Medicine and Health Sciences Commons^™

Patient-Provider Race And Sex Concordance: New Insights Into Antibiotic Prescribing For Acute Bronchitis, Jake R. Morgan, Mari-Lynn Drainoni, Cindy Christiansen, Tamar F. Barlam

Journal of Health Disparities Research and Practice

Objective: To examine whether patient and provider concordance by sex or race predicts antibiotic prescribing for acute bronchitis.

Study setting: General Internal Medicine and Family Medicine adult clinics at a large safety-net hospital.

Study design: We used a logistic model of prescribing as a function of race and sex concordance.

Data extraction: Data were extracted from de-identified patient records for those with an acute bronchitis visit between 2008 and 2010.

Principal findings: 71% (95% CI 68%-73%) of visits resulted in an antibiotic prescription. Patients in race-concordant visits were 17% (95% CI 8%-25%) less likely to receive …

Diabetes Disparities In African Americans: A Cry For Help To Primary Care Providers, Pandora Goode

Journal of Health Disparities Research and Practice

Diabetes is a national public health problem. Low socioeconomic status influence access to quality care for African Americans with Diabetes who must rely on government assisted insurance or are uninsured. Inadequate access and poor quality care for African Americans contributes to increased morbidity and negative health outcomes. This manuscript will examine the existence of diabetes disparities in African Americans pertaining to the role of low socioeconomic status, access, and poor quality care, and suggest some practical strategies for reducing diabetes disparities in this population.

Perceptions Of Chronic Disease Among Older African Americans: A Qualitative Analysis, Karon Phillips, Charles Rogers, Adrienne Morgan

Journal of Health Disparities Research and Practice

Research has documented that African Americans suffer disproportionately from chronic diseases when compared to the general population. Yet, limited research examines older African Americans’ perceptions about having chronic diseases. Accordingly, the first aim of the study provided insight into this disparity with the intent of revealing how older African Americans feel about their overall health, and how much they understand about their individual chronic disease(s). The second aim was to gather information about strategies and coping mechanisms older African Americans use to manage their chronic diseases. The purpose of this aim was to determine if any of the strategies they …

Type Of Multimorbidity And Propensity To Seek Care Among Elderly Medicare Beneficiaries, Rahul Garg, Chan Shen, Nethra Sambamoorthi, Usha Sambamoorthi

Journal of Health Disparities Research and Practice

Greater propensity to seek care is critical for improving health of elderly individuals with multimorbidity. We used the Medicare Current Beneficiary Survey (2012) to assess propensity to seek care among community-dwelling elderly Medicare beneficiaries (> 65 yrs.; N=11,270) having (1) no physical or mental illness; (2) single physical or mental condition; (3) multimorbidity with physical conditions only; and (4) multimorbidity with both physical and mental conditions. As compared to multimorbidity with physical conditions, elderly with no multimorbidity were less likely (Adjusted Odds Ratio [95% CI]: 0.50 [0.36, 0.68]) and elderly with both physical and mental conditions were more likely …

Examining The Impact Of Food Environment Changes On County-Level Obesity Prevalence In The Appalachian Region, Jaime Booth, Kai Wei, Allison Little

Journal of Health Disparities Research and Practice

The aim of the present study was to understand the impact of changes in the food environment on county-level obesity prevalence in the Appalachian Region. We examined the food environment in 412 counties across the Appalachian Region using data from the Behavioral Risk Factor Surveillance System, the American Community Survey, and the Food Environment Atlas. We found there was an overall decrease of per capita food stores from 2007 to 2011 in this region. There was also a significant relationship between the decrease of grocery stores per capita from 2007 to 2011 and the increase of county-level obesity in 2012. …

Calidad De Vida: An Exploratory Investigation Of Latino Breast Cancer Survivors And Intimate Partners, Sejal Barden, Daniel Gutierrez, Jessica Gonzalez, Shainna Ali

Journal of Health Disparities Research and Practice

Advances in addressing psychosocial issues related to cancer treatment and prevention are not reaching all survivors equally. Latina breast cancer survivors and intimate partners are underrepresented in psychosocial interventions, and there is a scarcity of research on the influence of cancer on Latino couples’ quality of life. The purpose of this manuscript is to present findings from a trans-linguistic, dyadic qualitative research study aimed at exploring the influence of cancer on quality of life for Latina breast cancer survivors and their intimate partners. Results highlight several areas that are helpful and hindering to supporting survivorship.

