Medicine and Health Sciences Commons^™

Relationship Between Body Mass Index And Hydration Status In Air Force Rotc Cadets, Ivan P. Flores, Michael M. Rodriguez, Alma I. Martinez, Haydin C. Pazdur, Angela Haven A. Barandino, Christopher R. Hill, April Karlinsky, Jason Ng

International Journal of Exercise Science: Conference Proceedings

The Air Force Reserve Officer Training Corps (AFROTC) program prepares young individuals for their future as officers in the United States Air Force. This is a unique population because these cadets are college students who must maintain physical fitness through regular group exercise training. Previous research has identified that proper hydration is important to optimize training sessions. However, it is unknown whether the body size of this population is connected to their hydration status before and after exercise. PURPOSE: To examine the relationship between body mass index (BMI) and hydration status and the differences between BMI classifications of AFROTC cadets. …

Correlation Between Voluntary Fluid Intake And Sweat Rate Of Air Force Rotc Cadets During Outdoor Exercise, Michael M. Rodriguez, Alma I. Martinez, Haydin C. Pazdur, Angela Haven A. Barandino, Daniela Ferreras, Theodore M. Locey, Christopher R. Hill, April Karlinsky, Jason Ng

International Journal of Exercise Science: Conference Proceedings

The Air Force Reserve Officer Training Corps (ROTC) is a training program that gives individuals the opportunity to become leaders in and outside of the classroom while they prepare for their careers as officers in the United States Air Force or Space Force. This is a unique group of college students training to become tactical operators, which involves participating in regular group physical training. To optimize training, cadets should incorporate proper hydration strategies. Ideally, fluid intake volume should match sweat losses, however ROTC cadets’ hydration practices remain unclear. PURPOSE: The purpose of this study was to examine the relationship …

Relationship Between Exercise Intensity And Voluntary Fluid Intake In Air Force Rotc Cadets, Theodore M. Locey, Alma I. Martinez, Haydin C. Pazdur, Daniela E. Ferreras, Angela Haven A. Barandino, Christopher R. Hill, April Karlinsky, Jason Ng

International Journal of Exercise Science: Conference Proceedings

Air Force ROTC cadets are college students simultaneously receiving training to serve as officers in the United States Air Force. Regular group exercise is part of this training program, and good hydration habits would be conducive to optimizing the exercise sessions. However, it is unclear whether exercise intensity might influence this special population's voluntary drinking behaviors in a manner that is sufficient for optimizing exercise training sessions. PURPOSE: Therefore, the purpose of this study was to examine the relationship between exercise intensity and voluntary fluid intake in Air Force ROTC cadets during a typical training session. METHODS: Nine …

Self-Reported Fall Risk With The Stop Elderly Accidents, Deaths, And Injuries (Steadi) Questionnaire In An Early Outpatient Cardiac Rehabilitation Population, Daniel L. Enriquez, Jon Vimmerstedt D.O., Frank T. Paul Iii, Zeyu Song M.S., Bryan J. Taylor Ph.D., Facsm, Casey L. Filler M.S., Kaitlin E. Moore M.S., Molly C. Tomah M.S., Regis I. Fernandes M.D., Mike Studer Pt, Dpt, Fapta, Robert Scales Ph.D., M.S.

International Journal of Exercise Science: Conference Proceedings

An age-related decline in musculoskeletal health and physical function (PF) may contribute to frailty and lead to increased fall risk (FR). Traditional cardiac rehabilitation (CR) programs prioritize aerobic exercise conditioning with less emphasis on FR screening and prevention with related individualized PF training. PURPOSE: This study evaluated the prevalence of self-reported FR among patients enrolled in an early outpatient CR program. METHODS: Fifty-one adults (80% male; age 74.9 ± 6.7 years) agreed to complete the screening portion of the Center for Disease Control and Prevention (CDC) Stop Elderly Accidents, Deaths, and Injuries (STEADI) tool kit, which consisted of 12 …

A Case Of Cecal Volvulus In The Setting Of Multiple Sclerosis, S. Jiaming Lin, Paige M. Kieper, Michael Mullinax, Jake W. Vogel, Kimberly Syres

Advances in Clinical Medical Research and Healthcare Delivery

This case report describes a patient with a history of multiple sclerosis (MS) and optic neuritis, who presented with acute onset of generalized abdominal pain. The patient was ultimately diagnosed with cecal volvulus requiring emergent laparotomy and right hemicolectomy. This case highlights the relationship between neurogenic bowel dysfunction (NBD) associated constipation in patients with MS and intestinal volvulus. Additionally, this case demonstrates the importance of NBD associated constipation management through various modalities including laxative regimens, behavioral and diet modification, and reduction of polypharmacy, with an emphasis on individualized patient management.

