Digital Commons Network^™

Self-Care For Healthcare Professionals, Purnima Hernandez Dda, Ms, Ma, Chwc

Articulator Magazine

This personal narrative chronicles the author's journey to prioritize self-care and adopt a lifestyle medicine approach after experiencing unexplained at the peak of her career. Realizing that succeeding in a profession dedicated to helping others required first helping herself, she immersed herself in learning about diet and lifestyle changes. By making reasonable adjustments to her sleep, nutrition, stress management, movement, and relationships, her health drastically improved within months. The article emphasizes the importance of self-care for healthcare professionals to avoid burnout and chronic lifestyle diseases. It provides a framework for developing a personalized lifestyle plan. Ultimately, the piece is a …

Articulator Q4 2023

Articulator Magazine

In this fourth quarter issue, the reader will find the following feature articles:

• RMDC Speaker Preview Series
• Self-Care for Healthcare Professionals
• Shift Your Energy to Shift Your Burnout
• Reduce Cancellations & No-Shows

This issue includes regular columns with regional news impacting the Metro Denver membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Influence Of Eat, Sleep, And Console On Infants Pharmacologically Treated For Opioid Withdrawal: A Post Hoc Subgroup Analysis Of The Esc-Now Randomized Clinical Trial., Lori A. Devlin, Zhuopei Hu, Stephanie L. Merhar, Songthip T. Ounpraseuth, Alan E. Simon, Jeannette Y. Lee, Abhik Das, Margaret M. Crawford, Rachel G. Greenberg, P Brian Smith, Rosemary D. Higgins, Michele C. Walsh, Ward Rice, David A. Paul, Jessie R. Maxwell, Camille M. Fung, Tanner Wright, Julie Ross, Jennifer M. Mcallister, Moira Crowley, Sophie K. Shaikh, Lori Christ, Jaime Brown, Julie Riccio, Kara Wong Ramsey, Erica F. Braswell, Lauren Tucker, Karen Mcalmon, Krishna Dummula, Julie Weiner, Jessica R. White, Sarah Newman, Jessica N. Snowden, Leslie W. Young, Eunice Kennedy Shriver Nichd Neonatal Research Network And Nih Environmental Influences On Child Health Outcomes (Echo) Program Institutional Development Award States Pediatric Clinical Trials Network

Manuscripts, Articles, Book Chapters and Other Papers

IMPORTANCE: The function-based eat, sleep, console (ESC) care approach substantially reduces the proportion of infants who receive pharmacologic treatment for neonatal opioid withdrawal syndrome (NOWS). This reduction has led to concerns for increased postnatal opioid exposure in infants who receive pharmacologic treatment. However, the effect of the ESC care approach on hospital outcomes for infants pharmacologically treated for NOWS is currently unknown.

OBJECTIVE: To evaluate differences in opioid exposure and total length of hospital stay (LOS) for pharmacologically treated infants managed with the ESC care approach vs usual care with the Finnegan tool.

DESIGN, SETTING, AND PARTICIPANTS: This post hoc …

The Effects Of A Brand-Specific, Hemp-Derived Cannabidiol Product On Physiological, Biochemical, And Psychometric Outcomes In Healthy Adults: A Double-Blind, Randomized Clinical Trial, Gianna F. Mastrofini, Bridget A. Mcfadden, Alexa J. Chandler, Blaine S. Lints, Harry P. Cintineo, Nathaniel D. Rhoades, Caroline S. Vincenty, Sten O. Stray-Gundersen, Abbi D. Lane, Shawn M. Arent

Faculty Scholarship

Background

Cannabidiol (CBD) is a non-psychoactive phyto-cannabinoid derived from the Cannabis sativa plant. CBD exhibits various interactions at receptor sites, prompting the research of its potential anti-inflammatory, immunomodulatory, psychological, and pain-relieving effects. This study aimed to investigate the physiological, biochemical, and psychometric effects of a brand-specific, hemp-derived CBD product in healthy adults over a 12-week observation period.

