Medical Education Commons^™

Expanding Awareness Of Tbi Resources In The North Country, Nicholas W. Krant

Family Medicine Clerkship Student Projects

Disability, emotional dysregulation and financial stress are only some of the issues that many patients who suffer TBI encounter. While resources are available to alleviate some of these burdens on patients who suffer TBI in New York's North Country, patients often struggle to find these resources. This project endeavors to create a resource for patients, family members and practitioners to find available resources.

Wellness Review 2023, Part 1, Brian A. Ferguson, Martin Huecker

Journal of Wellness

Introduction: The 2023 Part 1 summary reviews research on wellness in healthcare professionals published outside of JWellness from January 1, 2023 to June 30, 2023.

Methods: Editors conducted a Boolean search of titles and abstracts in PubMed utilizing keyword identifiers pairing healthcare personnel (providers, nurses, and other staff) with a well-being metric. Of 416 relevant articles, an intriguing and innovative 30 were selected for inclusion, with two additional articles manually curated.

Literature Review: This sample of the recent literature into healthcare professional wellness included multiple targeted interventions and studies of resilience. Main themes that emerged include: positive systematic healthcare changes …

Intouch Week Of December 4, 2023, New York Medical College

InTouch

• Get to Know Dr. Schluger, the New SOM Dean
• NYMC Celebrates Faculty Authorship at 30th Annual Recognition
• NYMC's Giving Tuesday Success Fuels Clinical Skills and Simulation Center Expansion
• Students Shine at 2023 Multidisciplinary Community Outreach
• NYMC Looks at the Future of the Life Sciences at the Innovation in Research Conference
• Study Finds Racial Disparities in Postoperative Outcomes for Cervical Stenosis

Veterans In Crisis: Identifying And Reducing Suicide, David C. Cole, Natalie A. Perkins, Lindsay Gietzen, Zohair Hussain, Dione M. Cole

Pacific Journal of Health

The base of this Integrative Review is built on the foundation of information from research by Ramchand (2021), “Veterans are committing suicide at a rate twice the non-veteran.” (p.2) and “From 2005 to 2018 the suicide rate went from 20% to 32%” in the veteran population. (p.3). According to Ahmedani et al. (2019), “The majority of persons committing suicide (71.2%) had received health care in the 180 days prior to their death.” (p.6). This review analyzed and organized the findings to spotlight 4 common themes that lead to a better understanding of best practices. Eligibility criteria started with the PICOT …

Strategies To Encourage Recall And Prevent Relapse After Full Mouth Rehabilitation Under General Anesthesia In Children, Claire Koukol

Capstone Experience

Background: Dental caries are preventable. Dentists utilize many prevention strategies in the office and provide at-home education to families. However, once a child develops Early Childhood Caries (ECC), especially in more severe cases, they may need general anesthesia (GA) to complete treatment. While this is an effective way to achieve full mouth dental rehabilitation (FMDR), this burdens the healthcare systems and families and does not come without risk to the patient. Patients with high caries experience remain at high risk of caries relapse after FMDR under GA, sometimes necessitating additional FMDR under GA. While there has been a significant amount …

A Case Study Of The Political Determinant Of Health On The Public Health Crisis Of Malaria In Nigeria, Bisola Olumegbon

Electronic Theses and Dissertations

Abstract

Globally, there were about 229 million cases of malaria in 2022. The sub-Saharan African region accounted for 92% of the reported cases and 94% of deaths. Nigeria had the highest number of malaria cases and deaths, representing 27% of global cases. This scholarly project was a case study guided by the political determinants of health. Triangulation of data using thematic analysis was used to identify the political determinants of malaria in Nigeria and to understand how the concept of interaction contributes to the persistence of the disease. The analysis involved a deductive and inductive approach based on the literature …

Assessment Of A Pharmacist-Led Antibiotic Time-Out For Transition Of Iv Vancomycin To Oral Linezolid, Mary S. Vogel, Jefferson Cua, Erika Dittmar, Timothy Gauthier, Kelsey N. Williams