How Did Dat Happen? A Coombs Negative Delayed Hemolytic Transfusion Reaction In A Patient With Myelodysplastic Syndrome: A Case Report, Aniket Vijay Rao Dr, Aditya Sanjeevi, Daniel Jose Idoate, Nagesh Jadhav, Basil Verghese, Himal Kharel

Advances in Clinical Medical Research and Healthcare Delivery

Delayed hemolytic transfusion reactions (DHTRs) present significant challenges in diagnosis and management despite advancements in pre-transfusion testing. We report a case of a 76-year-old female with myelodysplastic syndrome (MDS) who developed severe hemolytic anemia following a seemingly compatible blood transfusion and appropriate pretransfusion testing. Evaluation revealed characteristics consistent with DHTR. Diagnostic uncertainty arose due to a negative Direct Antiglobulin Test (DAT) in the setting of a concomitant Vitamin B-12 deficiency. She was supported with prednisone and B12 supplementation. We discuss challenges in diagnosis, including the limitation of DAT, and propose strategies for comprehensive antibody identification. The case underscores the importance …

Interactive Virtual Presence: A New Tool For Remote Healthcare, David C. Schwebel

Advances in Clinical Medical Research and Healthcare Delivery

The COVID-19 pandemic transformed use of telemedicine for healthcare. Many healthcare objectives can be successfully delivered through traditional telemedicine platforms, and others must be delivered in person. Lying between those extremes is a subset of healthcare objectives that might benefit from use of interactive virtual presence, a form of augmented reality that can be delivered on standard smartphones to offer immersive presence as well as simultaneous voice and visual stimuli. Using interactive virtual presence, a healthcare provider can communicate both verbally and visually with a remotely-located patient, but also can interact with that patient through merged reality by pointing with …

Could Sigmoid Diverticulitis, Drug-Induced Liver Injury, And Drug-Induced Pancreatitis Co-Occur?, Rutwik Pradeep Sharma, Ryan Tam, Michael Labuzetta, Richard Alweis

Advances in Clinical Medical Research and Healthcare Delivery

Sigmoid diverticulitis is a leading cause of gastrointestinal pathology etiology, which causes hospital admissions in Western society. Recent studies have shown its prevalence to be 1-4%. Drug-induced liver injury (DILI) is a primary cause of acute liver failure in the West^. The incidence of DILI is between 14-19 cases per 100,000 population. The prevalence of drug-induced pancreatitis (DIP) is 2-5%, although this is hard to estimate given the lack of large-scale studies. Sulfasalazine is a disease-modifying antirheumatic drug that is indicated for the treatment of chronic inflammatory diseases such as rheumatoid arthritis and ulcerative colitis. It has been associated …

Cardiac Arrest Following Svc Intravascular Stenting: A Case Report, Afrah Ali, Shahtaj Shah, Varun Mehta, Lubna Ziauddin, Asma Khan, Sameen Khurshid, Fawaz Ali

Advances in Clinical Medical Research and Healthcare Delivery

Superior vena cava (SVC) syndrome is a known collection of symptoms caused by obstruction of blood flow through the superior vena cava. Symptoms notably seen include difficulty breathing, coughing, hoarse voice, and swelling of the head, neck, and arm. It is most commonly seen secondary to malignancy from tumor infiltration of the vessel wall and is frequently associated with lung cancer due to anatomic location.

Treatment of SVC syndrome largely depends on severity of symptoms. While treatment of underlying cause is considered first line, intravascular stenting is also commonly considered in life threatening cases and for symptomatic relief.

