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2022 November 8 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

The Role Of Gut Health In Parkinson’S Disease: The Impact On Motor Symptoms And Fitness Levels, Kaylie Zapanta, E Todd Schroeder, Beth E. Fisher

International Journal of Exercise Science: Conference Proceedings

While Parkinson’s disease (PD) has traditionally been considered a central nervous system disease, recent groundbreaking research argues that PD symptomology is influenced by gut microbiota alterations (dysbiosis).¹ People with PD suffer from dysbiosis,^2-6 and gut symptoms characteristic of dysbiosis, like constipation.^7,8 Given this evidence, strategies that improve gut health in PD are warranted. One possible strategy is exercise. In non-PD populations, fitness status is linked to gut health,^9-13 and exercise which increases fitness status improves the gut.^14-19 It is now known that exercise improves motor symptoms in PD,^20-23 but the gut may be a …

The Two-Dimensional Relationship Between Ground Reaction Force Vector And Knee Axis Of Rotation Reflect Knee Loading Deficits During Squatting Post-Aclr, Jiaqi Wang, Susan Sigward

International Journal of Exercise Science: Conference Proceedings

PURPOSE

Individuals post-anterior cruciate ligament reconstruction (ACLr) perform reduced knee extensor moments (KEM) during squats by shifting weight to the non-surgical (NSx) limb ¹ or by shifting demands from the knee to hip ^1,2. These compensations occur without observable differences in joint angles by small adjustments in the center of pressure (COP). This makes them difficult to detect and may contribute to their persistence. Differences between limbs in COP position suggest that individuals adjust the relationship of the ground reaction force vector (GRFv) relative to the joint center to redistribute the loading demands in the surgical limb ³. …

Stimulated Muscle Contractions Regulate Membrane-Bound And Soluble Tlr4 To Prevent Lps-Induced Signaling And Myotube Atrophy In Skeletal Muscle Cells, Jeremy B. Ducharme, Zachary J. Fennel, Zachary J. Mckenna, Quint N. Berkemeier, Michael R. Deyhle

International Journal of Exercise Science: Conference Proceedings

Toll-like receptor 4 (TLR4) activation by lipopolysaccharides (LPS) contributes to chronic inflammation and causes upregulation of muscle atrophy signaling pathways. Exercise can suppress LPS/TLR4 axis activation by reducing the expression of TLR4 on immune cells. It is unknown how this regulation occurs, and it is not clear how exercise affects TLR4 on skeletal muscle. PURPOSE: To uncover the nature and mechanisms by which exercise affects TLR4 expression and intracellular signaling using cell culture models and human experiments. METHODS: C2C12 myotubes were subjected to electrical pulse stimulation (EPS) with and without subsequent treatment with 500 ng/mL lipopolysaccharide (LPS) along with …

Sex Differences In Hemodynamic Response To High Intensity Interval Exercise (Hiie), Leah N. Coe

International Journal of Exercise Science: Conference Proceedings

There are sex differences in the cardiorespiratory and hemodynamic response to exercise due to inherent differences in heart size, blood volume, and hemoglobin mass that elicit a higher VO₂max in men versus women. These alterations in cardiac structure and function may mediate changes in VO₂max per the Fick Equation. However, existing data are inconclusive on whether sex differences in training responsiveness exist. PURPOSE: The purpose of this study is to investigate potential sex differences in the hemodynamic response to HIIE. If men and women reveal discrepant cardiovascular responses to HIIE, this may partially mediate sex differences …

Inter-Step Height Variation Of Stairways And Observations Of Fall-Related Events, Chayston B. Brown, Shandon Poulsen, Chris Dakin, Sara Harper, Tyson Barrett

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Variation in step height within a stairway could negatively impact safe stairway negotiation by decreasing step height predictability, and consequently, increasing stair users’ fall risk. Unfortunately, inter-stairway step height variability is common, particularly in older stairways, but its impact may be lessened by highlighting steps’ edges using high-contrast stripes on the top front edge of each step. Such contrast enhancement may draw greater attention to the steps’ edges and potentially enhance the precision of the edge’s estimated location. PURPOSE: To determine (1) if fall-related events are associated with greater inter-step height variation, and (2) if such fall-related events are …

