Medicine and Health Sciences Commons^™

Examining Health Literacy And Patient-Centered Communication: A Secondary Analysis Of U.S. Adults With A History Of Cancer, Kimberly Ann Dy Tomas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Racial/ethnic communities bear a disproportionate burden when examining cancer mortality and infection-related cancer incidence rates. According to the Office of Disease Prevention and Health Promotion (ODPHP), health literacy and clear communication between professionals and patients are crucial to improving health and the quality of healthcare. This study examined the relationship between personal health literacy and perceived patient-centered communication quality (PPCQ). A secondary data analysis was conducted using the Health Information National Trends Survey (HINTS) 5, Cycle 4 (2020), and STATA/BE 17.0 for Windows. The sample included respondents who have a history of cancer and have seen a healthcare provider within …

Implications Of California State Standards In Relation To Disordered Eating For School Aged Children, Jessica De Mott

Capstone Projects and Master's Theses

Food is a part of people’s lives, even when it is not acknowledged. It is distinctly tied to various cultures, ethnicities, and religions; with elements of restriction and gluttony abundant. Then, there is the complication of modern nutrition and health education that is taught in American, and more specifically in Californian schools. But, the education received on this issue has failed some students. Many school aged children reported that they experienced disordered eating, and learning content has further exacerbated this issue. This senior capstone research will examine the implications of California State Standards in relation to disordered eating for school …

Reimagining Associate Degree Nursing Education: An Insider’S View, Ntiense E. Otu

Theses and Dissertations

The demographics of nursing students in the Associate Degree Nursing (ADN) program are diverse, hence the need for nurse educators to prepare and handle the challenges faculty face in the ADN program. Although many pieces of literature have addressed different modalities of instructional delivery and teaching methods in nursing education, transition experience of nurse educators, and teaching preparation and readiness, these are not evident in the ADN programs in the Rio Grande Valley (RGV). The teaching preparation of nurse educators and their utilization of instructional methods in the ADN program in the RGV is limited in the literature. This study …

Examining College Students’ Attitudes Toward Poverty During The Adult Role Of The Community Action Poverty Simulation, Jessica M. Parks, Portia Johnson, Diann C. Moorman, Sheri Worthy, Leigh Anne Aaron

Journal of Human Sciences and Extension

Family and Consumer Sciences (FCS) and Extension professionals need to understand the lived experience of poverty because it affects every aspect of an individual’s life. Poverty is related to inadequate nutrition and food insecurity, lack of access to health care, insufficient child care, unsafe neighborhoods, lack of affordable housing, under-resourced schools, and a lower quality of life. Attitudes toward poverty vary widely among Americans and can be categorized as either internal/individual attributions (e.g., laziness, welfare dependency, etc.) or systemic/structural attributions (e.g., unemployment, inflation, etc.). Individuals holding internal attributions toward poverty are more likely to have negative feelings toward impoverished individuals. …

A Snapshot In Time: Consumer Behavior At The Start Of Covid-19, Michelle L. Childs, Christopher Sneed, Ann A. Berry, Sejin Ha

Journal of Human Sciences and Extension

During the early stages of the coronavirus pandemic, consumers faced challenges related to obtaining household items due to shortages and limitations in shopping. Researchers from the University of Tennessee conducted a national, web-based consumer survey of 300 consumers in late April 2020 to better understand consumer behavior, shopping patterns, and demand shifts for goods and services. Major findings demonstrate that consumers have increased shopping for essential products from brick-and-mortar national chains, avoided brick-and-mortar small businesses, and have chosen to shop more by themselves, often choosing to forgo spending from across all product categories, compared to prior to the pandemic. Additionally, …

Full Issue, Volume 11, Number 3, Donna J. Peterson, Scott Cummings

Journal of Human Sciences and Extension

No abstract provided.