Adult Day Service Providers: Untapped Potential For Care Coordination, Nicole Ruggiano, Ellen L. Brown, Karen L. Fortuna

Nursing & Health Sciences Research Journal

Adult Day Services (ADS) have become increasingly available for community-dwelling older adults who are often experiencing multiple chronic conditions and/or dementia. ADS providers spend a significant amount of time with their clients and offer the opportunity for a wealth of clinical information that can be used by primary care providers and specialists for decision-making about patient care. There are also opportunities for hospitals to coordinate care transitions with ADS providers by involving them with discharge planning with appropriate patients who require post-hospital care. However, ADS providers are often viewed as social service providers, and there is little known about the …

What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler

Nursing & Health Sciences Research Journal

No abstract provided.

Assessment Of Self-Efficacy And Outcome Expectations In Evidence-Based Activities For Nurses In A Newly Opened Hospital, Julie Lamoureux, Andrea Lavallee, Tanya Cohn, Brittany Pichette

Nursing & Health Sciences Research Journal

Background: There may be a lack of self-efficacy or confidence in some nurses in the use of evidence-based practice (EBP) especially in a new hospital with nurses who are early in their careers. The aim of this study was to measure self-efficacy and outcomes expectations of nurses in the area of EBP in a new non-replacement hospital on the Magnet® designation journey.

Methods: The study design was a cross-sectional survey using a 28-item questionnaire measuring the total level of self-efficacy in undertaking the 5 steps of EBP of direct patient care nurses.

Results: 66 surveys were returned with 6(9%) men …

Computer-Based Stroke Training Effects On Clinical Partner Knowledge Acquisition And Satisfaction, Simone Cheong

Nursing & Health Sciences Research Journal

Introduction: Primary stroke center educational requirements necessitate education of those healthcare professionals coming in contact with patients who have suffered a stroke. Clinical partners (CPs) are integral team members who often assist these patients with activities of daily living. A potential method of education is computer-based training (CBT). The purpose of this study was to measure the efficacy of CBT and clinical partners’ satisfaction with CBT as an educational tool.

Methods: CBT was implemented as a cost-effective and efficient method of providing CPs with the education necessary to care for patients suffering a stroke. Additionally, an evaluation research approach …

Exploring Perceptions Of Workplace Bullying In Nursing, Eve Butler, Andrea Prentiss, Flora Benamor

Nursing & Health Sciences Research Journal

Introduction: Bullying is experienced by all levels of nurses and in all practice settings. The impact of bullying in the workplace environment can have significant negative effects on morale and may lead to increased turnover. As a result of a referral to the Nursing Quality Council for bullying, the Nursing Quality and Caring Council set forth to explore bullying in the workplace. The purpose of this study was to identify registered nurse/clinical partner perceptions of the frequency and prevalence of bullying in the workplace and to assess registered nurses’ (RNs) experiences of bullying by physicians, coworkers, patients and direct supervisors. …

An Exploration Of The Association Of Patient Characteristics And Pharmacological Treatments To Inpatient Falls Among Patients At-Risk For Falling During Hospitalization, Julie David, Maria Ojeda, James O. Adefisoye, Winifred Pardo

Nursing & Health Sciences Research Journal

Introduction/Background: Falls may be the most commonly reported incidents in the acute care setting, and a frequent cause of harm in the hospital. Studies have focused on identifying risk factors for falls and interventions aimed at reducing the risk of falling. The purpose of this study was to describe and compare patient characteristics and pharmacological treatments between patients who fell and patients who did not fall, among a sample of patients deemed to be at-risk for falling during hospitalization. Additionally, the study aimed to identify independent predictors of falls among patients at-risk for falls during hospitalization.

Methods: An observational, cross-sectional …

Novice Author Gets Tremendous Support, Simone Cheong

Nursing & Health Sciences Research Journal

No abstract provided.