Nursing & Health Sciences Research Journal

Introduction: Intravenous (IV) vancomycin requires therapeutic drug monitoring and line placement and may prolong hospital stay. Linezolid requires less monitoring, is orally bioavailable, and may expedite transitions of care. This study assessed the impact of a pharmacist-led antibiotic timeout for the transition from IV vancomycin to oral linezolid. Methods: This single-center, quasi-experimental study included admitted adult patients receiving IV vancomycin for over 48 hours. Patients receiving vasopressors, of immunocompromised status, or with specific antibiotic indications were excluded. The primary outcome was the pharmacist intervention acceptance rate. Secondary outcomes included median hospital length of stay, median antibiotic treatment days, and incidence …

Promoting Mammography Screenings In African American Women: Media, Church, And Health Providers, Lasonya Little, Debra C. Wallace, K.Jay Poole

Journal of Health Disparities Research and Practice

Due to the underutilization of screening mammography, African American women (AAW) are more likely to experience negative health outcomes after receiving a late-stage breast cancer diagnosis than White Women (WW). The purpose of this article is to examine the roles of the media, health community and the African American church and pastor and their potential impact in AAW screening decisions. Fifteen AAW, ages 45 and older, were invited to participate in a semi-structured interview. Most women agreed the African American pastor and church as well as the health community, and media are an integral part of their lives. Therefore, specific …

A Survey Of Internal Medicine Residents Comparing Virtual Academic Half Day To Traditional Academic Half Day Model, Basil George Verghese, Salem N. Thabet

Advances in Clinical Medical Research and Healthcare Delivery

Introduction. Resident educational activities vary from institute to institute, with daily noon conferences or weekly academic half-day (AHD) models where dedicated protected time is available for resident teaching. The COVID-19 pandemic limited in-person educational activities, forcing residency programs to move toward virtual options, including the academic half-day (AHD). This survey-based cohort study aimed to understand residents' perception of virtual versus in-person AHD for educational activities during residency.

Methods. The survey was emailed to 72 Internal Medicine residency program residents at our institute during the first week of March, 2022. The responses were analyzed using descriptive statistics, Pearson's chi-square test, …

A Message To Our 2023 Peer Reviewers: Thank You

Journal of Patient-Centered Research and Reviews

As a multidisciplinary medical journal committed to a rigorous peer review process, the Journal of Patient-Centered Research and Reviews utilizes a diverse scholarly group of volunteer reviewers to evaluate the quality of and suggest improvements for original manuscript submissions. Each year, JPCRR publishes this citable acknowledgment as a means of expressing our editorial team’s sincere gratitude for the generous contributions made during the past 12 months by the below clinical, health research, and patient advocacy experts.

A Clear, Succinct Research Question Portends The Rest Of The Story, Jessica J. F. Kram, Lisa Sullivan Vedder, Brenda Fay, Deborah Simpson

Journal of Patient-Centered Research and Reviews

The goal of any research manuscript is to convey the story of a systematic answer to an important question in the field. A clear, succinct research or study question is what provides the storyline that connects all the sections of a manuscript. One of the most common strategies to developing a meaningful research question is the FINER approach, which encompasses five standards to determine the quality of a question: feasible, interesting, novel, ethical, and relevant. Using the FINER approach can provide the guidepost for all design and reporting decisions. This editorial recommends creating a study protocol aimed at answering your …

Conference Proceedings: Select Abstracts Presented At 2023 Advocate Aurora Scientific Day

Journal of Patient-Centered Research and Reviews

This abstract supplement includes findings presented at the 49th annual Advocate Aurora Scientific Day on May 24, 2023. The Scientific Day symposium provides a virtual forum for the sharing of preliminary results from research and case studies conducted by faculty, fellows, residents, and other health professionals associated with Illinois-based Advocate Health Care and Wisconsin-based Aurora Health Care.

