Medicine and Health Sciences Commons^™

Focus On Optimal Health, Not Ideal Health, John M. Roll

Patient Experience Journal

Providers strive to help patients live the best, healthiest life they are capable of living. However, those efforts should involve a careful assessment of what the patient’s optimal health status is. It is deleterious to the therapeutic relationship to drive a patient towards a health status they are not able to attain. This article provides a brief commentary on the author’s experience as a patient to illustrate this point.

Experience Framework

This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework).

• Access other PXJ articles related to this lens. …

The “Wreckage” Left By The Covid-19 Passage: Thoughts Of A Palliative Care Nurse, Angela Simões

Patient Experience Journal

Today, according to Johns Hopkins University, the overall number of global COVID-19 cases has exceeded 244 million with more than four million deaths. Humankind is currently facing an unprecedented global crisis. The impact of this crisis on the healthcare system is potentially far greater than we imagine. This narrative presents a series of stories lived by a palliative care nurse in COVID's time to show how the pandemic itself is a form of inequity and health disparities on the human experience. In my previous narrative, written in April 2020 and published in the Patient Experience Journal Vol. 7, Issue 2, …

How To Address Fear: A Patient’S Perspective Of Seeking Care During Covid-19, Rosie Bartel, Sydney Hoel, Nasia Safdar, Mary Jo Knobloch

Patient Experience Journal

This article is a narrative of one patient’s experience during COVID-19. As a non-COVID patient, she shares her personal fears, the fears of others in her family and the fears of the healthcare professionals. These fears have made navigating the healthcare systems stressful for patients but also caused patients to avoid them completely. In some cases, this avoidance led to delayed diagnosis, missed diagnosis and death. When healthcare providers guide patients through the process of seeking in-person healthcare, the outcomes were more positive for everyone involved but especially for the patients and their care partners. The patient’s voice is needed …

Rebuilding A Foundation Of Trust: A Call To Action In Creating A Safe Environment For Everyone, Cynda H. Rushton, Laura J. Wood, Karen Grimley, Jerry Mansfield, Barbara Jacobs, Jason A. Wolf

Patient Experience Journal

Well before the COVID-19 pandemic, incivility and physical threats directed toward healthcare employees and often registered nurses was a growing concern by Chief Nurse Executive (CNE) leaders. In 2019, conversations initiated by The Beryl Institute’s Nurse Executive Council (NEC) to consider how best to achieve a much-needed balance between patient/family and staff safety have now become a critical priority to ensure the safety of everyone receiving and providing health care services. The heart of this work was organized around a set of newly developed ethical precepts designed to guide the exploration of key concepts. A call to action grounded in …

In Divided Times, A Focus On Human Experience Connects Us, Jason A. Wolf

Patient Experience Journal

The realities of the time in which we find ourselves, not only in healthcare, but in society overall, have exposed so much of what was simmering beneath the surface of our humanity. Issues of equity and inclusion, of stress and burnout, of division and misconception and even the existence of alternative “truths” have caused rifts in our connection, weakened our societal foundations and pulled on the seams of the healthcare system itself. We close our eighth volume of Patient Experience Journal (PXJ) under this veil, yet I believe we have an opportunity to use this moment as a place from …

Leadership Engagement For Military Hospitals: A Case Study Of The Effects Of Executive Leader Engagement In Military Hospitals That Have Become High Reliability Organizations, Russell Phillips

Dissertations

Purpose: The purpose of this qualitative case study was to explore and explain the leadership strategies that military hospital executive leaders used to engage hospital staff in implementing the six principles of High Reliability Organizations (HROs).

Methodology: A qualitative case study approach was selected for this study. Interviews were conducted with three executive leaders describing their experiences with initiating and managing the change development of HRO. The participants in this study were executive leaders of military hospitals across the Puget Sound Military Health System. All participants had direct experience with the implementation of HRO. Interview transcripts were analyzed and reviewed …

2021-11-04_Michiganoverview_Misc, Michigan Department Of Health & Human Services

Michigan COVID-19 MIS-C Data

The MIS-C Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_104661---,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by health care providers and local health departments. Data is updated on the first and third Thursdays of the month.

