Medicine and Health Sciences Commons^™

Chronic Stressors, Obesity Pathogenesis, And The Moderating Effect Of Internalized Weight Stigma; A Quantitative, Illinois Study, Karyn Byrne

Dissertations

The obesity epidemic is a ‘wicked’ problem with a complex web of determinants and outcomes. While generally higher for minoritized populations, prevalence rates manifest in surprising, nonlinear patterns. There is no consensus regarding treatment protocols or mitigation efforts, except that current efforts remain largely ineffective. Much research evidence that a profusion of determinants of health support obesity pathogenesis through various physiological processes and mechanisms, including the allostatic load, mitochondria functioning, the gut microbiome, and epigenetics. Intervening to support markers of the allostatic load (immunity, inflammation, and metabolic health) may provide a more effective treatment outcomes than traditional approaches, which tend …

Nursing Students’ Perceptions Of The Impact Of Teamwork And Collaboration On Patient Care, Riana Square

Honors College Theses

Teamwork and communication are two topics that a vast majority of nursing students are introduced to in their first semester of nursing school. Many nursing students have a desire to improve their communication skills and have a better understanding of the inner workings of interdisciplinary collaboration. A study across multiple cohorts of Georgia Southern Nursing students was conducted to explore their perceptions of the correlation between teamwork and patient care outcomes. This study also explores nursing students’ readiness to communicate with other healthcare professionals and the effectiveness of the means to practice these communication skills while in nursing school. It …

Exploring Available Information On The Gut-Brain Axis And Alzheimer’S Disease For Clinicians Making Dietary Recommendations: A Scoping Review, Megan Gibson

Electronic Theses and Dissertations

Abstract: Alzheimer’s Disease (AD) is a complex neurodegenerative disease that requires interprofessional collaboration. Pharmacological options are currently ineffective, increasing the need for preventative strategies to combat the rise of AD. Considerations of gut-targeted interventions have increased as a key component in the prevention of AD, based on the understanding that the state of the gut microbiome can impact cognitive function through the pathway known as the gut-brain axis.

Methods: This scoping review explored information on the gut-brain axis in persons with AD. A comprehensive search was conducted in November 2023. Forty reviews and 13 human studies were analyzed.

Results: There …

Intouch Week Of April 22, 2024, New York Medical College

InTouch

• Erika Berman Rosenzweig, M.D., to Lead NYMC Department of Pediatrics
• Distinguished Speakers Will Deliver Remarks to the Graduating Class of 2024
• D.P.T. Class of 2026 Celebrates the Start of Clinicals with the White Coat Ceremony
• Division of Physical Therapy Hosts 20^th Annual Doctoral Project Presentation Day
• NYMC Graduates Reunite at the Alumni Neurology Reunion
• NYMC Students’ Altruism Shines with Woodfield Cottage Youth Initiative
• Faculty Spotlight: Rebecca A. McAteer Martin, M.D. '08, Shares her Mission in Healing

Medicine Men: Medicine Match A Program To Increase Male Participation In Targeted Areas Of The Healthcare Field, Anthony Paul Huffman

Honors Projects

The Medicine Men program addresses the imbalance in gender representation in low and middle-level healthcare careers. The program uses a website named Medicine Match to achieve this goal, which offers shadowing, talking, and additional resources with verified medical professionals. Medicine Match provides an engaging platform for individuals interested in exploring healthcare careers. The program's methodology involves creating connections between aspiring professionals, following the path of role models, fostering a sense of community, and educating and empowering target populations. Through a theoretical test and analysis, Medicine Men seeks to demonstrate its efficacy in increasing interest, knowledge, and comfort among male students …

Prescribing Flavor: Proposal For A Longitudinal Culinary Medicine Curriculum In A Family Medicine Residency Program, Mario F. Jacome Jr

Department of Nutrition Student Projects

Culinary medicine is gaining recognition as an essential component of healthcare, aiming to integrate food and nutrition into medical practice for managing chronic diseases. However, there is a significant gap in nutrition education within medical schools and residency programs, leaving healthcare professionals ill-equipped to address patients' dietary concerns. This proposal presents a comprehensive longitudinal curriculum blueprint for culinary medicine tailored to family medicine residents. The curriculum emphasizes hands-on learning, collaborative cooking opportunities, and practical counseling techniques to empower residents in addressing nutrition-related diseases effectively. Through a structured approach and innovative educational strategies, this initiative aims to enhance resident proficiency and …

