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It's How You Ask The Question....., Paul Freeman OD 2023 University of the Incarnate Word

It's How You Ask The Question....., Paul Freeman Od

Optometric Clinical Practice

Letter from the Editor


Expanding Use Of Sodium-Glucose Cotransporter-2 Inhibitor (Sglt2i) In Managing Patients With Diabetes And Chronic Kidney Disease In Primary Care, Stephanie Wu 2023 University of St. Augustine for Health Sciences

Expanding Use Of Sodium-Glucose Cotransporter-2 Inhibitor (Sglt2i) In Managing Patients With Diabetes And Chronic Kidney Disease In Primary Care, Stephanie Wu

Student Scholarly Projects

Practice Problem: In 2022, the addendum of standards of medical care in diabetes management was annotated to recommend the broader use of sodium-glucose cotransporter 2 inhibitors (SGLT2i) to treat patients with Type 2 diabetes mellitus (DM) and diabetic nephropathy. Despite the Department of Veterans Affairs’ (VA) efforts to include SLGT2i as a formulary, non-restrictive prescription in the primary care ordering menu, the overall utilization rates of SGLT2i remained relatively low in primary care.

PICOT: The PICOT question that guided this project was: In patients with DM and chronic kidney disease (CKD) (P), how does an evidence-based guideline algorithm bundle (I) …


Physical Activity And Mental Health Of Youth During The Covid-19 Pandemic, Amber Watson, Alicia Fedewa, Clair Tischner 2023 University of Kentucky

Physical Activity And Mental Health Of Youth During The Covid-19 Pandemic, Amber Watson, Alicia Fedewa, Clair Tischner

International Journal of Physical Activity and Health

The COVID-19 Pandemic has globally impacted children’s physical activity and mental health outcomes since the transition to remote learning (Štveráková, et al., 2021). Children and adults may encounter negative mental health related consequences, higher stress, and a significant lack of physical activity while in physical and social isolation (Clemente-Suárez, 2022). In particular, school-aged children have experienced a significant reduction in physical activity since transitioning to remote learning and do not have sufficient opportunities to make up for this loss while engaged in remote learning (Štveráková, et al., 2021). Increased physical activity has been consistently correlated with positive mental health outcomes …


Predicting Physical Therapy Student Clinical Reasoning In Practice Using Aligned Assessments In A Curricular Domain, Joy L. Moulton 2023 Southeastern University - Lakeland

Predicting Physical Therapy Student Clinical Reasoning In Practice Using Aligned Assessments In A Curricular Domain, Joy L. Moulton

Doctor of Education (Ed.D)

Clinical reasoning (CR) is a difficult concept to assess and is a leading cause of failure for outpatient clinical experiences for physical therapy (PT) students (Silberman et al., 2018). The purpose of this study was to determine to what degree didactic assessments of CR could predict CR in clinical practice utilizing Miller’s (1990) pyramid as a conceptual framework. Using a retrospective quantitative exploratory observational design, archived data were collected for graduates in the classes of 2022 and 2023 (N = 84) from a hybrid Doctor of Physical Therapy program. Each assessment pertained to the musculoskeletal domain of PT practice and …


A Reflection Of Experiences Of Adults With Type 1 Diabetes In Integrated Physical Education Classes, Kalleigh West 2023 Old Dominion University

A Reflection Of Experiences Of Adults With Type 1 Diabetes In Integrated Physical Education Classes, Kalleigh West

Human Movement Sciences & Special Education Theses & Dissertations

The purpose of this study was to gain an understanding of the experiences of type 1 diabetics in integrated physical education classes. In this study, we interviewed young type 1 diabetic adults and asked them to reflect on their school-based physical education experiences. An interpretative phenomenological analysis (IPA) approach was adopted to guide data collection, analysis, and interpretation for this retrospective study. Eight participants (ages 19 to 32) were enrolled in this study, and semi-structured interviews focused on their physical education experiences acted as the primary data. Transcribed interview data were analyzed using an IPA approach. Three interrelated themes emerged …