Survey Of Pediatric Critical Care Fellows On Postresuscitation Debriefing, Nicole K. Sather, Lauren E. Zinns, Gillian Brennan, Lily Guo, Nadia Khan, Vinod Havalad

Journal of Patient-Centered Research and Reviews

Purpose: Current guidelines recommend debriefing following medical resuscitations to improve patient outcomes. The goal of this study was to describe national trends in postresuscitation debriefing practices among pediatric critical care medicine (PCCM) fellows to identify potential gaps in fellow education.

Methods: A 13-item survey was distributed to fellows in all 76 ACGME-accredited PCCM programs in the United States in the spring of 2021. The online survey addressed frequency and timing of debriefings following medical resuscitations, whether formal training is provided, which medical professionals are present, and providers’ comfort level leading a debriefing. Results were analyzed using descriptive statistics.

Results: A …

An American Medical Economics Phenomenon, Richard Guthmann Md, Mph

Clinical Research in Practice: The Journal of Team Hippocrates

The author reflects on his own experience with medical economics-driven phenomena in healthcare.

Intouch Week Of November 20, 2023, New York Medical College

InTouch

• SOM Class of 2027Celebrates Friendsgiving
• GSBMS Pens Conditional Admittance and Guaranteed Interview Agreements with TUCOM
• NYMC Raises More than $5,000 for Victims of the Israeli-Palestinian Conflict

Dietary Analysis For Hashimoto’S Thyroiditis: An Integrative Review, Evan Thompson, Alison Hultquist

Master of Science in Nursing Final Projects

Abstract

Hashimoto’s Thyroiditis (HT) is the leading cause of primary hypothyroidism in the United States. In HT, there is an infiltration by lymphocytes which leads to the production of autoantibodies against the thyroid gland. Throughout this integrative review, the aim was to evaluate the effectiveness of micronutrient supplementation and dietary management as adjunct treatments in HT. The purpose was to assist primary care providers in the development of a more holistic plan of care. Literature published within the past seven years was gathered and reviewed from PubMed, CINAHL, and Cochrane Library. Findings indicate that many patients with HT may benefit …

Perceived Fatigue And Physical Activity Enjoyment Following Indoor And Outdoor Moderately Heavy Superset Resistance Training, Korina K. Ziegler, Aaron Mckenzie, Wesley Ziegler, Spencer Maxwell, Bryson Carrier, Charli Aguilar, Alexandra Routsis, Talon Thorton, Jae Bovell, Setareh Zarei, Devin Green, Kathryn Lei A. Lavin, Amanda Hawkes, Jeffrey Cowley, Merrill Funk, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

ACSM has again determined that resistance training (RT) and outdoor activities are two of the top ten worldwide fitness trends for 2023. We previously found that RT outdoors had a significantly lower perception of effort (RPE) compared to indoor RT, despite no physiological differences in heart rate (HR) and energy expenditure (EE). However, no study has examined other feelings during RT in indoor or outdoor settings. PURPOSE: To determine how indoor or outdoor environments effect perceptions of fatigue and physical activity enjoyment following RT in recreationally resistance trained adults. METHODS: Twenty-three adult participants (n=10 female, n=13 male) completed …

Repetition Count Concurrent Validity Of Various Garmin Wrist Watches During Light Circuit Resistance Training, Wesley F. Ziegler, Bryson Carrier, Charli D. Aguilar, David Pearce, Jocelyn M Graffius, Brynlie Ellingford, Wyatt Fullmer, Jeffrey Cowley, Merrill Funk, Nathaniel Bodell, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Wearable technology and strength training with free weights are two of the top 5 fitness trends worldwide. However, minimal physiological research has been conducted on the two together and none have measured the accuracy of devices measuring repetition counts across exercises. PURPOSE: The purpose of this study was to determine the concurrent validity of four wrist-worn Garmin devices, Instinct (x2), Fenix 6 Pro, and Vivoactive 3, to record repetition counts while performing 4 different exercises during circuit resistance training. METHODS: Twenty participants (n=10 female, n=10 male; age: 23.2 ± 7.7 years) completed this study. Participants completed 4 circuits …