Methods

54 healthy males and females (age = 25 ± 7y; BMI = 24.82 ± 3.25 kg/m2) recruited from a large Southeastern University completed the study. Participants arrived at the laboratory after > 8 h of fasting, and > 48 h without alcohol consumption and …

Sleep, Eat, Repeat: An Examination Of The Influence Of Sleep And Biological Sex On Eating-Related Inhibitory Control In Overweight Emerging Adults, Shelby Mika Seipert-Raine

Theses and Dissertations

Background: Lower inhibitory control has been shown to associate with greater risk for obesity in adolescence. On average, females have moderately higher rates of behavioral inhibitory control than males. These difference in inhibitory control across sex may influence overeating and development of obesity. This study examined whether sleep duration and sleep quality are associated with food-related inhibitory control and whether this association is moderated by biological sex. Methods: A total of 59 emerging adults ages 18 to 25 (37 males, 22 females) who had a BMI within the overweight or obese categories (BMI ≥25) completed self-report measures of eating and …

Promoting Wakefulness To Increase Occupational Engagement In Military Service Members Experiencing Insomnia Following Mtbi, Leah N. Myers

Occupational Therapy Capstone Presentations

Sustaining a traumatic brain injury of any severity is associated with an extremely high prevalence of insomnia. Military service members, being exposed to hazardous equipment and conditions, are one of the most likely populations to sustain sleep concerns following TBI. This student capstone project aimed to support military service members experiencing sleep disturbances due to TBI through direct advanced clinical skill attainment, Light Therapy program development, and by initiating research and clinic resource creation relating to shift work and sleep. To target this population, the project was completed at the Fort Carson Intrepid Spirit Center in Colorado where outpatient concussion …

The Effects Of Sleep Quality, Covariates And A Possible Intervention, Pranav S. Reddy, Mia Tarditi, Adarsh Gupta, Richard Jermyn, Venkat Venkataraman

Rowan-Virtua Research Day

Sleep is an essential biological process needed to maintain adequate physiologic function. Research has provided growing evidence that chronic failure to get enough sleep is associated with increased risk for obesity, depression, diabetes, hypertension, stroke, cardiovascular disease, and mortality. Sleep deprivation is threatening the health of up to 45% of the world's population. Furthermore, sleep disorders were found to be associated with significantly higher rates of health care utilization and cost, accounting for $94.9 billion in costs each year in the United States. Earlier data from this project demonstrated a correlation between sleep quality and pain. METHODS: Patients were recruited …

Examining The Relationships Between Social Media Use Constructs And Mental And Sleep Health In Hispanic University Emerging Adults, Miguel Andres Garcia

Open Access Theses & Dissertations

The number of social media users and platforms have increased dramatically in recent years. Several different social media use constructs have developed from past research to assess social media engagement, including overall social media use, nighttime in-bed social media use, social media addiction, social media self-control failure, and emotional investment in social media. Such constructs are distinct from each other and may adversely impact mental and sleep health, especially during emerging adulthood. This study investigated the relationships between such social media use constructs and mental and sleep health in Hispanic university emerging adults through a framework of Uses and Gratifications …

Examining The Effects Of A Week-Long Social Media Abstinence Intervention, Iweek, On General Well-Being, Mental Health, And Body Image Concerns In Latina College Students, Roberto Sagaribay

Open Access Theses & Dissertations

Latina college students, on average, spend approximately 30 hours per week on social media, highlighting the pervasive influence of social media on their lives. While social media can facilitate interpersonal relationships, its impact on mental and physical health is evident in the literature. Problematic social media use has been associated with increased rates of depression, anxiety, and decreased life satisfaction. Additionally, exposure to idealized images on social media platforms often leads to lower body satisfaction, particularly among women. Social media may also influence eating behaviors through the abundance of food advertisements and contribute to sedentary behavior, as individuals spend significant …

The Effect Of Academic Self-Efficacy On Sleep And Academic Performance: A Moderation Analysis, Nhien Nguyen An La

2024 Spring Honors Capstone Projects

While research acknowledges the independent effects of sleep and self-efficacy on academic outcomes, the potential moderating role of academic self-efficacy (ASE) on the relationship between sleep and academic success remains unexplored. Academic self-efficacy has been consistently associated with students' motivation, goal setting, and resilience, while sleep quality predicts cognitive functioning and memory consolidation. Thus, this project addressed the gaps in the literature by examining these three variables collectively among 371 UTA college students using a cross-sectional survey design. Results suggested that among the subscales of ASE, only ASE academic performance in class significantly predicted academic performance (p < .001), while sleep quality and the remaining three subscales did not. Additionally, ASE interaction at school was found to be a significant moderator in the relationship between sleep and academic performance (p < .001). The findings of this study could have implications for educational interventions aimed at enhancing student achievement and promoting self-efficacy in academic settings.

