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Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, UnChan Pyon 2019 University of Vermont

Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, Unchan Pyon

Family Medicine Clerkship Student Projects

Most medical organizations recommend against the use of benzodiazepine use for the treatment of insomnia, especially in the elderly. However, the percentage of the adult population on benzos increase with age: 7.5% in adults ages 51-64; 9% in adults over 65. Alternative therapies for insomnia, including online CBT, require more commitment than taking a medication so many patients opt for medication. This project aims to increase awareness of benzodiazepine use for insomnia and provide support for nonpharmacological therapies.


Evaluating The Effectiveness Of A Formal Dementia Care Training Program: Abilities Care Experts™, Carmen Joaquin, Michelle D'Amato, April Perez, Louiza Alexandria Villarina, Sophie E. Miller 2018 Dominican University of California

Evaluating The Effectiveness Of A Formal Dementia Care Training Program: Abilities Care Experts™, Carmen Joaquin, Michelle D'Amato, April Perez, Louiza Alexandria Villarina, Sophie E. Miller

Master's Theses and Capstone Projects

Overview: Abilities Care Experts™ (ACE™) is an educational training program for nursing staff who care for individuals with dementia in skilled nursing facilities (SNF). The objective of the program is to provide the nursing staff with knowledge, and methods to engage residents’ remaining abilities in order to maximize occupational participation using a stage-specific dementia care approach. ACE™ training has yet to be evaluated for effectiveness in a controlled study design.

Objectives: This study sought to evaluate the effectiveness of the ACE™ training.

Design: The study employed a quantitative, cross-sectional, quasi-experimental design.

Participants: A total of 29 CNAs, 13 ACE™ trained ...


Health Professions Faculty Beliefs, Confidence, Use, And Perceptions Of Organizational Culture And Readiness For Ebp: A Cross-Sectional, Descriptive Survey, Kerry A. Milner, Holly B. Bradley, Tammy M. Lampley 2018 Sacred Heart University

Health Professions Faculty Beliefs, Confidence, Use, And Perceptions Of Organizational Culture And Readiness For Ebp: A Cross-Sectional, Descriptive Survey, Kerry A. Milner, Holly B. Bradley, Tammy M. Lampley

Nursing Faculty Publications

Background: Evidence-based practice (EBP) is an essential skill and ethical obligation for all practicing health professions clinicians because of its strong association with improved health outcomes. Emerging evidence suggests that faculty who prepare these clinicians lack proficiency to teach EBP.


Addressing Hydrocephaly In Viet Nam: A Plausible Prevention And Intervention Medical Support Program Proposal, Chelle McIntyre-Brewer 2018 University of Nebraska at Omaha

Addressing Hydrocephaly In Viet Nam: A Plausible Prevention And Intervention Medical Support Program Proposal, Chelle Mcintyre-Brewer

Student Research and Creative Activity Fair

Families affected by hydrocephalus in Viet Nam have few options for sustainable treatment for a myriad of reasons, primarily centering on barriers to care prevalent to minority, underserved, and economically disadvantaged populations. High morbidity and abandonment rates often result from these circumstances. An interdisciplinary examination of the factors contributing to causal concerns reveals unique cultural considerations, language and literacy barriers, ethnic and geographic differences, as well as economic and governmental issues greatly impacting patient outcome for this condition. The author contends that a program that addresses sociological concerns, along with the medical treatment of the patient, proffers the opportunity for ...


Psychological And Physical Response To Neuromuscular Electrical Stimulation, Jennifer A. Jasso M.S., Joni A. Mettler Ph.D, Lindsay E. Kipp Ph.D 2018 Texas State University - San Marcos

Psychological And Physical Response To Neuromuscular Electrical Stimulation, Jennifer A. Jasso M.S., Joni A. Mettler Ph.D, Lindsay E. Kipp Ph.D

International Journal of Exercise Science: Conference Proceedings

Neuromuscular electrical stimulation (NMES) is commonly used to improve muscle function in physical rehabilitation settings. However, reasons for limited use as an alternative to voluntary exercise may be due to lack of familiarity and perceived discomfort during treatment. PURPOSE: The purpose of this study was to determine attitude toward NMES exercise and perceived pain and muscle soreness experienced from NMES exercise with increasing stimulation intensity. METHODS: Thirty healthy adults (age: 23.6 ± 0.5 years) who had not experienced electrical stimulation within the last year completed the study. Repetitive, intermittent stimulation of 10 seconds on and 15 seconds off was ...