The Impact Of Squat Velocity On Force, Power, And Muscle Activity, Kyle D. Puccini, James Baldonado, Bonnie Yee, Christie R. O'Hara

International Journal of Exercise Science: Conference Proceedings

The squat is a thoroughly examined movement pattern and commonly used in sport performance training protocols, rehabilitation programs, and recreational exercise. Previous research measuring absolute strength has shown hamstring muscle activity in a six-repetition max barbell back squats. PURPOSE: The purpose of this study is to examine the effects of varying squat velocities (25, 50, 75 deg/s) on force, power, and the activation of the quadricep and hamstring muscles. Using a single-blind randomized research design, we hypothesized that hamstring muscle activity will increase at faster squat velocities. Our secondary hypothesis is that peak power will occur at 50 deg/s and …

Impact Of Mask Wearing On Post-Exercise Hemodynamics, Payton J. Price, Zachary Zeigler, Luke Heikka, Adarius West, Sofia Harman, Anthony Acevedo

International Journal of Exercise Science: Conference Proceedings

As the guidelines regarding COVID-19 regressed, many fitness centers established regulations requiring mask-wearing during exercise. Data suggest that the impact of a mask during exercise has minimal effects on exercise hemodynamics. The post-exercise period has been described as a window of opportunity to lower blood pressure, a phenomenon called post-exercise hypotension. The impact of wearing a mask on post-exercise hemodynamics is unknown. PURPOSE: The purpose of this study was to examine the impact of mask-wearing during exercise on post-exercise hemodynamics. METHODS: Nine total participants aged 18-30 yr were recruited for this experimental cross-over study. This within-subject design involved …

Muscle Mitochondrial Function At Different Phases Of The Menstrual Cycle, Brandon S. Pfeifer, Briell King, Erin Atkinson, Chad R. Hancock, Robert D. Hyldahl

International Journal of Exercise Science: Conference Proceedings

The effect of menstrual cycle (MC) phase on muscle recovery from damage has been studied using markers of strength and soreness, but remains inconclusive. Mitochondrial function is essential for muscle recovery, and has been found to be influenced by estradiol (E2). Understanding the relationship between MC phase and mitochondria can provide further insight into women’s muscle health. The PURPOSE of this study was to determine how MC phase affects markers of muscle damage and recovery, with emphasis on mitochondrial function, following electrically-stimulated muscle contractions. METHODS: 22 premenopausal females were recruited and split into two groups, early follicular (EF) and …

Exercise And Esr1 Control Mitochondrial Content And Function To Regulate Adiposity, Alice M. Ma, Nicole Lee Yang, Alexander R. Strumwasser, Zhenqi Zhou, Andrea L. Hevener

International Journal of Exercise Science: Conference Proceedings

Mechanisms that underlie adipose tissue remodeling to enhance metabolic health in response to exercise training remain inadequately understood. PURPOSE: We utilized mouse genetics and human GWAS to determine the impact of exercise training on mitochondrial DNA copy number, and interrogate the relationship between Esr1 and adipose tissue health. METHODS: We performed RNAseq on adipose tissue from 100 strains of inbred mice following exercise training and determined mitochondrial content by qPCR. We performed deep phenotyping of mice harboring conditional Esr1 overexpression selectively in adipose tissue. Adipose specific Esr1 overexpression and control mice were fed a high fat diet and …

“Cheating” In A Fast By Exercising After A Snack, Katelynn Hales, Landon Deru Ms, Mba, Atc, Bruce Bailey Phd, Facsm,, Hi'ilei Chan, Jake Moss

