Medicine and Health Sciences Commons^™

Deep Learning-Based Automatic Segmentation Of Cerebral Infarcts On Diffusion Mri, Wi-Sun Ryu, Dawid Schellingerhout, Jonghyeok Park, Jinyong Chung, Sang-Wuk Jeong, Dong-Seok Gwak, Beom Joon Kim, Joon-Tae Kim, Keun-Sik Hong, Kyung Bok Lee, Tai Hwan Park, Sang-Soon Park, Jong-Moo Park, Kyusik Kang, Yong-Jin Cho, Hong-Kyun Park, Byung-Chul Lee, Kyung-Ho Yu, Mi Sun Oh, Soo Joo Lee, Jae Guk Kim, Jae-Kwan Cha, Dae-Hyun Kim, Jun Lee, Man Seok Park, Dongmin Kim, Oh Young Bang, Eung Yeop Kim, Chul-Ho Sohn, Hosung Kim, Hee-Joon Bae, Dong-Eog Kim

Faculty, Staff and Student Publications

We explored effects of (1) training with various sample sizes of multi-site vs. single-site training data, (2) cross-site domain adaptation, and (3) data sources and features on the performance of algorithms segmenting cerebral infarcts on Magnetic Resonance Imaging (MRI). We used 10,820 annotated diffusion-weighted images (DWIs) from 10 university hospitals. Algorithms based on 3D U-net were trained using progressively larger subsamples (ranging from 217 to 8661), while internal testing employed a distinct set of 2159 DWIs. External validation was conducted using three unrelated datasets (n = 2777, 50, and 250). For domain adaptation, we utilized 50 to 1000 subsamples from …

An Exploration Of The Use Of Tier I Occupational Therapy Services In An Elementary School, Emilee Schumacher

Honors Theses

This project aimed to explore how and to what extent school-based occupational therapists implement Tier 1 interventions within an elementary school setting. The research involved conducting interviews with occupational therapists and observing their interactions with students to better understand the scope and nature of the services they provide. During the project, several Tier 1 services were identified, with a particular focus on addressing fine motor skills, social-emotional development, and gross motor skills. Several benefits of implementing tier 1 services in the school setting were identified. The challenges school-based occupational therapy practitioners face when implementing Tier 1 services in the elementary …

All Roads That Lead To The Myocardium: Assessment Of Anomalies Of Coronary Artery Course, Ibrahim Khayyat, Silvana Molossi, Ada C Stefanescu Schmidt

Faculty, Staff and Students Publications

No abstract provided.

Imaging Peripheral Nerves In Vivo With Ct Neurogram Using Novel 2,4,6-Tri-Iodinated Lidocaine Contrast Agent, Rui Tang, Ron Perez, David M Brogan, Mikhail Y Berezin, James E Mccarthy

2020-Current year OA Pubs

Peripheral nerve injuries are a significant concern in surgical procedures, often leading to chronic pain and functional impairment. Despite advancements in imaging, preoperative and intraoperative visualization of peripheral nerves remains a challenge. This study introduces and evaluates a novel tri-iodinated lidocaine-based contrast agent for computed tomography neurography, aiming to enhance the intraoperative visibility of peripheral nerves in vivo. A tri-iodinated lidocaine analogue was synthesized and characterized for its radiodensity, sodium channel binding and nerve affinity. Sodium channel affinity was performed using molecular docking. In vitro contrast enhancement was assessed by comparing the agent's Hounsfield unit (HU) values with those of …

Elevated Mitochondrial Membrane Potential Is A Therapeutic Vulnerability In Dnmt3a-Mutant Clonal Hematopoiesis, Kira A Young, Grant A Challen, Et Al.

2020-Current year OA Pubs

The competitive advantage of mutant hematopoietic stem and progenitor cells (HSPCs) underlies clonal hematopoiesis (CH). Drivers of CH include aging and inflammation; however, how CH-mutant cells gain a selective advantage in these contexts is an unresolved question. Using a murine model of CH (Dnmt3a

Tetralogy Of Fallot And Its Many Effects, Kolby White

Undergraduate Research Conference

No abstract provided.

