Seyi Ladele Amosum Apr 2007

Framing A Vision For Physiotherapy Research: Synthesizing Educators' Viewpoints In Cape Town, Quinette Louw, Karen Grimmer-Somers, Lynette Crous, Margaret Marais, Seyi Ladele Amosum

Internet Journal of Allied Health Sciences and Practice

Purpose: The Cape Town region is the largest training locality for physiotherapy training in South Africa. The socio-political changes since the first democratic election in South Africa have impacted on physiotherapy training and clinical practice, although there currently is no evidence-based vision statement for physiotherapy practice in South Africa. This paper reports key findings from interviews held with three prominent physiotherapy educators / administrators in the three Cape Town universities' physiotherapy schools regarding their perspectives on research, clinical teaching and evidence-based practice in physiotherapy. The purpose of this research was to frame a vision for South African physiotherapy, which could …


Effectiveness Of Eccentric Exercises In The Management Of Chronic Achilles Tendinosis, Carla Van Usen, Barbara Pumberger Apr 2007

Effectiveness Of Eccentric Exercises In The Management Of Chronic Achilles Tendinosis, Carla Van Usen, Barbara Pumberger

Internet Journal of Allied Health Sciences and Practice

Chronic Achilles tendinosis is commonly seen in clinical practice however the causes are largely unknown. In the last ten years good results have been reported with a range of approaches, one of which is eccentric training. Objective: This study reports on a systematic review of the literature to determine the effectiveness of eccentric training compared with other types of interventions for chronic Achilles tendinosis. Method: A systematic review of the published research literature was conducted to examine the quantity, nature, quality and significance of literature relevant to the effectiveness of eccentric training for chronic Achilles tendinosis. Subject inclusion criteria were …


Understanding Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott Apr 2007

Understanding Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott

Internet Journal of Allied Health Sciences and Practice

Purpose: Using data from an epidemiological study described elsewhere (Gordon et al 2002 & 2007), multivariate logistic regression models were constructed to explore the association between sleep position, factors related to sleep quality, and the prevalence of waking symptoms (cervical spine pain and stiffness, headache, and aching in scapulae or arm regions). Method: A causal model was developed in which putative exposures were tested for their association with sleep quality, which was considered as an antecedent cause of waking cervico-thoracic symptoms. Results: Factors which significantly constrained sleep quality were identified as the presence of a medical condition, past history of …


Validation Of A Unique Measure Of Physical Carer Demand In Parents Of Physically Disabled Children – A Pilot Study, Mathew Prior, Karen A. Grimmer, Susan Gibson Jan 2007

Validation Of A Unique Measure Of Physical Carer Demand In Parents Of Physically Disabled Children – A Pilot Study, Mathew Prior, Karen A. Grimmer, Susan Gibson

Internet Journal of Allied Health Sciences and Practice

Background: There is scarce epidemiology of low back pain [LBP] in parents of physically disabled children. Whilst it has been suggested that physical stress related to carer-related duties may be a risk factor for LBP in this parent group, and may explain the reported high prevalence of LBP, no known instrument presently measures this. Subjects and Purpose: Following a review of relevant carer literature, a survey instrument measuring aspects of physical carer demand was designed (Parent-Specific Physical Carer Demand Measure [P-S PCDM]), using existing and new instrument items, and targeted response categories. It was tested for validity and sensitivity on …


Obesity And Its Role In Oral Health, Ashley J. Karels, Brigette R. Cooper Jan 2007

Obesity And Its Role In Oral Health, Ashley J. Karels, Brigette R. Cooper

Internet Journal of Allied Health Sciences and Practice

Obesity is a serious public health concern that has reached epidemic proportions. This paper addresses the role obesity plays in several health conditions, in addition to how it negatively affects a person’s oral health. Oral health care providers can have a positive impact on treatment outcomes by recognizing patients at risk for obesity and addressing these issues.


Recognizing Guillain-Barré Syndrome In The Primary Care Setting, Kristi Mcclellan Mantay, Elin Armeau, Thomas Parish Jan 2007

Recognizing Guillain-Barré Syndrome In The Primary Care Setting, Kristi Mcclellan Mantay, Elin Armeau, Thomas Parish

Internet Journal of Allied Health Sciences and Practice

Purpose: Guillain-Barré Syndrome (GBS) is the most common cause of acute flaccid paralysis in adults and children in the United States. The purpose of this article is to educate Primary Care Practitioners (PCP) about GBS and the importance of its recognition in the acute care setting. Method: A review of literature examined epidemiology, pathophysiology, clinical features, and antecedent events related to primary care. Results: Studies show correlations between GBS and preceding viral-bacterial infections, and certain vaccines. However, a direct causation has not been proven. Antecedent events encountered in primary care include, but are not limited to, gastroenteritis, upper respiratory infection, …


Sleep Position, Age, Gender, Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott Jan 2007

Sleep Position, Age, Gender, Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott

Internet Journal of Allied Health Sciences and Practice

Purpose: An epidemiological study was undertaken to investigate the association between sleep position, age, gender, sleep quality and prevalence of waking cervical pain and stiffness, headache and aching between the scapulae and/or in the arm. Method: A randomly administered telephone survey was completed by 76% of prospective participants, yielding 812 completed surveys. Results: This study confirmed that the majority of subjects sleep in the side lying position and that this sleep position significantly protected against waking cervical, scapular and arm pain and significantly promoted high sleep quality ratings. Anecdotally, supine sleep position has been recommended for the prevention of cervical …