Digital Commons Network^™

Lung Flute Improves Symptoms And Health Status In Copd With Chronic Bronchitis: A 26 Week Randomized Controlled Trial, Sanjay Sethi, Jingjing Yin, Pamela K. Anderson

Biostatistics Faculty Publications

Background: Chronic obstructive pulmonary disease (COPD) is characterized by mucus hypersecretion that contributes to disease related morbidity and is associated with increased mortality. The Lung Flute® is a new respiratory device that produces a low frequency acoustic wave with moderately vigorous exhalation to increase mucus clearance. We hypothesized that the Lung Flute, used on a twice daily basis will provide clinical benefit to patients with COPD with chronic bronchitis.

Methods: We performed a 26 week randomized, non-intervention controlled, single center, open label trial in 69 patients with COPD and Chronic Bronchitis. The primary endpoint was change in respiratory symptoms measured …

Your Life With Type Ii Diabetes: The Relationship Between Overall Health With And Without Diabetes, Cory Brandt, Jessika Jackson, Helen W. Bland

GS4 Georgia Southern Student Scholars Symposium

The purpose of this study is to assess the behavior of patients with Type 2 Diabetes and their ability to maintain a healthy and unassisted lifestyle. Research has shown showed that adults, especially older adults, with T2D will live a less healthy and more assisted lifestyle. In the United States it’s estimated that 25.6 million adults have T2D and another 79 million are at beginning stages of T2D (Kanaya, Gregorich, & Grossman, 2012). There are numerous health behaviors that can affect the risk of having T2D (Basha & Sunnarao, 2012). The instrument used in this study was a 17-question behavioral …

In The Words Of The Medical Tourist: An Analysis Of Internet Narratives By Health Travelers To Turkey, Margaret E. Ozan-Rafferty, James Allen Johnson, Gulzar H. Shah, Attila Kursun

Health Policy and Management Faculty Publications

Background: Patients regularly travel to the West for advanced medical care, but now the trend is also shifting in the opposite direction. Many people from Western countries now seek care outside of their country. This phenomenon has been labeled medical tourism or health travel. Information regarding health travelers’ actual outcomes, experiences, and perceptions is lacking or insufficient. However, advanced Internet technology and apps provide information on medical tourism and are a vehicle for patients to share their experiences. Turkey has a large number of internationally accredited hospitals, is a top tourism destination, and is positioning itself to attract international patients. …

Community Health News, Georgia Southern University

Community Health Department News (2011-2018)

• Athletes’ Perceptions

An Examination Between Swimming Ability, Gender, And Race- An Exploratory Investigation, Laynie E. Brown

Honors College Theses

One of the leading causes of unintentional death worldwide is drowning. From 2005-2009, an estimated 3, 107 people in the United States over the age of fifteen died from drowning (Peden, Oyegbite, & Ozanne-Smith, 2008). Research has found higher amounts of drowning deaths to be males than females and African-American than Caucasian (Saluja et al., 2005). However, no significant differences have been found in real or perceived water competency between gender or age groups (Moran et al., 2012). Thus, the purpose of this study was to examine ability to swim between gender, race, and school classification of college students. Quantitative …

Accelerated Resolution Therapy For Treatment Of Pain Secondary To Symptoms Of Combat-Related Posttraumatic Stress Disorder, Kevin E. Kip, Laney Rosenzweig, Diego F. Hernandez, Amy Shuman, David M. Diamond, Sue Ann Girling, Kelly L. Sullivan, Trudy R. Wittenberg, Ann M. Witt, Cecile A. Lengacher, Brian Anderson, Susan C. Mcmillan

Kelly L. Sullivan

Background: As many as 70% of veterans with chronic pain treated within the US Veterans Administration (VA) system may have posttraumatic stress disorder (PTSD), and conversely, up to 80% of those with PTSD may have pain. We describe pain experienced by US service members and veterans with symptoms of PTSD, and report on the effect of Accelerated Resolution Therapy (ART), a new, brief exposure-based therapy, on acute pain reduction secondary to treatment of symptoms of PTSD.
Methods: A randomized controlled trial of ART versus an attention control (AC) regimen was conducted among 45 US service members/veterans with symptoms of combat-related …

Health Policy & Management News, Georgia Southern University

Health Policy & Management Department News (2011-2018)

• Childhood Asthma

Little Emperors And An Army Of Orphans: The Government’S Control Over The Idea Of Family In An Overpopulated World, Corinna L. Miller

