Education Commons^™

Influence Of Beta And Theta Waves As Predictors Of Simple And Complex Reaction Times In Examined Groups Of Judo Athletes During The Vienna Test, Magdalena Pronczuk, Tomasz Chamera, Alicja Markiel, Jerzy Markowski, Jan Pilch, Piotr Żmijewski, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Introduction: This research aimed to investigate which waves, Theta or Beta, are significant predictors of visual simple and complex reaction times during the Vienna test, using regression modeling. The research material comprised the test results of male judo athletes (n = 24), selected through mixed sampling (purposive and random). The study was conducted in two cycles, differentiated by frequency but with the same duration of EEG biofeedback sessions, in both the control and experimental groups. The first cycle of the study consisted of 15 sessions held every other day. Each training session lasted for 4 minutes. The second series …

The Effectiveness Of Resistance Exercises Performed On Stable And Unstable Surfaces In Relation To Torso Activation, Radim Jebavy, Dusan Blazek, Helena Vomackova, Jan Vavra, Jan Busta, Anna Pisz, Petr Stastny

Baltic Journal of Health and Physical Activity

Introduction: Deep stabilization system (DSS) strength and endurance are crucial for injury prevention and athletic performance. Training surfaces can influence training outcomes; therefore, this study aimed to compare the impact of performing strength trunk exercises on unstable and stable surfaces with conventional trunk exercises. Materials and Methods: DSS and trunk stability were assessed before and after 10 weeks of three different training interventions among twenty elite futsal players. Each intervention included 25 strength training sessions. Pre- and post-tests encompassed various measurements, including diaphragm, trunk flexion, trunk back extension, hip flexion, intraabdominal pressure, side plank, pronation, and supination tests. Results: Conventional …

Reducing Food Scarcity: The Benefits Of Urban Farming, S.A. Claudell, Emilio Mejia

Journal of Nonprofit Innovation

Urban farming can enhance the lives of communities and help reduce food scarcity. This paper presents a conceptual prototype of an efficient urban farming community that can be scaled for a single apartment building or an entire community across all global geoeconomics regions, including densely populated cities and rural, developing towns and communities. When deployed in coordination with smart crop choices, local farm support, and efficient transportation then the result isn’t just sustainability, but also increasing fresh produce accessibility, optimizing nutritional value, eliminating the use of ‘forever chemicals’, reducing transportation costs, and fostering global environmental benefits.

Imagine Doris, who is …

Effects Of Attending To A 12-Week Structured Physical Activity Program On Fitness And Self-Perception Levels Of Obese Primary Schoolchildren, Yetkin Utku Kamuk, Spiridon Kamtsios

Baltic Journal of Health and Physical Activity

Introduction: Childhood obesity is a major health problem especially for schoolchildren both physically and mentally. The study was conducted to assess the effects of the structured physical activity (PA) program on the physical fitness (PF) and self-perception levels of obese schoolchildren. Materials and Methods: A total of 67 students aged 9-11 were recruited and the experimental group (n = 27) was attended to exercises once per week for 60 mins for 12 weeks. Self-perception Scale for Children and PF tests were applied as pre- and post-tests. Results: 12-week PA sessions improved obese schoolchildren’s self-perception levels in general self-worth, athletic …

Comparison Of The Effects Of The Three Methods Of Massage, Selected Yoga Exercises And Massage-Yoga Combination On The Depression In Elderly Women, Elham Piri, Behnam Ghasemi, Ali Shafizadeh

Baltic Journal of Health and Physical Activity

Introduction: The present study aims to compare the effects of massage, selected yoga exercises and massage-yoga combination methods on symptoms of depression. Materials and Methods: According to the research criteria, 60 available samples were selected and randomly divided into three experimental groups and single control one. The Beck Depression Inventory was completed by the examinees before the intervention, two months after its beginning and one month after ending. Each experimental group received one of the massage interventions, selected yoga exercises and massage-yoga combination for eight weeks, three sessions per week and for a period of 40 minutes per session. The …

Recurrent Polymicrobial Bloodstream Infections As Harbingers Of A Duodenal-Inferior Vena Cava Fistula, Gregory E. Koval, Richard J. Hankins, Jasmine R. Marcelin

Graduate Medical Education Research Journal

This is a case of an 82-year-old patient who presented with recurrent polymicrobial bloodstream infections and no obvious undrained source of infection. She had prior double barrel iliocaval stenting for post thrombotic syndrome. The patient underwent exploratory laparotomy and primary repair of a duodenal-caval fistula with a fascia lata patch and an omental pedicle flap. No further bloodstream infections were documented after the repair. This discussion highlights an uncommon complication of IVC stenting, its presentation as well as the operative approach used to repair the fistula.

