Medicine and Health Sciences Commons^™

Patient-Initiated Second Opinions During Acute Hospital Care, Roni Gagin, Neta Hagani, Esti Zigelboim, Shiri Shinan-Altman

Patient Experience Journal

Second opinions are used in medicine in order to make better-informed decisions. Only a few studies have examined patient-initiated second opinions, and even fewer have examined it in the context of acute hospitalization. It is not clear whether patients and families are aware of this right and how often they exercise it during acute hospitalization. The objective of this paper is to identify factors associated with the awareness and utilization of patient-initiated second opinions. A survey was conducted among 92 neurosurgical patients who completed a questionnaire that included information regarding: awareness of second opinion consultations, reasons for not seeking a …

Engagement Of Patients With Scleroderma To Revise An Internet Self-Management Program, Janet L. Poole, Sharon L. Newbill, Jennifer Serrano, Dana Rosson, Josephine Battyany, Laura Dyas, Luke Evnin, Dennis W. Raisch, Cynthia Maxwell, Mary Alore, Saville Kellner, Pedro Cuencas, Richard M. Silver, Dinesh Khanna

Patient Experience Journal

Systemic sclerosis (SSc) or scleroderma is a rare connective tissue disease. Many people do not have access to education programs. A self-management program was developed several years ago based on the literature and input from people with SSc. However, new therapies and treatment options have been developed since the program was developed. The purpose of this qualitative study was to identify and remedy gaps in an internet SSc self-management program to improve the quality of critical information relevant to effective management of the disease. Six focus groups with 30 participants with SSc were conducted: 2 telephone groups and 4 face-to-face …

Beneath The Surface Of Talking About Physicians: A Statistical Model Of Language For Patient Experience Comments, Taylor Turpen, Lea Matthews Md, Senem Guney Phd, Cpxp

Patient Experience Journal

This study applies natural language processing (NLP) techniques to patient experience comments. Our goal was to examine the language describing care experiences with two groups of physicians: those with scores in the top 100 and those with scores in the bottom 100 among all physicians (n=498) who received scores from patient satisfaction surveys. Our analysis showed a statistically significant difference in the language used to describe care experiences with these two distinct groups of physicians. This analysis illustrates how to apply NLP techniques in categorizing and building a statistical model for language use in order to identify meaningful language and …

The Digital Revolution Will See You Now: Transforming Patient Experience In The Digital Era, Emily Kagan Trenchard, Laura Semlies, Sven Gierlinger

Patient Experience Journal

Industry after industry has reinvented itself in response to upstart challengers and shifting consumer expectations that are the hallmarks of this new era. The same is true in healthcare, where we have weathered the introduction of the electronic medical records, patient portals and now interoperability. But to date our industry’s digital transformation has been guided largely by government regulation – leaving the design of the future of healthcare to be driven by policy makers and executed largely by IT departments. Meanwhile, most other industries have turned to a different guru for inspiration and guidance: the consumer. Northwell Health has undertaken …

Static Cerebral Autoregulation Is Not Altered In Symptomatic Concussed Athletes During Acute Central Hypervolemia, M. Worley, M. O'Leary, J. Sackett, Z. Schlader, J. Leddy, B. Johnson

International Journal of Exercise Science: Conference Proceedings

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Endothelial Permeability Compared At Various Times And Ages Post Skeletal Muscle Injury In Mice, S. Tusavitz, A. Carpenter

International Journal of Exercise Science: Conference Proceedings

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Appropriateness Of The Godin Leisure-Time Exercise Questionnaire To Identify Physically Active College Individuals, M. Sutherlin, K. Dames, K. Polasek

International Journal of Exercise Science: Conference Proceedings

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Assessing Health Trends And Disparities Of College-Aged Students At A Mid-Atlantic Hbcu, M. Rothermel

International Journal of Exercise Science: Conference Proceedings

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Effect Of Duration And Quality Of Sleep On College Student Health Behaviours And Outcomes, A. Rosso, O. Wilson, Z. Papalia, M. Duffey, M. Bopp

International Journal of Exercise Science: Conference Proceedings

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Do Taxane Based Chemotherapies Impair Improvements In Vo2 In Female Cancer Survivors?, H. Piascik, K. Wonders, S. Lorusso

International Journal of Exercise Science: Conference Proceedings

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The Influence Of Physical Activity, Diet, And Substance Use On Academic Performance, P. Matthews, O. Wilson, Z. Papalia, M. Duffey, M. Bopp