Home-Based Virtual Culinary Nutrition Education Sessions For Amyotrophic Lateral Sclerosis Patients: Quantitative Experimental Pilot Study, Ciara N. Reistad, Mauricio Lobo

Department of Nutrition Student Projects

Amyotrophic lateral sclerosis (ALS) impairs voluntary muscular activity and often results in malnutrition. The need for specialized dietary therapy for ALS-related illnesses is highlighted by recent research, but it also draws attention to the lack of targeted care and ongoing nutritional status monitoring. Technological developments like telehealth and chatbots hold potential for ALS patients’ nutritional monitoring. The pilot study examined the feasibility and impact of home-based virtual culinary nutrition education sessions on nutritional knowledge, dietary intake of energy (CHO), protein (PRO) and FAT, body mass index (BMI), and functional status assessed by ALSFRS-R scores in patients with Amyotrophic Lateral Sclerosis …

2024 North Texas Research Forum Program, Hca Healthcare

North Texas Research Forum 2024

No abstract provided.

Assessment Of Condylar Morphology In Various Facial Types-Cbct Study, Dr.Shruti Patil

Annual Research Symposium

Mandibular condyle being part of the TMJ complex, its volume and shape play a pivotal role in treatment stability and outcomes in orthodontic and orthognathic patients over long term periods. Different loading patterns would result in different morphology of the TMJ. The association with different facial types and understanding the relationship between condylar position, morphology and jaw base divergence is limited. This study’s objective is to assess the condylar structure which includes condylar height, width and height of the fossa in different jaw base divergences.

A cross-sectional study was conducted in which 90 patients undergoing Orthodontic treatment were selected and …

Barriers That Affect Equity In The Occupational Therapy Admissions Process: Student And Faculty Perspectives, Quinn P. Tyminski, Lenin Grajo

The Open Journal of Occupational Therapy

The use of holistic admissions in higher education has been demonstrated to increase the diversity of incoming student classes; yet, in occupational therapy (OT) research, admissions processes remain under-explored. This phenomenological study aimed to explore the process of OT admissions from the perspective of students, faculty, and staff at a single OT program with the goal to create a more inclusive, equitable, and holistic process. Focus groups were conducted with first-year students, and an online survey was sent to faculty to explore perspectives on the admissions process, necessary qualities for an OT graduate student, and suggestions for increasing inclusion and …

Intouch Week Of April 15, 2024, New York Medical College

InTouch

• NYMC Hosts 10^th Annual Drs. Gabor and Harriette Kaley Endowed Lecture
• NYMC Hosts Stellar Partial Solar Eclipse Watch Party
• Student Spotlights: Ashley Chory's Path to Global Adolescent Health
• Student Spotlights: Miriam Katz, M.P.H., Shares Her Research on Digital Hypertension Management Tools

Wellness Research & Programming For Bodybuilders, Victoria Castillo, Karen Park, Kersten Laughlin

Spring 2024 Virtual OTD Capstone Symposium

This project explores the occupational impact on bodybuilders and wellness & program development for competitive bodybuilders. Phase one focuses on research to understand the occupational impact on bodybuilders during competition. Phase two, which focuses on program development, highlights the alignment to the objectives as they allow for the development of an educational program intended for bodybuilder coaches to help with health prevention and wellness with their bodybuilder clients.

Integrative Assessment And Prediction Modeling For Injury Risk Mitigation In Division 1 Female Soccer Athletes: A Comprehensive Approach Utilizing Wearable Technology, Joseph Amitrano, Juqi Lin, Gina Lewandowski, Lauren Calabrese, Dhruv Seshadri

International Journal of Exercise Science: Conference Proceedings

There is a pressing need for effective injury prevention methods to mitigate time-loss injuries. This study aims to develop a predictive recovery model for Division 1 female soccer athletes by integrating physiological, biomechanical, and subjective wellbeing assessments. PURPOSE The growing popularity of women's sports, particularly soccer, has brought the critical issue of injury risk management. While existing literature underscores the importance of maintaining an optimal acute to chronic workload ratio (ACWR) to mitigate injury risks, there remains a gap in understanding additional predictive metrics for athlete health. This deficit is pronounced in the context of women's soccer, where research focusing …

Leveraging Wearable Technology For Physiological Modeling In Guiding Return To Play Protocols For Athletes Post-Acl Reconstruction Surgery, Dhruv Seshadri, Milad Zarrinfar, Marco Giuliani, Kevin Cahill, Joseph Amitrano