Perceptions Of Nigerian Medical Students Regarding Their Preparedness For Precision Medicine: A Cross-Sectional Survey In Lagos, Nigeria, Chibuzor Ogamba, Alero Roberts, Sharon Ajudua, Mosopefoluwa Akinwale, Fuhad Jeje, Festus Ibe, Moses Afolayan, Yetunde Kuyinu

Einstein Health Papers

BACKGROUND: Advances in precision medicine in Nigeria suggest improving genomics education and competency among healthcare practitioners to facilitate clinical translation. Due to the scarcity of research in this area, this study aimed to assess Nigerian medical students' perceptions about their preparedness to integrate precision medicine into their future clinical practice.

METHODS: This was an institution-based cross-sectional study of medicine and surgery students in their clinical years attending the two fully accredited colleges of medicine in Lagos, Nigeria, between April and October 2022 using an adapted tool administered via Google Forms. The survey assessed their awareness, perceptions about knowledge, ability, and …

Paroxysmal Atrial Fibrillation In A Life-Long Endurance Athlete: A Descriptive Case Study, Timothy Curry, Scott N. Drum

International Journal of Exercise Science: Conference Proceedings

The diagnosis of atrial fibrillation (AF) in lifelong endurance athletes occurs at a greater incidence over a lifetime vs the undertrained, general population. In fact, the more intense an aerobic-oriented person trains or races and over a greater amount of time, the higher the diagnosis of general cardiac arrhythmias. PURPOSE: Therefore, the primary aim was to observe the cumulative effects of life-long endurance training (since the age of 10-yrs old) and the yearly occurrences of paroxysmal AF (PAF) in an otherwise healthy, 53-yr-old male. METHODS: The complete health history of a 53-yr-old male (ht: 1.83 m, wt: 72.7 kg, …

The Effectiveness Of Running Power As A Metric Of Exercise Intensity During Running Interval Training, Eric A. Lambert, Dustin W. Davis, Matahn Blank, Tashari A. Carballo, Elias M. Malek, Kathryn Lei A. Lavin, Thea Sweder, Nicole Argueta, Marcus M. Lawrence, James W. Navalta, Jeffrey Cowley

International Journal of Exercise Science: Conference Proceedings

Wearable power meters are increasingly popular among runners with Coros and Stryd offering running power as a real-time, trackable of a metric. PURPOSE: This study compared running power (RP) to physiological measures, heart rate (HR) and oxygen consumption (VO₂), across high and low intensity running intervals. METHODS: Thirteen adult participants (n = 6 male; height = 174.9 ± 6.9 cm; mass = 72.5 ± 12.0 kg) were equipped with a Stryd 27 RP meter, a Polar H10 HR monitor, and a Cosmed K5 portable metabolic unit. Participants’ self-selected RP was obtained during a 10-min run on …

Lumbopelvic Stability During A Single Leg Step Down Predicts Elbow Varus Torque During Baseball Pitching, Zachary J. Dezee, Adam J. Barrack, Kayla Bucci, Ryan J. Zerega, Rachel K. Straub, Andrew R. Karduna, Lori A. Michener

International Journal of Exercise Science: Conference Proceedings

During a baseball pitch, energy is transferred from the lower extremities through the lumbopelvic junction to produce ball velocity. Reduced lumbopelvic stability has been associated with elbow injury in pitchers, and commonly ulnar collateral ligament (UCL) tears. The primary biomechanical mechanism of UCL tears is high elbow varus torque. Understanding how decreased lumbopelvic stability influences the development of elbow varus torque could identify risk factors of UCL elbow injury. PURPOSE: Characterize the predictive ability of lumbopelvic stability on elbow varus torque during a baseball pitch. METHODS: NCAA Division 1 baseball players (N=44; 19.6+1.3yrs) participated. Pitchers threw ten fastballs from a …