From Nil To Enrollment: How Nil Agreements Shape College Choices For Top Men’S Basketball And Football Prospects, Will Trantham, Kate Wilson, Grace Shaw, Bruna Gebaili Sampaio

Liberty University Research Week

This study deeply examines how NIL deals have impacted the chosen University of attendance for 5-star men’s basketball and football athletes. The recruitment of high-profile athletes to universities across the country has been greatly altered with the addition of NIL to the college landscape. The process of reaching a conclusion on where to attend school seems to have greatly changed from academic prowess and facilities to guaranteed money and personal brand exposure. Through this study, we will be conducting in depth Zoom interviews with former recruits that are now currently attending college. We will then use those gathered responses and …

Long-Term Relief: Sustained Benefits And Strategies Of Pnf Techniques For Plantar Fasciitis With Restricted Dorsiflexion: A Kinovea – Software Based Gait Analysis, Koteeswari Arumugam, Dr. Kamalakanan M, (Professor Saveetha College Of Physiotherapy, Simats), Sundar Rajan Ms, (Saveetha College Of Physiotherapy, Simats), Hariharan J, (Tutor, Simats), Shenega K, (Saveetha College Of Physiotherapy, Simats)

Internet Journal of Allied Health Sciences and Practice

Objective: This prospective longitudinal study aimed to investigate the long-term effectiveness and maintenance strategies following proprioceptive neuromuscular facilitation (PNF) technique interventions in individuals with plantar fasciitis and limited dorsiflexion which is one of the conditions affecting the community. The primary objectives included quantitatively comparing pain levels, functional mobility, and patient adherence to prescribed strategies over an extended follow-up period. Methods: A cohort of 120 participants with plantar fasciitis and limited dorsiflexion, previously treated with PNF interventions, were enrolled in the study. Follow-up assessments were conducted at three-month intervals over a one-year period. Pain levels were measured using a Visual Analog …

Physical Therapy Management Of Postural Orthostatic Tachycardia Syndrome Using A Pacing-Forward Clinical Approach: A Case Report, Clayton D. Powers, Nicole A. Miranda, Todd E. Davenport

Internet Journal of Allied Health Sciences and Practice

Objective: Postural Orthostatic Tachycardia Syndrome (POTS) is a form of autonomic dysfunction that affects hemodynamic responses to position and movement, characterized by excessive tachycardia and orthostatic intolerance. Aerobic exercise historically has been recommended to improve cardiovascular function. However, some individuals living with POTS may not tolerate aerobic exercise due to post-exertional malaise (PEM). This case report describes the effect of pacing in the context of a pragmatic multimodal approach applied to a person living with POTS, vasovagal syncope, and PEM.

Case Description: A 16-year-old female diagnosed with POTS and vasovagal syncope presented to physical therapy with goals to tolerate a …

Development Of A Scale To Evaluate Key Attributes Of Academic Advisors Essential To Physical Therapy Students, Robin M. Baker, Jamie L. Greco

Internet Journal of Allied Health Sciences and Practice

Acknowledging the crucial role of academic advising in enhancing student success, professionalism, and personal growth, this paper advocates for a shift from traditional reactive methods to proactive, personalized advising strategies that have been shown to improve retention and satisfaction rates in higher education. Our study highlights the development of a comprehensive scale through rigorous validity assessments to measure key attributes of academic advisors essential to physical therapy students (PTS). This scale, refined through extensive feedback from faculty and PTS over two development phases, consists of 18 items on a 4-point Likert scale, which together map the complex landscape of effective …

Self Perception Of Leadership Styles And Behavior In Secondary School Athletic Trainers, Kelly A. Coleman, Stephanie M. Singe

Internet Journal of Allied Health Sciences and Practice

Purpose: Leadership has been considered an important part of advancing the profession, but investigations into leadership styles of clinically practicing athletic trainers (ATs) are scant, with none in the secondary school setting. The purpose of this study was to explore the leadership styles of secondary school ATs and to determine if differences in leadership style practices exist across demographic characteristics. Methods: We used a cross-sectional web-based survey (Qualtrics, Provo, UT). Leadership style was assessed via the Multifactor Leadership Questionnaire (MLQ)-5x where transformational, transactional, and passive/avoidant leadership behaviors were measured on a five-point Likert scale (0=not at all; 1=once in a …