International Journal of Exercise Science: Conference Proceedings

There is a clinical need to quantify return to play when assessing athletes’ post-surgery. This study aims at developing physiological models to predict recovery time post-Anterior Cruciate Ligament (ACL) surgery in Division 1 Football players by integration of physiological and subjective data. PURPOSE Amidst the pressure to excel in top athletic competitions, athletes frequently endure ligamentous injuries, notably ACL tears. Yet, there's no standard method for quantifying return-to-play post-ACL reconstruction, leaving rehabilitation without an objective measure to assess athletes' readiness. Holistic assessment integrating physiological and subjective measurements can facilitate return prediction. METHODS This case study evaluates two Division 1 football …

Comparing The Effect Of N-95 Vs Surgical Mask Use On Resting Metabolic Data Changes, Robert Steinberg, Alexander Rothstein, Amerigo Rossi, Alyssa Hillian, Joanne Difrancisco-Donoghue

International Journal of Exercise Science: Conference Proceedings

Face masks reduce the spread of viral respiratory particles, however, their impact on respiratory physiology requires further research. Previous studies reported negative changes in gas exchange data when wearing a surgical mask, however, breath-by-breath data has not been analyzed. PURPOSE: To compare physiological changes when wearing an N95 mask and surgical mask at rest. Variables measured include oxygen consumption (VO2), carbon dioxide ventilation (VC02), respiratory exchange ratio (RER), heart rate (HR), respiratory rate (RR), minute ventilation (MV), and discomfort. METHODS: 42 subjects ages 18-55 (19 men; age 22.98±3.83) were recruited. Exclusion criteria was a history of metabolic disease/claustrophobia. Respiratory and …

Responsiveness Of The Sit-To-Stand Test To Measure Lower Body Power, Jose Antonio Tan

International Journal of Exercise Science: Conference Proceedings

Muscle power declines at a faster rate and demonstrates a stronger association with physical function than strength, emphasizing the growing importance of assessing muscle power. The Sit-to-Stand (STS) test is a novel test to measure lower body power that is valid and reliable, while also being portable and affordable. However, its responsiveness to change or longitudinal validity is unknown. PURPOSE: To examine the responsiveness to change of the Sit-to-Stand test in comparison to the pneumatic leg press in measuring lower body power. METHOD: 23 community-living adults, aged 50-80, were recruited. Participants underwent a full body strength training workout twice a …

Knee Injuries In Nfl Lineman -- A Correlation With Bmi, Michael Lem Md, John Bianchi Do, Austin Irwin, Robert J. Farrell Md, Cole Siegenfeld

International Journal of Exercise Science: Conference Proceedings

Knee Injuries in NFL Linemen - Correlation with BMI

Dr. Michael Lem, MD; Dr. John Bianchi, DO; Austin Irwin, OMS II; Dr. Robert Farrell, MD; Cole Siegenfeld, OMS II

Purpose:

Knee injuries are among the most common injuries suffered in the NFL which in turn can decrease a player's playing time in a given season and thus negatively impact future performance. Understanding characteristics like BMI can help modify and identify players at risk for knee injuries.

Methods and Study Design:

Data collected for this study was extracted from the official NFL database of injuries.

Reported knee injuries for offensive and …

Bioinformatics To Guide Musculoskeletal Modeling: A Retrospective Study From Olympic Water Polo Athletes, Dhruv Seshadri, Tony Del Vecchio, Hayley Whitney, Tim Gabbett

International Journal of Exercise Science: Conference Proceedings

GNYACSM Original Research Abstract

Bioinformatics to Guide Musculoskeletal Modeling: A Retrospective Study from Olympic Water Polo Athletes

DEL VECCHIO TONY, WHITNEY HAYLEY, GABBETT TIM

Seshadri Lab; Bioengineering; Lehigh University; Bethlehem, PA

Category: Masters

Advisor / Mentor: Seshadri, Dhruv dhs223@lehigh.edu

ABSTRACT

There is a pressing need for effective injury prevention methods to mitigate time-loss injuries. This study aims to develop a robust injury risk assessment model for water polo athletes by assessing the interplay between load-response metrics, and leveraging artificial intelligence to forecast wellness based on prior assessments.