Rating Of Perceived Exertion, Average Heart Rate, And Energy Expenditure Following Indoor And Outdoor Moderately Heavy Superset Resistance Training, Spencer M. Maxwell, Bryson Carrier, Charli Aguilar, Korina Ziegler, Aaron Mckenzie, Wesley Zeigler, Alexandra Routsis, Talon Thorton, Setareh (Star) Zarei, Devin Green, Jae Bovell, Kathryn A. Lavin, Amanda Hawkes, Jeffrey C. Cowley, Merrill Funk, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Our lab recently found that light intensity circuit resistance training outdoors had a significantly lower perception of effort (RPE) compared to indoor resistance training, despite no physiological differences in heart rate and energy expenditure. However, no study has examined other intensities or set schemes in differing environmental settings. PURPOSE: To determine how indoor or outdoor environments effect rating of perceived exertion (RPE) following light and moderately heavy intensity superset resistance training in recreationally resistance trained adults. METHODS: Twenty-three adult participants completed this study (n=10 female, n=13 male; age: 26.1±8.8 yrs; height: 172.2±9.5 cm; mass: 73.4±18.7 kg; RT experience: …

Heart Rate And Energy Expenditure Concurrent Validity Of Identical Garmin Wrist Watches During Moderately Heavy Resistance Training, Talon Thornton, Wesley Ziegler, Spencer Maxwell, Aaron Mckenzie, Alexandra Routsis, Korina Ziegler, Bryson Carrier, Charli Aguilar, Devin Green, Jae Bovell, Kathryn A. Lavin, Setareh (Star) Zarei, Jeffrey C. Cowley, Amanda Hawkes, Merrill Funk, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Consistent with previous years, ACSM has found that wearable technology and resistance training (RT) are two of the top 5 fitness trends in 2023. Our lab recently found that wrist-worn devices, such as Garmin Instinct, are neither valid nor reliable at measuring average or maximal heart rate (HR) or estimating energy expenditure (EE) following light intensity circuit RT. We postulated that the errors may have been due to the device’s algorithms assuming higher intensity during RT. PURPOSE: The purpose of this study was to determine the concurrent validity of identical Garmin Instinct wrist-watches to record valid measures of average …

Bodyfat As A Predictor Of The Peace Office Physical Aptitude Test In Police Cadets, Angelo Mangione, Mattison Maret, Bridget Melton, Anthony Acevedo, Zachary Zeigler

International Journal of Exercise Science: Conference Proceedings

Body composition is a measurement that is rarely assessed before police cadets enter the academy. The Peace Office Physical Aptitude Test (POPAT) is a required assessment for police cadets. PURPOSE: This pilot study aims to determine if body composition, upper body strength, and lower body power can predict performance on the POPAT in police cadets. METHODS: Maricopa County Sheriff’s Office (MCSO) cadets were asked to complete the handheld grip test to assess upper extremity strength, vertical jump to assess lower extremity power, and body fat percentage (%BF) using an ultrasound machine. Fat-Free Mass Index (FFMI) was used to …

Bmi Superior To Fat-Free Mass Index And Fat Mass Index For Predicting Arterial Stiffness In College Students, Amanda Callaghan, Kennedy Kerbs, Kyndal Downing, Zachary Zeigler

International Journal of Exercise Science: Conference Proceedings

Arterial stiffness is a significant predictor of cardiovascular disease and mortality. Body mass index (BMI) has been used to predict cardiovascular disease outcomes but does not consider fat and lean mass. Fat mass index (FMI) and fat-free mass index (FFMI) may be superior to BMI in predicting arterial stiffness because it considers body composition. PURPOSE: This study aims to determine if FFMI and FMI are superior to BMI at predicting arterial stiffness in college students. METHODS: Participants came into the exercise physiology lab, signed consent, and then had anthropometric measurements of height and weight taken, as well as …