International Journal of Exercise Science: Conference Proceedings

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Effects Of Limb Dominance And Sex On Upper Extremity Tissue Composition, J. Kollars, L. Stong, R. Pulcini, A. Mccracken, C. Alvine, J. Andreacci, K. Beyer

International Journal of Exercise Science: Conference Proceedings

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Seasonal Differences In Active Transport Among College Students, J. Kauffman, O. Wilson, Z. Papalia, M. Duffey, M. Bopp

International Journal of Exercise Science: Conference Proceedings

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Evaluating Collagen Matrix Degradation After Acl Reconstruction Using Quantitative Mri, L. Faux-Dugan, J. Williams, K. Neal, A. Khandha, T. Buchanan

International Journal of Exercise Science: Conference Proceedings

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Relative Age Effects In Men’S Collegiate Soccer Are Influenced By Nationality, Position, Class, And Success, K. Beyer, E. Hurley, L. Haile, B. Comstock

International Journal of Exercise Science: Conference Proceedings

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Interprofessional Collaboration To Improve And Sustain Patient Experience Outcomes In An Ambulatory Setting, Natalie Sanchez, Kimberly Hermis

Patient Experience Journal

Patient experience is an important factor across diverse healthcare delivery settings. Despite enhanced attention to and advances in patient experience, many of the published initiatives focus on in-hospital care and opportunities have been identified to continue to strategically address patient experience in the ambulatory setting. This quality improvement initiative presents the development of an interprofessional approach to patient experience in a freestanding ambulatory oncology center. The objective of this initiative was to improve and sustain patient experience, as reflected in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores via Press Ganey. This approach consisted of redesigning a previously …

The Impact Of Response Rate On Hospital Consumer Assessment Of Healthcare Providers And System (Hcahps) Dimension Scores, Erin Godden, Andrea Paseka, Jan Gnida, Joe Inguanzo

Patient Experience Journal

Patient experience measurement is receiving considerable attention from hospital executives, healthcare leaders, purchasers such as the Centers for Medicare and Medicaid Services (CMS), and patients. It is therefore appropriate and necessary to examine the methods of survey administration, and the analysis presented here seeks to understand the impact of one particular aspect of the measurement: response rate. Utilizing publicly reported HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) data from Hospital Compare, a positive correlation between response rate and HCAHPS scores nationwide was identified and replicated. This correlation, which was most recently published by the Hospital Quality Institute (HQI) …

How Have Patients' Experiences Of Cancer Care Been Linked To Survival? A Systematic Review, Saleh A. Alessy, Margreet Lüchtenborg Dr, Elizabeth A. Davies Dr.

Patient Experience Journal

Patient experience of care remains an important indicator of health care quality. Although studies show care experiences are associated with health outcomes for some conditions, the situation for cancer is unclear. New datasets on cancer patients in the US, Canada, and UK linking information on experiences and survival may enable an exploration of any association. This review aimed to identify studies linking any aspect of cancer patients’ experiences to their survival, to inform future analyses. We performed a systematic review using Medline database from January 1998 until March 2018.

The settings included outpatient oncology clinics, primary care, hospitals, and cancer …

Patellofemoral Syndrome, Prystyn M. Covington

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: Patellofemoral syndrome is an aching pain at the front of the knee and is common in athletes. Patellofemoral syndrome occurs due to many factors such as overuse (repetitive stress on the knee), trauma to the knee, surgery, and weak muscles. Surgery to the knee using the patellar tendon as a graft to fix the anterior cruciate ligament greatly increases the risk of pain. Many factors play a role in increasing the risk of developing patellofemoral syndrome such as sports, age, and gender. Most people who develop patellofemoral syndrome tend to be adolescents or young adults. …

Fluctuations In Blood Biomarkers Of Head Trauma In Ncaa Men’S Soccer Athletes Over The Course Of A Season, Javier A. Zaragoza, Andreas Kreutzer, Jonathan Oliver, Anthony Joseph Anzalone, Tori Conger, David A. Julovich, James Hall, Sid O'Bryant, Stacie Urbina, Lemuel W. Taylor Iv

International Journal of Exercise Science: Conference Proceedings

Repetitive subconcussive impacts to the head are commonplace in soccer. The ability to detect the extent of neurological injury due to these impacts over the course of a season is paramount. PURPOSE: The purpose of the current study was to examine alterations in blood biomarkers of head injury over the course of a soccer season. METHODS: Sixteen National Collegiate Athletic Association (NCAA) male soccer athletes participated in weekly blood sampling throughout an 18-week season. Athlete statistics were received from the coaches post-season. Serum samples were stored at -80°C until analysis for Tau and Neurofilament Light polypeptide (NFL) using …