Multisystem Inflammatory Syndrome in Children (MIS-C) is a condition in children and adolescents under 21 years of age where multiple organ systems become inflamed or dysfunctional which occurs in association with illness. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, …

Parental Support And Monitoring As Associated With Adolescent Alcohol And Tobacco Use By Gender And Age, Rosalina Mills, Michael J. Mann, Megan L. Smith, Alfgeir L. Kristjansson

Public and Population Health Faculty Publications and Presentations

Background: Parental support (PS) and parental monitoring (PM) are known protective factors against adolescent substance use (SU). However, little is known about whether PS and PM may affect SU outcomes differently by gender and age. This study examined the relationship between PS and PM and adolescent SU, specifically alcohol and tobacco use, stratified by gender and age group.

Methods: Middle and high school students (n = 2351, 48.5% Female) completed surveys of self-reported SU, perceived PS and PM, and socioeconomic background. Age group was defined dichotomously as grade 7–8 Middle school and grade 9–10 High school students. PS and …

Impact Of Forensic Medical Evaluations On Immigration Relief Grant Rates And Correlates Of Outcomes In The United States., Holly G. Atkinson, Katarzyna Wyka, Kathryn Hampton, Christian Seno, Elizabeth Yim, Deborah Ottenheimer, Nermeen Arastu

Publications and Research

The purpose of this study was to investigate the impact of forensic medical evaluations on grant rates for applicants seeking immigration relief in the United States (U.S.) and to identify significant correlates of grant success. We conducted a retrospective analysis of 2584 cases initiated by Physicians for Human Rights between 2008-2018 that included forensic medical evaluations, and found that 81.6% of applicants for various forms of immigration relief were granted relief, as compared to the national asylum grant rate of 42.4%. Among the study’s cohort, the majority (73.7%) of positive outcomes were grants of asylum. A multivariable regression analysis revealed …

Gender Differences In Urothelial Bladder Cancer: Effects Of Natural Killer Lymphocyte Immunity, Charles T. Lutz, Lydia Livas, Steven R. Presnell, Morgan Sexton, Peng Wang

Pathology and Laboratory Medicine Faculty Publications

Men are more likely to develop cancer than women. In fact, male predominance is one of the most consistent cancer epidemiology findings. Additionally, men have a poorer prognosis and an increased risk of secondary malignancies compared to women. These differences have been investigated in order to better understand cancer and to better treat both men and women. In this review, we discuss factors that may cause this gender difference, focusing on urothelial bladder cancer (UBC) pathogenesis. We consider physiological factors that may cause higher male cancer rates, including differences in X chromosome gene expression. We discuss how androgens may promote …

Differences By School Location In Summer And School Monthly Weight Change: Findings From A Nationally Representative Sample, Ethan T. Hunt, Bridget Armstrong Ph.D., Gabrielle Turner-Mcgrievy Ph.D., Rd, Michael Beets Med, Mph, Phd, Robert Weaver Med, Phd

Faculty Publications

Objectives: To examine changes in accelerations of Body Mass Index (BMI), age-and-sex specific body mass index (zBMI), and 95th percentile of BMI (%BMIp95) during the summer months and school year by school location designation (i.e., urban, suburban, exurban). This study utilized the Early Childhood Longitudinal Study Kindergarten Class of 2010-2011.

Methods: Of the 18,174 children in the ECLS-K:2011 dataset, I restricted participants to those with at least two consecutive measures that occurred August/September or April/May. Mixed-effect regression analyses estimated differences in monthly change in BMI, zBMI, and %BMIp95 between the summer and school year while accounting for the ECLS-K complex …

Language Variation In The Writing Of African American Students: 6 Factors Predicting Reading Achievement, Lisa Fitton Ph.D., Lakeisha Johnson, Carla Wood, Christopher Schatschneider, Sara A. Hart

Faculty Publications

Purpose

This study aims to examine the predictive relation between measures obtained from African American students' written narrative language samples and reading achievement, as measured by standardized academic assessments.