PURPOSE

Water polo athletes present with upper extremity injuries in the hip, knee, …

Effectiveness Of Mobile Health Sedentary Time Interventions In Older Adults: A Systematic Review And Meta-Analysis, Siqing Chen, Lili Yang, Carol Ewing Garber Facsm, Matthew Stults-Kolehmainen Facsm, Chenchen Wang, Yuting Yang, Qiao Yuan

International Journal of Exercise Science: Conference Proceedings

mHealth is the provision of health care and health information through mobile electronic devices.The prevalence of sedentary behaviors (SB) among older adults is increasing, underscoring the urgent need for effective mHealth interventions. Evidence of the effectiveness of mHealth in older adults is unclear. PURPOSE: The study aims to 1) explore the effects of mHealth interventions on reducing SB; and 2) examine the influence of potential moderators on mHealth interventions' effectiveness by analyzing subgroups according to participants' characteristics and intervention specifics. METHODS: A systematic review and meta-analysis of randomized controlled trials were conducted. A literature search was conducted using multiple databases …

Perceived Recovery States And Physical Fitness In Reserve Officers’ Training Corps Cadets, Lianne Emanuel, Jessie Hirsch, James Bodendorf, Amy Loin, Gregory Ioannides, Aliya Catanzarita, Joseph Schnatter, Isaac Stein, Tarek Harhash, Sean Kane, Julianne Rung, Katie Sell

International Journal of Exercise Science: Conference Proceedings

Reserve Officers’ Training Corps (ROTC) cadets are challenged mentally, emotionally, and physically with the physical fitness requirements (e.g., Army Combat Fitness Test or ACFT) required within their military science curriculum. Common physical fitness tests such as those for strength, power, and balance can provide insight into the recovery and readiness status of tactical athletes. PURPOSE: The purpose of this study was to explore the relationship between scores on the Short Recovery and Stress Scale (SRSS) and performance on a physical fitness test battery assessing balance, mobility, body composition, muscular strength, and power in collegiate ROTC cadets. METHODS: Seventeen …

Heart Rate Response To Maximal Exercise In A Participant With C8 Spinal Cord Injury, Jessie Hirsch, Alex Rothstein, Norbert Holowat Jr, Michele Aquino, Amerigo Rossi, John P. Handrakis

International Journal of Exercise Science: Conference Proceedings

Motor, sensory, and autonomic dysfunction are a common sequela after spinal cord injury (SCI) and typically impair cardiovascular responses to exercise. However, some individuals with cervical SCI (tetraplegia) and “complete” motor and sensory injury (AIS A) demonstrate the ability to increase heart rate (HR) above the limit achievable by vagal withdrawal alone (~110 bpm). PURPOSE: The purpose of this test was to highlight the unexpected HR response to a continuous graded exercise test. (GXT) in a wheelchair athlete with tetraplegia. METHODS: A 26-year-old male with tetraplegia after a SCI (classification neurological level of injury (NLI) C8, AIS A) …

Initiating Culturally-Directed Education For Hispanic Adults With Type 2 Diabetes Mellitus, Marie Davis, Jennifer Smith, Mandy Horner

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND:

The U.S. Hispanic population has the highest rate of Type 2 diabetes mellitus (T2DM), which is influenced by socio-economic status and language barriers. Current evidence suggests that the delivery of culturally-directed Diabetes Self-Management Education (DSME) with the use of an interpreter can reduce diabetes-associated complications.

LOCAL PROBLEM:

The project took place at a free clinic in North Carolina. The purposes of this project was to create a culturally-directed DSME bundle for Hispanic adults with the use of a Spanish interpreter to improve understanding of T2DM management.

METHODS:

The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was …

Working Under Pressure: Evidence-Based Risk Assessment And Pressure Injury Prevention In The Pediatric Intensive Care Unit, James A. Hutcheson Iv, Allyson M. Neal

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Background: The hospital-acquired pressure injury (HAPI) can have physiologic, psychologic, and financial sequelae. Children are at increased risk secondary to immature physiology, developmental differences, and severity of illness. Evidence suggests presence of medical devices exponentiates HAPI risk.

Local Problem: Upward trends in HAPIs revealed nearly 50% are device related in the project setting, an urban Pediatric Intensive Care Unit. The Braden QD Scale was identified as best evidence for HAPI risk assessment. This initiative aimed to observe the ability of the Braden QD Scale as a predictor of HAPI risk as compared to current practice utilizing the Braden Q …

Improving Outcomes For Persons With Opioid Use Disorder By Introducing Buprenorphine In The Emergency Department, Emily Caroline Wegenka, Mary Johnson, Thomas Vajen

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Opioid related death is the leading cause of accidental death in adults younger than 50 years old in the United States (US) with approximately 130 opioid related deaths daily. Emergency department (ED) visits for a non-fatal overdose, the one-year mortality is 4.7-5.5%. Studies show increased access to medications for opioid use disorder (MOUD) decrease morbidity and mortality related to OUD. Additionally, there is evidence that initiating MOUD in the ED increases engagement in outpatient follow up, also reducing morbidity and mortality associated with OUD.