Expanded Cross-Sectional Testing Of Psychometric Properties Of The Kiersma Chen Empathy Scale In Health Professions Students, David B. Gillette, Todd E. Davenport, Tracey Delnero, Deepti Vyas, Jeannene Ward-Lonergan, Rupa Balachandran

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: Empathy is important in providing healthcare and should be formed and evaluated during healthcare education. The purpose of these studies was to assess reliability and validity of a no-cost empathy scale and its cognitive and affective subscales in health professions students. Method: For reliability, students in six programs received two administrations of the Kiersma-Chen Empathy Scale (KCES). A blind researcher analyzed data, using Cronbach’s α to assess homogeneity for total and subscale scores, and Pearson correlation to assess association between subscales and total scores. Two-way intraclass correlation coefficients with random effects were used to determine total and subscale …

Assessment Of Interprofessional Education Competencies: Evaluation Of A New Tool To Assess Sensitivity To Changes Across Training, Anthony J. Goreczny Ph.D., Jodi Schreiber, Melissa L. Bednarek, Mary Dee Fisher, Susan Hawkins, Susan Sterrett, Mark Hertweck

Internet Journal of Allied Health Sciences and Practice

Purpose: The Interprofessional Education Collaborative introduced specific competencies for interprofessional education to meet the growing need for interprofessional care. These four competencies include teams and teamwork, communication, roles and responsibilities, and values and ethics. With this introduction, a need has emerged for the development of a tool to assess interprofessional proficiency among students in health professions training programs and to evaluate whether such a tool is sensitive to changes in competency as students participate in specific training initiatives. Method: A tool was developed (Interprofessional Education Competency Scale - IPECS) based on the Interprofessional Education Collaborative Competencies and administered to students …

Simulation-Based Assessment Of Blood Pressure By Certified Athletic Trainers, Michael W. Verde, Lindsey E. Eberman, Dawn M. Emerson, Zoë J. Foster, Zachary K. Winkelmann

Internet Journal of Allied Health Sciences and Practice

Purpose: Blood pressure (BP) assessment is a key component of pre-participation examinations and can aid athletic trainers (ATs) in diagnosing hypertension. However, the current pedagogical technique, which involves practicing BP assessment on healthy individuals, may not adequately prepare healthcare providers to recognize Korotkoff sounds at abnormal pressures during clinical practice. Therefore, the purpose of this study was to examine AT's ability to and confidence in assessing and interpreting BP using a high-fidelity simulator.

Methods: We recruited ATs through conferences, in-services, and postprofessional athletic training programs. In total, 100 ATs from various job settings (age=31±11 years; men=37, women=63, clinical experience=8±10 years; …

Preceptors Perceptions Of Clinical Reasoning: An Investigation Of Athletic Training Practice, Gary W. Cohen, Bonnie L. Van Lunen, Julie M. Cavallario, Luzita I. Vela, Bailey C. Jones

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical reasoning is critical for healthcare professionals to accurately diagnose and treat injury and illness. The development of this skill starts to form during a student’s clinical education where preceptors serve as the primary clinical role model. Preceptors in athletic training have expressed a desire to learn how to develop and teach clinical reasoning concepts to students. The first step in this process is to understand how preceptors clinically reason. Little investigation has gone into exploring preceptors understanding of their clinical reasoning in practice. The aim of this study was to explore athletic training preceptors' perceptions of their clinical …

A Narrative Review Of Physical Fitness And Injury Research In Equestrians, Jennifer Austin, Erin Schneider-Gaal

Internet Journal of Allied Health Sciences and Practice

Purpose: This narrative review aims to summarize the body of literature surrounding the topic to best understand performance demands of equestrians, to inform future training recommendations, and to identify areas of research that can optimize the health and performance of equestrians