Method

Written language samples were elicited from 207 African American students in Grades 1–8. The samples were examined for morphosyntactic variations from standardized written Generalized American English (GAE). These variations were categorized as either (a) specific to African American English (AAE) or (b) neutral across AAE and standardized written GAE (i.e., considered ungrammatical both in AAE and in standardized written GAE). Structural equation modeling was employed to then examine the predictive …

Research News, Grants, 2021, Volume 3, Soumyajit Majumdar

Grants (2015-)

Grants and contracts awarded during July - September 2021.

African American English-Speaking Children's Judgments Of Grammaticality: Effects Of Clinical Status And Grammatical Structures, Lori Elizabeth Vaughn

LSU Doctoral Dissertations

African American English (AAE)-speaking children’s ability to judge the grammaticality of sentences was evaluated by their clinical status and grammatical structure. The study originated from a need to understand more about the tense and agreement systems of AAE speakers with specific language impairment (SLI) relative to their typically developing (TD) AAE-speaking peers. Tense and agreement forms are typically excluded from the assessment and treatment of children who speak AAE in fear of misinterpreting a dialect difference as a language disorder. As a result, limited information exists about the tense and agreement systems of AAE-speaking children.

The data were archival and …

Efficacy Of The Mrna-1273 Sars-Cov-2 Vaccine At Completion Of Blinded Phase, Hana M El Sahly, Lindsey R Baden, Brandon Essink, Susanne Doblecki-Lewis, Judith M Martin, Evan J Anderson, Thomas B Campbell, Jesse Clark, Lisa A Jackson, Carl J Fichtenbaum, Marcus Zervos, Bruce Rankin, Frank Eder, Gregory Feldman, Christina Kennelly, Laurie Han-Conrad, Michael Levin, Kathleen M Neuzil, Lawrence Corey, Peter Gilbert, Holly Janes, Dean Follmann, Mary Marovich, Laura Polakowski, John R Mascola, Julie E Ledgerwood, Barney S Graham, Allison August, Heather Clouting, Weiping Deng, Shu Han, Brett Leav, Deb Manzo, Rolando Pajon, Florian Schödel, Joanne E Tomassini, Honghong Zhou, Jacqueline Miller

Faculty, Staff and Students Publications

BACKGROUND: At interim analysis in a phase 3, observer-blinded, placebo-controlled clinical trial, the mRNA-1273 vaccine showed 94.1% efficacy in preventing coronavirus disease 2019 (Covid-19). After emergency use of the vaccine was authorized, the protocol was amended to include an open-label phase. Final analyses of efficacy and safety data from the blinded phase of the trial are reported.

METHODS: We enrolled volunteers who were at high risk for Covid-19 or its complications; participants were randomly assigned in a 1:1 ratio to receive two intramuscular injections of mRNA-1273 (100 μg) or placebo, 28 days apart, at 99 centers across the United States. …

Army Combat Fitness Test Performance By Sex In Rotc Cadets, Kevin Lee Withrow, J. Jay Dawes, Robin (Rob) Marc Orr, Robert G. Lockie

International Journal of Exercise Science: Conference Proceedings

The U.S. Department of Defense recently opened all combat jobs to women. The Army Combat Fitness Test (ACFT) is the U.S. Army’s new assessment for measuring a soldier’s ability to execute combat-related tasks. However, issues have been raised at a national level relative to the impacts of the ACFT on female personnel. As the Reserve Officers Training Corps (ROTC) is the initial entry point for many future Army officers, it is important to analyze how male and female cadets compare in their physical abilities. PURPOSE: To investigate the between-sex differences in ACFT performance in cadets from one program. METHODS …