Spice Up Your Sleep Life, Marissa Engraf

Psychology Student Publications

presenting scientific literature to the general public in an entertaining fashion

A Plan To Improve Sleep During Critical Care Hospital Stay, Andrea Nutting

MSN Capstone Projects

The purpose of this paper is to bring awareness and possible solutions to the ongoing issue of sleep deprivation in hospitalized patients, specifically patients in the intensive care unit. Sleep deprivation can lead to delay in healing, and therefore delay in discharge. There are also many other issues that coincide with sleep deprivation, such as risk for development of delirium and lack of motivation to participate in care. The ICU is a constant state of distress for not only the staff, but also the family members and ultimately the patient. The stressful environment can inhibit relaxation needed to sleep, which …

Sleep And Circadian Biomarkers Of Postoperative Delirium (Sleep-Pod): Protocol For A Prospective And Observational Cohort Study, Elizabeth Sugg, Elizabeth Gleeson, Sarah N Baker, Peng Li, Chenlu Gao, Ariel Mueller, Hao Deng, Shiqian Shen, Esteban Franco-Garcia, Richa Saxena, Erik S Musiek, Oluwaseun Akeju, Zhongcong Xie, Kun Hu, Lei Gao

2020-Current year OA Pubs

INTRODUCTION: Surgical patients over 70 experience postoperative delirium (POD) complications in up to 50% of procedures. Sleep/circadian disruption has emerged as a potential risk factor for POD in epidemiological studies. This protocol presents a single-site, prospective observational study designed to examine the relationship between sleep/circadian regulation and POD and how this association could be moderated or mediated by Alzheimer's disease (AD) pathology and genetic risk for AD.

METHODS AND ANALYSIS: Study staff members will screen for eligible patients (age ≥70) seeking joint replacement or spinal surgery at Massachusetts General Hospital (MGH). At the inclusion visit, patients will be asked a …

Occupational Therapists' Perception Of Children With Neurodevelopmental Disorders & Sleep In Pediatric Outpatient Settings, Carina Jimenez, Susan Macdermott, Jazminne Orozco Arteaga

Spring 2024 Virtual OTD Capstone Symposium

The capstone investigates pediatric occupational therapists' views on managing sleep issues in children with neurodevelopmental disorders. It highlights gaps in education and resources and emphasizes the need for evidence-based interventions. Findings emphasize the importance of enhancing occupational therapists' role in addressing sleep challenges for improved family well-being, advocating for more comprehensive education and support systems.

The Fibromyalgia Pain Experience: A Scoping Review Of The Preclinical Evidence For Replication And Treatment Of The Affective And Cognitive Pain Dimensions, Cassie M. Argenbright, Alysia M. Bertlesman, Izabella M. Russell, Tracy L. Greer, Yuan B. Peng, Perry N. Fuchs

Psychological Science Faculty Publications and Presentations

Fibromyalgia is a chronic, widespread pain disorder that is strongly represented across the affective and cognitive dimensions of pain, given that the underlying pathophysiology of the disorder is yet to be identified. These affective and cognitive deficits are crucial to understanding and treating the fibromyalgia pain experience as a whole but replicating this multidimensionality on a preclinical level is challenging. To understand the underlying mechanisms, animal models are used. In this scoping review, we evaluate the current primary animal models of fibromyalgia regarding their translational relevance within the affective and cognitive pain realms, as well as summarize treatments that have …

Longitudinal Effects Of Perceived Immigration Threats On Sleep And Mental Health Of Latinx Adolescents, Emily C. Zhang, Kathleen M. Roche

GW Research Showcase 2021-2024

No abstract provided.