Honors College Theses

This research elaborates on the connection between governmental policies for population control and the psychological effects felt by its citizens. Governments enact laws to form and shape their country, but when plans to benefit society as a whole overspill into the personal rights of families, there can be unforeseen consequences that span across cultural, economic and physiological wellbeing. These side effects can have debilitating outcomes for countless generations to come, even after the policy has been abolished. In an age where exponential population growth is a severe problem, this study attempts to understand what happens when governmental policies influence the …

A Novel Three Serum Phospholipid Panel Differentiates Normal Individuals From Those With Prostate Cancer, Nima Patel, Robert L. Vogel, Kumar Chandra-Kuntal, Wayne Glasgow, Uddhav Kelavkar

Biostatistics Faculty Publications

Background: The results of prostate specific antigen (PSA) and digital rectal examination (DRE) screenings lead to both under and over treatment of prostate cancer (PCa). As such, there is an urgent need for the identification and evaluation of new markers for early diagnosis and disease prognosis. Studies have shown a link between PCa, lipids and lipid metabolism. Therefore, the aim of this study was to examine the concentrations and distribution of serum lipids in patients with PCa as compared with serum from controls.

Method: Using Electrospray ionization mass spectrometry (ESI-MS/MS) lipid profiling, we analyzed serum phospholipids from age-matched subjects who …

Stresspression? A Study On The Relationship Between Perceived Stress, Depression And College Females, Ingrid Mateo

Phi Kappa Phi Research Symposium (2012-2016)

The purpose of this study was to assess perceived stress levels among college students at a university in rural southeast Georgia. The period of undergraduate education introduces a new social environment that may require young adults to appraise their resources of social support and coping strategies to manage stress (Chao, 2012). The researcher hypothesized that white, freshman, female students would have higher perceived stress level than any other group. To test this, a self-administered survey was used in this quantitative, non-experimental, cross-sectional study. The survey was administered to 203 participants, all over the age of 18. Sampling methodology conducted in …

Lung Flute Improves Symptoms And Health Status In Copd With Chronic Bronchitis: A 26 Week Randomized Controlled Trial, Sanjay Sethi, Jingjing Yin, Pamela K. Anderson

Jingjing Yin

Background: Chronic obstructive pulmonary disease (COPD) is characterized by mucus hypersecretion that contributes to disease related morbidity and is associated with increased mortality. The Lung Flute® is a new respiratory device that produces a low frequency acoustic wave with moderately vigorous exhalation to increase mucus clearance. We hypothesized that the Lung Flute, used on a twice daily basis will provide clinical benefit to patients with COPD with chronic bronchitis.

Methods: We performed a 26 week randomized, non-intervention controlled, single center, open label trial in 69 patients with COPD and Chronic Bronchitis. The primary endpoint was change in respiratory …

The Determinants Of Physical Activity In Rural Women, Ages 20-44 Years, Dziyana Nazaruk

Electronic Theses and Dissertations

Despite multiple health benefits of exercise, it is reported that only 14.7% of American women engage in the recommended amount of physical activity. Whereas the potential negative consequences of not exercising are well documented, there is a scarcity of literature that investigates the determinants of physical activity in rural women. The purpose of this concurrent transformative mixed method study was to explore the determinants of physical activity in rural women ages 20-44 years. Specific quantitative research questions addressed the relationship between the determinants of physical activity on intra- and interpersonal levels, as well as the current physical activity status of …

Asymmetrical Interference Effects Between Two-Dimensional Geometric Shapes And Their Corresponding Shape Words, Bradley R. Sturz, Joshua E. Edwards, Ty W. Boyer

Department of Psychology Faculty Publications

Nativists have postulated fundamental geometric knowledge that predates linguistic and symbolic thought. Central to these claims is the proposal for an isolated cognitive system dedicated to processing geometric information. Testing such hypotheses presents challenges due to difficulties in eliminating the combination of geometric and non-geometric information through language. We present evidence using a modified matching interference paradigm that an incongruent shape word interferes with identifying a two-dimensional geometric shape, but an incongruent two-dimensional geometric shape does not interfere with identifying a shape word. This asymmetry in interference effects between two-dimensional geometric shapes and their corresponding shape words suggests that shape …

Investigating The Effects Of Endurance Training On Heart Rate Variability In Female Swimmer Athletes, Joshua G. Beck