Psychological And Physical Response To Neuromuscular Electrical Stimulation, Jennifer A. Jasso M.S., Joni A. Mettler Ph.D, Lindsay E. Kipp Ph.D

International Journal of Exercise Science: Conference Proceedings

Neuromuscular electrical stimulation (NMES) is commonly used to improve muscle function in physical rehabilitation settings. However, reasons for limited use as an alternative to voluntary exercise may be due to lack of familiarity and perceived discomfort during treatment. PURPOSE: The purpose of this study was to determine attitude toward NMES exercise and perceived pain and muscle soreness experienced from NMES exercise with increasing stimulation intensity. METHODS: Thirty healthy adults (age: 23.6 ± 0.5 years) who had not experienced electrical stimulation within the last year completed the study. Repetitive, intermittent stimulation of 10 seconds on and 15 seconds off …

Femoral Neck Stress Fracture In A Female Triathlete: Clinical Presentation And Management, Jaime A. Aparicio, Katie Cannizzaro, Alexis Ortiz

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: A 31-year-old female triathlete developed R+ hip pain during a training run in preparation for a full Ironman. The athlete experienced an immediate onset of R+ anterior hip pain as she began to increase pace while running intervals. She stopped immediately and was unable to run or walk without R+ hip pain. The patient was referred to physical therapy. PHYSICAL EXAM: Initial examination in the outpatient physical therapy clinic revealed hip AROM within normal limits and PROM of the R+ limited in both flexion and internal rotation. Resisted strength testing revealed weakness and pain of R+ …

Baseline And Post-Concussive Neurocognitive And Physiological Assessments In Minor Student Athletes, Sarah A. Massey, Sierra Duran, Klaudia Szych, Andi Johnson, Ariel Gomez, Lorenzo Juarez, Annajita A. Rubio, Matthew A. Barlow Phd

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: There is a higher risk of post-concussion syndrome among minor athletes. This has resulted in The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), which is currently the primary test for collegiate and high school athletes for concussion assessment and return to play. Previous work from our lab has indicated a significant detection of cognitive deficit with a battery of cognitive testing including the Test of Variables of Attention (TOVA) and dual task testing incorporating balance testing along with the Stroop and number recall. In the previous findings these tests identified cognitive decline including reaction time and fine motor deficiencies …

Delayed Onset Muscle Soreness Attenuation By Acute Consumption Of Essential Amino Acids, Andi Johnson, Klaudia Szych, Ariel Gomez, Shannon Jackson, Annajita A. Rubio, Sarah A. Massey, Abraham Gomez, Lorenzo Juarez, Matthew A. Barlow 5622543

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Essential amino acids have been known to be necessary for protein nutrition whether they are obtained by eating proteins or by a formula of the essential amino acids. Studies have consistently demonstrated the acute benefits of protein supplementation on post-exercise muscle anabolism, which may facilitate the recovery of muscle function and performance. However, when protein supplements have been provided in research studies, acute changes in post-exercise protein synthesis and anabolic intracellular signaling have not resulted in measureable reductions in muscle damage and enhanced recovery of muscle function. PURPOSE: The aim of this study is to implement a specific content …

Assessment Of Multiple Concussive Athletes With Dual Task Triple Stroop And Aerobic Exercise, Sierra Duran, Sarah A. Massey, Ariel Gomez, Matthew A. Barlow 5622543

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Athletic concussion testing has mostly recently relied on a sedentary computer neurocognitive test battery called the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Previous tests directly compare baseline with post-concussion analysis of patient in regards to different cognitive aspects including; working memory, processing speed, and response time. No physical tests are included in the ImPACT analysis for return-to-play action. PURPOSE: In previous studies from our lab in these populations we concluded that the combination of a physical neural impediment with cognitive tests (dual-task with balance impairment) created a greater degree of impairment not observed in the sedentary ImPACT test. …

Effects Of Acute Low-Intensity Cycling On Perceived Stress, Arousal, And Attention, Alyssa G. Vigil, David J. Cleveland, Megan E. Ruhland, Ryan L. Olson

International Journal of Exercise Science: Conference Proceedings

Generally, acute bouts of aerobic exercise have been shown to enhance psychological measures of emotion, mood, and affect. Previous investigations suggest that perceived stress and arousal levels are especially influenced by exercise. Interestingly, very few studies have examined the influence of exercise on attention and whether changes in stress and arousal may augment adaptations in attentional orientation that are often required during exercise. Furthermore, very little is known about the timing of the effects of exercise on these psychological outcomes. PURPOSE: The primary purpose of this study was to examine the effects of low-intensity aerobic exercise on stress, arousal, and …

