The USPTO refused to register the mark INTEGRATED
PERFORMANCE CARE SYSTEMS for, inter alia,
chiropractic services [CARE SYSTEMS disclaimed], finding a
likelihood of confusion with the registered word+design mark shown
below, for chiropractic services. Applicant Donald Dudley appealed.
Did Dudley do right? In re Donald Dudley, Serial No.
87655327 (October 4, 2019) [not precedential] (Opinion by Judge
Cynthia C. Lynch).

Because the services are in part identical, the Board must
presume that they travel in the same channels of trade to the same
classes of purchasers. These factors weighed "heavily" in
favor of a finding of likelihood of confusion.
As to the cited mark, the Board found the top portion to be
"dominant for a number of reasons." It is the first part
of the mark and is more likely to be impressed upon the minds of
consumers and remembered. "The pictorial element occupies a
prominent central place in the mark, and consists of a male
silhouette