Emergent Literacy And Early Reading Skills In Chinese-Mandarin: Evidence From Kindergarten And First-Grade Children, Yingshan Huang

Graduate Theses and Dissertations (2019 - present)

The development of emergent literacy, a precursor to formal reading, has been linked to subsequent conventional literacy skills in Chinese children. The factors important for acquiring Chinese reading skills, such as phonological and morphological awareness, have primarily been studied in primary school children rather than preschoolers. The complete picture of factors contributing to early reading skills in Mandarin-speaking Chinese preschool children remains unclear. Objectives: The aim of this study was to explore emergent literacy and early reading skills in preschool and early school-aged children and investigate the connections between them to address gaps in existing literature. Methodology: A cross-sectional design …

The Impact Of Counseling Demographic, Job Related And Professional Factors On Disciplinary Outcomes, Tiffany Chelece Chaney

Dissertations (2016-Present)

Counselors interact with every student on their campus and impact student outcomes. The researcher examined the predictable relationship between counselors’ demographic factors, job-related and professional-related factors (Texas Counseling Association, 2018), and student discipline outcomes (Texas Education Agency, 2021). The researcher used secondary data in the form of discipline frequencies, counselor gender and race of counselors, the Council for the Accreditation of Counseling and Related Educational Programs (CACREP) accreditation status of the counselor’s master’s program, counseling licensure, counselor ratios, and the time counselors spend providing services within the Comprehensive School Counseling Program. This correlational research design allowed the researcher to examine …

High School Flash Sexual Health Education Curriculum: Lgbtq Inclusivity Strategies Reduce Homophobia And Transphobia, Kari Kesler, Andrea Gerber, B A Laris, Pamela Anderson, Elizabeth Baumler, Karin Coyle

Faculty, Staff and Student Publications

Homophobic and transphobic beliefs that lead to bias-based harassment remain a critical concern for young people in the USA. The aim of the present study was to examine the impact of an inclusive comprehensive sex education program (High School FLASH) on homophobic and transphobic beliefs. Data from this study come from a randomized controlled trial that evaluated the impact of High School FLASH on students' sexual behaviors and related outcomes with 20 schools in two U.S. regions (Midwest and South). Following the baseline survey, the 20 schools were randomly assigned to receive FLASH or a comparison curriculum. Ninth and 10th …

Exploring Nursing Faculty Perceived Individual And Organizational Readiness To Use Online Simulation As A Teaching Strategy, Luz-Patricia Torres

Seton Hall University Dissertations and Theses (ETDs)

Problem: Academic institutions have employed online simulations in nursing education to meet the needs of the growing nursing student population and demands for distance learning. While some nursing educators have been trained to use simulation learning experiences, few have specific training in applying online simulation as a teaching strategy. With a dearth of evidence in the literature specific to the use of online simulation in nursing education, exploring nursing faculty's perceived individual and organizational readiness to do so is warranted to optimize the use of this innovation.

Purpose: This study explored the nursing faculty's perceived individual and organizational readiness …

A Word From The Writing Team (December 2023), Pam Walter, Mfa, Liz Declan, Ma, Mfa

A Word From the Writing Team (Newsletter)

This issue includes:

• Writing Retreats Happens This Friday, December 1^st
• The OPWPC Canvas Page Offers Helpful Tools
• The Yeo Writing Deadline is December 31, 2023!
• Publication Spotlight
• AI and Publishing is a Hot Topic
• Scott Memorial Library Renovations Continue
• Wiley Open Access Fees Waived for Jefferson Authors

Complicated Extubation In A Patient With An Obstructing Tracheobronchial Thrombus, Milan Terzic, Daniel Aintabi, Omar Hegazy

Graduate Medical Education Research Journal

Endotracheal intubation is an effective and rapid technique used as a standard practice for airway management. Airway injury or complications could be a significant cause of morbidity and mortality for patients. Tracheobronchial obstruction secondary to thrombus formation are life threatening complications of traumatic intubations. We present a case of complicated extubation resulting in cardiac arrest in a patient with an obstructing tracheobronchial thrombus. The patient, an 83-year-old female, with atrial fibrillation presented for neck pain. During CT imaging, she developed ventricular fibrillation cardiac arrest. Return of spontaneous circulation (ROSC) was achieved after three cycles of compressions and defibrillation and the …

Promoting Patient Mobility To Decrease Hospital Length Of Stay, Saira Kinuthia

Student Scholarly Projects

Practice Problem: Promoting patient mobility may reduce hospital-acquired complications and length of stay (LOS). Evidence-based studies have established that there is a correlation between immobility and an increased length of stay in the hospital. How can nurse-driven mobility interventions effectively increase patient mobility and reduce the risk of complications and length of hospital stay?