Lifting In An Alternate Reality: The Application Of Action Observation Within Virtual Reality And Weightlifting., Michael Weise, Nikko Cando, Alex Krause, Kim Hernandez, Rabbani Nzeza, Allyssa Alcasabas, Jake Hinkel-Lipsker

International Journal of Exercise Science: Conference Proceedings

Action observation (AO), where a learner watches a model perform a skill, has long been shown to facilitate motor learning of a variety of skills. There is great interest in learning ways to optimize the AO experience in order to maximize motor learning. In recent years, virtual reality (VR) technology has advanced considerably, where high-fidelity environments can facilitate a fully immersive experience. As such, the three-dimensional (3D) VR experience could allow for improved learning through AO over more traditional forms (e.g., watching a computer screen). PURPOSE: The purpose of this study is to determine how well people learn a …

My Brain Hurts: A Focus On Somatosensory Complaints In Traumatic Brain Injury Patients Assessed By Neurobehavioral Symptom Inventory, Christine Walker, Jason Bailie, Rosemay Remigio-Baker, Ida Babakhanyan

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Somatosensory symptoms are common complaints from patients following a Traumatic Brain Injury (TBI), but are not specific to TBI diagnosis. This study investigated the prevalence of somatosensory symptoms in TBI patients, evaluated if symptoms severity was associated with TBI severity, and assessed the relationship of somatosensory complaints to psychological complaints commonly associated with depression and Post Traumatic Stress Disorder (PTSD). METHODS: Somatic symptoms following traumatic brain injury (TBI) were assessed using 7 of the 22 items from the Neurobehavioral Symptom Inventory (NSI) which included headache, nausea, vision problems/blurriness, body numbness/tingling, taste/smell changes, light sensitivity, and noise sensitivity. …

High School Strength And Conditioning: A Narrative Review Of The Literature, Alexander Wakely, Robert G. Lockie

International Journal of Exercise Science: Conference Proceedings

Many high school athletes will complete strength and conditioning programs as part of their sports participation. The programs can vary in quality, and there is limited research specifically investigating programs at this level. PURPOSE: To review current literature specific to strength and conditioning training programs for high school student-athletes and calculate magnitude of performance changes. METHODS: Studies were searched for using the CSUF Pollack Library database. Search terms included “high school strength and conditioning” and “high school training programs”. Following this process, 5 studies were deemed appropriate for this narrative review. Performance changes from pre- to post-test for the strength …

Gender Differences In Physical Activity Level By Domain, Natasha Vinluan, Zachary Zenko

International Journal of Exercise Science: Conference Proceedings

Engaging in regular physical activity and exercise has been demonstrated to increase life expectancy, improve mental health, and prevent or manage noncommunicable diseases. Although the health benefits are well known, estimates suggest that the majority of women and men do not obtain the recommended amounts of physical activity per week. PURPOSE: The purpose of this study was to assess how physical activity levels differed by domain (i.e., domestic/household, transportation-related, occupational, leisure-time) between genders. This information can be useful for tailoring future interventions to promote activity. METHODS: After obtaining ethical approval, participants (79 men, 35 women; mean age: 36 …

Developing A Predictive Model For Vo2max In Middle-Distance Track And Field Athletes, Nicole Vargas, Patricia Vanoosbree, Kristyne Wiegand

International Journal of Exercise Science: Conference Proceedings

Purpose: Aerobic capacity is an indicator of an athlete’s endurance and a key predictor of performance. The greater the aerobic capacity, the more oxygen available for working muscles, leading to delays in lactate buildup, thus increasing the potential for successful performance. Studies have investigated non-exercise and/or submaximal exercise measures to predict aerobic capacity, but few have analyzed the combination of maximal exercise and non-exercise measures in Division-3 runners. Therefore, the purpose of this pilot study is to determine the predictive ability of heart rate (HR_max), ventilation (VE), respiratory quotient (RQ), and rate of perceived exertion (RPE) on VO …