Association Of The G>A (Rs6265) Polymorphism In The Brain Derived Neurotrophic Factor Gene (Bdnf) With Post-Training Changes In Caucasian Women, Katarzyna Świtała, Agata Leońska-Duniec, Monika Michałowska-Sawczyn, Andrzej Brodkiewicz, Kinga Łosińska, Anna Grzywacz

Baltic Journal of Health and Physical Activity

The brain-derived neurotrophic factor (BDNF) rs6265 (G196A; Val66Met) polymorphism has been associated with obesity and type 2 diabetes, with contradictory results involving either A or G as the risk allele. The main aim of this study was to examine whether the BDNF rs6265 polymorphism would influence the efficiency of a training program. An additional aim was to determine whether selected polymorphism can be used as a genetic marker for obesity-related parameters. We studied the genotype distribution in a group of 160 Caucasian females in whom body mass and composition parameters, lipid profile, and glucose levels were measured before …

Medicine Balls Training In The Sequence Of Complex Handball Training Versus Only Handball Training: Effects On Physical Fitness In Pre-Adolescence Female Handball Players, Natalia Chukhlantseva

Baltic Journal of Health and Physical Activity

Introduction: The inclusion of the training process of pre-adolescent female athletes with additional means helps to optimize exercise influences. The study aims to estimate the influence of a 16-week program of handball training with medicine balls in comparison with a program of handball training on the physical and special training of beginner handball players. Methods: Female athletes were randomly divided into an experimental (n = 30; 11.23 ±0.41 years) and a control (n = 32; 10.99 ± 0.4 years) group. Training sessions of both groups were conducted according to the existing curriculum, but the experimental group replaced part …

Extended Range Of Motion Does Not Induce Greater Muscle Damage Than Conventional Range Of Motion In The Bench Press Exercise, Patryk Matykiewicz, Michał Krzysztofik, Adam Zając

Baltic Journal of Health and Physical Activity

Introduction: Range of motion (ROM) of resistance exercise affects the muscle damage magnitude and the recovery-time course. Thus, the main aim of this study was to compare conventional and extended ROM in the bench press exercise on neuromuscular fatigue assessed by velocity changes during bench press throw, as well on the exercise-induced muscle damage evaluated by creatine kinase (CK) activity in the blood. Material and Methods: A total of fourteen healthy, well-trained males performed 5 sets of the bench press exercise at 70% of one repetition maximum with either standard (STD) and cambered (CMB) barbell until reaching volitional failure. CK …

Botulinum Toxin Type A Injections For Refractory Abdominal Dystonia: A Case Report, William J. Naber Ii, Jodi M. Wilhelm, Kurt A. Kuhlman, Gabriel Howard

Graduate Medical Education Research Journal

Background: A 58-year-old male with chronic bilateral treatment resistant abdominal spasms secondary complications of ascites/ alcoholic cirrhosis. Spasms would occur 4-5 times/day, lasting minutes to hours despite a 2-year course of therapeutic and pharmacological interventions. Due to treatment refraction, 6 uniformly spaced botulinum toxin type A (BTX-A) injections were placed per side, using electromyography for audible intramuscular syringe placement confirmation, while visual confirmation was made via ultrasound. During the initial trial, 6 evenly spaced injections were performed bilaterally, uniformly distributing 80U/side. Injections began bilaterally just medial to the junction of the inferior rib cage border/ anterior axillary line and progressed …

