Medicine and Health Sciences Commons^™

Effects Of Caffeine Dose Timing On Total Urine Excretion During Sodium-Aided Hyperhydration Protocols, Shelby L. Greene, David M. Morris

International Journal of Exercise Science: Conference Proceedings

When used alone, both caffeine and sodium-aided hyperhydration (SAH) can be ergogenic. Although caffeine use in conjunction with SAH promotes diuresis, hyperhydration can be achieved, albeit at lower levels compared to SAH alone. Previous caffeine and SAH work has suggested most of the caffeine induced diuresis occurs within 15 min of consumption of a bolus of caffeine, sodium and water. This response suggests that caffeine-induces diuresis for only 15 min following its consumption, and/or that the diuretic effects of caffeine are dependent on hydration levels. PURPOSE: To determine the effects of caffeine, consumed at different time-points, on diuresis during SAH …

Case Presentation For Suprascapular Neuropathy, Samantha N. Day, Tal Amasay, Scott Freer

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: The patient is an 18-year-old female collegiate volleyball player who has suffered progressive shoulder pain in her right shoulder. She states that the pain has progressively gotten worse over the past 3-4 years. The sharp pain began when she would raise her right arm above 90 degrees when hitting an overhand serve. Over time, the pain progressed and became noticeable in additional movements. The patient had noted significant weakness in both her right arm and right shoulder. The patient states when she sleeps on her right arm/shoulder she wakes up in severe pain. She has tried sleeping …

Validity Of Four-Compartment Model Body Fat Using Single- Or Multi-Frequency Bioelectrical Impedance Analysis To Estimate Body Water, M. Lane Moore, Marqui L. Benavides, Jacob R. Dellinger, Brian T. Adamson, Claire P. Underwood, Tyler C. Dierolf, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

Most common body composition assessment techniques make assumptions about the body, including the density and hydration of fat-free mass (FFM). An advantage of the four-compartment (4C) model is the ability to take these FFM characteristics into account when assessing body composition, thus reducing potential error. The total body water (TBW) estimate utilized in 4C models is particularly important due to the large contribution of water to an adult human’s total body mass (~40 - 70%) and FFM (~68 - 81%); however, the impact of utilizing different estimates of TBW within 4C model has not been fully explored. PURPOSE: The …

Comparison Of Regional Body Composition Estimates Obtained From Dual-Energy X-Ray Absorptiometry And Single-Frequency Bioelectrical Impedance Analysis, Jacob Dellinger, M. Lane Moore, Marqui L. Benavides, Tyler C. Dierolf, Brian T. Adamson, Claire P. Underwood, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

The anatomical distribution of fat mass (FM) and lean mass (LM) is significant for health and athletic performance. Dual-energy x-ray absorptiometry (DXA) is often used for regional body composition analysis but is not portable, often inaccessible, and costly, while single-frequency bioelectrical impedance analysis (SFBIA) is a more affordable and accessible alternative. PURPOSE: The purpose of this analysis was to compare regional body composition estimates obtained via DXA and SFBIA. METHODS: After an overnight food and fluid fast, 102 adults (64 F, 38 M; age: 29.2 ± 13.4 y; BMI: 24.3 ± 3.9 kg/m²; BF%: 24.6 ± …

Validity Of Infrared 3-Dimensional Scanning For Estimation Of Body Composition: A 4-Compartment Model Comparison, Brian T. Adamson, Jacob R. Dellinger, Marqui L. Benavides, M. Lane Moore, Claire P. Underwood, Tyler C. Dierolf, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

Multiple infrared 3-dimensional (3D) scanning technologies exist, including time of flight (ToF) scanners and structured light scanners with static (SL-S) and dynamic (SL-D) configurations. ToF scanners measure depth by using the round-trip time of reflected photons, whereas SL scanners measure deformations in light patterns and allow for creation of a depth image using geometric triangulation. Recently, 3D scanning technologies have been proposed as novel methods of body composition assessment. PURPOSE: The purpose of this analysis was to examine the validity of four different commercially-available 3D scanners for estimation of body fat percentage (BF%) as compared to a 4-compartment (4C) …

Circulating Inflammatory And Oxidative Stress Responses To Steady-State Moderate-Intensity And High-Intensity Interval Exercise In Mid-Spectrum Chronic Kidney Disease, Matthew Peterson, Jeffrey S. Forsse, James K. Taylor, Zach Papadakis, Nick Schwedock, Burritt Hess, Jackson O. Griggs Md, Crawford Allison, Ron Wilson Md, Kathleen Adair, Mitch Cholewinski, Peter Grandjean