Study Design: Narrative Systematic review

Methods: Literature searches were conducted in PubMed, Google Scholar, SPORTDiscus, MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL). No limitations were placed on the dates of the searches with the final search completed in January 2024. Keywords were equestrian, strength, training, aerobic training, posture, injury, injury rates, and performance requirements. Forward and …

Effects Of An Educational Intervention On Firefighter Knowledge Of Cardiovascular Disease Risk Factors And Prevention, Scott Richardson, Andrew Haight, Kassandra Sanchez, Madison Jepperson, Kelsey Houston, Lauren Schembs

Internet Journal of Allied Health Sciences and Practice

Purpose: Organized firefighting began in ancient Rome in 300BC, with the first fire engines in the 17^th century. Modern firefighters face extreme personal risk, responding to emergency situations and providing life-saving public support. Cardiovascular disease events account for 45% of on-duty fatalities among firefighters. Cardiovascular health in firefighters is not only important for immediate job performance but also for long-term health. This study aimed to examine the efficacy of an educational intervention to influence firefighter knowledge of cardiovascular disease risk factors and prevention. Method: A literature review determined that cardiovascular health was the leading knowledge deficit among firefighters …

Exploring Clinical Instructors' Views On Effective Role Modeling In Physical Therapy Education: Insights From A Qualitative Study Through The Lens Of Social Cognitive Theory, Brittney M. Gunterstockman, Kellee Harper-Hanigan, Andrew Bartlett, Ian Rheault, Karen Menard

Internet Journal of Allied Health Sciences and Practice

Purpose: Acting as a role model is an essential competency and requirement for physical therapy clinical instructors. The social cognitive theory may explain how physical therapy students learn from clinical instructors during clinical education experiences. This theory suggests that individuals learn through observation of models who are competent, credible, enthusiastic, and similar to the observer. This study aimed to explore clinical instructors’ perceptions of effective role modeling. Methods: This phenomenological qualitative study used one-on-one virtual semi-structured interviews with clinical instructors (n=7) to explore effective role modeling in physical therapy clinical education. Inductive coding was used to develop codes and themes …

An Exploration Of Student Experiences And Perceptions Of A Physiotherapy Student-Led Clinic, Donna Wynne, Elizabeth Hancock Professor, Emma Stage, Kay Cooper Professor

Internet Journal of Allied Health Sciences and Practice

Purpose: Student-Led Clinics (SLCs) offer a structured, real-life learning environment for healthcare students, where they provide services under supervision. SLCs can facilitate increased confidence with clinical reasoning, improve skill development and enhance leadership skills. Existing research has generally captured students' experiences at the end of their SLC participation, lacking a longitudinal perspective and therefore, little is known about how students’ perceptions develop over time. This study aimed to explore physiotherapy students' experiences in a neurological rehabilitation SLC, with a focus on participants’ perceptions captured after attending specific SLC sessions and over the course of multiple SLC sessions. Methods: Using interpretative …

Early Childhood Educator Preparation, Exposure, And Perspectives Of Autism Spectrum Disorder In Preschool Hispanic Populations, Karla C. Vidaurri, Ruth Crutchfield, Jessica R. Stewart

Internet Journal of Allied Health Sciences and Practice

Purpose

With an increase in prevalence of autism spectrum disorder (ASD) and the Hispanic population, there is a crucial demand for early identification and servicing of individuals with ASD. Early childhood educators are one profession in the position to identify and provide services to individuals with ASD at an early age. The aim of this study was to explore early educators’ preparation, exposure, and perspectives of ASD specific to preschool Hispanic populations.

