Medicine and Health Sciences Commons^™

A Snapshot Investigation Into The Availability And Access To Codeine-Containing Medications Amongst The Irish Population., Katie O'Brien, Pádraig Mckeown, Joseph Phelan

International Undergraduate Journal of Health Sciences

Codeine phosphate is a mild to moderate analgesic and has a weak cough suppressant activity that is available to purchase as an over the counter (OTC) painkiller in Ireland as a compound product. In recent years, countries such as Australia have introduced laws that prohibit the sale of the drug without a valid prescription. This move by Australia begs the question as to why this legislation was introduced and should Ireland follow suit.

The primary aims of the study were to determine knowledge among the general public of codeine-containing medications and their usage levels. The survey also investigated whether current …

An Investigation Into The Prevalence Of Use And Availability Of Information On Contraception For Female Third Level Students Aged 18-24, Barbara Dymet, Jane Hyde, Chloe Madden, Ciara Walsh

International Undergraduate Journal of Health Sciences

Introduction:

The purpose of this investigation was to find out the amount of female students in third level institutions who use contraception as well as their attitude towards the availability of information about female birth control options in these institutions.

Materials and methods:

An online survey was created using Google Docs which was then sent out to undergraduate third level female students over the age of 18. All gathered data was analysed using Microsoft Excel.

Results:

The vast majority of the surveyed population was sexually active and used contraception with the most common form being a combination of the contraceptive …

Building A Robust E-Learning Module Scorecard: The Nebraska E-Learning Scorecard (Nescore), Tammy Webster, Alissa Fial, Peggy Moore, Shireen Rajaram, Ronald Shope, Dele Davies

Innovations in Health Sciences Education Journal

Teaching during a pandemic has compelled educators to transform traditional strategies towards more innovative solutions. These innovative solutions use a variety of educational technologies, and often, shift delivery modalities to an online or blended approach to learning. A key strategy in online teaching is the development of quality e-learning modules based on the core tenets of e-learning. E-learning modules aim to enhance knowledge, performance, and retention through interactive and engaging strategies. While the value of a quality e-learning module is well-supported in the literature, there are limited resources available for developers to assess if the module adheres to the core …

Feasibility Of A “Network Of Champions” In Implementing A Program To Address Physician Well-Being, Kerri Palamara, Sara Poplau, Cheryl Rusten, Maria L. Walter, Cynthia D. Smith, Clare Sipler, Susan Hingle, Mark Linzer

Journal of Wellness

Introduction: Healthcare leaders have been challenged to mitigate burnout and foster well-being among physicians. Professional societies are beginning to address this in a systematic manner.

Methods: In 2014, the American College of Physicians (ACP) endeavored to improve well-being for its 160,000 members of internists and trainees through a Well-being Champion (WBC) program based in the majority of its 85 national and international chapters. The program was supported by an evidence-based curriculum, chapter volunteers who served as champions, and in-person and virtual trainings. Training included a 1-2 day program in 2018 and 2019, focused on educating champions on causes …

Experiences Of African American Women Living With Herpes Simplex Virus 2, Cherlisa Jackson, Yitza A. Arcelay-Rojas

Journal of Social, Behavioral, and Health Sciences

In the United States, the prevalence of herpes simplex virus 2 (HSV-2) continues to be the highest among African American women. Yet the perceived benefit of discussing sexual health, as well as recognizing a need to discuss HSV-2 with a health-care provider, is a gap in research. The purpose of this interpretive qualitative study was to understand the experiences of African American women who received an asymptomatic HSV-2 diagnosis. Semistructured interviews of seven participants were used to explore the experiences of African American women diagnosed with HSV-2, including barriers and challenges of discussing HSV-2 with health-care providers. Participants highlighted that …

Resident-Led Physical Wellness Initiative Linked To Less Burnout For Emergency Physicians During Covid-19 Pandemic, Camila A. Calderón, Adeola A. Kosoko, Salil K. Bhandari, Jason A. Lesnick, Derek R. Herkes, Ryan M. Huebinger

Journal of Wellness

Introduction: The COVID-19 pandemic has taken a significant toll on societal, physical, and psychological health. Emergency physicians (EPs) are susceptible to burnout under ordinary circumstances and may be particularly vulnerable during the pandemic. To reduce pandemic-related burnout, we implemented a residency-led physical wellness initiative and evaluated the effect on burnout among EPs.