Idiopathic Intracranial Hypertension: A Case Report, Christopher Bugajski Od

Optometric Clinical Practice

Background: Optic nerve head edema is a serious finding for which multiple etiologies need to be considered. When optic nerve head edema is observed bilaterally, among the top differentials is idiopathic intracranial hypertension (IIH), also known as primary pseudotumor cerebri. An emergent magnetic resonance image with and without contrast as well as venography and lumbar puncture with opening pressure measurement must be performed to diagnose and determine management. Case Report: This case specifically features a 30-year-old Caucasian female with bilateral optic disc edema secondary to IIH. In addition to discussing the details regarding this patient’s case, this report …

How Long Does It Take To Master Laryngeal Visualization Using Flexible Nasolaryngoscopy In Children?, Kieran Boochoon, Julina Ongkasuwan, Annie Ahn, Mary Musso, Yi-Chun Carol Liu

Graduate Medical Education Research Journal

Background: To assess when residents become proficient in performing flexible nasolaryngoscopy (FNL) in the pediatric population.

Objective: To objectively evaluate the quality of FNL by year of residency training.

Methods: Ninety-five pediatric FNL’s were performed by otolaryngology residents and pediatric otolaryngology fellows (postgraduate year [PGY] 1 – 6). Three pediatric otolaryngologists rated the FNL videos (anonymized and without sound) using the Modified Cormack-Lehane scoring system (MCLS). Data analysis was performed using two-way ANOVA and Tukey-Kramer adjustment.

Results: Overall, there was a significant difference in the quality of the FNL based on the year of training (p

Conclusion: The quality …

Discordant Cardiopulmonary Resuscitation At An Academic Midwest Medical Center- Prevalence And Solutions, Jeremy Payne, Anne Skinner, David Gannon, Jenenne A. Geske

Graduate Medical Education Research Journal

Background: Code status orders are important features of patient-centered clinical decisions, patient autonomy, and end-of-life care. Despite proper documentation of “do not resuscitate” (DNR) code status, hospitalized patients may be subjected to cardiopulmonary resuscitation (CPR) efforts that go against their wishes.

Purpose: The objective of this study was to identify and describe the population of hospitalized patients receiving discordant resuscitation efforts at a Midwest academic medical center utilizing electronic health records (EHR).

Method: The study included EHR records between 01/01/2011 and 01/01/2021 for hospitalized patients 19 years and older who experienced cardiac arrest (ICD-10 I46) and were documented as DNR. …

The Effects Of Resistance Training On Jumping And Selected Power Variables Of The Lower Limbs In Female Soccer Players, Tomasz Chamera, Magdalena Prończuk, Piotr Smok, Miłosz Drozd, Małgorzata Michalczyk, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Introduction: The aim of the study was to compare the effects of a 6-week intervention of combined soccer training with resistance training on strength and power variables in highly trained female soccer players. It was hypothesized that 6 weeks is sufficient for a significant improvement in jumping ability and power to occur due to the intervention. The study involved 34 female soccer players of the top women’s league (22 ± 5 years old, body height 167 ± 5 cm, body weight 60 ± 8 kg). The players were divided into two groups of 17 participants. The control group performed 3 …

Abductor And Adductor Strength Relation To Sprint Performance In Soccer Players, Paulina Królikowska, Artur Gołaś, Petr Stastny, Jakub Kokstejn, Wojciech Grzyb, Michal Krzysztofik

Baltic Journal of Health and Physical Activity

Wprowadzenie: Siła mięśni bioder odgrywa ważną rolę w sprintach i urazach bezdotykowych, w których należy rozpoznać ich rolę w piłce nożnej. Badanie to miało na celu zbadanie związku między siłą porywacza biodra ( Abd ), przywodzicielem stawu biodrowego ( Dodaj ) i wydajnością sprintu liniowego ( 5 mi 35 m ). Szesnastu profesjonalnych piłkarzy ( Druga Liga Polska ) uczestniczyło w badaniu ( wiek = 24 ± 3,2 lat, masa ciała = 75,3 ± 9,58 kg, wysokość = 179 ± 5,6 cm, doświadczenie w treningu piłki nożnej = 8 ± 2,9 lat ). Sprint liniowy 5 mi 3 m został …

Competency-Based Nursing Education And The Future Of Nursing: Where The Faith Community Nurse Fits In, Mary Lynne Knighten Dnp, Rn, Nea-Bc

International Journal of Faith Community Nursing

Abstract

Two significant nursing landmark reports published in 2021 are enhancing standards and providing guidance for nursing education and practice. The American Association of Colleges of Nursing (AACN) Essentials: Core Competencies of Professional Nursing Education (2021) provides a blueprint for educationally and experientially preparing nurses for practice. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity report defines issues such as health disparities and inequities, with recommendations for the role nurses should play in making change to improve the health of the nation.

