Medicine and Health Sciences Commons^™

The Role Of Pennation Angle And Architectural Gearing To Rate Of Force Development In Dynamic And Isometric Muscle Contractions, Bas Van Hooren, Per Aagaard, Andrea Monte, Anthony J. Blazevich

Research outputs 2022 to 2026

Background: Associations between muscle architecture and rate of force development (RFD) have been largely studied during fixed-end (isometric) contractions. Fixed-end contractions may, however, limit muscle shape changes and thus alter the relationship between muscle architecture an RFD. Aim: We compared the correlation between muscle architecture and architectural gearing and knee extensor RFD when assessed during dynamic versus fixed-end contractions. Methods: Twenty-two recreationally active male runners performed dynamic knee extensions at constant acceleration (2000°s−2) and isometric contractions at a fixed knee joint angle (fixed-end contractions). Torque, RFD, vastus lateralis muscle thickness, and fascicle dynamics were compared during 0–75 and 75–150 ms …

The Efficacy Of High-Fidelity Simulation On Knowledge And Performance In Undergraduate Nursing Students: An Umbrella Review Of Systematic Reviews And Meta-Analysis, Celeste Marie Alfes

Faculty Scholarship

Objectives: This umbrella review aimed to consolidate the evidence base on the impact of high-fidelity simulation on knowledge and performance among undergraduate nursing students. Design: Umbrella review with meta-analyses of pooled effect sizes, followed by an additional meta-analysis of primary studies from the included systematic reviews, excluding overlapping results. Data sources: Systematic searches were performed up to August 2023 in PubMed, Embase, and Cochrane Library. We included reviews that compared high-fidelity simulation against other learning strategies. Review methods: The risk of bias was assessed for each included systematic review (ROBIS tool) and primary study (RoB 2 or ROBINS-I as appropriate). …

Artistic Workshops With Patients Of A Psychiatric Day Hospital In France, Ivan Magrin-Chagnolleau

Presidential Fellows Articles and Research

This article delineates a study conducted within a psychiatric day hospital in France, adhering to the principles of institutional psychotherapy and therapeutic clubs that originated from the anti-psychiatric movement of the 1970s. The study specifically explores two activities within this framework: a music club and a video club. The primary objective of each club was to establish activities involving both the patients and the care staff to dissolve the boundaries between them. Additionally, these activities aimed to engage both patients and care staff in the conceptualization and execution processes, thereby fostering a collaborative approach within the psychiatric care setting.

Knowledge, Beliefs, And Practicies Of Ncaa Coaches And Sports Dietitians On Low Energy Availability, Laurel Card, Amy Banaszek

Undergraduate and Master's Projects

Low energy availability in athletes, or Relative Energy Deficiency in Sport (RED-S), is chronic under-fueling while consistently overtraining. RED-S is not an eating disorder, but can impact training performance and reproductive health, compromise bone health, impact cognitive health and mental illness, and decrease cardiac health. Body weight alone is not an indication of RED-S, and both men and women are susceptible.

Factors Influencing Nutritional Intake And Interests In Educational Content Of Athletes And Sport Professionals Toward The Development Of A Clinician-Supported Mobile App To Combat Relative Energy Deficiency In Sport: Formative Research And A Description Of App Functions, Jacob T. Mey, Christine A. Karpinski, Shengping Yang, Joseph D. Madere, Tavis Piattoly, Ronnie Harper, John P. Kirwan

Nutrition Faculty Publications

Background: Relative energy deficiency in sport (RED-S) as a consequence of athlete malnutrition remains a prominent issue. However, it remains underrecognized, in part due to the perceived outward health of athletes. The Eat2Win app was designed to combat RED-S and athlete malnutrition by providing education, behavior modification, and direct communication with expert sports dietitians to athletes and sport professionals (professionals who work with athletes, eg, sport coaches and athletic trainers). Objective: The purpose of this formative research was to gain critical insight on motivators and barriers to optimal nutritional intake from both the athletes’ and sport professionals’ perspectives. Additionally, since …

Exploring The Re-Legitimisation Of Messages For Health And Physical Education Within Contemporary English And Welsh Curricula Reform, J. Stirrup, David Aldous, S. Gray, R. Sandford, O. Hooper, S. Hardley, A. S. Bryant, N. R. Carse