Method

A survey methodology was implemented to explore early childhood educators’ preparation, exposure, and perspectives of ASD. The anonymous survey consisted of 23 questions and statements that explored …

Interprofessional Wellness Groups: A Model For Success, Rachel Pittmann, Lesley Smith, Kathryn Sabo

Internet Journal of Allied Health Sciences and Practice

Purpose Interprofessional learning activities foster critical-thinking and shared decision-making while promoting person-centered and team-based care. These activities promote the development of interprofessional collaboration competencies that prepare health profession students to effectively deliver care. This article describes the Interprofessional Wellness Group (IWG) model, an academically robust, sustainable, and versatile model that successfully addresses the competencies required for interprofessional collaboration in today’s demanding healthcare environment. Method The IWG model is designed using adult learning theories, is student-led, and aims to provide disease-specific wellness education to community-based participants. Results Quantitative and qualitative data from both students and participants was overwhelmingly positive: students reported …

Feasibility Of A Prescribed Walking Program In Older Adults With Dizziness: Challenges And Recommendations From A Pilot Pragmatic Randomized Controlled Trial, Amie Jasper, Mary T. Blackinton, Joann Gallichio, Anne Galgon

Internet Journal of Allied Health Sciences and Practice

Purpose: Walking for endurance is a component of vestibular rehabilitation (VR); however, there is no study on increasing the physical activity of older adults with peripheral vestibular hypofunction through a prescribed walking program. This pilot study aimed to assess the feasibility of conducting a pragmatic randomized controlled trial on a prescribed walking program in a clinical environment; specifically, to determine recruitment, data collection retention, and adherence, and to estimate the variances of treatment outcomes. Method: Seventeen patients were randomly assigned into vestibular rehabilitation with walking with pedometer (VRWP), vestibular rehabilitation with walking without pedometer (VRW), and VR only. Recruitment, data …

Canadian Adolescent And Young Athletes Knowledge Of Pain-Relieving Medications, Jackie Vandertuin, Dalya Abdulla, Stephanie Lowther

Internet Journal of Allied Health Sciences and Practice

Purpose: Adolescent knowledge of pain-relieving medications (PRM) and opioids is scant, particularly from a Canadian perspective. Research indicates that athletes will often resort to PRM and opioids to manage their pain, but it is unknown whether athletes are fully informed as to its use and misuse including adverse events that may occur. The purpose of this study is to understand what elite level male athletes know about use, contraindications, and recommendations of pain-relieving medications; particularly opioids to manage their pain. Methods: Using a qualitative, grounded theory approach, we interviewed male athletes to understand their level of knowledge regarding pain-relieving medications, …

Simulation Based Learning And Development Of Clinical Decision-Making Skills, As Perceived By Dpt Students, A Qualitative Analysis, Fabian Bizama, Kristy Demers, Mansoor Alameri, Derrick F. Campbell

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation-based learning (SBL) has been shown to help Doctor of Physical Therapy (DPT) students transfer academic skills to a range of clinical settings. However, the perceived beneficial and not beneficial elements of SBL have not been fully explored. While most research has focused on acute care settings, previously published findings demonstrated that an SBL course with outpatient-based scenarios can have a significant impact on the development of clinical decision-making (CDM) skills in DPT students; however, details on perceived successful elements were not explored. The purpose of this study was to explore what factors DPT students perceive as helpful and …

Purposeful Integration Of Artificial Intelligence In Evidence-Based Practice Course For Doctor Of Physical Therapy Students, Qing Zhang, Mary Jane Rapport

Internet Journal of Allied Health Sciences and Practice

Purpose: Artificial Intelligence (AI) is increasingly relevant in education and research, offering opportunities for personalized learning, real-time feedback, and research support. In healthcare education, AI has been shown to enhance comprehension of complex concepts and support decision-making. The integration of AI into Doctor of Physical Therapy (DPT) curricula is widely supported by therapists and identified as a strategic priority for advancing the profession. However, limited research has been published on how AI can be effectively integrated into DPT education or what the potential outcomes are of using AI. This study aimed to evaluate the impact of AI integration on students’ …

Quantifying Afo Use, Fit, And Function Via Outcome Measures By Physical Therapists, Jennifaye V. Brown, Julie Suhr

Internet Journal of Allied Health Sciences and Practice

Purpose: For individuals with cerebrovascular accident (IwCVA), there is no outcome measure considered as the gold standard to justify ankle foot orthosis (AFO) use, fit, and function and that takes into consideration inherent properties of the AFO. Data is lacking indicating AFO effectiveness, which can be used to justify insurance reimbursement for the cost of more efficient mechanisms to produce person-centered AFOs using scanning and 3D printing technology, as is commonly done for individuals with lower extremity amputation requiring a prosthesis. Methods: This study surveyed physical therapists (PTs) via electronic medium to inquire about their knowledge and use of AFO-specific …