International Journal of Exercise Science: Conference Proceedings

Inflammation and oxidative stress can be potent modulators of vascular function. These factors may transiently respond to moderate-intensity steady state exercise (SSE) in a manner that improves post-exercise vascular function in healthy adults. Whether exercise imparts similar effects in adults with Stage 3 or 4 chronic kidney disease (CKD) remains understudied. Moreover, a comparison of SSE and high-intensity interval exercise (HIIE) may add to clinically-relevant findings for improving vascular function in mid-spectrum CKD. PURPOSE: To determine the influence of SSE and a comparable amount of HIIE on post-exercise inflammation and oxidative stress in patients diagnosed with secondary Stage 3 or …

The Effect Of Varying High-Intensity Interval Training Style Warm-Ups On Hemodynamic, Power, And Flexibility Responses, Nelson Wise, Orlando Cepeda, Klarissa Ybarra, Brenda Palma, Brianna Lopez, Manuel Nunez, Ezra Meza, Alexandria Hinojosa, Amanda Hankins, Murat Karabulut

International Journal of Exercise Science: Conference Proceedings

PURPOSE: The purpose of this study was to examine the effectiveness of high-intensity interval training (HIIT) style warm-up on hemodynamic, power, and flexibility responses. METHODS: Twelve male subjects (age: 24.15 ± 3.1 yr. & weight: 78.78 ± 16.83 kg) completed the study. On the first day, initial screening, anthropometric measures, and familiarization with testing procedures were completed. There were a total of 6 randomized testing sessions (separated by at least 48 hours.). The testing sessions were as follows: 3-min warm-up session with 20 sec work followed by 10 sec (C1), 3-min warm-up session with 30 sec work followed …

Mental Health Best Practices In Ncaa: The Bidirectional Relationship Between Mental Toughness And Self-Compassion, R. Noah Padgett, Jeffrey S. Forsse, Zacharias Papadakis, Paul J. Deal, Andreas Stamatis Dr.

International Journal of Exercise Science: Conference Proceedings

Based on National Collegiate Athletic Association (NCAA) reports, student-athletes’ well-being is compromised by sub-clinical issues of mental health (MH) disorders, such as depression and anxiety. Preliminary data have shown a positive relationship between mental toughness (MT) and MH, self-compassion (SC) and MH, and SC and MT. To date, possible indirect causal relationships between these three constructs have not been investigated. PURPOSE: To confirm the three aforementioned relationships in NCAA athletes and explore the mediation role of MT and SC on the SC-MH and MT-MH relationships, respectively. Hypotheses: (1) MT will correlate positively with MH, (2) SC will correlate positively …

Muscle Glycogen Depletion And Replenishment: A Meta-Analytic Review, Ian Macklin, Frank Wyatt, Malaeni Ramos, Grant Ralston

International Journal of Exercise Science: Conference Proceedings

Muscle glycogen depletion and replenishment rates have been associated with sport performance, biomechanical movement and immune system alterations. PURPOSE: the purpose of this study is to determine, through a meta-analytic review, the mechanisms of muscle glycogen depletion and replenishment. METHODS: A systematic literature review and meta-analysis research design was utilized. Inclusion-exclusion criteria were the following: Glycogen depletion- replenishment studies; subjects in studies had no pathologies; human and animal studies were accepted; Studies with diet manipulation were accepted; articles accepted for coding were peer reviewed, original publications. Coded studies were summarized and statistically analyzed. Coded variables were presented as …

Renal Function Responses To Steady-State Moderate-Intensity And High-Intensity Interval Exercise In Mid-Spectrum Chronic Kidney Disease, Kathleen E. Adair, Jeffrey S. Forsse 4681817, Matthew Peterson, Zacharias Papadakis, Mitch Cholewinski, Peter Grandjean

International Journal of Exercise Science: Conference Proceedings

Efficacy of exercise to improve renal function remains understudied in adults with mid-spectrum chronic kidney disease (CKD). In addition, a comparison of steady-state exercise (SSE) and high-intensity interval exercise (HIIE) may contribute clinically-relevant information for exercise-related augmentation of renal function in mid-spectrum CKD. PURPOSE: To determine the influence of SSE and a comparable amount of HIIE on indicators of post-exercise renal function in patients diagnosed with secondary Stage 3 or 4 CKD. METHODS: Twenty participants (n = 6 men; n = 14 women; age 62.0 + 9.9 yr; weight 80.9 + 16.2 kg; body fat 37.3 + 8.5% …