Research outputs 2022 to 2026

This paper explores how messages for health and PE ([H]PE) within English and Welsh curricula are being re-legitimised through distinct performance and competence pedagogic models. Drawing upon Bernstein’s sociology of knowledge (Bernstein, 1996. Pedagogy, symbolic control and identity: Theory, research, critique. Taylor and Francis; 2000. Pedagogy, symbolic control and identity: Theory, research and critique (revised ed.). Rowman and Littlefield) data was generated through a deductive content analysis of the contemporary statutory English National Curriculum for Physical Education (NCPE) and the new Curriculum for Wales (CfW), Health and Well-Being Area of Learning and Experience (HWB-AoLE). Findings illustrate how the current English …

Athlete Experiences Of Communication Strategies In Applied Sports Nutrition And Future Considerations For Mobile App Supportive Solutions, David Mark Dunne, Carmen Lefevre-Lewis, Brian Cunniffe, Samuel George Impey, David Tod, Graeme Leonard Close, James P. Morton, Rebecca Murphy

Research outputs 2022 to 2026

Aim:

This study aimed to explore athletes' experiences and opinions of communication strategies in applied sports nutrition, as well as capture suggestions for future mobile app supportive solutions.

Methods:

A qualitative approach was used for this research. Data was generated from semi-structured focus groups (n = 9) with a purposive sample of 41 (male = 24, female = 17) full time professional athletes (mean age 24 ± 4.59) from five sports (football, rugby union, athletics, cycling, and boxing). Data was analyzed using reflexive thematic analysis.

Results:

The analysis identified four higher order themes and five sub themes. Athletes appear dissatisfied …

Comparing Biomechanical Time Series Data Across Countermovement Shrug Loads, David Meechan, Stuart A. Mcerlain-Naylor, John J. Mcmahon, Timothy J. Suchomel, Paul Comfort

Research outputs 2022 to 2026

The effect of load on time-series data has yet to be investigated during weightlifting derivatives. This study compared the effect of load on the force–time and velocity–time curves during the countermovement shrug (CMS). Twenty-nine males performed the CMS at relative loads of 40 %, 60 %, 80 %, 100 %, 120 %, and 140 % one repetition maximum (1RM) power clean (PC). A force plate measured the vertical ground reaction force (VGRF), which was used to calculate the barbell-lifter system velocity. Time-series data were normalized to 100 % of the movement duration and assessed via statistical parametric mapping (SPM). SPM …

Local Health Department Capacity To Improve Public Health - The Impact Of Public Health Accreditation And Public Health Funding, Nancy S. Elliott

FIU Electronic Theses and Dissertations

Public health accreditation and public health funding have the potential to transform the way local health departments (LHDs) deliver public health, but it is unclear if they are having their intended impact. Since performance expectations are high and public health funding is scarce, LHD leadership will continually be interested in finding the most effective ways of improving public health. The purpose of this research is to examine whether LHDs are reaching their goal of public health improvement through public health accreditation and public health funding. Data from the National Association of County and City Health Officials Profile Surveys, Public Health …

Exploring The Impact Of Stress On Healthcare Student Competency: A Cognitive Model For Self-Regulating Performance During High-Stakes Scenarios, Michael J. Teachey

Critical and Creative Thinking Capstones Collection

Stress and anxiety are part of healthcare and are experienced not only by patients but also by clinicians. This work explores an issue prevalent in healthcare education, outlining the detrimental effects of stress-induced anxiety on student performance during practical assessments. Included in this paper are the research and investigative details that elaborate on the process taken towards resolving the issue. Research conducted in the fields of education, law, and medicine is used to explore how these areas address stress with regard to performance. Through the various processes of research and engagement, this action research project uncovers the underlying issue of …

The Quality Of Primary Care Performance In Private Sector Facilities In Nairobi, Kenya: A Cross-Sectional Descriptive Survey, Gulnaz Mohamoud, Robert Mash

Family Medicine, East Africa

Background: Integrated health services with an emphasis on primary care are needed for effective primary health care and achievement of universal health coverage. The key elements of high quality primary care are first-contact access, continuity, comprehensiveness, coordination, and person-centredness. In Kenya, there is paucity of informa- tion on the performance of these key elements and such information is needed to improve service delivery. Therefore, the study aimed to evaluate the quality of primary care performance in private sector facilities in Nairobi, Kenya.

