Medicine and Health Sciences Commons^™

Position- And Sex-Related Differences In Sagittal And Frontal Plane Concentric Isokinetic Hip Muscle Peak Torques And Agonist-Antagonist Ratios, Lisa T. Hoglund, Matthew C. Schiffino, James E. Freels, Isabella G. Romano

Department of Physical Therapy Faculty Papers

BACKGROUND: Hip muscle weakness is associated with many musculoskeletal conditions and athletic injuries. Isokinetic testing is often performed to measure a patient's strength or to assess treatment response. Patient sex and positioning during isokinetic strength testing may influence peak torque production and the agonist-antagonist peak torque ratios. However, different test positions are used clinically and in research to measure hip muscle strength. It is unknown how patient test position or sex impacts test results.

HYPOTHESIS/PURPOSE: The purpose of this study was to determine whether concentric isokinetic peak torques of sagittal and frontal plane hip muscles differ when tested in recumbent …

Peptide Receptor Radionuclide Therapy And Clinical Associations With Renal And Hematological Toxicities And Survival In Patients With Neuroendocrine Tumors: An Analysis From Two U.S. Medical Centers, Tao Xu, Joseph S. Dillon, Mary A. Maluccio, Dawn E. Quelle, Sarah H. Nash, Hyunkeun Cho, Kristen E. Limbach, Nicholas J. Skill, Yvette Bren-Mattison, Michael A. O’Rorke

School of Medicine Faculty Publications

Purpose: Renal and hematological toxicity are side effects and dose-limiting factors of Peptide Receptor Radionuclide Therapy (PRRT). We aimed to assess the changes in renal and hematological function and associations with survival in neuroendocrine tumor (NET) patients treated with PRRT. Methods: A retrospective cohort of 448 NET patients treated with either 177Lu-DOTATATE or 90Y-DOTATOC were followed for changes of renal and hematological function. Renal function was assessed by monitoring changes in serum creatinine, blood urea nitrogen and estimated glomerular filtration rate. Hematological function was determined by examining changes in white blood cell counts (WBC), platelet counts, and hemoglobin levels over …

Using Patient-Reported Experiences To Inform The Use Of Foam Dressings For Hard-To-Heal Wounds: Perspectives From A Wound Care Expert Panel, Kevin Woo, Nick Santamaria, Dimitri Beeckman, Paulo Alves, Breda Cullen, Amit Gefen, José Luis Lázaro-Martínez, Hadar Lev-Tov, Bijan Najafi, Andrew Sharpe, Terry Swanson

Center on Aging Staff Publications

Caring for patients with hard-to-heal (chronic) wounds requires a multifaceted approach that addresses their diverse needs, which can contribute to the complexity of care. Wound care providers must have a comprehensive understanding of the patient's comorbid conditions and psychosocial issues to provide personalised and effective treatment. Key quality indicators for effective wound care involves not only selecting appropriate local wound care products, such as foam dressings, but also addressing individual patient experiences of wound-related pain, odour, itch, excessive wound drainage, and self-care needs. The purpose of this review is to inculcate the wound care practice community, research scientists and healthcare …

Protein Consumption And Risk Of Cvd Among Us Adults: The Multi-Ethnic Study Of Atherosclerosis (Mesa), Ji Yun Tark, Ruosha Li, Bing Yu, Alexis C Wood, Nikhil S Padhye, Marcia C De Oliveira Otto

Faculty, Staff and Students Publications

BACKGROUND: Although some randomized trials have reported beneficial effects of protein intake on cardiometabolic risk factors, evidence from prospective studies have not supported a strong link between protein intake and cardiovascular disease (CVD) risk. It is also unclear whether diversity in protein intake plays a role in CVD risk.

OBJECTIVE: We investigated prospective associations of (1) protein intake, overall and by food source and (2) diversity of protein sources with risk of CVD, coronary heart disease (CHD), and stroke.

METHODS: In a multi-ethnic cohort of 5879 U.S. adults (45-84 years), who were free of CVD at baseline, protein intake was …

Distinct Escherichia Coli Transcriptional Profiles In The Guts Of Recurrent Uti Sufferers Revealed By Pangenome Hybrid Selection, Mark G Young, Jesús Bazan Villicana, Philippe Azimzadeh, Andrew Kau, Karen W Dodson, Henry L Schreiber 4th, Scott J Hultgren, Et Al.