PICOT: The PICOT question that guided this project was: For veteran patients in the Progressive Care unit (PCU) of a medical center (P), will using the Johns Hopkins Highest Level of Mobility tool (JH-HLM) (I) compared to not using a mobility tool (C) decrease hospital length …

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 …

A Survey Of Internal Medicine Residents Comparing Virtual Academic Half Day To Traditional Academic Half Day Model, Basil George Verghese, Salem N. Thabet

Advances in Clinical Medical Research and Healthcare Delivery

Introduction. Resident educational activities vary from institute to institute, with daily noon conferences or weekly academic half-day (AHD) models where dedicated protected time is available for resident teaching. The COVID-19 pandemic limited in-person educational activities, forcing residency programs to move toward virtual options, including the academic half-day (AHD). This survey-based cohort study aimed to understand residents' perception of virtual versus in-person AHD for educational activities during residency.

Methods. The survey was emailed to 72 Internal Medicine residency program residents at our institute during the first week of March, 2022. The responses were analyzed using descriptive statistics, Pearson's chi-square test, …

11.27.2023 Orsp Connect, Liz Williamson

ORED Newsletter

November 27, 2023 edition of the ORSP newsletter

Improving Blood Pressure In Adults 65 Years And Older Via Weekly Telehealth Coaching, Janet Bathini

Student Scholarly Projects

Practice Problem: Hypertension is a significant modifiable risk factor for CVD and is on the rise with advancing age. The management at the VA hospital's GEC clinic acknowledged the importance of managing HTN in veterans to lower their CVD risk and were open to implementing EBP to enhance HTN management.

PICOT: The PICOT question that guided this project was: In the primary care setting, in older adults > 65 years with BP > 140/90 (P), does weekly telehealth coaching (I) compared to no telehealth coaching (C), decrease their BP (O) over a 6-week period (T)?

Evidence: The evidence that guided this project …

To Screen Or Not To Screen: Prostate Cancer In Liver Transplant Candidates, Patrick Twohig, Jared Schober, Timothy Mccashland, Thoetchai Peeraphatdit

Graduate Medical Education Research Journal

Prostate cancer screening is a controversial topic in the general population and is even more contested among liver transplant candidates. Not only should transplant programs be concerned about the risk of false positive screening results but also the competing risks of death and the diagnostic and therapeutic effects of true prostate cancer, which often does not cause significant morbidity or mortality in organ transplant recipients. Our letter highlights a best-practices approach to prostate cancer screening in transplant candidates using available research and consensus guidelines.

11.20.2023 Orsp Connect, Liz Williamson

ORED Newsletter

ORSP Newsletter for the week of November 20, 2023.

Perceived Fatigue And Physical Activity Enjoyment Following Indoor And Outdoor Moderately Heavy Superset Resistance Training, Korina K. Ziegler, Aaron Mckenzie, Wesley Ziegler, Spencer Maxwell, Bryson Carrier, Charli Aguilar, Alexandra Routsis, Talon Thorton, Jae Bovell, Setareh Zarei, Devin Green, Kathryn Lei A. Lavin, Amanda Hawkes, Jeffrey Cowley, Merrill Funk, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

ACSM has again determined that resistance training (RT) and outdoor activities are two of the top ten worldwide fitness trends for 2023. We previously found that RT outdoors had a significantly lower perception of effort (RPE) compared to indoor RT, despite no physiological differences in heart rate (HR) and energy expenditure (EE). However, no study has examined other feelings during RT in indoor or outdoor settings. PURPOSE: To determine how indoor or outdoor environments effect perceptions of fatigue and physical activity enjoyment following RT in recreationally resistance trained adults. METHODS: Twenty-three adult participants (n=10 female, n=13 male) completed …

Repetition Count Concurrent Validity Of Various Garmin Wrist Watches During Light Circuit Resistance Training, Wesley F. Ziegler, Bryson Carrier, Charli D. Aguilar, David Pearce, Jocelyn M Graffius, Brynlie Ellingford, Wyatt Fullmer, Jeffrey Cowley, Merrill Funk, Nathaniel Bodell, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Wearable technology and strength training with free weights are two of the top 5 fitness trends worldwide. However, minimal physiological research has been conducted on the two together and none have measured the accuracy of devices measuring repetition counts across exercises. PURPOSE: The purpose of this study was to determine the concurrent validity of four wrist-worn Garmin devices, Instinct (x2), Fenix 6 Pro, and Vivoactive 3, to record repetition counts while performing 4 different exercises during circuit resistance training. METHODS: Twenty participants (n=10 female, n=10 male; age: 23.2 ± 7.7 years) completed this study. Participants completed 4 circuits …