Methods: In the spring of 2020, we invited all resident and attending EPs in our department to participate in a four-week physical wellness initiative as part of a prospective study. After completing or opting out of this wellness initiative, EPs responded to an online survey comprised …

How Did We Get This Far?, Hemant Kalia, Richard Alweis, Christina Goodermote, Elizabeth Mamo, Farrah Qadri

Advances in Clinical Medical Research and Healthcare Delivery

No abstract provided.

A Rare Case Of Severe Amlodipine-Induced Gingival Overgrowth: A Case Report, Marika Shahid, Yong W. Lee, Gande Li, Chisom Mogbo, Roger Vega

Advances in Clinical Medical Research and Healthcare Delivery

Gingival overgrowth, or gingival hyperplasia is the hypertrophy of periodontium caused by local systemic diseases or medications. These medications can be broadly categorized into three main groups including immunosuppressants, anticonvulsants, and calcium channel blockers (CCBs). Amlodipine-induced gingival overgrowth (AIGO) is a less documented phenomenon. This is a unique case of 68-year-old African American woman who developed severe AIGH after taking amlodipine for three years for essential hypertension. The gingival overgrowth happened over a period of two weeks and was so extreme that the patient was unable to approximate her lips or tolerate any oral intake. Labs, images, and biopsies were …

Emergency Medicine Journal Club, David Gibbs, Dylan Norton

Advances in Clinical Medical Research and Healthcare Delivery

In this column, we provide a brief review of important papers recently published that relate to the field of Emergency Medicine. The goal is to provide the busy clinician a bullet-like summary of the study, focusing on the research question, methods, results, limitations, and bottom line interpretation.

An Integrated Multispecialty Curriculum For Point-Of-Care Ultrasound, Carina M. Brown, Karl Fields, Duncan Vincent, Alison Rumball, Joshua Zavitz, Shane Hudnall, Caroline Iskander, Alexander Raines

Advances in Clinical Medical Research and Healthcare Delivery

Point-of-care ultrasound is increasingly recognized as a valuable tool for physicians practicing in a variety of specialties. Currently there is no standard curricula or assessment model for training primary care specialty residents in the use of ultrasound. This article presents a multispecialty experience in developing a list of 11 core Pediatric, 13 core Family Medicine and 22 core Internal Medicine ultrasound scans based on best available evidence for their clinical use.

The Unicorn: The Journey For Black Doctors, Amber Robins-Hickson Md,Mba

Advances in Clinical Medical Research and Healthcare Delivery

No abstract provided.

Osteopathic Medical Students’ Perceptions Of Their Medical Education Due To Covid19, Kaitlyn Thomas, Richard Terry

Advances in Clinical Medical Research and Healthcare Delivery

Objective: The SARS-CoV-2 (COVID19) pandemic has led to unprecedented changes in medical education globally. Published reports on these changes have given some insight as to both positive and negative effects for specific medical schools though none have looked at osteopathic education. Our study attempts to examine the effect of COVID19 more formally on osteopathic medical students’ perception of their medical education in the third and fourth years of medical training.

Methods: Third- and fourth-year medical students at Lake Erie College of Osteopathic Medicine (LECOM) completed electronic surveys regarding their experiences with changes in medical education due to the COVID19 …

Army Combat Fitness Test Performance By Sex In Rotc Cadets, Kevin Lee Withrow, J. Jay Dawes, Robin (Rob) Marc Orr, Robert G. Lockie

International Journal of Exercise Science: Conference Proceedings

The U.S. Department of Defense recently opened all combat jobs to women. The Army Combat Fitness Test (ACFT) is the U.S. Army’s new assessment for measuring a soldier’s ability to execute combat-related tasks. However, issues have been raised at a national level relative to the impacts of the ACFT on female personnel. As the Reserve Officers Training Corps (ROTC) is the initial entry point for many future Army officers, it is important to analyze how male and female cadets compare in their physical abilities. PURPOSE: To investigate the between-sex differences in ACFT performance in cadets from one program. METHODS …

Lifting In An Alternate Reality: The Application Of Action Observation Within Virtual Reality And Weightlifting., Michael Weise, Nikko Cando, Alex Krause, Kim Hernandez, Rabbani Nzeza, Allyssa Alcasabas, Jake Hinkel-Lipsker

International Journal of Exercise Science: Conference Proceedings

Action observation (AO), where a learner watches a model perform a skill, has long been shown to facilitate motor learning of a variety of skills. There is great interest in learning ways to optimize the AO experience in order to maximize motor learning. In recent years, virtual reality (VR) technology has advanced considerably, where high-fidelity environments can facilitate a fully immersive experience. As such, the three-dimensional (3D) VR experience could allow for improved learning through AO over more traditional forms (e.g., watching a computer screen). PURPOSE: The purpose of this study is to determine how well people learn a …