Methods: A cross-sectional descriptive study using an adapted Primary Care Assessment Tool for the Kenyan context …

The Prevalence Of Red-S Among College Athletes, Johnny Nguyen

Graduate Research Showcase

Relative Energy Deficiency in Sports (RED-S) is a phenomenon established by the International Olympic Committee to expand on the previously known condition as the female athlete triad, to include male athletes. Relative Energy Deficiency in Sports is a physiological functioning impairment due to athletes with low energy availability. Low energy occurs when athletes expend more energy (calorie burn with activity) than they consume (daily caloric intake) for an extended period. Leading to alter or impaired physiological function. College is a period where individuals gain their independence. Collegiate student-athletes are learning to juggle multiple aspects of their life. Along with excelling …

Livestock Performance In Response To High Intensity Rotational Grazing System, Austin Kennedy

Honors Theses

The production of livestock is composed of a variety of factors all effecting the outcome. For grazing livestock, a key factor in production is the grazing management system. Two of the most common grazing management systems are continuous grazing and rotational grazing. There has been evidence found proving benefits of rotational grazing in regard to vegetation productivity, and prevention and restoration of degraded rangeland. However, there is a lack of clear evidence on the relationship between grazing system and production metrics of livestock. Understanding this relationship can provide the necessary information for livestock producers in order to increase their production …

Applied Sport Science Of Gaelic Football: A Review, Eoghan Boyle, Shane Mangan, Dominic Doran, Kieran Collins

Articles

The current review focuses on Gaelic football literature providing an insight into the physical characteristics of players, the demands of match-play, the injury profile, and nutritional considerations within the game. Since the first review of Gaelic football in 2001, an increased understanding of match dynamics has taken place through the application of movement analysis technology. In recent years, the evolution of the application of sport science provisions within Gaelic football has increased. This has resulted in researchers attempting to bridge the gap between the scientific laboratory and the applied practitioner. Overall, intermittent aerobic fitness remains important during competition, along with …

Factors Influencing Performance And Injury Risk In Elite Female Gaelic Team Sport Players And Future Research Directions: A Narrative Review, John Duggan, Kieran Collins, Karen Keane

Articles

Background: Sports science research in elite female Gaelic team sports has increased in recent years, but still a large disparity exists between the volume of studies involving male and female players. As a consequence of this, it is difficult for practitioners to develop an evidence-based approach when working with female players. Main body: In this review, we discuss the current research available in elite female Gaelic team sports with focus on seven specific areas including physical and physiological demands, anthropometric and performance characteristics, injury risk, nutritional considerations, and female physiology. There appears to be unique physical demands data in match …

Intraoperative Acoustics: Auditory Cues In Hip Reconstructive Surgery, Jeffrey M. Henstenburg, Walaa Abdelfadeel, Anthony J. Boniello, Joseph Schmitz, Jeffrey J. Vakil, Andrew M. Star

Rothman Institute Faculty Papers

Background: Orthopaedic surgeons rely on visual and tactile cues to guide performance in the operating room (OR). However, there is very little data on how sound changes during orthopaedic procedures and how surgeons incorporate audio feedback to guide performance. This study attempts to define meaningful
changes in sound during vital aspects of total hip arthroplasty (THA) within the spectrum of human hearing.

Methods: 84 audio recordings were obtained during primary elective THA procedures during sawing of the femoral neck, reaming of the acetabulum, acetabular cup impaction, polyethylene liner impaction, femoral broaching, planning of the femoral calcar and press-fit of a …

Performance In Mortality Prediction Of Saps 3 And Mpm-Iii Scores Among Adult Patients Admitted To The Icu Of A Private Tertiary Referral Hospital In Tanzania: A Retrospective Cohort Study, Nadeem Kassam, Eric Aghan, Samina Somji, Omar Aziz, James Orwa, Salim R. Surani

Internal Medicine, East Africa

Background: Illness predictive scoring systems are significant and meaningful adjuncts of patient management in the Intensive Care Unit (ICU). They assist in predicting patient outcomes, improve clinical decision making and provide insight into the effectiveness of care and management of patients while optimizing the use of hospital resources. We evaluated mortality predictive performance of Simplified Acute Physiology Score (SAPS 3) and Mortality Probability Models (MPM0-III) and compared their performance in predicting outcome as well as identifying disease pattern and factors associated with increased mortality.

Methods: This was a retrospective cohort study of adult patients admitted to the ICU of the …

Testing, Training, And Optimising Performance Of Track Cyclists: A Systematic Mapping Review, Antony M. Stadnyk, Franco M. Impellizzeri, Jamie Stanley, Paolo Menaspà, Katie M. Slattery

Research outputs 2014 to 2021

BACKGROUND: Track cyclists must develop mental, physical, tactical and technical capabilities to achieve success at an elite level. Given the importance of these components in determining performance, it is of interest to understand the volume of evidence to support implementation in practice by coaches, practitioners, and athletes. OBJECTIVE: The aim of this study was to conduct a systematic mapping review to describe the current scale and density of research for testing, training and optimising performance in track cycling. METHODS: All publications involving track cyclist participants were reviewed from four databases (PubMed, SPORTDiscus, Academic Search Complete, Cochrane Library) plus additional sources. …