Hooked On A Feeling: The Importance Of Fostering Emotional Intelligence In Adolescents, Annika Wirkkala

Classical Conversations

In the summer of 2023, CNN reported on a 14-year old girl who claimed to have several mental health issues. These included ADHD, depression, autism, and various phobias. After a specialist examined her, however, she was officially diagnosed not with her extensive list of illnesses but with severe anxiety. How did this 14-year old girl become so convinced that she suffered from all of these problems? Social media. Sadly, this girl is not the only victim of social media self-diagnosis. According to the CNN report, “A growing number of teens are turning to social platforms such as Instagram and TikTok …

Suboptimal Self-Reported Sleep Efficiency And Duration Are Associated With Faster Accumulation Of Brain Amyloid Beta In Cognitively Unimpaired Older Adults, Louise N. Pivac, Belinda M. Brown, Kelsey R. Sewell, James D. Doecke, Victor L. Villemagne, Vincent Doré, Michael Weinborn, Hamid R. Sohrabi, Samantha L. Gardener, Romola S. Bucks, Simon M. Laws, Kevin Taddei, Paul Maruff, Colin L. Masters, Christopher Rowe, Ralph N. Martins, Stephanie R. Rainey-Smith

Research outputs 2022 to 2026

INTRODUCTION: This study investigated whether self-reported sleep quality is associated with brain amyloid beta (AB) accumulation. METHODS: Linear mixed effect model analyses were conducted for 189 cognitively unimpaired (CU) older adults (mean ± standard deviation 74.0 ± 6.2; 53.2% female), with baseline self-reported sleep data, and positron emission tomography-determined brain AB measured over a minimum of three time points (range 33.3–72.7 months). Analyses included random slopes and intercepts, interaction for apolipoprotein E (APOE) 4 allele status, and time, adjusting for sex and baseline age. RESULTS: Sleep duration < 6 hours, in APOE 4 carriers, and sleep efficiency < 65%, in the whole sample and APOE 4 non-carriers, is associated with faster accumulation of brain AB. DISCUSSION: These findings suggest a role for self-reported suboptimal sleep efficiency and duration in the accumulation of Alzheimer's disease (AD) neuropathology in CU individuals. Additionally, poor sleep efficiency represents a potential route via which individuals at lower genetic risk may progress to preclinical AD. Highlights: In cognitively unimpaired older adults self-report sleep is associated with brain amyloid beta (AB) accumulation. Across sleep characteristics, this relationship differs by apolipoprotein E (APOE) genotype. Sleep duration < 6 hours is associated with faster brain AB accumulation in APOE 4 carriers. Sleep efficiency < 65% is associated with faster brain AB accumulation in APOE 4 non-carriers. Personalized sleep interventions should be studied for potential to slow AB accumulation.

Study Protocol: Identifying Transcriptional Regulatory Alterations Of Chronic Effects Of Blast And Disturbed Sleep In United States Veterans, Molly J. Sullan, Kelly A. Stearns-Yoder, Zhaoyu Wang, Andrew J. Hoisington, Adam D. Brenoweth, Walter Carr, Yongchao Ge, Hanga Galfalvy, Fatemah Haghighi, Lisa A. Brenner

Faculty Publications

Injury related to blast exposure dramatically rose during post-911 era military conflicts in Iraq and Afghanistan. Mild traumatic brain injury (mTBI) is among the most common injuries following blast, an exposure that may not result in a definitive physiologic marker (e.g., loss of consciousness). Recent research suggests that exposure to low level blasts and, more specifically repetitive blast exposure (RBE), which may be subconcussive in nature, may also impact long term physiologic and psychological outcomes, though findings have been mixed. For military personnel, blast-related injuries often occur in chaotic settings (e.g., combat), which create challenges in the immediate assessment of …

Associations Between Early Childhood Sleep, Memory Function, And Brain Development Across The Nap Transition, Sanna Lokhandwala

Doctoral Dissertations

Preschool-age children often distribute their sleep across a midday nap and overnight sleep. Skipping the nap is suggested to increase the duration and depth of deep sleep (i.e., slow wave activity; SWA). Moreover, missing the midday nap has been shown to impair learning processes. This may be because children’s brains at this point in development are immature, necessitating the intervening nap period to strengthen memories before they are forgotten. Nonetheless, at some point during the preschool years, many children begin transitioning naturally out of napping. It is unclear whether the memory benefits of overnight SWA after a skipped nap depend …