This paper seeks to explore the intersections of these two reports with the specialty …

See One, Do One, Teach One: Resident As Teacher Workshop For Communicating Challenging News, Rebecca Shafer, Gabrielle R. Goldberg, Stephanie Izard, Sindee Weiss-Domis, Lauren Block

Internet Journal of Allied Health Sciences and Practice

Purpose: Communicating challenging news to patients is a core skill for all physicians, yet internal medicine residents have variable preparation and comfort level in this area. Lack of well-trained faculty and faculty time pressures limit resident education in communication skills. The use of near peer teachers can be used to expand the capacity of instructors for this vital skill-set. Method: Internal medicine residents participated in a communication skills workshop (Workshop A) based on the SPIKES framework facilitated by palliative-care faculty. In a follow-up session (Workshop B), eight months later, 3^rd year residents acted as near peer teachers for 1 …

The Role Of Emotional States And Mental Techniques In Dancesport: A Systematic Review, Sara Aliberti, Gaetano Raiola, Domenico Cherubini

Baltic Journal of Health and Physical Activity

Introduction: Psychological states during competition seem to be an important factor to determine successful performance. Therefore, the analysis of emotions is essential to understand how emotions can support sports performance. This systematic review aimed to summarize the studies examining the influence of emotional states on dancesport (DS) performance and the use of mental techniques to improve psychological preparation to face the competition. Material and methods. Web of Science, Scholar, Scopus and Pubmed databases were used to search studies. The screening process was summarized within the PRISMA 2020 flowchart. Results. Only 9 articles met our inclusion criteria. The results demonstrated that …

The Impact Of Home Confinement By Covid-19 On Mood State And Adaptive Behaviors In Spanish Swimmers, Jose Carlos Jaenes, David Alarcon Rubio, María José Arenilla-Villalba, Dominika Wilczyńska

Baltic Journal of Health and Physical Activity

Introduction: This study aimed to assess the mental condition of aquatic athletes during COVID-19 lockdowns and identify factors that could predict changes in their emotions and mood disturbances. Materials and Methods: The sample was composed of 506 competitive swimmers (ages 15-36) in four aquatic specializations, with 82.4% competing at the national level. Data was collected through questionnaires between April 10th and May 1st, 2020. Results: Female athletes had higher levels of unpleasant mood states and were generally more vulnerable to the lockdown's harmful effects. Team athletes had higher levels of friendliness, which may be a coping strategy for difficult situations. …

Directions Of Attack And Their Effectiveness Of Male Judo Medalists At The Olympic Competitions., Amar Ait Ali Yahia

Baltic Journal of Health and Physical Activity

Introduction: To perform a technical action, the elite judo athlete examines the direction of attack relative to the opponent's body position. This study aimed to analyze and compare the most frequent and effective attack directions carried out by male Olympic medalists. Materials and Methods: A sample of 112 male medalists performed 3,664 attacks in four Olympic tournaments (2004–2016). ANOVA (one factor) determined inter and intra-Olympic comparisons, followed by the post hoc Bonferroni test (p< 0.05). Eta squared η2 and Cohen's d calculated the effect size, respectively. Results: Olympic medalists oriented their attacks principally in right forward (30.5±11.3%), left forward (29.9±10.5%), left backward (18.8±8.1%), and right backward (15.8±6.1%). The effectiveness of right forward (25.7±13.1%) and left forward (26.2±12.5%) dominates left backward (20.5±10.1%) and right backward (15.5±9.7%), respectively. In terms of frequencies and effectiveness, the contribution of secondary directions is negligible. Conclusions: Attacking in eight orientations made the defense vulnerable. Beside the uncertainty and unpredictability, they created more points of imbalance to overcome defensive issues.