Paroxysmal Atrial Fibrillation In A Life-Long Endurance Athlete: A Descriptive Case Study, Timothy Curry, Scott N. Drum

International Journal of Exercise Science: Conference Proceedings

The diagnosis of atrial fibrillation (AF) in lifelong endurance athletes occurs at a greater incidence over a lifetime vs the undertrained, general population. In fact, the more intense an aerobic-oriented person trains or races and over a greater amount of time, the higher the diagnosis of general cardiac arrhythmias. PURPOSE: Therefore, the primary aim was to observe the cumulative effects of life-long endurance training (since the age of 10-yrs old) and the yearly occurrences of paroxysmal AF (PAF) in an otherwise healthy, 53-yr-old male. METHODS: The complete health history of a 53-yr-old male (ht: 1.83 m, wt: 72.7 kg, …

The Effectiveness Of Running Power As A Metric Of Exercise Intensity During Running Interval Training, Eric A. Lambert, Dustin W. Davis, Matahn Blank, Tashari A. Carballo, Elias M. Malek, Kathryn Lei A. Lavin, Thea Sweder, Nicole Argueta, Marcus M. Lawrence, James W. Navalta, Jeffrey Cowley

International Journal of Exercise Science: Conference Proceedings

Wearable power meters are increasingly popular among runners with Coros and Stryd offering running power as a real-time, trackable of a metric. PURPOSE: This study compared running power (RP) to physiological measures, heart rate (HR) and oxygen consumption (VO₂), across high and low intensity running intervals. METHODS: Thirteen adult participants (n = 6 male; height = 174.9 ± 6.9 cm; mass = 72.5 ± 12.0 kg) were equipped with a Stryd 27 RP meter, a Polar H10 HR monitor, and a Cosmed K5 portable metabolic unit. Participants’ self-selected RP was obtained during a 10-min run on …

Lumbopelvic Stability During A Single Leg Step Down Predicts Elbow Varus Torque During Baseball Pitching, Zachary J. Dezee, Adam J. Barrack, Kayla Bucci, Ryan J. Zerega, Rachel K. Straub, Andrew R. Karduna, Lori A. Michener

International Journal of Exercise Science: Conference Proceedings

During a baseball pitch, energy is transferred from the lower extremities through the lumbopelvic junction to produce ball velocity. Reduced lumbopelvic stability has been associated with elbow injury in pitchers, and commonly ulnar collateral ligament (UCL) tears. The primary biomechanical mechanism of UCL tears is high elbow varus torque. Understanding how decreased lumbopelvic stability influences the development of elbow varus torque could identify risk factors of UCL elbow injury. PURPOSE: Characterize the predictive ability of lumbopelvic stability on elbow varus torque during a baseball pitch. METHODS: NCAA Division 1 baseball players (N=44; 19.6+1.3yrs) participated. Pitchers threw ten fastballs from a …

Rating Of Perceived Exertion, Average Heart Rate, And Energy Expenditure Following Indoor And Outdoor Moderately Heavy Superset Resistance Training, Spencer M. Maxwell, Bryson Carrier, Charli Aguilar, Korina Ziegler, Aaron Mckenzie, Wesley Zeigler, Alexandra Routsis, Talon Thorton, Setareh (Star) Zarei, Devin Green, Jae Bovell, Kathryn A. Lavin, Amanda Hawkes, Jeffrey C. Cowley, Merrill Funk, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Our lab recently found that light intensity circuit resistance training outdoors had a significantly lower perception of effort (RPE) compared to indoor resistance training, despite no physiological differences in heart rate and energy expenditure. However, no study has examined other intensities or set schemes in differing environmental settings. PURPOSE: To determine how indoor or outdoor environments effect rating of perceived exertion (RPE) following light and moderately heavy intensity superset resistance training in recreationally resistance trained adults. METHODS: Twenty-three adult participants completed this study (n=10 female, n=13 male; age: 26.1±8.8 yrs; height: 172.2±9.5 cm; mass: 73.4±18.7 kg; RT experience: …