Dysphagia And Covid-19 In Adults: A Prospective Clinical Trial With Fiberoptic Endoscopic Evaluation Of Swallowing, Gökhan Can Törpü, Müberra Tanrıverdi, Nahide Öztoprak, Ömer Faruk Çalım, Orhan Özturan

Internet Journal of Allied Health Sciences and Practice

Purpose: Coronavirus disease 2019 (COVID-19) is distinguished by its impact on various tissues and organs across the body. It is known that COVID-19-related conditions are associated with swallowing function. This prospective study aimed to investigate the correlation between COVID-19 and dysphagia in adults. Methods: Adults who applied to the swallowing disorders outpatient clinic participated in this study. According to polymerase chain reaction (PCR) testing, participants were divided into two groups: COVID-19 and non-COVID-19 group. Swallowing disorders were evaluated using fiberoptic endoscopic evaluation of swallowing and scored with the Penetration-Aspiration Scale (PAS). PAS score > 1 was considered as dysphagia. Oral …

Development And Validation Of A Professional Behavior Assessment Instrument For Undergraduate Exercise Science Students, Christina Davlin-Pater, Patrick M. Filanowski

Internet Journal of Allied Health Sciences and Practice

Purpose: Professional behaviors are important for professional success in undergraduate students. Accurately evaluating these behaviors can help identify strengths and weaknesses for targeted development. Evaluation of professional behaviors is challenging. Self-evaluation coupled with reviews from internship supervisors could provide students with feedback from different viewpoints which can be used to foster self-awareness and encourage reflection. The purpose of this study was to develop and validate a professional behavior assessment instrument for undergraduate exercise science students. Methods: The development and validation of this assessment instrument involved three stages: 1) defining and operationalizing professional behaviors, 2) seeking feedback for internal validity, and …

Biopsychosocial-Based Exercise Model For Rheumatic Diseases Via Telerehabilitation: A Case Series With A One Year Follow Up, Nazlı Elif Nacar, Nur Banu Karaca, Zeynep Irem Bulut, Erkin Oguz Sarı, Senem Bulut, Yavuz Yakut, Sevim Oksüz, Sedat Kiraz, Edibe Unal

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aims to examine the sustainability of the biopsychosocial exercise performed by telerehabilitation on individuals with rheumatic disease, with and without supervision, and investigate the effect of the biopsychosocial-based exercise model on biopsychosocial status, general health status, and anxiety-depression levels of individuals. Method: Twenty patients with rheumatic diseases performed a biopsychosocial-based exercise model Cognitive Exercise Therapy Approach via telerehabilitation with physiotherapist-supervised and unsupervised exercises who continued for three sessions per week for 12 months. Outcome measures were Health Assessment Questionnaire, Hospital Anxiety and Depression Scale, and Cognitive Exercise Therapy Approach -Biopsychosocial Questionnaire. Patients were assessed at baseline, 3rd, …

Therapeutic Alliance: Exploring The Patient-Clinician Relationship Through The Experiences Of Collegiate Student-Athletes With Athletic Trainers, Paulina Torres, Sean M. Stoeppel, Justin Young, John Kiesel, Lindsey E. Eberman, Matthew J. Rivera

Internet Journal of Allied Health Sciences and Practice

Purpose: The therapeutic alliance refers to the relationship between patient and provider, consisting of bonds, goals, and tasks. A positive therapeutic alliance enhances care and leads to improved outcomes. The purpose of this study is to explore the lived experiences of college student-athletes relating to the development of the therapeutic alliance with athletic trainers. Methods: Consensual Qualitative Research (CQR) with semi-structured interviews. We used a semi-structured interview to explore the therapeutic alliance and lived experiences of participants. Participants included twelve college student-athletes who were currently under the care of an athletic trainer. Participants completed a semi-structured interview. We …