The Col27a1 And Col11a1 Gene Variants Are Not Associated With The Susceptibility To Anterior Cruciate Ligament Rupture In Polish Athletes, Zhuo Sun, Aleksandra Bojarczuk, Pawel Cieszczyk

Baltic Journal of Health and Physical Activity

Introduction: Sports injuries are the most common cause of anterior cruciate ligament (ACL) ruptures. Previous research has demonstrated links between some of the COL27A1 and COL11A1 genetic variants and musculoskeletal soft tissue injuries. However, no previous research has investigated the COL27A1 rs1570460 and the COL11A1 rs3753841 in the context of ACL rupture in any population. Thus, our study aimed to assess the association between specific single nucleotide polymorphisms (SNPs), i.e., COL27A1 rs946053 and COL11A1 rs3753841, and the occurrence of ACL injury (ACL-I) in a cohort of Polish athletes. Methods: The study enrolled 233 athletes with ACL-I (161 males and …

Patient-Reported Value Of A Standardized Welcome Letter For Huntington Disease Clinic, Kirthan S. Reddy, Shayan Abdollah Zadegan, Jorge Patino, Frank Ramirez, Amber Mccarthy, Natalia Pessoa Rocha, Erin Furr Stimming

Teaching in Clinics

Communication is an essential component of patient satisfaction, which can be especially challenging in patients with neurobehavioral symptoms. As an effective form of communication, Patient Welcome Letter (PWL) should be designed in a way to cover a wide range of literacy. We designed a PWL for our Huntington Disease (HD) clinic using readability and suitability measures. Of the 80 patients that received the PWL, 47 filled out the survey. A majority of patients (>90%) found the PWL clear, understandable, and well-organized. The PWL was deemed valuable overall by 91.4% of participants.

Successful Latissimus Dorsi Free Flap Salvage Using Intraoperative Vasopressors: A Case Report, Aubree Ford, Hugo Palacios Vazquez, Sean Figy

Graduate Medical Education Research Journal

Arterial thrombosis is a rare, but dreadful complication in microvascular surgery. Here we report on a case of recurrent arterial thrombosis in a latissimus dorsi (LD) free flap used for scalp reconstruction in an 18-year-old woman who sustained a gunshot wound (GSW) to the head. In the immediate postoperative period, internal and external doppler signals to the flap were lost. Emergent surgical exploration revealed arterial thrombosis, which was emergently explored and successfully repaired. Doppler signals were again lost and the flap was emergently explored for a second time. Following revision of the arterial anastomosis, flap perfusion decreased and appeared to …

Pelvic Actinomycosis: A Case Report, Jacklyn Locklear, Rachel Gilbert, Neelima Sukhavasi, Elizabeth Sutton

Graduate Medical Education Research Journal

Introduction: Actinomycosis is a bacterial infection caused by the gram positive anaerobic bacteria that most commonly infects the cervicofacial region of the body. Rarely, it can infect the pelvis and typically presents in a nonspecific manner.

Case Report: We present a case of a 43 year old female G6P6006 with Paragard® intrauterine device (IUD) who presented with purulent umbilical discharge and pelvic pain. Initial imaging was concerned for gastrointestinal or ovarian malignancy. Patient underwent diagnostic laparoscopy with pelvic washings and hysteroscopy D&C. Operative pathology returned with results for actinomyces (IUD likely source).

Conclusion: While it is established IUDs can be …

Expedited Recovery Pain Management Pathway For Minimally Invasive Repair Of Pectus Excavatum (Mirpe), Maria E. Tecos, Jessica Goeller, Robert Cusick, Stephen Raynor

Graduate Medical Education Research Journal

Introduction: Pectus Excavatum (PEX) is the most common anterior chest wall deformity. While minimally invasive repair of pectus excavatum (MIRPE) has improved perioperative outcomes, there continue to be opportunities to optimize postoperative pain management and reduce length of stay (LOS). We compared the impact of a multimodal expedited protocol utilizing a combination of systemic and regional analgesia (with single shot paravertebral truncal blocks), along with coping techniques (such as meditation), and physical therapy, with systemic analgesia on LOS and opioid requirements.