2019 February 19 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

The Voices Of Graduates: Informing Faculty Practices To Establish Best Practices For Readying Nclex-Rn Applicants, Mary Hanson-Zalot, Angela Gerolamo, Julia Ward

College of Nursing Faculty Papers & Presentations

Changes in the National Council of State Boards of Nursing along with other factors influence graduates’ successful completion of a nursing program and the licensing examination. Literature is scarce in the area of examining stu-dent perceptions of preparing for and taking the NCLEX-RN examination. Our study sought to fill this gap in knowledge by conducting a focus group and interviews with individuals who passed the NCLEX-RN on their first at-tempt and those who did not. This was a descriptive qualitative study which used semi-structured interviews and a focus group to examine graduates’ perceptions related to preparing for and taking the …

February 2019, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy

Week Of February 11, 2019, New York Medical College

InTouch

• George D. Yancopoulos, M.D., Ph.D., Will Deliver the 160th Commencement Address
• Medical Student Research is Flourishing at NYMC
• NYMC Kicks Off Black History Month With Movie Screening
• Trumada Initiative Hosts Investor Club Presentation

My First Experience Using Clinical Evidence To Change Patient Care, Alec Aiello

Clinical Research in Practice: The Journal of Team Hippocrates

This third year medical student reflects upon how his observations and subsequent research into a clinical question was able to influence the way his team thought about administering care in their day-to-day practice.

Interdisciplinary Trust And Respect Protects Patients From Changing Power Dynamics In Healthcare, Sahithi Gogineni, Iman Choucair

Clinical Research in Practice: The Journal of Team Hippocrates

The changing culture of power relationships in healthcare, and its effect on the coordination of patient care, is highlighted.

Npo Or Ama? Patients Allowed Clear Liquids Up To 2 Hours Pre-Procedure Have Equivalent Aspiration Risk And Increased Patient Satisfaction, Erich Smith

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Itou K, Fukuyama T, Sasabuchi Y, et al. Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial. Journal of Anesthesia. 2012;26(1):20-27. doi: 10.1007/s00540-011-1261-x.

Icatibant Is Not Helpful For The Treatment Of Ace Inhibitor-Induced Angioedema, Samantha R. Schwartz

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Sinert R, Levy P, Bernstein JA, et al. Randomized trial of icatibant for angiotensin-converting enzyme inhibitor-induced upper airway angioedema. J Allergy Clin Immunol Pract. 2017; 5(5): 1402-1409. doi: 10.1016/j.jaip.2017.03.003.

Renal Angioplasty Does Not Improve Clinical Outcomes Compared To Standard Medical Therapy In Patients With Atherosclerotic Renal Artery Stenosis, Alexandra Morris

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Cooper CJ, Murphy T, Cutlip D, Jamerson K, Henrich W. Stenting and medical therapy for atherosclerotic renal-artery stenosis. New Eng J Med. 2014;370(1):13-22. doi: 10.1056/NEJMoa1310753.

Early Dexamethasone Administration In Adults With Suspected Meningitis Lowers Morbidity And Mortality, Dana Siegel

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of de Gans J, van de Beek D, Investigators EDiABMS. Dexamethasone in adults with bacterial meningitis. New Eng J Med. 2002;347(20):1549-1556. doi: 10.1056/NEJMoa021334.

Memantine Unproven To Provide Any Clinical Benefit In Cases Of Vascular Cognitive Impairment, Irene Kitromelides

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Wilcock G, Möbius HJ, Stöffler A. A double-blind, placebo-controlled multicentre study of memantine in mild to moderate vascular dementia (MMM500). Int Clin Psychopharmacol. 2002 Nov;17(6):297-305. doi: 10.1097/00004850-200211000-00005.

Roflumilast Does Not Decrease Copd Exacerbations In Adequately Treated Patients, But Subgroup Analysis Allows For Shared Decision Making, Nathanael Sanchez

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Martinez FJ, Rabe KF, Sethi S, et al. Effect of Roflumilast and Inhaled Corticosteroid/Long-Acting beta2-Agonist on Chronic Obstructive Pulmonary Disease Exacerbations (RE(2)SPOND). A Randomized Clinical Trial. Am J Respir Crit Care Med. Sep 1 2016;194(5):559-567. doi: 10.1164/rccm.201607-1349OC.