2020-Current year OA Pubs

Low-abundance members of microbial communities are difficult to study in their native habitats, including Escherichia coli, a minor but common inhabitant of the gastrointestinal tract, and key opportunistic pathogen of the urinary tract. While multi-omic analyses have detailed interactions between uropathogenic Escherichia coli (UPEC) and the bladder mediating urinary tract infection (UTI), little is known about UPEC in its pre-infection reservoir, the gastrointestinal tract, partly due to its low relative abundance (<1%). To sensitively explore the genomes and transcriptomes of diverse gut E. coli, we develop E. coli PanSelect, which uses probes designed to specifically capture E. coli's broad pangenome. We demonstrate its ability to enrich diverse E. coli by orders of magnitude, in a mock community and in human stool from a study investigating recurrent UTI (rUTI). Comparisons of transcriptomes between gut E. coli of women with and without history of rUTI suggest rUTI gut E. coli are responding to increased oxygen and nitrate, suggestive of mucosal inflammation, which may have implications for recurrent disease. E. coli PanSelect is well suited for investigations of in vivo E. coli biology in other low-abundance environments, and the framework described here has broad applicability to other diverse, low-abundance organisms.

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, …

Effect Of Caffeine On Symptoms And Biomarkers Of Gastrointestinal Injury After Physical Work In The Heat, Marissa Ramirez, Jonathan Specht, Fabiano Amorim

International Journal of Exercise Science: Conference Proceedings

Effect of Caffeine on Symptoms and Biomarkers of Gastrointestinal Injury After Physical Work in the Heat

MARISSA RAMIREZ, JONATHAN W. SPECHT, FABIANO T. AMORIM

Exercise Science Laboratory; Department of Health, Exercise, and Sport Sciences; University of New Mexico; Albuquerque, NEW MEXICO

Category: Doctoral

Advisor / Mentor: Amorim, Fabiano ([email protected])

ABSTRACT

Several job industries require substantial prolonged physical exertion in hot environmental conditions which increases the risk of heat-related illnesses. Endotoxemia, a hallmark of exertional heat stroke, is defined by increased levels of circulating lipopolysaccharides, often caused by gastrointestinal (GI) injury and subsequent permeability. Caffeine is a stimulant frequently used among …

Proceedings From The Fifth Annual For Society For Sports Neuroscience Conference, Neurosports Editorial Staff

Journal for Sports Neuroscience

Proceedings from the Fifth Annual for Society for Sports Neuroscience Conference

Applying Efficiency To Quantify Workplace Violence Situations For Meaningful Analysis, Erika Whetstone Msn, Rn, Cphq

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background/Problem: Standard data gathering around workplace violence has been a national gap and there is not a national recommendation on how or what data points to collect. Purpose: A process was developed that enabled automated data collection and aggregation which allowed gathering of workplace violence data. The process built moved from a manual time-consuming endeavor to an efficient process that quantified a multitude of key metrics needed for analysis that can be used to drive meaningful mitigation. Methods: A focus study was built within Midas that included most of the elements from …

Evaluation Of Shared Governance Perceptions At Parkview Health, Erin Lacross Dnp, Rn, Nea-Bc, Cenp, Jan Powers Phd, Rn, Ccns, Ccrn, Ne-Bc, Ebp-C, Fccm, Fcns, Faan, Mindy Flanagan Phd

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Shared governance is a structure for clinical nurses to have a voice in decisions regarding practice and the practice environment. It is imperative to have a model that is inclusive of all nurses and allows for decision-making and accountability related to nursing practice. It is essential that nurses are empowered to make decisions at the point of care related to patient care decisions. Objective: The purpose of this study was to assess current state of shared governance councils at Parkview Health. Method: Data was collected using the Index of Professional Nursing …

Slay The Antibiotic Delay, Angela Shuch Asn, Rn, Lauren Meyer Bsn, Rn, Kristina Pavey Bsn, Rn, Gero-Bc

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Rapid Response nurses are educated to respond to emergent situations and provides support to the patient care team, often intervening to prevent patient complications. These specialty nurses are repeatedly called to place an intravenous (IV) for scheduled medications when the bedside nurses is unsuccessful or hesitant to place one. Prioritizing IV starts compete with emergent patient situations which frequently cause retiming of IV antibiotics. Objectives/Aim/Purpose: The purpose of this quality improvement project was to prevent IV medication delays including re-timing. Methods: Nurses were surveyed and identified reasons for delays and re-timing …

Decreasing Healthcare Associated Infections (Hais) With Pre-Shift Chlorohexidine Gluconate (Chg) Handwashing. Does It Work?, Mackenzie Spangler Bsn, Rn, Ocn, Julie Roth Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Nursing Research Symposium.