Electronic Theses and Dissertations

It is important for elite endurance athletes to have practical and reliable means of measuring fatigue throughout their training. Variations in Autonomic Nervous System activity (ANS) may provide an effective marker of fatigue and of recovery. ANS control of heart rate is well known to be affected by exercise training, and those adaptations can be determined using measures of heart rate variability (HRV). Previous research has examined the effect of training on HRV and ANS control of heart rate in males, there is a lack of any comprehensive studies that address adaptations in female athletes. Therefore, the purpose of this …

The Effectiveness Of A Dual Task Concussion Assessment For Identifying Impairments In Concussed Athletes, Kristin R. Bockelman

Electronic Theses and Dissertations

Context: Commonly used single task (ST) concussion assessments are unable to identify lingering impairments following a concussion. Current dual task (DT) assessments use cost prohibitive technological assessments not available to most clinicians, creating the need for a clinically applicable dual task assessment to identify impairments. Objective: To determine if a DT assessment consisting of the Standardized Assessment of Concussion (SAC) and with the Balance Error Scoring System (BESS) is able to identify impairments. Design: Prospective longitudinal. Setting: Research laboratory. Participants: Concussed student-athletes and matched health controls, 18 females, 10 males. Concussed group: age 19.00±0.88, height 174.53±12.06 cm, and mass 75.28±22.02 …

An Interval Training Bout On Cognitive Performance In Healthy Adults, David Young

Electronic Theses and Dissertations

Cognitive performance has been shown to improve with regular aerobic exercise training. Despite this, most Americans do not adhere to current exercise prescription guidelines. High intensity interval training (HIIT) has been suggested as a lower time commitment, more enjoyable alternative to regular aerobic exercise. Twenty nine apparently healthy college-aged adults were recruited and administered a high intensity interval training session with a pre- and 24 hours-post-exercise cognitive performance test. No changes were found in performance following the bout of high intensity interval training. No significant interactions were observed when comparing performance to gender, training age, training goal, or intra-exercise rating …

Does The Preparticipation Examination Aid In Identifying Future Risk Of Concussion?, Kassandra E. Johns

Electronic Theses and Dissertations

Context: A pre-participation examination (PPE) has become standard practice among the athletic community. This examination commonly includes a multifaceted baseline concussion assessment and an injury history survey. Recent evidence suggests that neuropsychological testing can aid in predicting individuals at an increased risk of lower extremity injury. However, no known previous study has investigated the relationship between neuropsychological function and potential risk of sustaining a concussion.

Objective: This study sought to identify a relationship between components of a standard PPE and an elevated risk of concussion.

Design: All data was extracted from the institution concussion database.

Setting: A large university in …

Landing Technique Assessment Utilizing Laboratory-Based Landing And Simulated Basketball Landing Tasks, Hiromi Kowata

Electronic Theses and Dissertations

Context: The Landing Error Scoring System (LESS) is a two-dimensional landing technique assessment tool that is readily available to clinicians. However, the LESS merely assesses a contrived landing, rather than dynamic, complex movements that may occur during actual athletic performance. Objective: To compare the LESS scores and knee joint kinematics between the LESS vertical-drop jump (DVJ), and two simulated basketball landing performances, jump-stop jump shot (JS) and rebounding (RB). Design: Prospective, cross-sectional study. Setting: An intramural basketball court. Participants: Twenty-five female recreational basketball players (Age: 20.96±1.70, Height (cm): 166.07 ± 9.10, Weight (kg): 68.54 ±12.17). Intervention(s) …

Comparing Hyperhydration Ability Between A Glycerol Solution And A Sodium Solution On Dehydration And Performance In Runners, Stephanie L. Marz

Electronic Theses and Dissertations

The purpose of this study was to examine how inducing hyperhydration with a glycerol solution and a sodium solution prior to exercise influenced performance and hydration status during a moderate set-intensity exercise bout followed by a time-to-exhaustion bout when compared to a control solution containing water only. Six well-trained runners ages 21 to 38 with an average relative VO₂ peak of 57 ml/kg/min participated in three trials. Each trial included a 2.5 hour hyperhydration phase where participants ingested a solution containing water, glycerol, or sodium. Following hyperhydration, participants ran for 90 minutes at 65% of their HRR followed by …

Assessing Sports Nutrition Knowledge Of Adolescent Atheltes And Their Parents: An Intervention Approach, Meredith F. Hawk

Electronic Theses and Dissertations

The purpose of this study was to examine the effect of a sports nutrition intervention on nutrition knowledge and dietary choices among adolescent female soccer players and their parents. Participants from this study were year-round, travelling soccer team members recruited from the Augusta Arsenal Soccer Club in addition to one parent of the minor (n=38). Adolescent athlete participants in the study completed a demographic survey including information on their age, school grade, position typically played, years in sport, whether or not they participated in any other sports, and if they had ever taken a nutrition class. In addition, a parent …