Validity-Reliability Of The E-Healthy Diet Literacy Scale In Turkish Adults, Sevil Karahan Yılmaz, Gunay Eskici, Osman Emir Sarac 2023 Department of Nutrition and Dietetics, Faculty of Healthy Sciences, Erzincan Binali Yıldırım University, Erzincan, Turkey

Validity-Reliability Of The E-Healthy Diet Literacy Scale In Turkish Adults, Sevil Karahan Yılmaz, Gunay Eskici, Osman Emir Sarac

Baltic Journal of Health and Physical Activity

Introduction: This study aims to establish the validity-reliability of the Turkish version of adult e-Healthy Diet Literacy Scale and to determine its relationship with the Health Literacy Instrument Scale (short-form), the Digital Healthy Diet Literacy Scale, and participants’ characteristics. Material and Methods: Drawing on a methodological and descriptive design, this research was performed in two steps. It was conducted with 240 participants in the first step and 879 participants in the second step. The participants filled out the eHealthy Diet Literacy Scale, Health Literacy Instrument Scale (short-form), and Digital Healthy Diet Literacy Scale. The questionnaire form was sent to the …


Aspect Of Sleep Quality Amid Undergraduate Medical Students In Correlation With Bmi., Pooja Pallavi, Suma Nataraj, Arun Gopi, Shobha Chikkavaddaragudi Ramachandra, Prashant Vishwanath, Akila Prashant 2023 Department of Biochemistry, JSS Medical College, JSS Academy of Higher Education & Research, Mysuru, India.

Aspect Of Sleep Quality Amid Undergraduate Medical Students In Correlation With Bmi., Pooja Pallavi, Suma Nataraj, Arun Gopi, Shobha Chikkavaddaragudi Ramachandra, Prashant Vishwanath, Akila Prashant

International Journal of Health and Allied Sciences

Purpose: This study aimed to assess the quality of sleep among medical undergraduates from different phases of the medical program using the Pittsburgh Sleep Quality Index (PSQI) and to study the association of body mass index (BMI) with the quality of sleep among them. Material and Methods: Sleep quality was assessed among 482 medical undergraduates using the PSQI. Students undergoing treatment for psychiatric illness, diabetes or hypertension, history of alcohol consumption, and smoking were excluded from the study. Obesity was ascertained by calculating the BMI and categorized into 2 groups of23.0 according to the World Health Organization (WHO) guidelines for …


The Effects Of Resistance Training On Jumping And Selected Power Variables Of The Lower Limbs In Female Soccer Players, Tomasz Chamera, Magdalena Prończuk, Piotr Smok, Miłosz Drozd, Małgorzata Michalczyk, Adam Maszczyk 2023 Gdansk University of Physical Education and Sport, Gdansk, Poland

The Effects Of Resistance Training On Jumping And Selected Power Variables Of The Lower Limbs In Female Soccer Players, Tomasz Chamera, Magdalena Prończuk, Piotr Smok, Miłosz Drozd, Małgorzata Michalczyk, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Introduction: The aim of the study was to compare the effects of a 6-week intervention of combined soccer training with resistance training on strength and power variables in highly trained female soccer players. It was hypothesized that 6 weeks is sufficient for a significant improvement in jumping ability and power to occur due to the intervention. The study involved 34 female soccer players of the top women’s league (22 ± 5 years old, body height 167 ± 5 cm, body weight 60 ± 8 kg). The players were divided into two groups of 17 participants. The control group performed 3 …


Abductor And Adductor Strength Relation To Sprint Performance In Soccer Players, Paulina Królikowska, Artur Gołaś, Petr Stastny, Jakub Kokstejn, Wojciech Grzyb, Michal Krzysztofik 2023 Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Poland

Abductor And Adductor Strength Relation To Sprint Performance In Soccer Players, Paulina Królikowska, Artur Gołaś, Petr Stastny, Jakub Kokstejn, Wojciech Grzyb, Michal Krzysztofik