Understanding And Communicating Physical Activity Guidelines: Creating A Training Video For Health Care Providers, Jafrā D. Thomas, Bethany C. Love, Caroline N. Smith

International Journal of Exercise Science: Conference Proceedings

Like Das et al.’s study (2018, TJACSM), studies over the last decade or so have shown that many health care providers have low knowledge of peer-reviewed physical activity guidelines (PAGs, e.g., Barton et al., 2021, Physical Therapy in Sport; Douglas et al., 2006, BMC Public Health). One remedy may be educational videos. PURPOSE: This presentation details a process to create a short, interactive, educational video to train health care providers in how to advise clients in a manner consistent with PAGs. METHODS: Over a four-month period (January to April of 2021), the second author developed …

Phase Angle Is Associated With Muscular Fitness In Breast Cancer Survivors, Trevor Short, Michelle Pits, Paulette Yamada, Cheri Teranishi-Hashimoto

International Journal of Exercise Science: Conference Proceedings

Phase angle (PhA) has emerged as a prognostic indicator of survival and quality of life (QOL) in cancer patients. Identifying measures of physical fitness that correlate with PhA can provide guidance towards optimizing cancer rehabilitation programs. PURPOSE: To examine the relationship between PhA and physical fitness (muscular strength, muscular endurance, cardiorespiratory endurance, flexibility, and body composition) in breast cancer survivors. METHODS: Seventy female breast cancer survivors (61 ± 9 years, PhA 4.57 ± 0.51) were referred to the rehabilitation clinic by their oncologist. Participants completed assessments for muscular strength (predicted 1-repetition maximum of incline bench press, seated cable row, latissimus …

Reverting To A Healthier Diet Or Employing An Aerobic Exercise Regime Independently Restore Muscle Fiber Phenotype Disturbed By High-Fat Diet In Muscle Of Mice, Nathan Serrano, Harkaran S. Sodhi, Kailin Johnsson, Laurel B. Winslow, Layla Al-Nakkash, Christos S. Katsanos

International Journal of Exercise Science: Conference Proceedings

Obesity affects roughly 42% of the US population. High fat/high sugar diets (HFHS) often referred to as “western diet” contributes to this prevalence. Diet-induced obesity results in impaired metabolic responses and associated disease states (i.e., Type 2 Diabetes). Metabolic impairments in diet-induced obesity are a result of changes in muscle metabolism, and changes in muscle fiber phenotype, which is determined by the isoform-content of the protein myosin heavy chain (MHC). Fast muscle fiber phenotype (i.e. type IIb in mice) is characterized by lower capacity for utilization of lipids, implicated in the pathogenesis of Type 2 Diabetes. Regular exercise shifts MHC …

Evaluating The Validity Of The Salatto-Love And Care Of Nature Direct Indication Scale Against The Love And Care Of Nature Scale During Rest And After Self-Paced Hiking, Robert W. Salatto, Dustin W. Davis, Elias M. Malek, Charli Aguilar, Jeff Montes, Nathaniel Bodell, Jacob W. Manning, Mark Debeliso Phd, James Navalta

International Journal of Exercise Science: Conference Proceedings

There are several scales used to measure one’s connectedness to or love of nature. Amongst these scales is The Love and Care of Nature Scale (LCN), which has been used across several disciplines in research. While the LCN is a valid and reliable scale, completing the 15-question scale may be time consuming and difficult during field research. PURPOSE: The purpose of the current investigation was to establish a fast, easy-to-administer, and easy-to-understand visual analog scale that is valid for evaluating participants’ connectedness to or love of nature. METHODS:Nineteen participants met on two consecutive days at Thunderbird Gardens Trailhead in …

Body Composition And Fitness Characteristics From Structural Firefighters In A Health And Wellness Program: Differences According To Injury Status And Location, Tomas J. Ruvalcaba, Daniel Higuera, Robin (Rob) Marc Orr, J. Jay Dawes, Kristina A. Ross, Robert G. Lockie