Exercise Is Medicine-On Campus Initiative At Southwestern University, Kali Rose, Vanessa Mikan Phd

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: The Exercise Is Medicine (EIM) global health initiative aims to increase the amount of physical activity (PA) people are engaging in, with the intent of helping them meet the U.S. National PA guidelines. INTRODUCTION: The need for an increase in daily PA is becoming more evident with the steady increase in overweight and obesity rates impacting our quality of non-diseased life years. Research supports the numerous physical and mental benefits associated with exercise. The historical use of exercise as medicine dates back to over two millennia ago in which it was prescribed to help cure a variety of ailments. …

The Effects Of Fluid Milk In Attenuating Postprandial Hyperglycemia In Adults With Android Obesity, Jay A. Shah, Miriam Pearman, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Postprandial glucose levels are more predictive of cardiovascular disease (CVD) than fasting levels and elevated postprandial glucose negatively impacts vascular reactivity and endothelial function. Chronic high consumption of milk and dairy products are associated with reduced risk of diabetes and CVD due, in part, to changes in peripheral vasodilation and hemodynamics. PUROSE: To determine whether a single serving of non-fat milk could attenuate postprandial hyperglycemia independent of its protein content. METHODS: In a randomized controlled crossover study, twenty-nine overweight/obese adults had their body composition determined via DEXA and completed an oral glucose tolerance test (OGTT) of …

How People Identify Their Physical Activity Patterns And Neighborhood Walkability: A Pilot Study, Andrea C. Gilson, Misty Kesterson

International Journal of Exercise Science: Conference Proceedings

The walkability of neighborhoods is considered an important indicator of public health. Walkability is defined as a composite of population density, street connectivity, and business access. The walkability of one’s neighborhood can influence one’s perceived physical function and body mass index. PURPOSE: In this research project, we examine how one perceives the walkability of their neighborhood and how that influences self-reported body mass index, physical function, and outcome expectations for exercise. METHODS: Participants were asked to complete a survey that consisted of 45 questions which included demographic information, one’s physical function (Physical Function Questionnaire - Short Form 10b), …

Exercise In Aging: Can Handgrip Training Improve Skeletal Muscle Oxidative Recovery Kinetics?, Susie Chung, Ryan Rosenberry 2450189, Paul Bhella, Michael Nelson

International Journal of Exercise Science: Conference Proceedings

Loss of skeletal muscle function is a key factor contributing to reduced mobility and quality of life in aging individuals. While the exact mechanism remains unclear, impaired skeletal muscle oxidative capacity has been shown to play a major role. Exercise training increases oxidative capacity early in life; however, the potential for exercise to improve oxidative capacity later in life remains equivocal. PURPOSE: To test the hypothesis that 4 weeks of exercise training can improve skeletal muscle oxidative capacity in elderly individuals beyond the 6^th decade of life. METHODS: To-date, 4 community-dwelling seniors from the local Dallas-Fort Worth …

Effects Of Blood-Flow Restriction On Hemodynamic And Cardiorespiratory Responses To Aerobic Exercise Testing, Jordan H. Stovall, Stacy D. Hunter, John L. Walker

International Journal of Exercise Science: Conference Proceedings

Blood-flow restriction (BFR) training has grown increasingly popular in the world of resistance training with noted benefits for muscle health in healthy individuals as well as a potential alternate training mode for populations who cannot tolerate high-intensity exercise. Although BFR resistance training is well-studied, its effects on hemodynamic and cardiorespiratory responses to aerobic exercise are not clearly established. PURPOSE: to evaluate hemodynamic and cardiorespiratory responses to aerobic exercise with and without BFR during submaximal treadmill exercise testing. METHODS: Ten healthy, physically active college students participated in two testing sessions, separated by ~7 days, completing a modified Balke treadmill …

Recovery Of Hindlimb Bone Mass Following Prolonged Disuse, Nicholas A. Igbinigie, Corinne Metzger, Susan Bloomfield