Femoral Neck Stress Fracture In A Female Triathlete: Clinical Presentation And Management, Jaime A. Aparicio, Katie Cannizzaro, Alexis Ortiz 2018 Memorial Hermann Ironman Sports Medicine Institute

Femoral Neck Stress Fracture In A Female Triathlete: Clinical Presentation And Management, Jaime A. Aparicio, Katie Cannizzaro, Alexis Ortiz

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: A 31-year-old female triathlete developed R+ hip pain during a training run in preparation for a full Ironman. The athlete experienced an immediate onset of R+ anterior hip pain as she began to increase pace while running intervals. She stopped immediately and was unable to run or walk without R+ hip pain. The patient was referred to physical therapy. PHYSICAL EXAM: Initial examination in the outpatient physical therapy clinic revealed hip AROM within normal limits and PROM of the R+ limited in both flexion and internal rotation. Resisted strength testing revealed weakness and pain of R+ hip flexors ...


Baseline And Post-Concussive Neurocognitive And Physiological Assessments In Minor Student Athletes, Sarah A. Massey, Sierra Duran, Klaudia Szych, Andi Johnson, Ariel Gomez, Lorenzo Juarez, Annajita A. Rubio, Matthew A. Barlow PhD 2018 Eastern New Mexico University

Baseline And Post-Concussive Neurocognitive And Physiological Assessments In Minor Student Athletes, Sarah A. Massey, Sierra Duran, Klaudia Szych, Andi Johnson, Ariel Gomez, Lorenzo Juarez, Annajita A. Rubio, Matthew A. Barlow Phd

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: There is a higher risk of post-concussion syndrome among minor athletes. This has resulted in The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), which is currently the primary test for collegiate and high school athletes for concussion assessment and return to play. Previous work from our lab has indicated a significant detection of cognitive deficit with a battery of cognitive testing including the Test of Variables of Attention (TOVA) and dual task testing incorporating balance testing along with the Stroop and number recall. In the previous findings these tests identified cognitive decline including reaction time and fine motor deficiencies ...


Delayed Onset Muscle Soreness Attenuation By Acute Consumption Of Essential Amino Acids, Andi Johnson, Klaudia Szych, Ariel Gomez, Shannon Jackson, Annajita A. Rubio, Sarah A. Massey, Abraham Gomez, Lorenzo Juarez, Matthew A. Barlow 5622543 2018 Eastern New Mexico University

Delayed Onset Muscle Soreness Attenuation By Acute Consumption Of Essential Amino Acids, Andi Johnson, Klaudia Szych, Ariel Gomez, Shannon Jackson, Annajita A. Rubio, Sarah A. Massey, Abraham Gomez, Lorenzo Juarez, Matthew A. Barlow 5622543

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Essential amino acids have been known to be necessary for protein nutrition whether they are obtained by eating proteins or by a formula of the essential amino acids. Studies have consistently demonstrated the acute benefits of protein supplementation on post-exercise muscle anabolism, which may facilitate the recovery of muscle function and performance. However, when protein supplements have been provided in research studies, acute changes in post-exercise protein synthesis and anabolic intracellular signaling have not resulted in measureable reductions in muscle damage and enhanced recovery of muscle function. PURPOSE: The aim of this study is to implement a specific content ...


Assessment Of Multiple Concussive Athletes With Dual Task Triple Stroop And Aerobic Exercise, Sierra Duran, Sarah A. Massey, Ariel Gomez, Matthew A. Barlow 5622543 2018 Eastern New Mexico University

Assessment Of Multiple Concussive Athletes With Dual Task Triple Stroop And Aerobic Exercise, Sierra Duran, Sarah A. Massey, Ariel Gomez, Matthew A. Barlow 5622543

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Athletic concussion testing has mostly recently relied on a sedentary computer neurocognitive test battery called the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Previous tests directly compare baseline with post-concussion analysis of patient in regards to different cognitive aspects including; working memory, processing speed, and response time. No physical tests are included in the ImPACT analysis for return-to-play action. PURPOSE: In previous studies from our lab in these populations we concluded that the combination of a physical neural impediment with cognitive tests (dual-task with balance impairment) created a greater degree of impairment not observed in the sedentary ImPACT test ...


Effects Of Acute Low-Intensity Cycling On Perceived Stress, Arousal, And Attention, Alyssa G. Vigil, David J. Cleveland, Megan E. Ruhland, Ryan L. Olson 2018 University of North Texas

Effects Of Acute Low-Intensity Cycling On Perceived Stress, Arousal, And Attention, Alyssa G. Vigil, David J. Cleveland, Megan E. Ruhland, Ryan L. Olson

International Journal of Exercise Science: Conference Proceedings

Generally, acute bouts of aerobic exercise have been shown to enhance psychological measures of emotion, mood, and affect. Previous investigations suggest that perceived stress and arousal levels are especially influenced by exercise. Interestingly, very few studies have examined the influence of exercise on attention and whether changes in stress and arousal may augment adaptations in attentional orientation that are often required during exercise. Furthermore, very little is known about the timing of the effects of exercise on these psychological outcomes. PURPOSE: The primary purpose of this study was to examine the effects of low-intensity aerobic exercise on stress, arousal, and ...