We report …

From Infection To Encapsulation; A Case Report On Encapsulating Peritoneal Sclerosis, Clinical Challenges And Management, Sidra Memon Md, Jacob Seth Psomiadis Md, Syed Uzair Mahmood, Jennifer Hoffman Md

Advances in Clinical Medical Research and Healthcare Delivery

Encapsulating Peritoneal Sclerosis (EPS) is a rare but deadly sequlae of peritoneal dialysis resulting in intraperitoneal inflammation and fibrosis. The disease itself can present in a variety of ways and is associated with significant morbidity and mortality. Here we present the case of a man in his 50's with a history of chronic peritoneal aspergillus as well as end-stage renal disease on peritoneal dialysis that had multiple admissions for abdominal fluid collections as well as bowel obstruction. After a multidisciplinary approach, the patient was diagnosed with encapsulating peritoneal sclerosis and then started the recommended therapy of tamoxifen and prednisone.

Exploring Disparities In Palliative Care Utilization For Patients With End-Stage Liver Failure: A Nationwide Cohort Analysis (2016-2020), Sheza Malik, Hajra Khan, Amatul Mueed Taqiyyah Fatima Syeda, Mohammed Faisaluddin, Babu Mohan Md, Asim Mushtaq, Karin Dunnigan

Advances in Clinical Medical Research and Healthcare Delivery

Background: Despite the very high symptom burden, palliative care (PC) services are underutilized in patients with End-stage liver disease (ESLD). Herein, we investigated the disparities in the utilization of PC services among patients with ESLD hospitalized in the United States.

Method: We conducted a retrospective cohort analysis by utilizing the Nationwide Inpatient Sample from 2016 to 2020. All patients greater than 18 years old admitted with ESLD were included in the analysis. A multivariate logistic regression model predicting referral to PC was created.

Results: In our analysis, significant racial disparities were observed in the utilization of palliative care services among …

Acute Mitral Regurgitation Presenting As Unilateral Pulmonary Edema, Jacob Seth Psomiadis, Austin Kim Md, Whitnee Otto Md, Kavitha Vemuri Md

Advances in Clinical Medical Research and Healthcare Delivery

Acute mitral regurgitation caused by papillary muscle rupture is a rare and life-threatening complication of myocardial infarction. This devastating complication can present as unilateral cardiogenic pulmonary edema which can be easily mistaken for other cardiopulmonary pathology, resulting in delay of care. Proper evaluation and diagnosis is key for obtaining timely surgical evaluation. Here we present a case of an 87-year-old male with a past medical history of coronary artery disease status post percutaneous intervention with one stent, cerebrovascular accident status post left carotid stenting, and Alzheimer’s dementia that presented to the emergency department with a chief complaint of exertional dyspnea …

Recurrent Deep Vein Thrombosis In May Thurner Syndrome Precipitated By Heparin Induced Thrombocytopenia: A Case Report And Review Of Literature, Abhishek Bhandari, Chengu Niu

Advances in Clinical Medical Research and Healthcare Delivery

May Thurner Syndrome involves the extrinsic compression of the left common iliac vein by the right common iliac artery, which predisposes to venous thrombosis. This case report and review of literature details a complex instance of recurrent Deep Vein Thrombosis (DVT) in a 58-year-old female patient with May Thurner Syndrome (MTS), exacerbated by Heparin-Induced Thrombocytopenia (HIT). The patient, post Coronary Artery Bypass Graft surgery, developed leg symptoms leading to the discovery of an extensive DVT from the calf veins to the external iliac vein. She was initially treated with heparin, which was switched to bivalirudin following a significant drop in …

Prevalence Of Serious Diagnoses And Disposition Among Older Adults Presenting With A Chief Complaint Of Constipation, A Retrospective Repeated Cross-Sectional Study, Ari B. Friedman, Michael N. Adjei-Poku, Rachel Gonzales, Rachel Kelz, Rachel R. Wu, Anne R. Cappola

Journal of Geriatric Emergency Medicine

A chief complaint of “constipation” in the emergency department (ED) is generally considered low-risk, and potentially suitable for lower acuity care. However, it may also indicate abdominal pain perceived as lower severity by triage staff, despite being relatively high-risk. We hypothesized that ED visits for constipation in older adults would more frequently result in the diagnosis of serious, treatable conditions compared to younger adults. We analyzed data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) over an 8-year period (2013-2020). Older adults with constipation were more likely to be non-Hispanic White. Among adults with constipation, 25.6% (95% CI: 22.8-28.4) …