Confirmation Bias By Consumers Of Clinical Research Demonstrates The Need For Implementation Science, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

The Journal's Editor holds that, although Evidence-based medicine typically only looks for bias of the research design, still evidence-based practice must also include the biases of those using the research evidence and how it is deployed in clinical practice.

Teach Students, Empower Patients, Act Collaboratively And Meet Health Goals: An Early Interprofessional Clinical Experience In Transformed Care, Maria Gabriela Castro, Melanie Dicks, Keisa Bennett, Carol Hustedde, David Sacks, Lynn Joyce Hunter, William Elder

Family and Community Medicine Faculty Publications

Purpose: Transformation of care teaching is often didactic and conceptual instead of practical and operational. Clinical environments, slow to transform, limit student exposure to key experiences that characterize transformed care. We describe the design and implementation of TEAM Clinic (Teach students, Empower patients, Act collaboratively, Meet health goals) – an early clinical learning experience to address this gap.

Methods: The TEAM Clinic curriculum was based on a review of existing curricula and best practice recommendations for the transformation of care. Three key elements were selected as the focus for a low-volume, high-service clinic: patient centeredness, interprofessional collaboration and team-based care. …

Week Of February 4, 2019, New York Medical College

InTouch

• Mary M. Petzke, Ph.D., is Appointed Assistant Dean for Medical Student Research
• SHSP Hosts Seminar on "HRTP: A Public Health Internship Program"

The Intentional Fieldwork Educator: Applying The Intentional Fieldwork Education Model (Ifwem), E. Joy Crawford, Nadine Hanner

Occupational Therapy Collection

This presentation introduces the Intentional Fieldwork Education Model (IFWEM). This model emphasizes intentional teaching and the application of the occupational therapy lens in the clinical education process. The IFWEM incorporates the frameworks of "Transformational Learning Theory" (Canton & Taylor, 2012), "Experiential Learning Theory" (Lisko & O’dell, 2010), and "Pedandragogy" (Samaroo, Cooper & Green, 2013) to improve the effectiveness of teaching-learning during the fieldwork experience through intentional engagement. The creation of intentional learning experiences, student assimilation into the clinic culture, and modification and pacing of learning during the clinical education process are discussed. In addition, the impact of collaborative relationships, effective …

February 2019, Sarah Yount

Wellness Committee Minutes

No abstract provided.

When Self-Care Is Not Enough: Reflections On How To Make Trauma-Intensive Clinical Work More Sustainable, Brianna C. Delker

Dignity: A Journal of Analysis of Exploitation and Violence

As a psychology resident on the psychiatry consultation-liaison service at a trauma center, I was asked by another trainee how I cope with the devastating cases of traumatic injury and abuse that we witnessed regularly on the service. This trainee’s courageous question about how we as providers cope sustainably with bearing witness to trauma coincided with my own reflection on the limits of “self-care” as it is often discussed and practiced in human service professions. In this article, I argue that an activity-based approach to self-care is not enough for providers in trauma-intensive service settings and must be complemented with …

Technology Use And Wellness Maintenance In A Medical Student Population, Lillian Flashner

Phase 1

Introduction: Burnout now affects more than half of U.S. medical students, causing decreased resilience and coping ability. When these students become physicians, they are more likely to commit medical error and have decreased patient satisfaction. Studies in college students have shown that technology use may improve wellness and deter burnout; however, heretofore no studies have been conducted to understand if medical students use the same practices.

Objective: Our specific aims were to survey medical students to identify whether they use technology to maintain their wellness, and to identify which technologies are the most effective for this purpose.

Methods: We distributed …

Assessing The Operative Log Data Of Traditional (5+2) Vs. Integrated (0+5) Vascular Training Programs, Ernest Gillan, Bs, Anthony Feghali, Md, Tuong Nguyen, Md, Dawn Salvatore, Md, Paul Dimuzio, Md, Babak Abai, Md

Phase 1

Introduction: In 2006, the Accreditation Council for Graduate Medical Education (ACGME) approved an integrated 5 year vascular surgery residency program. Operative experience can be used as a surrogate marker for success in the evolving field of vascular surgery training.

Objective: The purpose of this study is to compare the operative experience of those graduating from the traditional (5+2) vascular training program with the integrated (0+5) program.

Methods: National operative case log data supplied by the ACGME was gathered and organized for vascular surgery residents graduating between 2013 and 2018. Mean case numbers were compared between integrated vascular residents and traditional …