Baltic Journal of Health and Physical Activity

Wprowadzenie: Siła mięśni bioder odgrywa ważną rolę w sprintach i urazach bezdotykowych, w których należy rozpoznać ich rolę w piłce nożnej. Badanie to miało na celu zbadanie związku między siłą porywacza biodra ( Abd ), przywodzicielem stawu biodrowego ( Dodaj ) i wydajnością sprintu liniowego ( 5 mi 35 m ). Szesnastu profesjonalnych piłkarzy ( Druga Liga Polska ) uczestniczyło w badaniu ( wiek = 24 ± 3,2 lat, masa ciała = 75,3 ± 9,58 kg, wysokość = 179 ± 5,6 cm, doświadczenie w treningu piłki nożnej = 8 ± 2,9 lat ). Sprint liniowy 5 mi 3 m został …


Trauma-Informed Gatherings: What Does It Mean And What Does It Take?, Chelsea Williams, Jamie Bain 2023 University of Minnesota Extension

Trauma-Informed Gatherings: What Does It Mean And What Does It Take?, Chelsea Williams, Jamie Bain

The Journal of Extension

As community members continue to experience racial trauma at both individual and community levels, our Extension team responded by adapting an anti-racism leadership training program to be more trauma-informed. Our team designed a tool using Substance Abuse and Mental Health Services Administration’s trauma-informed principles to support public health practitioners to facilitate trauma-informed meetings. This tool can be a starting point for Extension professionals to create more trauma-informed gathering spaces in all areas of their work.


Revisiting The Master Food Volunteer Program: Examining How To Enhance Nutrition Education In The United States, Stacey Viera, Lindsey Haynes-Maslow 2023 Virginia Cooperative Extension

Revisiting The Master Food Volunteer Program: Examining How To Enhance Nutrition Education In The United States, Stacey Viera, Lindsey Haynes-Maslow

The Journal of Extension

America’s diet-related illness crisis intersects with a lack of nutrition literacy, nutrition security, and systemic inequities. The Cooperative Extension Service’s (CES) national infrastructure could potentially provide equitable access to quality nutrition education in the US utilizing a Master Food Volunteer (MFV) model. This research brief examined preliminary evidence for the MFV model as a support for CES agents and paraprofessionals, and results show a paucity of evidence. Further research and a pilot program with pre-established measures for health-related knowledge and behaviors could elucidate the model’s potential to increase equitable access to evidence-based programming, nutrition, and implementation guidance.


Evaluating Children's Menus In Theme Park Restaurants, Maria Fusté Forné 2023 Independent researcher

Evaluating Children's Menus In Theme Park Restaurants, Maria Fusté Forné

Journal of Sustainability and Resilience

Children who travel with their families eat in restaurants that usually offer special kid’s menus. The quality of those menus is often questioned and in the present context where children’s obesity and overweight are increasing, it is relevant to pay attention to the different environments where children eat. The present paper wants to analyse if specific restaurants menus in one of the most relevant theme park are healthy or unhealthy. Using a validated instrument to evaluate kids’ menu, restaurants in Disney Village (Disneyland Paris) are analysed. Results show that half of them are unhealthy and none of them are completely …


The Role Of Emotional States And Mental Techniques In Dancesport: A Systematic Review, Sara Aliberti, Gaetano Raiola, Domenico Cherubini 2023 Facultad de Deporte, UCAM Universidad Católica de Murcia

The Role Of Emotional States And Mental Techniques In Dancesport: A Systematic Review, Sara Aliberti, Gaetano Raiola, Domenico Cherubini

Baltic Journal of Health and Physical Activity

Introduction: Psychological states during competition seem to be an important factor to determine successful performance. Therefore, the analysis of emotions is essential to understand how emotions can support sports performance. This systematic review aimed to summarize the studies examining the influence of emotional states on dancesport (DS) performance and the use of mental techniques to improve psychological preparation to face the competition. Material and methods. Web of Science, Scholar, Scopus and Pubmed databases were used to search studies. The screening process was summarized within the PRISMA 2020 flowchart. Results. Only 9 articles met our inclusion criteria. The results demonstrated that …