Integrating Geriatric House Call Practice Into Paramedic Education: A Novel Educational Approach On Attitudes And Acceptance, Phillip D. Magidson, Mariah L. Robertson, Robby May, Mattan Schuchman, Eric Garfinkel, Matthew J. Levy

Journal of Geriatric Emergency Medicine

Objective: This study aimed to assess the feasibility and acceptance of integrating geriatric house call practice clinical exposure into paramedic education and to explore the impact on attitudes towards older adults among paramedic students.

Methods: Paramedic students from a fire department training program participated in a geriatric house call practice in collaboration with an academic health system. Pre- and post-program surveys were conducted to evaluate changes in attitudes towards older adults using the Ageing Semantic Differential (ASD) scale. Patient feedback on paramedic involvement was collected through post-visit surveys.

Results: Six paramedic students completed 25 house call visits over eight weeks. …

Clinical Learning Obstacles Of Nursing Students At The University Of Mosul: A Qualitative Study, Karam Yaseen Fathi, Younes K. Attia, Atheer Abd Ahmed, Ahmed K. Mohamed Taher

BioMed Visions Journal

Background: Clinical learning is a crucial component of nursing education, as it provides students with the opportunity to apply their theoretical knowledge in real-life healthcare settings. However, nursing students often face obstacles during their clinical experiences that can hinder their learning and professional development. The study aim to explore the obstacles that nursing students confront during clinical training.

Materials and Methods: A qualitative phenomenological study design was used to reach the study's aim. The study was conducted in Mosul city and included 20 nursing students who were selected purposefully. A semi-structured interview with open-ended questions was used to collect …

The Effect Of Smoking On Occurrence Of Parotid Gland Tumors In Nineveh: Case-Control Study, Moayad Aziz Alabdaly, Shahbaa Al Bayati, Taha Hassan Taha

BioMed Visions Journal

Background: The parotid gland is the most common site of salivary gland tumors, the majority of these tumors are not malignant, Warthin tumors are the second most common type of cancer after pleomorphic adenomas. At present, tobacco is not classified as carcinogenic for the salivary gland due to inadequate research on the association between smoking and salivary gland tumors. The purpose of this study was to evaluate the connection between smoking and parotid gland tumors (PTG) in a state-scale study.

Materials and Methods: A group of (438) population-based controls that are individually matched and 200 incident PGT patients who were …

Diagnosis And Treatment Of Giardia Lamblia Article Review, Wahda A. M. Khrofa, Ramzia H. A. Almizwary, Alyaa A. N. Alsaffo

BioMed Visions Journal

Giardia lamblia is a microscopic parasite belonging to the genus Giardia, renowned for its complex antigenic mechanisms. This parasite predominantly inhabits the small intestine, leading to a range of symptoms, including diarrhea, abdominal pain, and discomfort, affecting both humans and various animals such as dogs, cats, cattle, and sheep. The transmission of Giardia lamblia occurs through contaminated food, surface water, and fecal matter. The parasite spreads primarily through the fecal-oral route when hands contaminated with infected feces is exposed to the mouth, or when the infected cysts are ingested directly or indirectly.

Giardia lamblia goes through two primary life stages …

Degree Of Anxiety Among First And Final Year Pharmacy Students: Results From Mosul College Of Pharmacy, Harith Kh Al-Qazaz, Sadeel A. Shanshal, Hussain A. Mohammed, Belal A. Ibrahem, Muath H. Mahmood, Omer H. Ali, Abdullah Ghanim

BioMed Visions Journal

Background and Objectives: Upgrading from schools to university is a pivotal stage for many students. however, the conversion of situation and appearance of new responsibilities will expose university students to extreme stress such as increased academic workloads and involvement in public speaking. The assessment of prevalence and its correlates of anxiety among students at the University of Mosul, College of Pharmacy was the aim in this study, involving 253 participants. Methods: A cross-sectional survey was conducted for short period of time from 20th to 27th of January 2024 in online base. The data collection form consists of two parts: Socio-demographic …