Heart Rate And Energy Expenditure Concurrent Validity Of Identical Garmin Wrist Watches During Moderately Heavy Resistance Training, Talon Thornton, Wesley Ziegler, Spencer Maxwell, Aaron Mckenzie, Alexandra Routsis, Korina Ziegler, Bryson Carrier, Charli Aguilar, Devin Green, Jae Bovell, Kathryn A. Lavin, Setareh (Star) Zarei, Jeffrey C. Cowley, Amanda Hawkes, Merrill Funk, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Consistent with previous years, ACSM has found that wearable technology and resistance training (RT) are two of the top 5 fitness trends in 2023. Our lab recently found that wrist-worn devices, such as Garmin Instinct, are neither valid nor reliable at measuring average or maximal heart rate (HR) or estimating energy expenditure (EE) following light intensity circuit RT. We postulated that the errors may have been due to the device’s algorithms assuming higher intensity during RT. PURPOSE: The purpose of this study was to determine the concurrent validity of identical Garmin Instinct wrist-watches to record valid measures of average …

Bodyfat As A Predictor Of The Peace Office Physical Aptitude Test In Police Cadets, Angelo Mangione, Mattison Maret, Bridget Melton, Anthony Acevedo, Zachary Zeigler

International Journal of Exercise Science: Conference Proceedings

Body composition is a measurement that is rarely assessed before police cadets enter the academy. The Peace Office Physical Aptitude Test (POPAT) is a required assessment for police cadets. PURPOSE: This pilot study aims to determine if body composition, upper body strength, and lower body power can predict performance on the POPAT in police cadets. METHODS: Maricopa County Sheriff’s Office (MCSO) cadets were asked to complete the handheld grip test to assess upper extremity strength, vertical jump to assess lower extremity power, and body fat percentage (%BF) using an ultrasound machine. Fat-Free Mass Index (FFMI) was used to …

Bmi Superior To Fat-Free Mass Index And Fat Mass Index For Predicting Arterial Stiffness In College Students, Amanda Callaghan, Kennedy Kerbs, Kyndal Downing, Zachary Zeigler

International Journal of Exercise Science: Conference Proceedings

Arterial stiffness is a significant predictor of cardiovascular disease and mortality. Body mass index (BMI) has been used to predict cardiovascular disease outcomes but does not consider fat and lean mass. Fat mass index (FMI) and fat-free mass index (FFMI) may be superior to BMI in predicting arterial stiffness because it considers body composition. PURPOSE: This study aims to determine if FFMI and FMI are superior to BMI at predicting arterial stiffness in college students. METHODS: Participants came into the exercise physiology lab, signed consent, and then had anthropometric measurements of height and weight taken, as well as …

Is A Two-Day Cardiopulmonary Exercise Test A Valid Tool For The Diagnosis Of Post-Exertional Malaise In Long Covid?, Chiara Gattoni, Asghar Abbasi, Carrie Ferguson, Carly Heffernan, Elizabeth Dinnen, Olivia Heutlinger, Long-Co Nguyen, Charles W. Lanks, Thomas W. Decato, Richard Casaburi, Harry B. Rossiter, William W. Stringer

International Journal of Exercise Science: Conference Proceedings

A two-day cardiopulmonary exercise testing (CPET) protocol (maximal ramp-incremental cycle test repeated 24hr apart) in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) patients has suggested that day-2 performance is decreased relative to day-1. This difference has been attributed to post-exertional malaise (PEM), suggesting the two-day CPET as a protocol to investigate PEM in Long COVID (LC) patients. PURPOSE: We aimed to investigate any effects of PEM on exercise performance and cardiorespiratory and perceptual responses to a two-day CPET in LC patients to determine whether the day-1 CPET would impair performance, cardiorespiratory responses or perceptions of exercise at day-2. METHODS: Fifteen LC patients …

Validity And Reliability Of The Garmin Instinct In Measuring Heart Rate During Pickleball, Setareh Zarei, Samantha Cruz, Tashari A. Carballo, Bryson Carrier, Dustin W. Davis, Jae Bovell, Thea Sweder, Matahn Blank, Elias M. Malek, James W. Navalta

International Journal of Exercise Science: Conference Proceedings

Playing a racquet sport called pickleball is increasing in popularity every day in the United States. Garmin is a popular brand that manufactures wearable fitness trackers capable of measuring heart rate (HR). Because HR is a common way to determe exercise intensity, the validity and reliability of wearables to provide accurate HR during pickleball is important. PURPOSE: This study aimed to analyze and assess the validity and reliability of HR from the Garmin Instinct vs. Polar H10 (criterion) during pickleball. METHODS: Eleven adults (2 female, 8 male, 1 prefer not to disclose; age = 28.1 ± 9.2 years; …