Factors Affecting Rural Women’S Involvement In Physical Activity In Ghana, Alice Quainoo, T. A. Loeffler 2023 Memorial University of Newfoundland

Factors Affecting Rural Women’S Involvement In Physical Activity In Ghana, Alice Quainoo, T. A. Loeffler

International Journal of Physical Activity and Health

A qualitative study approach was used to explore the factors affecting rural women’s involvement in physical activity in Ghana. Most prior research has been done in African urban areas thus, neglecting the rural areas. Purposive sampling and a semi-structured interview method were used to interview nine women aged 40-60 years living in three rural areas in the central region of Ghana. The interviews were conducted by phone, translated, transcribed, and then coded using NVivo software package. The constant comparative method was used to analyze the data. The data presented eight enablers and five barriers to physical activity involvement for rural …


The Impact Of Home Confinement By Covid-19 On Mood State And Adaptive Behaviors In Spanish Swimmers, Jose Carlos Jaenes, David Alarcon Rubio, María José Arenilla-Villalba, Dominika Wilczyńska 2023 Universidad Pablo de OIavide, Sevilla

The Impact Of Home Confinement By Covid-19 On Mood State And Adaptive Behaviors In Spanish Swimmers, Jose Carlos Jaenes, David Alarcon Rubio, María José Arenilla-Villalba, Dominika Wilczyńska

Baltic Journal of Health and Physical Activity

Introduction: This study aimed to assess the mental condition of aquatic athletes during COVID-19 lockdowns and identify factors that could predict changes in their emotions and mood disturbances. Materials and Methods: The sample was composed of 506 competitive swimmers (ages 15-36) in four aquatic specializations, with 82.4% competing at the national level. Data was collected through questionnaires between April 10th and May 1st, 2020. Results: Female athletes had higher levels of unpleasant mood states and were generally more vulnerable to the lockdown's harmful effects. Team athletes had higher levels of friendliness, which may be a coping strategy for difficult situations. …


Self-Determination Theory As A Possible Explanation For The Motivation Of Norwegian Outdoor Life Students, Arne Martin Jakobsen 2023 Nord University, Bodø, Norway

Self-Determination Theory As A Possible Explanation For The Motivation Of Norwegian Outdoor Life Students, Arne Martin Jakobsen

Baltic Journal of Health and Physical Activity

Introduction: This study, based on the self-determination theory (SDT) by Deci and Ryan (1985), investigates the motivation among outdoor life students at universities and colleges in Norway. It also examines how students score on basic psychological needs, such as autonomy, competence, and relatedness, and their frequency of engagement in outdoor activities. The significance of the nature experience and the activity itself for the outdoor life students were analyzed, along with the extent to which the SDT can explain these two variables. Material and methods: The participants completed two standardized questionnaires. Results: The results showed a high degree of internal motivation …


Directions Of Attack And Their Effectiveness Of Male Judo Medalists At The Olympic Competitions., Amar AIT ALI YAHIA 2023 NIHESTS Abdellah Fadhel, Algiers, Algeria

Directions Of Attack And Their Effectiveness Of Male Judo Medalists At The Olympic Competitions., Amar Ait Ali Yahia

Baltic Journal of Health and Physical Activity

Introduction: To perform a technical action, the elite judo athlete examines the direction of attack relative to the opponent's body position. This study aimed to analyze and compare the most frequent and effective attack directions carried out by male Olympic medalists. Materials and Methods: A sample of 112 male medalists performed 3,664 attacks in four Olympic tournaments (2004–2016). ANOVA (one factor) determined inter and intra-Olympic comparisons, followed by the post hoc Bonferroni test (p< 0.05). Eta squared η2 and Cohen's d calculated the effect size, respectively. Results: Olympic medalists oriented their attacks principally in right forward (30.5±11.3%), left forward (29.9±10.5%), left backward (18.8±8.1%), and right backward (15.8±6.1%). The effectiveness of right forward (25.7±13.1%) and left forward (26.2±12.5%) dominates left backward (20.5±10.1%) and right backward (15.5±9.7%), respectively. In terms of frequencies and effectiveness, the contribution of secondary directions is negligible. Conclusions: Attacking in eight orientations made the defense vulnerable. Beside the uncertainty and unpredictability, they created more points of imbalance to overcome defensive issues.