Burnout And Employee Satisfaction Of Mental Health Clinicians In Corrections, Jeremy C. Capuyon, Lindsay Gietzen

Pacific Journal of Health

Approximately 1.9 million individuals are currently incarcerated within the United States. Rehabilitation and preparation for parole back into the community is common goal amongst correctional facilities. Mental health clinicians (social workers and psychologists) within the correctional facilities are providers who assist in the rehabilitation of inmates. Unfortunately, mental health clinicians in correctional facilities experience high rates of burnout and low levels of job satisfaction, resulting in an increase in turnover rates. This research project looks to investigate the impact burnout and employee satisfaction has on mental health clinicians who work in correctional settings. Furthermore, this research project compares burnout and …

An Atypical Case Of Herpes Simplex 1 Meningitis, Nadim Ojaimi, Sofia Zhang, Marcos Wolff, Christopher James Haas

Journal of Community Hospital Internal Medicine Perspectives

Herpes simplex virus (HSV) is well known to cause Central Nervous System (CNS) infections, ranging from more common HSV-2 viral meningitis to the more rare and severe HSV-1 encephalitis. Here we present an atypical case of aseptic meningitis due to HSV-1. Intriguingly, despite the potential severity of HSV-1 infections, the patient had an uncomplicated course with only mild symptoms that resolved with conservative management alone. This case report aims to provide a frame of reference for the non-specific presentation of a patient with uncommon HSV-1 meningitis.

Sevelamer-Induced Gastrointestinal Mucosal Injury: A Critical Review For Clinicians, Lefika Bathobakae, Phenyo Phuu, Saif Yasin, Rammy Bashir, Jessica Escobar, Ruhin Yuridullah, Gabriel Melki, Mohamed Elagami, Yana Cavanagh, Walid Baddoura

Journal of Community Hospital Internal Medicine Perspectives

Sevelamer is a non-absorbable polymer used to treat hyperphosphatemia in individuals with end-stage renal disease (ESRD) undergoing hemodialysis. The deposition of sevelamer crystals in the gastrointestinal (GI) tract, especially in the colon, can cause mucosal inflammation, pseudopolyps, ulceration, ischemia, or necrosis. Owing to its rarity and lack of physician awareness, the actual incidence and prevalence of sevelamer-induced gastrointestinal mucosal injury (SIGMI) remain unknown. The current evidence is retrospective, in the form of observational studies. This systematic review of case reports provides an overview of SIGMI, with a focus on its etiology, signs and symptoms, pathogenesis, diagnosis, and management. Electronic databases, …

New Era – Same Perspective, Surendra Marur, Gillian Junker

Journal of Community Hospital Internal Medicine Perspectives

Brief history of JCHIMP, future direction and acknowledgement of our 2023 peer reviewers and sources of our authors.

Successful Application Of Craniosacral Therapy In A Case Of Colic In An 8-Week-Old Baby, Caro O’Neill, Angie Butterfield

Journal of Transformative Touch

This case study reports on the effectiveness of CranioSacral Therapy (CST) for an eight-week-old baby boy experiencing colic. A CST pediatric protocol was utilized during two sessions, a week apart, in May 2023. An improvement in symptoms was recorded after the first treatment. After the second treatment the baby was no longer presenting with symptoms related to infant colic. This case suggests that CST can be an effective support for babies experiencing infant colic.

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Input Of Sex Data Does Not Affect Metabolic Variables Returned From The Cosmed K5 Unit During Exercise, Olivia R. Perez, Michael W.H Wong, Dustin W. Davis, James W. Navalta

International Journal of Exercise Science: Conference Proceedings

There is a sex-data gap in sport and exercise, which results in an underrepresentation of female participants and increases the possibility of misgendering individuals who identify other than the female-male binary. A potential barrier to gender inclusivity could be that common exercise science equipment and software are limited to binary options for sex, excluding people who identify as gender minorities. PURPOSE: The purpose of this study was to evaluate whether sex data input into the COSMED K5 had a direct effect on metabolic outcome variables. METHODS: Seven adult participants (age = 29.6 ± 10.8 years, height = 172.6 ± 8.5 …