Methods: 51 patients underwent MIRPE with an expedited recovery protocol in comparison with 112 historical control patients at a …

Systemic Inflammation Is Associated With Disease Extent And Survival In Oral Cavity Squamous Cell Carcinoma, Brendan Coutu, Dallin N. Christensen, Evan Ryan, Elizabeth Bradford Bell, Weining Zhen, Zafar Sayed

Graduate Medical Education Research Journal

Background: Although systemic immune-inflammation index (SII) correlates with patient survival in various solid malignancies limited information is available in the setting of oral cavity squamous cell carcinoma (OCSCC).

Methods: We retrospectively reviewed 222 patients who underwent a resection of curative intent for patients with OCSCC. SII was determined prior to surgical resection as platelet count × neutrophil count/lymphocyte count.

Results: At a median follow-up of 30.6 months, 2-year disease-free survival (DFS) and overall survival (OS) rates were 63.9% and 76.4%, respectively. A high SII (>1047) was associated with poor performance status and disease extent. A low SII was independently …

Relative Age Effect Of Female And Male Handball Players Participating In Olympics Games Tokyo 2020, Paweł Krawczyk, Adam Dyjas, Adam Szeląg, Maciej Cedro

Baltic Journal of Health and Physical Activity

Introduction: The aim of this study was to determine whether the relative age effect (RAE) was present among handball players participating in the Tokyo 2020 Olympics. Materials and Methods. The study involved a group of handball players participating in the Tokyo 2020 Olympics. All data was collected from the website of the IHF. The research material consisted of data on the players’ dates of birth, which were broken down by four quarters (Q1: January 1–March 31, Q2: April 1–June 30, Q3: July 1–September 30, Q4: October 1–December 31) and two semesters (S1: January 1–June 30, S2: July 1–December 31). The …

Acute Effects Of Three Different Stretching Techniques On Hamstring Flexibility In Professional Football Players, Erkan Erol, Ramazan Yıldız, Ayşe Yıldız, Fatih Emre Doğan, Bülent Elbasan

Baltic Journal of Health and Physical Activity

Introduction: Hamstring injuries are common in physically active people and athletes. Lack of hamstring flexibility is the one of the most important characteristics of hamstring injuries in athletes. The aim of this study was to investigate effects of three different stretching techniques on hamstring flexibility in professional football players. Materials and Methods: Fifty-five male football players between the ages of 18–20 years old were involved in the study. The participants were divided into 3 groups: static stretching, neuromobilization and Mulligan traction straight leg raise (TSLR), respectively. Each participant’s dominant lower extremity was assessed with a straight leg raise test (SLR) …

Differences In Actn3, Ace, And Adbr3 Polymorphisms Between Croatian National Team And Non-National Team Elite Soccer Players, Lana Ružić, Ivan Radman, Branka R. Matković

Baltic Journal of Health and Physical Activity

Introduction: This study investigated the differences in ACTN3, ACE and ADRB3 variants in top-level soccer players who entered the Croatian National Team and the ones who did not but played for two best Croatian teams. Material and Methods: The buccal swabs were collected from 56 soccer players playing for the Croatian National Team (N = 31) and/or for one of the two most prestigious Croatian soccer clubs (N = 25). Each participant’s genotype was determined by analyzing the single-nucleotide polymorphism. The ACTN3 gene (rs1815739) on chromosome 11 and the ACE (rs1799752) gene on chromosome 17 were determined. Results: No significant …

Action Distance As A Predictor Of Winning And Losing Matches At Fivb Volleyball Men’S World Championship, Dariusz Mroczek, Damian Pawlik

Baltic Journal of Health and Physical Activity

Introduction: Technology determines the emergence of functional tools to monitor and control motor activity during the game. One of the solutions for monitoring the player in indoor sports are computer video analyses, which determine basic kinematic parameters. The study aims to compare team and player activity with the outcome of a given set and the effect of the game status on player activity during a championship-level match. Materials and Methods: The study analysed 140 volleyball players aged 19 to 40 years (27.05 ± 4.33 years, height: 197.15 ± 9.63 cm, body mass: 88.51 ± 9.23 kg) participating in the FIVB …