Background: HAIs are a concern for all healthcare organizations. Implementing preventative measures to minimize these occurrences become paramount within nursing practice. CHG is a common antimicrobial solution used throughout healthcare to decrease colonization on patients, but there is also data suggesting that staff performing CHG handwashing prior to a shift as an additional layer of prevention. Purpose: The purpose of this EBP project was to determine if the addition of CHG hand hygiene prior to starting the bedside shift was superior when compared to hand hygiene standards including alcohol-based sanitizer and regular soap …

Evaluating Stress Relief Management Through Use Of Candy On An Orthopedic Trauma Unit, Kelsi Cantrell Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background : Questioned the evidence and opportunity for simple strategies to reduce in-the-moment clinical staff anxiety or stress. Came across a popular therapy trend in which sour or spicy candy is used as a form of distraction for momentary panic-level anxiety. With help from the Parkview Librarian, discovered there was not much information to support this theory, but also that it may not have been evaluated in the context of in-patient, clinical staff stress. Initiated “Stress Relief Treats” project on the Orthopedic Trauma unit in June 2024 to assess if pausing to …

Birth By Land Or By Water: Implementing Waterbirth At Parkview Randallia, Kim Noga Msn, Rn, Rnc-Mnn, Ibclc, C-Efm, Allison Thorpe Mba, Msn, Cnm, Nataley Frane Bsn, Rn, Sarah Pickens Bsn, Rn, Lisa Smith Msn, Rn, Agcns-Bc, Np-C, Rnc-Ob, Angela Russ Russ Msn, Rn, Rnc-Mnn, Ibclc

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Childbirth is a natural physiologic event, with most women requiring some form of pain relief during their birth experience. The transition of Parkview’s Certified Nurse Midwife Program to Parkview Randallia’s Family Birthing Center in the fall of 2023 increased the demand for non-pharmacologic labor and birth options for low-risk pregnant patients. One option for non-pharmacologic pain relief is water immersion and waterbirth. Water immersion during labor and waterbirth can promote comfort and reduce the need for medical interventions during labor. There is currently no option for women to achieve a waterbirth …

When The Lights Go Out: Drill Your Way To Downtime Success, Krista Dreyer Msn, Rn, Cmsrn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium

Problem: The adoption of the electronic medical record (EMR) in healthcare facilities has significantly surged since the implementation of the Health Information Technology for Economic and Clinical Health Act in 2009. Despite advancements in electronic documentation, both planned and unplanned EMR downtimes pose substantial challenges. Such downtimes can disrupt clinical workflows, lead to delays in patient care and compromise the overall quality of services provided. Purpose: The aim of this project is to evaluate solutions for EMR downtime preparation that enhance staff confidence and minimize disruption of workflow during downtime events. Methods: …

A Scoping Review: Multimodal Pain Management To Reduce Perioperative Opioid Use In Total Knee Arthroplasty, Renee Merrill, Curt C. Stilp, Shane Merrill, Michelle Rhea, Jason Brumitt

Doctor of Medical Science (DMSc)

Background: The opioid epidemic ranks among the most significant public health crises of our time, with prolonged opioid use often resulting from overprescription following surgeries such as total knee arthroplasty.

Methods: PubMed and Medline (EBSCO) were searched from inception until July 2024 for studies comparing multimodal pain management interventions aimed at reducing opioid use after total knee arthroplasty (TKA) to a control group. Twenty-eight articles were identified that met the inclusion criteria.

Results: Opioid-sparing multimodal pain management approaches, including acetaminophen, non-steroidal anti-inflammatory drugs, cyclooxygenase-2 inhibitors, gabapentinoids, peripheral nerve blocks, cryoneurolysis and local infiltration analgesia, can effectively manage pain after a …

Encouraging Movement Opportunities Through Theory-Informed Video Education Among Undergraduate Students: The Move Study, Carmen Labadie, Nia Contini, Varsha Vasudevan, Matthew Bourke, Shauna Burke, Patricia Tucker, Jennifer Irwin

Health Studies Publications

Objective: To explore the impact of a theory-informed educational video on undergraduates’: motivational readiness, self-efficacy, and decisional balance about changing sedentary time; sedentary time; and perceptions of sedentarism over time and compared to a control. Participants: Undergraduates (N = 160) from a Canadian institution. Methods: A single-blind randomized controlled trial using an intervention (sedentary video) and control (sleep video) group. Participants completed two validated questionnaires at baseline, immediate post-intervention, and one-month follow-up plus open-ended questions. Linear mixed models and content analysis were used. Results: No significant differences were observed between groups. Increases in self-efficacy (p = .016; d = 0.27) …

General Practice Training In Australia: National Report On The 2024 National Registrar Survey, Rebecca Taylor, Leyna Clarke, Michelle Hsien, Ali Radloff

Higher education research

The General Practice National Registrar Survey (GP NRS) is an annual, national survey of GP registrars currently training in Commonwealth funded trainings programs which include Australian General Practice Training (AGPT), Remote Vocational Training Scheme (RVTS) and Rural Generalist Training Scheme (RGTS) programs (prior to 2024, it was only carried out with AGPT registrars). It collects information via an online questionnaire about GP registrar satisfaction, experience and future career plans. It also collects information about GP registrars’ demographics and training contexts and other aspects of their training experience. This survey is part of the Department of Health and Aged Care’s (the …