International Journal of Exercise Science: Conference Proceedings

As the prevalence of chronic diseases has increased, research has emerged supporting the utility of intermittent fasting in managing certain health conditions. Despite potential benefits, adhering to a fasting regimen can be difficult. PURPOSE: The purpose of this study was twofold. The first purpose was to describe how consuming a modest snack prior to exercise influences plasma glucose, beta-hydroxybutyrate and hunger in reference to fasting with and without exercise. The second purpose was to examine how exercising in a fasted state influences plasma glucose, beta-hydroxybutyrate and hunger. METHODS: A randomized crossover design with counterbalanced treatment conditions was used to compare …

Intouch Week Of November 7, 2022, New York Medical College

InTouch

• SOM Announces New Hires
• NYMC Researchers Awarded $708,618 Grant From NIH to Study Postural Tachycardia Syndrome
• The Office of Human Resources Strives to Attract and Engage a Skilled and Diverse Workforce
• Julie S. Di Martino, Ph.D., newly appointed assistant professor of cell biology and anatomy

Understanding The Mental Health Impact And Needs Of Public Healthcare Professionals During Covid-19 In Pakistan : A Qualitative Study, Waqas Hameed, Anam Shahil Feroz, Bilal Iqbal Avan, Bushra Khan, Zafar Fatmi, Noreen Afzal, Hussain Jafri, Mansoor Ali Wassan, Sameen Siddiqi

Community Health Sciences

Objectives: A dearth of qualitative studies constrains in-depth understanding of health service providers' perspectives and experiences regarding the impact of COVID-19 on their mental health. This study explored the mental health impact and needs of of public sector healthcare workers during COVID-19 who working in secondary-level and tertiary-level healthcare settings of Pakistan.
Design: An exploratory qualitative study.
Setting: Twenty-five secondary-level and eight tertiary-level public hospitals of Sindh and Punjab provinces of Pakistan.
Participants: In-depth interviews were conducted with 16 health service providers and 40 administrative personnel. Study data were analysed on NVivo V.11 using the conventional content analysis technique.
Results: …

Metamotivation In Medical Students: Explaining Motivation Regulation Strategies In Medical Students, Ali Norouzi, Maryam Alizadeh, Dean Parmelee, Saharnaz Nedjat, Saiideh Norouzi, Mohammad Shariati

Medical Education Faculty Publications

BACKGROUND: Metamotivation is a process that students use to monitor their motivational states to reach their academic goals. To date, few studies have addressed the ways that medical students manage their motivational states. This study aim to identify the motivational strategies of medical students as they use the metamotivational process to monitor and control their motivational states.

MATERIALS AND METHODS: This qualitative study uses directed content analysis of the narrative responses of 18 medical students to draft an in-depth and semistructured interview protocol which were conducted through WhatsApp due to social distance restrictions of COVID-19. Data were collected, encoded, and …

Uthealth Quality Symposium 2022 Abstracts-2

Teaching in Clinics

No abstract

29th Annual Scientific Congress Of Hong Kong College Of Cardiology Proceedings

Journal of the Hong Kong College of Cardiology

No abstract provided.

24th Asc Of Icsm Proceedings

Journal of the Hong Kong College of Cardiology

No abstract provided.

29th Annual Scientific Congress Of Hong Kong College Of Cardiology Abstracts

Journal of the Hong Kong College of Cardiology

No abstract provided.

24th Asc Of Icsm Abstracts

Journal of the Hong Kong College of Cardiology

No abstract provided.