Exercise Is Medicine-On Campus Initiative At Southwestern University, Kali Rose, Vanessa Mikan PhD 2018 Southwestern University

Exercise Is Medicine-On Campus Initiative At Southwestern University, Kali Rose, Vanessa Mikan Phd

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: The Exercise Is Medicine (EIM) global health initiative aims to increase the amount of physical activity (PA) people are engaging in, with the intent of helping them meet the U.S. National PA guidelines. INTRODUCTION: The need for an increase in daily PA is becoming more evident with the steady increase in overweight and obesity rates impacting our quality of non-diseased life years. Research supports the numerous physical and mental benefits associated with exercise. The historical use of exercise as medicine dates back to over two millennia ago in which it was prescribed to help cure a variety of ...


The Effects Of Fluid Milk In Attenuating Postprandial Hyperglycemia In Adults With Android Obesity, Jay A. Shah, Miriam Pearman, Hirofumi Tanaka 2018 University of Texas at Austin

The Effects Of Fluid Milk In Attenuating Postprandial Hyperglycemia In Adults With Android Obesity, Jay A. Shah, Miriam Pearman, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Postprandial glucose levels are more predictive of cardiovascular disease (CVD) than fasting levels and elevated postprandial glucose negatively impacts vascular reactivity and endothelial function. Chronic high consumption of milk and dairy products are associated with reduced risk of diabetes and CVD due, in part, to changes in peripheral vasodilation and hemodynamics. PUROSE: To determine whether a single serving of non-fat milk could attenuate postprandial hyperglycemia independent of its protein content. METHODS: In a randomized controlled crossover study, twenty-nine overweight/obese adults had their body composition determined via DEXA and completed an oral glucose tolerance test (OGTT) of 75g glucose ...


How People Identify Their Physical Activity Patterns And Neighborhood Walkability: A Pilot Study, Andrea C. Gilson, Misty Kesterson 2018 Texas A&M University - Corpus Christi

How People Identify Their Physical Activity Patterns And Neighborhood Walkability: A Pilot Study, Andrea C. Gilson, Misty Kesterson

International Journal of Exercise Science: Conference Proceedings

The walkability of neighborhoods is considered an important indicator of public health. Walkability is defined as a composite of population density, street connectivity, and business access. The walkability of one’s neighborhood can influence one’s perceived physical function and body mass index. PURPOSE: In this research project, we examine how one perceives the walkability of their neighborhood and how that influences self-reported body mass index, physical function, and outcome expectations for exercise. METHODS: Participants were asked to complete a survey that consisted of 45 questions which included demographic information, one’s physical function (Physical Function Questionnaire - Short Form 10b ...


Exercise In Aging: Can Handgrip Training Improve Skeletal Muscle Oxidative Recovery Kinetics?, Susie Chung, Ryan Rosenberry 2450189, Paul Bhella, Michael Nelson 2018 University of Texas at Arlington

Exercise In Aging: Can Handgrip Training Improve Skeletal Muscle Oxidative Recovery Kinetics?, Susie Chung, Ryan Rosenberry 2450189, Paul Bhella, Michael Nelson

International Journal of Exercise Science: Conference Proceedings

Loss of skeletal muscle function is a key factor contributing to reduced mobility and quality of life in aging individuals. While the exact mechanism remains unclear, impaired skeletal muscle oxidative capacity has been shown to play a major role. Exercise training increases oxidative capacity early in life; however, the potential for exercise to improve oxidative capacity later in life remains equivocal. PURPOSE: To test the hypothesis that 4 weeks of exercise training can improve skeletal muscle oxidative capacity in elderly individuals beyond the 6th decade of life. METHODS: To-date, 4 community-dwelling seniors from the local Dallas-Fort Worth area (70 ...


Effects Of Blood-Flow Restriction On Hemodynamic And Cardiorespiratory Responses To Aerobic Exercise Testing, Jordan H. Stovall, Stacy D. Hunter, John L. Walker 2018 Texas State University - San Marcos

Effects Of Blood-Flow Restriction On Hemodynamic And Cardiorespiratory Responses To Aerobic Exercise Testing, Jordan H. Stovall, Stacy D. Hunter, John L. Walker

International Journal of Exercise Science: Conference Proceedings

Blood-flow restriction (BFR) training has grown increasingly popular in the world of resistance training with noted benefits for muscle health in healthy individuals as well as a potential alternate training mode for populations who cannot tolerate high-intensity exercise. Although BFR resistance training is well-studied, its effects on hemodynamic and cardiorespiratory responses to aerobic exercise are not clearly established. PURPOSE: to evaluate hemodynamic and cardiorespiratory responses to aerobic exercise with and without BFR during submaximal treadmill exercise testing. METHODS: Ten healthy, physically active college students participated in two testing sessions, separated by ~7 days, completing a modified Balke treadmill exercise test ...