The Col27a1 And Col11a1 Gene Variants Are Not Associated With The Susceptibility To Anterior Cruciate Ligament Rupture In Polish Athletes, Zhuo Sun, Aleksandra Bojarczuk, Pawel Cieszczyk 2023 Gdansk university of physical education and sport

The Col27a1 And Col11a1 Gene Variants Are Not Associated With The Susceptibility To Anterior Cruciate Ligament Rupture In Polish Athletes, Zhuo Sun, Aleksandra Bojarczuk, Pawel Cieszczyk

Baltic Journal of Health and Physical Activity

Introduction: Sports injuries are the most common cause of anterior cruciate ligament (ACL) ruptures. Previous research has demonstrated links between some of the COL27A1 and COL11A1 genetic variants and musculoskeletal soft tissue injuries. However, no previous research has investigated the COL27A1 rs1570460 and the COL11A1 rs3753841 in the context of ACL rupture in any population. Thus, our study aimed to assess the association between specific single nucleotide polymorphisms (SNPs), i.e., COL27A1 rs946053 and COL11A1 rs3753841, and the occurrence of ACL injury (ACL-I) in a cohort of Polish athletes. Methods: The study enrolled 233 athletes with ACL-I (161 males and …


Patient-Reported Value Of A Standardized Welcome Letter For Huntington Disease Clinic, Kirthan S. Reddy, Shayan Abdollah Zadegan, Jorge Patino, Frank Ramirez, Amber McCarthy, Natalia Pessoa Rocha, Erin Furr Stimming 2023 McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas, USA

Patient-Reported Value Of A Standardized Welcome Letter For Huntington Disease Clinic, Kirthan S. Reddy, Shayan Abdollah Zadegan, Jorge Patino, Frank Ramirez, Amber Mccarthy, Natalia Pessoa Rocha, Erin Furr Stimming

Teaching in Clinics

Communication is an essential component of patient satisfaction, which can be especially challenging in patients with neurobehavioral symptoms. As an effective form of communication, Patient Welcome Letter (PWL) should be designed in a way to cover a wide range of literacy. We designed a PWL for our Huntington Disease (HD) clinic using readability and suitability measures. Of the 80 patients that received the PWL, 47 filled out the survey. A majority of patients (>90%) found the PWL clear, understandable, and well-organized. The PWL was deemed valuable overall by 91.4% of participants.


The Effect Of An Intersectionality Elective On The Perceived Self-Efficacy Of Medical Students In Addressing Health Inequity, Patrick Rollo, Noel Higgason, Kaitlyn Stark, Amina Aslam, Mason Motakef, Olivia Kerr, Asia McCleary-Gaddy 2023 University of Texas Health Sciences Center at Houston

The Effect Of An Intersectionality Elective On The Perceived Self-Efficacy Of Medical Students In Addressing Health Inequity, Patrick Rollo, Noel Higgason, Kaitlyn Stark, Amina Aslam, Mason Motakef, Olivia Kerr, Asia Mccleary-Gaddy

Teaching in Clinics

Background: Intersectionality is a theoretical framework that contextualizes an individual’s experience as more than the sum of their cultural identifiers.

Aims: The current study investigates the effect of a 10-week intersectionality curriculum supplemented with student-led discussions on medical students’ self-efficacy in addressing bias and health inequity.

Methods: First- and second-year medical students volunteered to participate in a ten-week pilot elective entitled “Intersectionality in Medicine.” Participants enrolled in the course were required to complete a ten-minute online pre-elective and post-elective survey.

Results: Results showed that after completing the elective, medical students were significantly more confident in identifying their personal biases, assessing …


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