Win, Draw, Or Lose? Global Positioning System-Based Variables’ Effect On The Match Outcome: A Full-Season Study On An Iranian Professional Soccer Team, Hadi Nobari, Norbert Keshish Banoocy, Rafael Oliveira, Jorge Pérez-Gómez

Research outputs 2014 to 2021

The aim of the study was to determine the between-match and between-halves match variability of various Global Positioning System (GPS) variables and metabolic power average (MPA) in competitions, based on the match results obtained by professional soccer players over a full season. Observations on individual match performance measures were undertaken on thirteen outfield players competing in the Iranian Premier League. The measures selected for analysis included total duration, accelerations in zones (AccZ1, 2, and 3), decelerations in zones (DecZ1, 2, and 3), and MPA collected by the Wearable Inertial Measurement Unit (WIMU). The GPS manufacturer set the thresholds for the …

Does Education Level Influence The Practice Profile Of Advanced Practice Nursing?, Christine Duffield, Glenn Gardner, Anna Doubrovsky, Marg Adams

Research outputs 2014 to 2021

Background Advanced practice nursing is recognised globally as central to meeting this community need. Whilst there is increasing recognition that advanced practice nurses should be educated to at least a master degree level, there is scant evidence on the influence of higher education on the practice profile of advanced practice nursing. Aim To investigate the relationship between level of education and domain practice scores of nurses in advanced practice roles. Methods The validated Advanced Practice Nursing Role Delineation (APRD) tool was used to measure the practice profile of advanced practice nurses at different postgraduate education levels, across five domains of …

Law Library Blog (April 2021): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

Predictive Effects Of Physician Assistant Students' Pre-Admission Direct Patient Contact Hours On Performance In Supervised Clinical Practice Experiences, Gerald Robert Weniger

Doctoral Dissertations and Projects

The demand for physician assistants (PAs) is predicted to rise because of the growing shortage of physicians. PA educational programs are tasked with producing graduates who are skilled within six domains of competency: 1) medical knowledge, 2) professionalism, 3) interpersonal and communication skills, 4) patient care, 5) practice-based learning and improvement, and 6) systems-based practice. The Physician Assistant National Certifying Exam only assesses two of the six competencies: medical knowledge and professionalism. Without much time in a curriculum to teach the ‘softer skills’ like communication and interpersonal skills, many PA programs require pre-admission patient contact experience in order to at …

Palliative Performance Scale As A Prognostic Tool For Patients With Dementia In Hospice, Alexandria Nasr

Scholarship in Medicine - All Papers

Objective: Palliative and hospice care have been shown to benefit people with dementia and their families. However, for patients with dementia who are nearing the end of life, hospice referral can be challenging because of the difficulty in predicting prognosis. The objective of this retrospective, exploratory study is two-fold: (1) to describe trajectories by analyzing trends in Palliative Performance Scale (PPS) scores for patients admitted to hospice with a neurocognitive disorder from time of enrollment to time of disenrollment and (2) to determine the relationship between PPS and length of stay (LOS) in hospice care.

Methods: The setting for the …

Association Of Genetic Variances In Adrb1 And Ppargc1a With Two-Kilometre Running Time-Trial Performance In Australian Football League Players: A Preliminary Study, Ysabel Jacob, Ryan S. Anderton, Jodie L. Cochrane Wilkie, Brent Rogalski, Simon M. Laws, Anthony Jones, Tania Spiteri, Nicolas H. Hart

Research outputs 2014 to 2021

Abstract: Genetic variants in the angiotensin-converting enzyme (ACE) (rs4343), alpha-actinin-3 (ACTN3) (rs1815739), adrenoceptor-beta-1 (ADRB1) (rs1801253), and peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PPARGC1A) (rs8192678) genes have previously been associated with elite athletic performance. This study assessed the influence of polymorphisms in these candidate genes towards endurance test performance in 46 players from a single Australian Football League (AFL) team. Each player provided saliva buccal swab samples for DNA analysis and genotyping and were required to perform two independent two-kilometre running time-trials, six weeks apart. Linear mixed models were created to account for repeated measures over time and to determine whether …

Sleep Characteristics And Mood Of Professional Esports Athletes: A Multi-National Study, Sangha Lee, Daniel Bonnar, Brandy Roane, Michael Gradisar, Ian C. Dunican, Michele Lastella, Gemma Maisey, Sooyeon Suh