My Brain Hurts: A Focus On Somatosensory Complaints In Traumatic Brain Injury Patients Assessed By Neurobehavioral Symptom Inventory, Christine Walker, Jason Bailie, Rosemay Remigio-Baker, Ida Babakhanyan

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Somatosensory symptoms are common complaints from patients following a Traumatic Brain Injury (TBI), but are not specific to TBI diagnosis. This study investigated the prevalence of somatosensory symptoms in TBI patients, evaluated if symptoms severity was associated with TBI severity, and assessed the relationship of somatosensory complaints to psychological complaints commonly associated with depression and Post Traumatic Stress Disorder (PTSD). METHODS: Somatic symptoms following traumatic brain injury (TBI) were assessed using 7 of the 22 items from the Neurobehavioral Symptom Inventory (NSI) which included headache, nausea, vision problems/blurriness, body numbness/tingling, taste/smell changes, light sensitivity, and noise sensitivity. …

High School Strength And Conditioning: A Narrative Review Of The Literature, Alexander Wakely, Robert G. Lockie

International Journal of Exercise Science: Conference Proceedings

Many high school athletes will complete strength and conditioning programs as part of their sports participation. The programs can vary in quality, and there is limited research specifically investigating programs at this level. PURPOSE: To review current literature specific to strength and conditioning training programs for high school student-athletes and calculate magnitude of performance changes. METHODS: Studies were searched for using the CSUF Pollack Library database. Search terms included “high school strength and conditioning” and “high school training programs”. Following this process, 5 studies were deemed appropriate for this narrative review. Performance changes from pre- to post-test for the strength …

Gender Differences In Physical Activity Level By Domain, Natasha Vinluan, Zachary Zenko

International Journal of Exercise Science: Conference Proceedings

Engaging in regular physical activity and exercise has been demonstrated to increase life expectancy, improve mental health, and prevent or manage noncommunicable diseases. Although the health benefits are well known, estimates suggest that the majority of women and men do not obtain the recommended amounts of physical activity per week. PURPOSE: The purpose of this study was to assess how physical activity levels differed by domain (i.e., domestic/household, transportation-related, occupational, leisure-time) between genders. This information can be useful for tailoring future interventions to promote activity. METHODS: After obtaining ethical approval, participants (79 men, 35 women; mean age: 36 …

Developing A Predictive Model For Vo2max In Middle-Distance Track And Field Athletes, Nicole Vargas, Patricia Vanoosbree, Kristyne Wiegand

International Journal of Exercise Science: Conference Proceedings

Purpose: Aerobic capacity is an indicator of an athlete’s endurance and a key predictor of performance. The greater the aerobic capacity, the more oxygen available for working muscles, leading to delays in lactate buildup, thus increasing the potential for successful performance. Studies have investigated non-exercise and/or submaximal exercise measures to predict aerobic capacity, but few have analyzed the combination of maximal exercise and non-exercise measures in Division-3 runners. Therefore, the purpose of this pilot study is to determine the predictive ability of heart rate (HR_max), ventilation (VE), respiratory quotient (RQ), and rate of perceived exertion (RPE) on VO …

Understanding And Communicating Physical Activity Guidelines: Creating A Training Video For Health Care Providers, Jafrā D. Thomas, Bethany C. Love, Caroline N. Smith

International Journal of Exercise Science: Conference Proceedings

Like Das et al.’s study (2018, TJACSM), studies over the last decade or so have shown that many health care providers have low knowledge of peer-reviewed physical activity guidelines (PAGs, e.g., Barton et al., 2021, Physical Therapy in Sport; Douglas et al., 2006, BMC Public Health). One remedy may be educational videos. PURPOSE: This presentation details a process to create a short, interactive, educational video to train health care providers in how to advise clients in a manner consistent with PAGs. METHODS: Over a four-month period (January to April of 2021), the second author developed …

Phase Angle Is Associated With Muscular Fitness In Breast Cancer Survivors, Trevor Short, Michelle Pits, Paulette Yamada, Cheri Teranishi-Hashimoto