The Effect Of Personality And Motivation On Athletic Performance, Erika R. Dubros

International Journal of Exercise Science: Conference Proceedings

Motivation is key for athletes to perform at their peak performance. However, not all individuals are motivated in the same way. PURPOSE: The purpose of the current study is to determine the effect of participant’s personality traits and applied intrinsic and extrinsic motivation on the performance of a high intensity and low intensity physical task. METHODS: Fourteen participants (8 women, 6 men), with a mean (sd) age of 20.14 (0.91) yrs, completed the Ten-Item Personality Inventory to determine personality types (neuroticism, conscientiousness). Participants then performed in a random order, a high intensity physical activity (pacer test) and a low intensity …

Do Implantable, Progestin Only Contraceptives Alter The Bone Response To Unloading?, Ximena S. Vargas, Heather Cm Allaway, Sarah Little, Susan Bloomfield

International Journal of Exercise Science: Conference Proceedings

Hormonal contraception is routinely used by premenopausal women, including female astronauts, to suppress reproductive function. Long-acting reversible contraceptives (LARC-progestin only) have become a common choice amongst women due to their practicality. PURPOSE: Understand the interaction of unloading and LARC on bone health. We hypothesize that the decrease in bone mineral density (BMD) and cortical thickness of the tibia associated with hindlimb unloading (HU) will be lessened by LARC implantation. METHODS: Virgin female Sprague-Dawley rats (n=26; 4-mo-old) were singly housed and randomly assigned to placebo (PL) and LARC groups, via a slow-release etonogestrel pellet (0.00 vs. 0.09 vs. 0.17 …

The Effects Of Different Intensities Of Resistance Training On Hemodynamics, Edna Giselle Valadez Ortiz, Darian Gonzalez, Lynda Rosas, Akaela Rae Vidaña, Elisa Orozco

International Journal of Exercise Science: Conference Proceedings

PURPOSE: The purpose of this study was to analyze the effects of different resistance training intensities on blood pressure (BP) and heart rate (HR) responses. METHODS: 12 males and 12 females (19-28 age) participated in the study (5 sessions). On the first day, initial screening, anthropometric measures, cycle ergometer seat height, leg extension/leg curl machine setting, and familiarization with testing procedures were completed. On the second day, one-repetition maximum (1RM) testing was completed in 2 trials for each machine, starting with 10 min warm up on the cycle ergometer. Following general warm up, subjects performed specific warm up at 50% …

Spatiotemporal Parameters Of Gait In Active Older Adults, Suzanna Buckingham, Palma Rodriguez-Enriquez, Shana John, Roselle-Mae Robles, Marco Avalos, Brandon R. Rigby

International Journal of Exercise Science: Conference Proceedings

Spatiotemporal parameters of gait can be defined as the time and space characteristics of an individual’s pattern of walking. Gait patterns often change as a result of aging, accompanied by changes in these parameters. PURPOSE: To analyze various spatiotemporal parameters of gait in active older adults and to compare them to known parameters in healthy older adults. METHODS: Spatiotemporal parameters were collected using a timing walkway (GAITRite®, Franklin, NJ). Twenty-three recreationally active participants (9 males and 14 females), age 67.7 ± 9.1 years, who participated in at least 150 min/week of physical activity, were recruited from local outreach …

Education And Use Of The Lelli Test In The Clinical Setting, Nathalie De La Torre, Eduardo Escobar

International Journal of Exercise Science: Conference Proceedings

The knee ligament most susceptible to injury is the anterior cruciate.²˒⁵˒⁸ Detection of a ruptured ACL tear is pivotal in the course of injury care and management process.⁸ The gold reference standard for diagnosing an ACL tear has been arthroscopic evaluation.²˒⁵ However, a MRI may be used as an alternate because it is non-invasive, and it has a sensitivity and specificity of 98% and 94%.²˒⁵ Before the gold reference standard is used, a combination of physical examinations must be performed. The three physical examinations chosen by surgeons because of the exams’ highly researched validity are the Lachman test, Anterior Drawer …

The Effects Of Whole-Body Vibration And Weighted Vest On Vertical Jump Power And Flexibility, Oscar Gomez Delgado, Luis Macias, Jonathan Gonzalez, Murat Karabulut