The Use Of A Visual Motor Test To Identify Lingering Deficits In Concussed Collegiate Athletes, Erik W. Sanders

Electronic Theses and Dissertations

Context: 1.6 to 3.8 million sports-related concussions occur annually. Athletes who have suffered a concussion but are symptom free and have returned to baseline on conventional tests may not necessarily be recovered from the effects of the concussion. The premature return to play of an unrecovered athlete may increase the risk of a subsequent concussion. Measurement of upper-limb visual motor coordination has identified lingering deficits following concussion and so it may provide clinicians with a more sensitive means of tracking recovery. Objective: The purpose of this study was to determine if a visual motor coordination test would identify lingering deficits …

Exercise Behavior Patterns In Emerging Adulthood: An Exploration Of Predictor Variables From Self-Determination Theory And Transtheoretical Model, Chad R. Johnson

Electronic Theses and Dissertations

During the transition from childhood to adulthood, young people establish patterns of behavior and make lifestyle choices that affect both their current and future health (NCHS, 2010). Emerging adulthood – a new conception of development for the period from the late teens through the twenties – focuses on individuals ages 18-25 who did not have a child, own a home, or have sufficient income to be fully independent (Arnett, 2000). Very little is known about social influence, motivational mediators, and motivation on exercise behavior within this developmental period. Therefore, the purpose of this study was to determine the influence of …

Concussion Reporting Rates At The Conclusion Of A Collegiate Athletic Career, Frances C. Gilbert

Electronic Theses and Dissertations

Context: Concussions are common sports-related head injuries, with an estimated 1.6-3.8 million sport-related traumatic brain injuries occurring each year. Proper diagnosis of a concussion often lies in self-reporting symptoms, however, an estimated 50-80% of concussions remain unreported. More than half of college athletes indicate they have no head injury knowledge including potential consequences, however, more than 80% would have reported a head injury if they had understood the potential risks. This lack of knowledge may create the potential for unrecognized concussive injury, therefore causing vast underreporting. Objective: The purpose of this study is to evaluate the current reported …

An Examination Of Behavioral And Temporal Consistency Of Pre-Performance Routines In Ncaa Division I Basketball Free Throw Shooting – A Naturalist Observational Investigation, Jacob Blumberg

Electronic Theses and Dissertations

Research has shown that pre-performance routines positively influence performance of closed and self-paced skills (Boutcher & Crews, 1987; Cohn, 1990; Otto et al., 2011). Boutcher and Crews (1987) suggested that pre-performance routines improve performance by helping reduce anxiety along with helping athletes’ retain mental sharpness and focus. Furthermore, several quantitative studies have examined the influence of both behavioral and temporal consistency of pre-performance routines on the success of a skill, yielding inconsistent results (Boutcher & Crews, 1987; Lobmeyer & Wasserman, 1986; Lonsdale & Tam, 2008; Jackson, 2003). However, research examining this phenomenon from a qualitative and naturalistic observational perspective is …

Obesity, Food Insecurity And The Impact On Perceptions And Behaviors Toward Dietary Nutrition In Low Income Women In Georgia, Amanda Lowe

Electronic Theses and Dissertations

The purpose of this study was to explore the paradoxical relationship between obesity and food insecurity and the subsequent impact of this relationship on perceptions and behaviors towards diet and nutrition among low-income women in Georgia. Specifically, this study sought to investigate whether factors such as poverty, education, socio-economic status, and participation in food assistance programs influence obesity outcomes among low-income women in Georgia. A sequential exploratory mixed-method research design was conducted for this study. Using qualitative and quantitative measures, the study employed key informant interviews with 16 administrators and staff members from the Women, Infant and Children (WIC) program …

Health Status Within The Workplace, Kristina Bonham, Brooke April Tomlin

Phi Kappa Phi Research Symposium (2012-2016)

The purpose of this study was to assess health status in the workplace and determine if diagnosis of a major illness impacted work. The research design used was a quantitative, descriptive, non-experimental, one-shot study in which the 19-question survey measured the health behaviors of a variety of employers (n=50) along with 4-variable questions assessing fear. Chronic diseases such as heart disease, stroke, cancer, diabetes, and arthritis are among the most common, costly, and preventable of all health problems in the U.S. and 7 out of 10 deaths among Americans each year are from chronic diseases (Community Health Charities, 2012). Poor …