International Journal of Exercise Science: Conference Proceedings

Structural firefighting can put firefighters at an elevated risk for injury. Numerous health and fitness characteristics (body composition, flexibility, muscular strength and endurance, aerobic capacity) can influence the performance of fireground operations, and could help prevent injury in firefighters. PURPOSE: To analyze the differences in health and fitness between healthy firefighters, and firefighters who reported a current upper-body, lower-body, or back injury. METHODS: Archival data from structural firefighters in a health and wellness program was investigated (258 males; 12 females). Body composition data included height; body mass; body mass index (BMI); body fat percentage; fat and lean body mass; waist …

College Students’ Perceived Stress In Relation To Physical Activity Behaviors During The Covid-19 Pandemic, Holli Rosas, Andrea Hughes, Sarah L. Dunn Ph.D.

International Journal of Exercise Science: Conference Proceedings

College students may experience heightened stress during a global pandemic. It is well known that psychological distress during times of uncertainty and sedentary behaviors may lead to adverse health outcomes such as morbidity and mortality. Physical activity (PA) has been shown to positively mediate distress and other mental health outcomes. PURPOSE: The aim of this study was to examine college students’ perceived stress levels and PA behaviors during the COVID-19 pandemic and remote learning. METHODS: An Institutional Review Board approved online Qualtrics survey was used to collect data from eighty-four enrolled college students (mean age 24.4±5.79 years, 57.6% female) in …

Obstacle Negotiation Gaze Strategies Of The Physically Fatigued, Belle P. Ponce De Leon, Makena Savola, Sedona Boren, Andrew Fishman, Sarika Varma, Jacob W. Hinkel-Lipsker

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Proper obstacle negotiation while in a fatigued state is a safety concern for first responders, firefighters and other primary relief personnel in their high-risk line of work. During locomotion the central gaze is focused beyond the obstacle to plan future steps while the peripheral vision spatially tracks the obstacle. Previous work indicates that following intense exercise people experience a narrowed peripheral visual field, making them more reliant on central gaze. Thus, it is possible that when physically-fatigued people become more reliant on central gaze to perceive obstacles, leaving them unable to plan future steps as effectively.

PURPOSE: This study …

Anthropometric Predictors Of Arterial Stiffness When Adjusting For Fitness In College-Aged Adults, Riley Morton, Kyli Alvarez, Estephania Campa, Malia Nowlen, Zachary Zeigler

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Cardiovascular Disease (CVD) is the largest cause of non-communicable disease death worldwide. Arterial stiffness is an independent predictor of CVD. Body mass index (BMI), waist circumference (WC), and waist-to-hip ratio predict arterial stiffness. However, there is inconstancy in the literature as to which is the best predictor of arterial stiffness. Measured cardiovascular fitness is also an independent predictor of arterial stiffness and is rarely controlled for in epidemiological studies. The purpose of this study was to identify the superior anthropometric predictor of arterial stiffness after controlling for measured fitness.

METHODS: Healthy young adults were recruited from Grand …

The Impact Of Anterior Cruciate Ligament Injury Risk On Baseline Balance Assessment For Concussion In Collegiate Athletes, Ryan N. Moran, Nicholas G. Murray

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Recent literature has linked concussion and neuromuscular deficits in the lower extremity after injury. Neuromuscular control is frequently assessed using balance measures for concussion, but also dynamically to identify anterior cruciate ligament injury (ACL) risk via jump-landing movement screening. The purpose of this study was to examine the impact of ACL injury risk on baseline balance assessment for concussion. METHODS: Thirty-nine healthy, collegiate female soccer (n=22) and volleyball (n=17) athletes completed the modified-Clinical Test of Sensory Interaction of Balance (m-CTSIB) and the Landing Error Scoring System (LESS) test as part of routine concussion baseline testing and injury …