International Journal of Exercise Science: Conference Proceedings

PURPOSE: The purpose of this study was to assess the effects of the combination of weighted vest and full body vibration platform on jump height and flexibility. METHODS: A total of 29 subjects (15 males and 14 females) completed the study. Upon completion of the paperwork, anthropometric measurements were recorded, and the subjects were familiarized with the protocol. The four randomized conditions were as follows: Combination of whole-body vibration platform and weighted vest (WBV+WV), whole-body vibration platform (WBV), weighted vest (WV), or body weight only (BW). Each experimental session was preceded by a 5-minute warmup on a cycle ergometer at …

Acute Effects Of Squat Position And Whole-Body Vibration Frequency On Muscular Function On Lower Extremities, Jonathan T. Gonzalez, Nancy Calle, Jose M. Sosa, Julissa Perez, Gualberto Garza Iv, Liana Chee, Galilea Chapa, Murat Karabulut

International Journal of Exercise Science: Conference Proceedings

PURPOSE: The purpose of this study was to examine the acute effects of whole-body vibration frequency on muscular function of lower extremities and jump performance depending on squat depth. METHODS: Thirteen male and fifteen female recreationally active subjects (ages 18-40) volunteered to participate in the study. Once all necessary paperwork was completed, anthropometric and equipment settings were recorded. Feet placement for all squats were measured to ensure consistency throughout study. Using a goniometer, the subject’s knees were positioned at 140° (high squat depth) or 90° (low squat depth) of flexion during squat exercises. Randomized testing sessions were as follows: 50 …

An In Vitro Investigation Of The Effects Of Formoterol On Thyroid Hormone-Related Gene Expression During Myogenesis, Gena D. Guerin, Ryan A. Gordon, Emily L. Zumbro, Anthony A. Duplanty

International Journal of Exercise Science: Conference Proceedings

Thyroid hormone (TH) is a primary driver of skeletal muscle (SKM) metabolism as well as myogenesis through stimulation its genetic targets. The conversion and activation of thyroid hormone (T4 to T3) is controlled by local deiodinase 2 and 3 (DIO2, DIO3) activity. This leads to expression of nuclear receptors in promotor regions of specific genes including sarco/endoplasmic reticulum calcium ATPase 1(SERCA1), which is important for homeostasis of calcium regulation during muscle contraction. PURPOSE: The purpose of the study was to examine the effects of the exercise mimetic Formoterol (FORM), a beta-adrenergic receptor agonist, on the expression of thyroid hormone-related …

The Effects Of Twelve Weeks Of Combined Resistance And Aerobic Training On Arm Lean Mass In Post-Menopausal, Obese Women, Jacob O'Connor, Andreas Kreutzer, Michael M. Levitt, Maria A. Cardenas, Carmen Cook, Emily Souder, Kaci Orr, Stephanie Huber, Gail Teagle, Kirby Thames, Elise Erickson, Emma Wichman, Melody D. Phillips

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

Sarcopenia, a loss in muscle mass as a result of aging, is an independent risk factor for disability and is significantly associated with self-reported physical disability in both men and women. Strength training reverses the loss of, or maintains muscle mass in individuals as they age. PURPOSE: To examine the potential change in lean muscle mass of the arms in response to a 12-week combination strength and aerobic exercise training intervention in post-menopausal (55-75 years), obese women. METHODS: Forty-one women were randomly assigned to either an exercise (EX, n=22 ) or education (ED, n=19) group. For twelve …

The Neuromuscular And Muscle Damage Responses To The Farmers Walk: A Pilot Study, Jeb F. Struder, Arriana M. Mcdonald, Jordan B. Wainwright, Joseph B. Eberhardt, Zeina Nader, Noe Deanda, Souhad Z. Bachnack, Cody Haenitsch, Stephen Cumberledge, Daniel E. Newmire, Mikaela D. Boham, Heather E. Webb

International Journal of Exercise Science: Conference Proceedings

The Farmer’s Walk (FW) has been suggested as a useful supplement to resistance training due to its premise as a functional training tool. Minimal information is available concerning biochemical and neuromuscular responses associated with performing the FW. Current literature regarding risks of muscle damage associated with the FW are limited impacting possible use in exercise prescription and application. PURPOSE: The purpose of the study was to investigate the neuromuscular and biochemical responses to the FW when compared to an individual’s unloaded walking pattern (Non-weighted condition; NWC). METHODS: Fifteen participants (Mean ± SEM; age: 21.6 ± 0.5yo; ht: 172.5 …