Modifying Aha Stress Management And Physical Activity Modules For Senior Communities, Madai Molina Apolinar, Kristina Luu, Sarah Allen, Samantha Isabel Pio Argueta, Annalise P. Sanders, Emil Visaya

Nursing Leadership in Community Engagement Projects

Modifying AHA Stress Management and Physical Activity Modules for Senior Communities

This quarter our group was given the opportunity to partner with two organizations to conduct work surrounding blood pressure and heart health education. One of our partners was a senior living organization whose mission is to transform beliefs about affordable housing through supporting communities where seniors and families can thrive. We also collaborated with the American Heart Association (AHA), which seeks to combat cardiovascular disease and stroke for the improvement and overall health of the population.

For this project, we were tasked with simplifying the AHA “Check. Change. Control.” …

Sleep Quality, Mental Health, And Academic Performance Among College Students In South Texas, Sukho Lee, Soyoung Kwon, Shannon Shen, Soojin Yoo, Boram Lim, Vicky Elias

International Journal of Exercise Science: Conference Proceedings

College life is shaped by a confluence of factors, encompassing heightened academic demands, complex social transitions, and pervasive stress. Amid this dynamic environment, understanding the interplay between sleep quality, mental health, and academic achievement is crucial. PURPOSE: We aimed to evaluate sleep quality and mental health among college students and to examine whether sleep quality was associated with their mental health and academic performance. METHODS: We analyzed data from 343 college students attending universities in South Texas, with information collected in 2022. To assess the participants’ sleep, mental health, and academic performance, we utilized the Pittsburg Sleep Quality Index …

Machine Learning Analysis Of Chronotype And Mental Toughness In Predicting Sleepiness Among Collegiate Dancers: Preliminary Findings, Alyssa Hudson, Andreas Stamatis

International Journal of Exercise Science: Conference Proceedings

Understanding the interplay between chronotype (a trait-like characteristic denoting an individual's inherent preference for sleep and activity periods), mental toughness (MT; a state-like construct that equips individuals with the skills to endure adversity while pursuing goals), and sleepiness (a fluctuating state of propensity towards dozing off) is critical in domains where optimal performance is crucial, such as in athletics. The utilization of machine learning (ML) techniques to explore the impact of MT and chronotype on sleepiness categorization is notably scarce in collegiate dancing; thus, this approach could provide novel insights into managing dancers’ health and performance. PURPOSE: To evaluate …

Habitual Fluid Intake Does Not Affect Sleep Parameters In Young Women., Ruben E. Moya, Hui-Ying Luk, Casey Appell, Alan Ky, Kelly B. Elliott, Cherish Dunlap, Nigel Jiwan, Yasuki Sekiguchi

International Journal of Exercise Science: Conference Proceedings

Sleep is essential for optimal physical performance, cognitive function, recovery, and overall health. Similarly, hydration status has been shown to influence physical and cognitive functions. Dehydration can lead to impaired cognition and possibly impaired sleep. However, the effect of habitual total water intake (TWI) on sleep and recovery measures have not been examined. PURPOSE: To examine the effect of TWI on sleep and recovery measures in young women. METHODS: Twenty-two young women (age: 22.8±4.6 yrs; body mass: 60.0±9.5 kg; height: 164.6±6.1 cm) collected fluid intake and food consumption information across a 5 day period, and average TWI was calculated based …

Sleep Duration Is Increased Following Muscle Damaging Exercise In Hot Environmental Conditions, Marcos Keefe, Ryan A. Dunn, Casey R. Appell, Nigel C. Jiwan, Jan-Joseph S. Rolloque, Hui-Ying Luk, Yasuki Sekiguchi

International Journal of Exercise Science: Conference Proceedings

Sleep and recovery measures are typically negatively affected by a muscle-damaging bout of exercise. However, it remains unknown if the additive effects of hot environmental conditions, resulting in increased core temperature and other thermoregulatory responses during the exercise bout, further progress changes in quantity and performance quality of sleep duration. PURPOSE: To investigate the effect of muscle-damaging exercise in the heat, compared to a thermoneutral condition, on sleep and recovery measures. METHODS: Ten healthy males (age: 23 ± 3yr; body mass: 78.7 ± 11.5kg; height: 176.9 ± 5cm; lactate threshold [LT]: 9.7 ± 1.0km^.hr^-1) performed two …