International Journal of Exercise Science: Conference Proceedings

Phase angle (PhA) has emerged as a prognostic indicator of survival and quality of life (QOL) in cancer patients. Identifying measures of physical fitness that correlate with PhA can provide guidance towards optimizing cancer rehabilitation programs. PURPOSE: To examine the relationship between PhA and physical fitness (muscular strength, muscular endurance, cardiorespiratory endurance, flexibility, and body composition) in breast cancer survivors. METHODS: Seventy female breast cancer survivors (61 ± 9 years, PhA 4.57 ± 0.51) were referred to the rehabilitation clinic by their oncologist. Participants completed assessments for muscular strength (predicted 1-repetition maximum of incline bench press, seated cable row, latissimus …

Reverting To A Healthier Diet Or Employing An Aerobic Exercise Regime Independently Restore Muscle Fiber Phenotype Disturbed By High-Fat Diet In Muscle Of Mice, Nathan Serrano, Harkaran S. Sodhi, Kailin Johnsson, Laurel B. Winslow, Layla Al-Nakkash, Christos S. Katsanos

International Journal of Exercise Science: Conference Proceedings

Obesity affects roughly 42% of the US population. High fat/high sugar diets (HFHS) often referred to as “western diet” contributes to this prevalence. Diet-induced obesity results in impaired metabolic responses and associated disease states (i.e., Type 2 Diabetes). Metabolic impairments in diet-induced obesity are a result of changes in muscle metabolism, and changes in muscle fiber phenotype, which is determined by the isoform-content of the protein myosin heavy chain (MHC). Fast muscle fiber phenotype (i.e. type IIb in mice) is characterized by lower capacity for utilization of lipids, implicated in the pathogenesis of Type 2 Diabetes. Regular exercise shifts MHC …

Evaluating The Validity Of The Salatto-Love And Care Of Nature Direct Indication Scale Against The Love And Care Of Nature Scale During Rest And After Self-Paced Hiking, Robert W. Salatto, Dustin W. Davis, Elias M. Malek, Charli Aguilar, Jeff Montes, Nathaniel Bodell, Jacob W. Manning, Mark Debeliso Phd, James Navalta

International Journal of Exercise Science: Conference Proceedings

There are several scales used to measure one’s connectedness to or love of nature. Amongst these scales is The Love and Care of Nature Scale (LCN), which has been used across several disciplines in research. While the LCN is a valid and reliable scale, completing the 15-question scale may be time consuming and difficult during field research. PURPOSE: The purpose of the current investigation was to establish a fast, easy-to-administer, and easy-to-understand visual analog scale that is valid for evaluating participants’ connectedness to or love of nature. METHODS:Nineteen participants met on two consecutive days at Thunderbird Gardens Trailhead in …

Body Composition And Fitness Characteristics From Structural Firefighters In A Health And Wellness Program: Differences According To Injury Status And Location, Tomas J. Ruvalcaba, Daniel Higuera, Robin (Rob) Marc Orr, J. Jay Dawes, Kristina A. Ross, Robert G. Lockie

International Journal of Exercise Science: Conference Proceedings

Structural firefighting can put firefighters at an elevated risk for injury. Numerous health and fitness characteristics (body composition, flexibility, muscular strength and endurance, aerobic capacity) can influence the performance of fireground operations, and could help prevent injury in firefighters. PURPOSE: To analyze the differences in health and fitness between healthy firefighters, and firefighters who reported a current upper-body, lower-body, or back injury. METHODS: Archival data from structural firefighters in a health and wellness program was investigated (258 males; 12 females). Body composition data included height; body mass; body mass index (BMI); body fat percentage; fat and lean body mass; waist …

College Students’ Perceived Stress In Relation To Physical Activity Behaviors During The Covid-19 Pandemic, Holli Rosas, Andrea Hughes, Sarah L. Dunn Ph.D.

International Journal of Exercise Science: Conference Proceedings

College students may experience heightened stress during a global pandemic. It is well known that psychological distress during times of uncertainty and sedentary behaviors may lead to adverse health outcomes such as morbidity and mortality. Physical activity (PA) has been shown to positively mediate distress and other mental health outcomes. PURPOSE: The aim of this study was to examine college students’ perceived stress levels and PA behaviors during the COVID-19 pandemic and remote learning. METHODS: An Institutional Review Board approved online Qualtrics survey was used to collect data from eighty-four enrolled college students (mean age 24.4±5.79 years, 57.6% female) in …

Obstacle Negotiation Gaze Strategies Of The Physically Fatigued, Belle P. Ponce De Leon, Makena Savola, Sedona Boren, Andrew Fishman, Sarika Varma, Jacob W. Hinkel-Lipsker

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Proper obstacle negotiation while in a fatigued state is a safety concern for first responders, firefighters and other primary relief personnel in their high-risk line of work. During locomotion the central gaze is focused beyond the obstacle to plan future steps while the peripheral vision spatially tracks the obstacle. Previous work indicates that following intense exercise people experience a narrowed peripheral visual field, making them more reliant on central gaze. Thus, it is possible that when physically-fatigued people become more reliant on central gaze to perceive obstacles, leaving them unable to plan future steps as effectively.