Research outputs 2014 to 2021

© 2021 by the authors. Licensee MDPI, Basel, Switzerland. Esports is becoming increasingly professionalized, yet research on performance management is remarkably lacking. The present study aimed to investigate the sleep and mood of professional esports athletes. Participants were 17 professional esports athletes from South Korea (N = 8), Australia (N = 4), and the United States (N = 5) who played first person shooter games (mean age 20 ± 3.5 years, 100% male). All participants wore a wrist-activity monitor for 7–14 days and completed subjective sleep and mood questionnaires. Participants had a median total sleep time of 6.8 h and …

Profiling Combat Sports Athletes: Competitive History And Outcomes According To Sports Type And Current Level Of Competition, Oliver R. Barley, Craig A. Harms

Research outputs 2014 to 2021

Background

This study aimed to investigate the competitive history (the age when training and competing started), training habits and patterns of winning and losing of competitive combat sports athletes across different combat sports as well as the level of competition (e.g. amateurs, state-level and elite).

Methods

Competitors (N = 298) from mixed martial arts (MMA), Muay Thai/kickboxing, boxing, Brazilian jiu-jitsu (BJJ), wrestling, judo and traditional striking sports (TSS) completed an online questionnaire.

Results

Most athletes began competing in their mid-teenage years and competing soon after except for wrestlers who began earlier. Elite athletes began training earlier than amateurs (13.75 …

Global Challenges Of Being A Strength Athlete During A Pandemic: Impacts And Sports-Specific Training Considerations And Recommendations, Christopher Latella, G. Gregory Haff

Research outputs 2014 to 2021

The ongoing global pandemic brought about by Coronavirus II (SARS-Cov-2 or COVID-19) has caused an ongoing cessation of sporting competitions and training facility closures. This is a fundamental challenge for amateur and elite sporting professionals. Although recommendations have been provided for team-sport athletes to maintain general and sport-specific conditioning, these methods are often not optimal for strength athletes (i.e., powerlifting (PL) and weightlifting (WL)) due to the unique and narrow set of performance requirements posed by these sports. The purpose of this review is to provide evidence-based information and recommendations and highlight potential strategies and approaches that may be used …

Nutrient Timing: A Garage Door Of Opportunity?, Shawn M. Arent, Harry P. Cintineo, Bridget A. Mcfadden, Alexa Jenny Chandler, Michelle Angelique Arent

Faculty Publications

Nutrient timing involves manipulation of nutrient consumption at specific times in and around exercise bouts in an effort to improve performance, recovery, and adaptation. Its historical perspective centered on ingestion during exercise and grew to include pre- and post-training periods. As research continued, translational focus remained primarily on the impact and outcomes related to nutrient consumption during one specific time period to the exclusion of all others. Additionally, there seemed to be increasing emphasis on outcomes related to hypertrophy and strength at the expense of other potentially more impactful performance measures. As consumption of nutrients does not occur at only …

Strength And Conditioning Coaches' Perceptions Of Sport Psychology Strategies, Alessandro Quartiroli, Erin Whitney Grandy Moore, Rebecca A. Zakrajsek

Kinesiology, Health and Sport Studies

Strength and conditioning coaches (SCCs) hold a central role in the development of student-athletes. Although they certainly focus on student-athletes' physical skill development, SCCs are in an ideal position to integrate mental skills into their strength and conditioning sessions. For example, sport psychology (SP) strategies can be used within strength and conditioning sessions to assist in athlete exercise execution by regulating arousal, improving concentration, confidence, as well as improve self-correction through self-talk and imagery. The purpose of this study was to assess collegiate SCCs' use of SP skills/strategies. A total sample of 415 SCCs (19.7% return rate) across the United …

Effects Of Caffeine On Neuromuscular Function In A Non-Fatigued State And During Fatiguing Exercise, Ricardo N. O. Mesquita, Neil J. Cronin, Heikki Kyröläinen, Jukka Hintikka, Janne Avela

Research outputs 2014 to 2021

New Findings:

What is the central question of the study? What are the effects of caffeine on neuromuscular function in a non-fatigued state and during fatiguing exercise? What is the main finding and its importance? In a non-fatigued state, caffeine decreased the duration of the silent period evoked by transcranial magnetic stimulation. Caffeine-induced reduction of inhibitory mechanisms in the central nervous system before exercise was associated with an increased performance. Individuals who benefit from caffeine ingestion may experience lower perception of effort during exercise and an accelerated recovery of M-wave amplitude postfatigue. This study elucidates the mechanisms of action of …