LOCAL PROBLEM: The setting for this practice improvement project was a non-profit, rural …

Antibiotic Stewardship In Patients With Viral Upper Respiratory Illness: Improving Quality Measures In Retail Health, Meredith A. Nolan, Robin Harris, Clay Smith

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Millions of people will die from antibiotic-resistant bacterial infections in the next 30 years. Retail health providers are pivotal in this global epidemiological problem.

LOCAL PROBLEM: Setting included 15 retail health clinics operated by Vanderbilt University Medical Center in Middle Tennessee. Project examined provider education, patient engagement, and commitment to antibiotic stewardship, components of the CDC's Core Elements of Outpatient Antibiotic Stewardship framework. Specific aims were that providers would have a significant reduction in the percentage of antibiotics prescribed for viral illness over the study period.

METHODS: Using the Evidence-Based Practice Improvement Model, a Quality Improvement …

Reducing Copd Readmissions Through The Implementation Of A Guideline-Based Clinical Pathway: An Evidence-Based Practice Improvement Project, Hannah F. Hall, Allyson Neal, Samantha Bauer

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of death worldwide. It is characterized by airway inflammation and damage that inhibits appropriate airflow. Exacerbations of COPD (ECOPD) hasten disease progression and have profound impacts on the patients.

Local Problem: East Tennesseans experience higher rates of COPD than the rest of the state. Community members at the project site identified that the inpatient management of ECOPD is inconsistent and discordant with the 2023 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. The purpose of this project was to reduce readmissions and increase guideline concordance by developing an algorithm …

Best Screening: Introducing The Neonatal Assessment Visual European Grid To Nicus In Tennessee, Gabrielle Sledge

OTD Capstone Projects

Blind Early Services Tennessee (BEST) is an early intervention agency that serves children ages 0-5 with visual impairments across Tennessee. BEST serves over 200 children and families across the state offering early intervention (BEST Start), parent empowerment (BEST Advocate), and family support (BEST Together) programming. The purpose of this project was to assist in the implementation of an early identification initiative (BEST Screening) using the Neonatal Assessment Visual European Grid (NAVEG). The NAVEG is a newborn vision screening shown to identify neurological risk for visual impairments. The long-term goal of this program is to promote the screening and early identification …

Health Professional Students Receiving Osteopathic Manipulative Treatment: An Interdisciplinary And Interprofessional Activity To Improve Attitudes Towards Osteopathic Medicine And Interprofessional Collaboration, Nicole Neiman, Justinas Joksas, Erica Sickel, Anne Marie Zeller

Research Day

No abstract provided.

Perceived Recovery States And Physical Fitness In Reserve Officers’ Training Corps Cadets, Lianne Emanuel, Jessie Hirsch, James Bodendorf, Amy Loin, Gregory Ioannides, Aliya Catanzarita, Tarek Harhash, Joseph Schnatter, Isaac Stein, Sean Kane, Julianne Rung, Katie Sell

International Journal of Exercise Science: Conference Proceedings

Reserve Officers’ Training Corps (ROTC) cadets are challenged mentally, emotionally, and physically with the physical fitness requirements (e.g., Army Combat Fitness Test or ACFT) required within their military science curriculum. Common physical fitness tests such as those for strength, power, and balance can provide insight into the recovery and readiness status of tactical athletes. PURPOSE: The purpose of this study was to explore the relationship between scores on the Short Recovery and Stress Scale (SRSS) and performance on a physical fitness test battery assessing balance, mobility, body composition, muscular strength, and power in collegiate ROTC cadets. METHODS: Seventeen ROTC cadets …

Effects Of Electrical Exercise On Self-Reported Depression And Quality Of Life In Those With Spinal Cord Injury, Aj Barber, Eric Heidorn, John Mcdaniel, Cody S. Dulaney

International Journal of Exercise Science: Conference Proceedings

One of the most common psychological disorders that occur as a result of spinal cord injury (SCI) is depression along with reductions in quality of life. Moreover, depression is correlated with quality of life. It is increasingly apparent that exercise offers an accessible and non-pharmacological intervention to ease depressive symptoms and improve quality of life. Unfortunately, access to meaningful exercise options remains challenging to those with mobility impairments such as those seen with SCI. PURPOSE: The purpose of this study was to assess the chronic engagement of home-based electrical stimulation exercise (ESE) on self-reported depression and quality of life …