Is A Two-Day Cardiopulmonary Exercise Test A Valid Tool For The Diagnosis Of Post-Exertional Malaise In Long Covid?, Chiara Gattoni, Asghar Abbasi, Carrie Ferguson, Carly Heffernan, Elizabeth Dinnen, Olivia Heutlinger, Long-Co Nguyen, Charles W. Lanks, Thomas W. Decato, Richard Casaburi, Harry B. Rossiter, William W. Stringer

International Journal of Exercise Science: Conference Proceedings

A two-day cardiopulmonary exercise testing (CPET) protocol (maximal ramp-incremental cycle test repeated 24hr apart) in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) patients has suggested that day-2 performance is decreased relative to day-1. This difference has been attributed to post-exertional malaise (PEM), suggesting the two-day CPET as a protocol to investigate PEM in Long COVID (LC) patients. PURPOSE: We aimed to investigate any effects of PEM on exercise performance and cardiorespiratory and perceptual responses to a two-day CPET in LC patients to determine whether the day-1 CPET would impair performance, cardiorespiratory responses or perceptions of exercise at day-2. METHODS: Fifteen LC patients …

Validity And Reliability Of The Garmin Instinct In Measuring Heart Rate During Pickleball, Setareh Zarei, Samantha Cruz, Tashari A. Carballo, Bryson Carrier, Dustin W. Davis, Jae Bovell, Thea Sweder, Matahn Blank, Elias M. Malek, James W. Navalta

International Journal of Exercise Science: Conference Proceedings

Playing a racquet sport called pickleball is increasing in popularity every day in the United States. Garmin is a popular brand that manufactures wearable fitness trackers capable of measuring heart rate (HR). Because HR is a common way to determe exercise intensity, the validity and reliability of wearables to provide accurate HR during pickleball is important. PURPOSE: This study aimed to analyze and assess the validity and reliability of HR from the Garmin Instinct vs. Polar H10 (criterion) during pickleball. METHODS: Eleven adults (2 female, 8 male, 1 prefer not to disclose; age = 28.1 ± 9.2 years; …

Stress And Eating Behaviors Pre- And Post Covid-19 Pandemic Declaration In A Sample Of College-Aged Adults, Megan Bratetic, Michelle Nguyen, Makenna Peterson, Anthony Acevedo, Zachary Zeigler

International Journal of Exercise Science: Conference Proceedings

Purpose: This study compared stress and eating behaviors pre- and post-COVID-19 pandemic in college students. METHODS: This was a non-experimental comparative study. Participants were invited to the laboratory for a single visit to measure eating behaviors and stress indicators. Four instruments were used in this study: The Weight and Lifestyle Inventory questionnaire, the Mindfulness Eating Questionnaire, the Three-Factor Eating Questionnaire, and the Perceived Stress Scale. Independent t-test and a two-way ANOVA were used to compare participants who were tested before the COVID-19 pandemic declaration and after. RESULTS: N=151 (n=81 male, n=70 female) participants completed pre-covid testing, and a separate group, …

Bicycle Handlebar Width Does Not Affect Spirometry, Ventilation, Or Gas Exchange, Matthew J. Fahey, Daniel T. Cannon

International Journal of Exercise Science: Conference Proceedings

Bicycle fit may affect comfort, aerodynamics, efficiency, ventilation, and power generation. Handlebars determine how the rider interacts with the bicycle. A wide range of handlebar widths are commercially available, but it is unclear if the resultant position affects lung function, ventilation, gas exchange, or efficiency. PURPOSE We aimed to measure the effects of handlebar widths on ventilation, gas exchange, spirometry, and comfort during moderate constant power exercise. METHODS Twenty-four recreationally active adults completed the study (32 ± 5 yrs., 175 ± 9 cm, 74 ± 12 kg, 8 women, 16 men). Participants completed three moderate constant power bouts of exercise …