Recovery Of Hindlimb Bone Mass Following Prolonged Disuse, Nicholas A. Igbinigie, Corinne Metzger, Susan Bloomfield 2018 Texas A&M University

Recovery Of Hindlimb Bone Mass Following Prolonged Disuse, Nicholas A. Igbinigie, Corinne Metzger, Susan Bloomfield

International Journal of Exercise Science: Conference Proceedings

Bone is a dynamic tissue that responds to mechanical loads placed on it. For populations with extensive periods of disuse, like those in prolonged bed rest and astronauts during long-duration spaceflight, significant bone loss can occur. The purpose of this study was to determine the effects of prolonged disuse on weight-bearing bones and the length of time needed to recover disuse-induced bone loss utilizing the hindlimb unloading (HU) method in young rodents. We hypothesized that hindlimb bone mass would partially recover to age-matched control levels by 14 days of recovery following prolonged disuse and fully recover by 90 days of ...


Coagulation Activation Pathway May Be Altered In Individuals Comorbid With Hiv And Type 2 Diabetes, Anthony Wolfe, Julie Zuniga, Michelle Harrison 2018 University of Texas at Austin

Coagulation Activation Pathway May Be Altered In Individuals Comorbid With Hiv And Type 2 Diabetes, Anthony Wolfe, Julie Zuniga, Michelle Harrison

International Journal of Exercise Science: Conference Proceedings

The expected lifespan of persons living with human immunodeficiency virus (PLWH) has increased significantly due to improved treatment options. However, an unintended consequence has been an increased prevalence of chronic diseases such as type 2 diabetes mellitus (T2D). It is therefore important to explore the underlying biological mechanisms for this increased risk of T2D among PLWH since it is not yet well understood. Investigation of specific biomarkers could help define the pathogenesis of T2D in PLWH and yield many positive outcomes including the detection of ‘at risk’ individuals as targets of early interventional strategies along with identification of new diagnostic ...


Potential Diurnal Variation In Dual X-Ray Absorptiometry Collected Skeletal Muscle Mass Measures: A Pilot Study, Jeb F. Struder, Daniel Newmire 2018 Texas A&M University-Corpus Christi

Potential Diurnal Variation In Dual X-Ray Absorptiometry Collected Skeletal Muscle Mass Measures: A Pilot Study, Jeb F. Struder, Daniel Newmire

International Journal of Exercise Science: Conference Proceedings

Skeletal muscle mass (SKMM) is ~30 to ~40 % of total body weight. Measuring SKMM is an important assessment for both exercise and nutritional research. There is biological variation in dual X-ray absorptiometry (DXA) estimates related to subject presentation, changes in tissue hydration, as well as GI tract contents. The consumption of water alone may increase lean mass estimates. PURPOSE: The purpose of this study is to examine how normal daily activities (e.g. eating, sleeping, exercise) may influence SKMM measures using DXA. METHODS: (Mean ± SEM; n = 8; ht: 170.2 ± 8.1 cm; wt: 70.6 ± 5.1 kg; body ...


Plantar Fasciitis, Ashley Brown, Chuck Ruot 2018 Hardin-Simmons University

Plantar Fasciitis, Ashley Brown, Chuck Ruot

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: During the initial meeting with the patient, they will describe an intense pain they have been experiencing in their calcaneal region. This type of pain is prevalent as an overload injury, excessive foot pronation during walking or exercise, or obesity. Other risks for plantar fasciitis would be prolonged running periods, high arch, leg length discrepancy, or tightness of the Achilles tendon. Usually the patient states experience of a sharp pain in the mornings when they first get up, after standing for a long time, or after sitting down and resting for a period of time. Upon hearing ...


Influence Of Age And Gender On Indoor Rowing Performance, Briana N. Dawkins, Stephen J. Roy, Hirofumi Tanaka 2018 University of Texas at Austin

Influence Of Age And Gender On Indoor Rowing Performance, Briana N. Dawkins, Stephen J. Roy, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

Physiological functional capacity is important in determining one’s ability to perform functional tasks and can be determined by studying peak exercise performance. Rowing is a unique sport requiring substantial muscle strength as well as high endurance capacity. Since it is a non-weight bearing activity, a number of older adults in general and older women in particular engage in this activity as they age. PURPOSE: To examine the relationship between aging, gender, and exercise task duration using indoor rowing performance records. METHODS: World records from indoor rowing events were analyzed and plotted against age (17-99 years of age) in both ...


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