Utilization Of A Multimodal De-Escalation Class To Improve Staff Confidence When Caring For Behaviorally Escalating Patients, Tara B. Neuner

Graduate Theses, Dissertations, and Capstones

Workplace violence is a common challenge seen in the healthcare settings across the world. This problem is steadily increasing in all types of hospitals, including a level one trauma center located in an urban area. There has been a steady rise in the number of assaults and workplace violence reported from bedside staff at this hospital. The leadership of the organization formed a work group to help combat the workplace violence and staff assaults that were occurring. In this process, a behavior response team was created to help nursing staff with escalating behavior in patients, and to help de-escalate the …

Impact Of A Multifaceted Intervention On Physicians' Knowledge, Attitudes And Practices In Relation To Pharmaceutical Incentivisation: Protocol For A Randomised Control Trial, Muhammad Naveed Noor, Mishal Khan, Afifah Rahman-Shepherd, Amna Rehana Siddiqui, Sabeen Sharif Khan, Iqbal Azam, Sadia Shakoor, Rumina Hasan

Department of Pathology and Laboratory Medicine

Introduction: In settings where the private sector constitutes a larger part of the health system, profit-gathering can take primacy over patients' well-being. In their interactions with pharmaceutical companies, private general practitioners (GPs) can experience the conflict of interest (COI), a situation whereby the impartiality of GPs' professional decision making may be influenced by secondary interests such as financial gains from prescribing specific pharmaceutical brands.
Methods and analysis: This study is a randomised controlled trial to assess the impact of a multifaceted intervention on GPs' medical practice. The study sample consists of 419 registered GPs who own/work in private clinics and …

Using Social Media To Examine Disabled Veterans’ Adaptive Sports Lived Experience At The National Veterans’ Wheelchair Games, Heather Harding

Graduate Theses, Dissertations, and Capstones

Considered the world’s largest annual rehabilitative wheelchair games event for Veterans in the United States, the National Veterans Wheelchair Games (NVWG or the Games), co-hosted annually by the Department of Veterans Affairs and Paralyzed Veterans of America, is a long-standing event that offers a view into how adaptive sports and recreational activities can impact Veterans with disabilities. This hermeneutic phenomenological qualitative study sought to discover if the Veteran athletes, who participated in the NVWG between 2017 and 2021, described their lived experiences through the lens of their public social media posts on Instagram, and if so, what can be gleaned …

Evaluation Of Mrna-1273 Vaccine In Children 6 Months To 5 Years Of Age, Evan J Anderson, C Buddy Creech, Vladimir Berthaud, Arin Piramzadian, Kimball A Johnson, Marcus Zervos, Fredric Garner, Carl Griffin, Khozema Palanpurwala, Mark Turner, Jeffrey Gerber, Richard L Bennett, Kashif Ali, Madhavi Ampajwala, Gary Berman, Jennifer Nayak, Carey Chronis, Barbara Rizzardi, William J Muller, Christopher A Smith, George Fuchs, Daniel Hsia, Joanne E Tomassini, Dianne Delucia, Caroline Reuter, Barbara Kuter, Xiaoping Zhao, Weiping Deng, Honghong Zhou, Daniela Ramirez Schrempp, Kelly Hautzinger, Bethany Girard, Karen Slobod, Roderick Mcphee, Rolando Pajon, Anne Aunins, Rituparna Das, Jacqueline M Miller, Sabine Schnyder Ghamloush, Kidcove Study Group

Faculty, Staff and Student Publications

BACKGROUND: The safety, reactogenicity, immunogenicity, and efficacy of the mRNA-1273 coronavirus disease 2019 (Covid-19) vaccine in young children are unknown.

METHODS: Part 1 of this ongoing phase 2-3 trial was open label for dose selection; part 2 was an observer-blinded, placebo-controlled evaluation of the selected dose. In part 2, we randomly assigned young children (6 months to 5 years of age) in a 3:1 ratio to receive two 25-μg injections of mRNA-1273 or placebo, administered 28 days apart. The primary objectives were to evaluate the safety and reactogenicity of the vaccine and to determine whether the immune response in these …

Living With Multiple Sclerosis As A Former Marathon Runner: Impact Of Attitude And Past Behaviour On Self-Care Maintenance And Perseverance, Michael Stephanou