The Effects Of Music On Force Production, Pleasure, Perceived Exertion, Fatigue, And Recovery During An Isokinetic Strength Task, Ainsley Nommensen, Leighton Jones, Zachary Zenko

International Journal of Exercise Science: Conference Proceedings

Music is frequently listened to during exercise to enhance the overall experience. Prior research suggests promising effects of music for enhancing pleasure experienced during exercise, reducing perceived exertion, reducing fatigue, and enhancing recovery. PURPOSE: The purpose of this study was to offer new insights into how self-selected music can impact affective responses, perceptions of exertion and fatigue, and performance on a resistance exercise task. METHODS: A total of 34 participants (21 women and 13 men, mean age: 22 ± 6 years) completed two sessions of isokinetic resistance exercise in a counterbalanced order. In the experimental session, participants listened …

Erα Governs The Sexual Dimorphism In Hsp72-Mediated Control Of Mitochondrial Function, Exercise Capacity, And Insulin Sensitivity In Mice, Noelle Morrow, Amanda Lin, Zhenqi Zhou, Hirotaka Iwasaki, Brian Drew, Mark Febbraio, Andrea Hevener

International Journal of Exercise Science: Conference Proceedings

HSP72 is a chaperone protein upregulated during exercise. Levels are reduced in aging and obesity, and increased levels are correlated with improvements in metabolic health in male mice and humans. Male HSP72KO mice have increased body fat, decreased insulin sensitivity, and a loss of mitochondrial quality control. Specifically, male KO mice have increased cytosolic Parkin levels, but the protein is unable to move to the mitochondria resulting in enlarged, hyperfused mitochondria associated with metabolic dysfunction. PURPOSE: To investigate the role of HSP72 in female mice to better understand the sexual dimorphism involved in the heat shock response. METHODS: …

Lower Extremity Muscle Volume As A Prediction For Sprint Speed In Collegiate Football Players, Malorie Wilwand, Joshua Sponbeck, Steven P. Allen, Greg Snow, Iain Hunter, Aaron W. Johnson

International Journal of Exercise Science: Conference Proceedings

Sprinting is a crucial component of success in American football regardless of the position group. PURPOSE: To evaluate the relationship between muscle volume (MV) of the lower body muscles and sprint performance among different AF position groups. METHODS: This was a secondary analysis from the HAMIR study. The study included NCAA Division I AF players aged 18 and older who were active on the roster and not injured at the time of data collection. Positions were grouped as follows: the combo group (linebackers and tight ends), the big group (offensive and defensive linemen), and the skill group (defensive …

Influence Of Fitness On Moderate-Intensity Blood Pressure Responses In Normotensive And Hypertensive Individuals, Joseph Larsen, Jayson Gifford

International Journal of Exercise Science: Conference Proceedings

Early detection and treatment is important in cardiovascular disease because arteries are often occluded by 75% or more before symptoms become apparent. Exercise blood pressure has been shown to be predictive of future cardiovascular disease independent of resting blood pressure. However, many factors affecting exercise blood pressure need to be further investigated and described before exercise blood pressure can become a common practice. PURPOSE: To investigate how exercise intensity and fitness influence the blood pressure response in hypertensive and normotensive individuals. We hypothesized that hypertensive participants would have greater increases in exercise blood pressure than normotensive subjects during a …

Football Player Achilles Tendon Size Decreases Following Lower Body Strengthening Exercises With An Observed Increase In Blood Flow To The Tendon, Jeffrey J. Stewart, Lee J Hinkle, Austin Goodrich, Malorie Wilwand, Gabe Davidson, Bryson T. Schaugaard, B. Brett Mortensen, Matthew K. Seeley, A. Wayne Johnson

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

The loading forces experienced during exercise may cause morphological and vascularization changes in the Achilles tendon. The Achilles tendons of runners decrease in cross-sectional area (CSA) after a distance run. Understanding acute morphological changes as a result of single bouts of exercise gives insight to clinicians about how to organize and recommend training sessions and recovery and may inform injury risk. Purpose: This study aims to characterize changes in tendon thickness, CSA, and blood flow of Division I collegiate football (FB) players before and after a bout of strengthening exercise. Methods: Twenty-nine participants (height: 189±5.62 cm, weight: 106±19.0 kg, …