International Journal of Exercise Science: Conference Proceedings

Bone is a dynamic tissue that responds to mechanical loads placed on it. For populations with extensive periods of disuse, like those in prolonged bed rest and astronauts during long-duration spaceflight, significant bone loss can occur. The purpose of this study was to determine the effects of prolonged disuse on weight-bearing bones and the length of time needed to recover disuse-induced bone loss utilizing the hindlimb unloading (HU) method in young rodents. We hypothesized that hindlimb bone mass would partially recover to age-matched control levels by 14 days of recovery following prolonged disuse and fully recover by 90 days of …

Coagulation Activation Pathway May Be Altered In Individuals Comorbid With Hiv And Type 2 Diabetes, Anthony Wolfe, Julie Zuniga, Michelle Harrison

International Journal of Exercise Science: Conference Proceedings

The expected lifespan of persons living with human immunodeficiency virus (PLWH) has increased significantly due to improved treatment options. However, an unintended consequence has been an increased prevalence of chronic diseases such as type 2 diabetes mellitus (T2D). It is therefore important to explore the underlying biological mechanisms for this increased risk of T2D among PLWH since it is not yet well understood. Investigation of specific biomarkers could help define the pathogenesis of T2D in PLWH and yield many positive outcomes including the detection of ‘at risk’ individuals as targets of early interventional strategies along with identification of new diagnostic …

Potential Diurnal Variation In Dual X-Ray Absorptiometry Collected Skeletal Muscle Mass Measures: A Pilot Study, Jeb F. Struder, Daniel Newmire

International Journal of Exercise Science: Conference Proceedings

Skeletal muscle mass (SKMM) is ~30 to ~40 % of total body weight. Measuring SKMM is an important assessment for both exercise and nutritional research. There is biological variation in dual X-ray absorptiometry (DXA) estimates related to subject presentation, changes in tissue hydration, as well as GI tract contents. The consumption of water alone may increase lean mass estimates. PURPOSE: The purpose of this study is to examine how normal daily activities (e.g. eating, sleeping, exercise) may influence SKMM measures using DXA. METHODS: (Mean ± SEM; n = 8; ht: 170.2 ± 8.1 cm; wt: 70.6 ± 5.1 …

Plantar Fasciitis, Ashley Brown, Chuck Ruot

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: During the initial meeting with the patient, they will describe an intense pain they have been experiencing in their calcaneal region. This type of pain is prevalent as an overload injury, excessive foot pronation during walking or exercise, or obesity. Other risks for plantar fasciitis would be prolonged running periods, high arch, leg length discrepancy, or tightness of the Achilles tendon. Usually the patient states experience of a sharp pain in the mornings when they first get up, after standing for a long time, or after sitting down and resting for a period of time. …

Influence Of Age And Gender On Indoor Rowing Performance, Briana N. Dawkins, Stephen J. Roy, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

Physiological functional capacity is important in determining one’s ability to perform functional tasks and can be determined by studying peak exercise performance. Rowing is a unique sport requiring substantial muscle strength as well as high endurance capacity. Since it is a non-weight bearing activity, a number of older adults in general and older women in particular engage in this activity as they age. PURPOSE: To examine the relationship between aging, gender, and exercise task duration using indoor rowing performance records. METHODS: World records from indoor rowing events were analyzed and plotted against age (17-99 years of age) in …

The Effect Of Repeated 40 Meter Sprint Trials On Salivary Cortisol In Elite Youth Female Soccer Players, Michael D. Oldham, Matthew Brisebois, Todd Castleberry, Ryan A. Gordon, Ola Kayed, Manisha Rao, Ada Simpson, Matt Sokoloski, Emily L. Zumbro, Vic Ben-Ezra, Kyle Biggerstaff

International Journal of Exercise Science: Conference Proceedings

The outcome of an intense exercise session is a stress response, potentially resulting in an increase in circulating cortisol. The acute cortisol response due to intense exercise may vary when comparing elite youth athletes and may not be noticeable in athletic performance. PURPOSE: The purpose of this study was to compare salivary cortisol responses between older (17-19 yo) and younger (11-13 yo) elite female soccer players after repeated 40m sprint trials. METHODS: All participants (n=8) were current United States Soccer Federation Development Academy players. Participants were placed into young (n=4, mean ± SD; age 12 ± 0 yrs; …