PURPOSE: This study …

Anthropometric Predictors Of Arterial Stiffness When Adjusting For Fitness In College-Aged Adults, Riley Morton, Kyli Alvarez, Estephania Campa, Malia Nowlen, Zachary Zeigler

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Cardiovascular Disease (CVD) is the largest cause of non-communicable disease death worldwide. Arterial stiffness is an independent predictor of CVD. Body mass index (BMI), waist circumference (WC), and waist-to-hip ratio predict arterial stiffness. However, there is inconstancy in the literature as to which is the best predictor of arterial stiffness. Measured cardiovascular fitness is also an independent predictor of arterial stiffness and is rarely controlled for in epidemiological studies. The purpose of this study was to identify the superior anthropometric predictor of arterial stiffness after controlling for measured fitness.

METHODS: Healthy young adults were recruited from Grand …

The Impact Of Anterior Cruciate Ligament Injury Risk On Baseline Balance Assessment For Concussion In Collegiate Athletes, Ryan N. Moran, Nicholas G. Murray

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Recent literature has linked concussion and neuromuscular deficits in the lower extremity after injury. Neuromuscular control is frequently assessed using balance measures for concussion, but also dynamically to identify anterior cruciate ligament injury (ACL) risk via jump-landing movement screening. The purpose of this study was to examine the impact of ACL injury risk on baseline balance assessment for concussion. METHODS: Thirty-nine healthy, collegiate female soccer (n=22) and volleyball (n=17) athletes completed the modified-Clinical Test of Sensory Interaction of Balance (m-CTSIB) and the Landing Error Scoring System (LESS) test as part of routine concussion baseline testing and injury …

Changes In Vertical Reaction Force During Treadmill High-Intensity Interval Training, Jared Moore, Garry Cai, George Salem

International Journal of Exercise Science: Conference Proceedings

High-intensity interval training (HIIT) has become a popular form of exercise due to its low time burden and easily customized protocols. To date, there has been no investigation into how lower extremity loading (ie. GRF) changes over time during a HIIT protocol. Examining this load variability can help inform protocol development for different populations. PURPOSE: The purpose of this pilot study was to examine how the vertical reaction force (vRF) changes during a HIIT running protocol in order to elucidate how working at high intensity for 4min periods can influence subsequent lower extremity loading. METHODS: Three participants (26±3y) …

A Comparison Of High-Intensity Interval And Moderate Intensity Continuous Training On Glucose Regulation In Sedentary, Obese Individuals, Sophia R. Mirth, Brandon J. Sawyer, Dharini M. Bhammer, Glenn A. Gaesser

International Journal of Exercise Science: Conference Proceedings

It is well known that exercise is beneficial in the prevention of type 2 diabetes (T2D) but the ideal type of training is not clear. PURPOSE: To compare the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on blood glucose regulation in sedentary, obese adults. METHODS: 22 sedentary, obese individuals were randomized into either HIIT or MICT. Each group exercised on a cycle ergometer 3 times/wk for 8 wks. The HIIT group performed 10, 1 min intervals at 90-95% HR_max with 1 min rest intervals in between. The MICT group performed 30 min of …

Comparison Of Flights Climbed Between Garmin And Fitbit Devices, Javen Miguel, Alan Garcia, Melissa Strehlow, Dustin W. Davis, Jeff Montes, James W. Navalta

International Journal of Exercise Science: Conference Proceedings

With exercise device technology and consumer interest in the field growing, it is important for users to be confident that their wearable fitness devices accurately track their flights climbed. Two manufacturers of devices that track flights climbed are Garmin and Fitbit. Comparing the measurements of flights climbed between devices from these two manufacturers is important to inform consumers as they decide which device to purchase for flight-related activities. PURPOSE: The purpose of this study was to compare the measurements of flights climbed between the Garmin fēnix 5 and Fitbit Versa 2. METHODS: Eight participants (6M, 2F, 29 ± 8 yrs, …