Circadian Immunity From Bench To Bedside: A Practical Guide, Huram Mok, Elaine Ostendorf, Alex Ganninger, Avi J. Adler, Guy Hazan, Jeffrey A. Haspel

2020-Current year OA Pubs

The immune system is built to counteract unpredictable threats, yet it relies on predictable cycles of activity to function properly. Daily rhythms in immune function are an expanding area of study, and many originate from a genetically based timekeeping mechanism known as the circadian clock. The challenge is how to harness these biological rhythms to improve medical interventions. Here, we review recent literature documenting how circadian clocks organize fundamental innate and adaptive immune activities, the immunologic consequences of circadian rhythm and sleep disruption, and persisting knowledge gaps in the field. We then consider the evidence linking circadian rhythms to vaccination, …

Sleep Attitudes As An Indirect Predictor Of Risk For Metabolic Syndrome In First Year College Students, Sophie Hirsch, Hannah Peach, Trudy L. Moore-Harrison, Philip Zendels, Aria Ruggiero, Jane F. Gaultney

Journal of Social, Behavioral, and Health Sciences

Background: Habit formation can be a challenge for first-year students. Research has suggested that regardless of sleep knowledge, favorable sleep attitudes predict better sleep.

Aim: Our aim was to investigate whether sleep attitudes directly or indirectly predicted risk for metabolic syndrome via sleep.

Method: Students completed self-report and physiological measures. Participants wore wristwatches to collect sleep data. Path analyses investigated the direct or indirect effect of sleep attitude on risk for metabolic syndrome via subjective sleep (sleep quality, duration, risk for apnea) and objective sleep (sleep efficiency, duration, subjective risk for apnea).

Results: In our subjective analysis that sleep attitudes …

The Shifting Landscape Of Adolescent Wellness In Boarding Schools: Can Time Spent Off Screens And Outdoors Improve Adolescent Wellbeing?, Kristen H. Peterson

Dartmouth College Master’s Theses

For nearly twenty years I have worked directly with adolescents as an independent school educator. Whether in the classroom, on the field, or in the dorm, I have observed and supported students through their middle and high school experiences. During this time, I have witnessed an alarming shift in adolescent physical, emotional, and social wellbeing. Concurrently, I have observed a dramatic increase in the amount of time students spend using screen-based devices, and a decrease in their time spent outdoors.

Using research to ground my anecdotal accounts in empirical understanding, my thesis examines whether or not screen use might help …

Comparison Of Two At-Home Sleep Monitoring Technologies, Raymond Chong, Alex Willis, Sonya Kakaiya, Casey Schambach, Carla Todd, Alex Young

Asian Journal of Physical Therapy

Background: Despite the importance of regular sleep patterns being well-known throughout society, a growing number of people claim to be sleep-deprived. There is a need to identify a simple and unobtrusive method in which people can accurately track their sleep to monitor changes and track how their sleep affects their daytime function. Methods: Here, we compared two at-home sleep monitors, the Zeo EEG headband system and the OURA physiological ring, in twenty-seven healthy young adults to determine their relative accuracy in classifying the various sleep stages. The two devices track sleep differently. The ring relies on hand movements and hemodynamic …

Examining The Sleep Habits Of College Aged Individuals, An Intervention Study, Garrett Siebels

Global Public Health | Senior Theses

Background-

Sleep deprivation, characterized by insufficient or poor-quality sleep, is a prevalent public health issue. Recent statistics reveal that over 110 million Americans are suffering from sleep deficiency, and about 60% of college aged individuals suffer from sleep deprivation. Previous research suggests that theta wave therapy may help induce sleepiness. We aim to discover how these intervention strategies may contribute to improved sleep quality and overall well-being among college-aged individuals.

Methods-

Participants were recruited using convenient sampling, then randomized into the intervention group and control group. Individuals self-reported demographics, baseline information and initial Pittsburgh Sleep Quality Index (PSQI) scores using …