Patient Experience Journal

As healthcare professionals, we have a duty to promote the wellbeing of individuals living with chronic diseases and this could be accomplished through the establishment of self-care strategies that are both collaborative and self-directed. Insight into the complex behaviours and backgrounds of individuals who show initiative in dealing with chronic disease could help achieve this by revealing drivers of health-seeking and engaging behaviours. Therefore, by deducing the complex interactions between attitude, past experiences and disease outlook, broader patient welfare could be championed through the implementation of targeted interventions which promote self-care in chronic disease. This article aims to explore these …

“I Can’T See How People Could Walk Through That Exhibit And Not Be Forever Changed”: A Qualitative Analysis Exploring The Use Of Art In Research Dissemination, Vincent M. Pepe, Allison Sowers, Michelle Pimentel, Alexa Hoffman, Cierrah Doran, Amanda Guth, Sameer Khan, Willie Baronet, Rosemary Frasso

College of Population Health Faculty Papers

Background: Art can be a strong advocacy tool; it can be used to amplify the voices of marginalized communities and can change people’s perceptions of the world and others in it. In 2018, an art exhibit at Jefferson University included the cardboard signs of people who panhandle in Philadelphia as well as excerpts from in-depth interviews with those who panhandle to highlight their lived experiences. While the team published an article about this work, the purpose of this follow-up study is to explore the lasting impact of the exhibit experience on attendees’ perceptions of people who panhandle.

Methods: Fourteen attendees …

The Benefits And Challenges Of Virtual Education For Interprofessional Teams In A Post-Covid Environment, Tiffany Champagne-Langabeer

Faculty, Staff and Student Publications

There have been a series of disruptions in the healthcare environment since 2019, starting with the global pandemic [...].

Assessing Availability And Effectiveness Of Pharmacy Spanish Interpreter Services: A Systematic Review, Ma. Emmanuelle R. Domingo

The Journal of Purdue Undergraduate Research

No abstract provided.

Australian General Practice Training Program: National Report On The 2022 National Registrar Survey, Rebecca Taylor, Leyna Clarke, Ali Radloff

Higher education research

The Australian General Practice Training National Registrar Survey (AGPT NRS) is an annual, national survey of GP registrars currently training in the AGPT program. It collects information via an online questionnaire about registrar satisfaction, experience and future career plans. It also collects information about registrars’ demographics and training contexts and other aspects of their training experience. This survey is part of the Department of Health and Aged Care’s (the Department) monitoring and quality improvement activities. From June 27 until August 12, 2022, the Australian Council for Educational Research (ACER) administered the AGPT NRS to registrars enrolled in active training on …

Theory Building As Integrated Reflection: Understanding Physician Reflection Through Human Communication Research, Medical Education, And Ethics, Andrea Vicini, Ashley P. Duggan, Allen F. Shaughnessy

Journal of Health Ethics

Grounded in a presupposition that a single explanatory framework cannot fully account for the expansive learning processes that occur during medical residency, the article examines developing physicians’ reflective writing from three disciplinary lenses. The goal is to understand how the multi-dimensional nature of medical residency translates into assembling educational experiences and constructing meaning that cannot be fully explained through a single discipline. An interdisciplinary research team across medical education, communication, and ethics qualitatively analyzed reflective entries (N=756) completed by family medicine residents (N=33) across an academic year. Results provide evidence for moving toward an integrated thematic explanation across disciplines. The …

Motivational Components Involved In The Metamotivational Monitoring In Medical Students, Ali Norouzi, Dean Parmelee, Mohammad Shariati, Saiideh Norouzi, Maryam Alizadeh

Medical Education Faculty Publications

Background: Theoretical implications of self-regulated learning emphasize that self-regulation of motivation (metamotivation) plays an important role in learning, effort, perseverance, and academic success in general. Metamotivation is how people monitor and control their motivational states to achieve their goals. Researchers believe that metamotivation includes two reciprocal processes: metamotivational monitoring, evaluating whether the person has selected the proper level (quantity) and type (quality) of motivation to perform his tasks; and metamotivational control, using the results of the monitoring phase and applying suitable strategies for adapting or changing the motivation. In metamotivational monitoring, students try to identify the declined motivational component in …