Musical Hallucinations In An Elderly Female With Hearing Loss, Jacqueline Cavendish, Lynne J. Goebel

Internal Medicine

Musical hallucinations (MH) are rare auditory phenomena in which patients perceive music without a known source. Risk factors for MH include hearing loss, older age, female gender, epilepsy, and certain medications. This case report details the presentation, diagnosis, and treatment of an 82-year-old woman who developed MH following the onset of hearing loss. Despite treatment attempts with gabapentin, quetiapine, and donepezil, the symptoms persisted, demonstrating the difficulty in treating this condition.

Mccormack, Joseph Nathaniel, 1847-1922 And Arthur Thomas Mccormack, 1872-1943, Manuscripts & Folklife Archives

Manuscript Collection Finding Aids

Finding aid and scans (Click on "Additional Files" below) for Manuscripts Small Collection 3738. Arrest warrants issued by the Bowling Green, Kentucky Police Court charging Dr. J. N. McCormack, then Secretary of the State Board of Health, and Dr. A. T. McCormack with permitting a “nuisance, source of filth & cause of sickness” by erecting a privy over an open drain or sewer to serve the McCormack Building on State Street. Includes a letter, 29 September 1907, from Dr. J. N. McCormack to Governor J. C. W. Beckham requesting a pardon and describing his ongoing efforts to dispose of waste …

Thoughts From The Frontline - November 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

The Association Of Overall Dietary Quality On Stress, Anxiety, Depression, And Academic Performance In College Students: A Systematic Review, Jessica Phelan, Richard R. Rosenkranz, Cindy Logan, Mark Haub, Emily Mailey, Armin Ezzati, Sara K. Rosenkranz

Health & Human Performance Faculty Publications

Objective: The objective of this systematic review was to examine current evidence regarding the associations between dietary quality and mental well-being indicators (stress, anxiety, and/or depression) in college students, with a secondary aim of characterizing the relationship between overall dietary quality and academic performance. Methods: Searches were performed, and the PRISMA guidelines were followed for reporting the methods and results. Results: Twelve observational studies were included and reviewed showing high dietary quality was associated with: low stress (four studies), high stress (one study), and no significant association (two studies); low depression (three studies) and no significant association (two studies) and …

Psychosis And Personality Changes Following Traumatic Brain Injury, David Hanna, Sonya Priven, Nathan Carroll, Heba Ekladios, Adriana Fitzsimmons

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Psychotic disorders following traumatic brain injury (TBI) are a significant concern in psychiatry, with chronic sequelae often overlooked. The pathophysiology of post-TBI psychosis involves neuroplasticity and neuronal remodeling, potentially exacerbating vulnerabilities to chronic psychotic disorders. Differentiating post-TBI psychosis from primary schizophrenia and other psychotic conditions is crucial for appropriate treatment. This case report discusses a 63-year-old male with a history of TBI from a gunshot wound sustained in adolescence, who later developed schizophrenia. The report explores the patient's psychiatric symptoms, cognitive dysfunction, personality changes, and imaging findings. The report examined the complex relationship between TBI and psychotic symptoms, considering genetic, …

Improving Sep-1 Compliance Among Clinicians And Registered Nurses In The Emergency Department, Luke Roesler

Doctor of Nursing Practice Papers

Background: Sepsis is attributable to more than one in three in-hospital deaths in the United States and 20% of deaths globally each year. In 2015, the Centers for Medicare and Medicaid Services (CMS) adopted an early goal-directed 3 and 6-hour bundle intervention measure titled “SEP-1” based on recommendations from the International Surviving Sepsis Campaign (SSC) consensus panel to improve patient outcomes in cases of severe sepsis and septic shock. Sepsis is most often identified in the emergency department (ED) setting due to 87% of cases beginning in the community (Sepsis Alliance, 2022). National compliance with SEP-1 is 50% despite a …

Exploring Learning Paths: Understanding The Learning Strategies Of Artificial Intelligence System Users And Their Involvement In Social Forums, Tauseef Ibne Mamun, Shane Mueller

Michigan Tech Publications

In the last decade, there has been a significant increase in the use of commercial semi-autonomous vehicles by consumers. This has led to a surge in concerns among users about the limitations of these systems, especially when it comes to safety. In order to address these concerns, users often seek out diverse educational resources to comprehend these constraints, explore alternatives, and determine whether their experiences are representative. This paper examines the viewpoints of users who are using a new AI system that has received minimal training from the vendor. We conducted interviews of the users of the AI to examine …