Medical Education Commons^™

Chronic Illness Education 2024: Chronic Kidney Disease Management: Low-Sodium Protocol Outcomes, Andrew Hannoudi, Harshini Muthukumar, Jacob Dougherty, Melanie Rofoo, Miranda Goodson, Reid Becker, Trae Hill

Patient Education Projects

No abstract provided.

Chronic Illness Education 2024: Patient Education On Potassium Supplementation To Prevent And Treat Hypertension, Abeer Abukamil, Joseph Hanania, Michael Nunu, Samar Chehab, Vipul Taxak, Yeonju Kim

Patient Education Projects

No abstract provided.

Nutrition Recommendations For Patients On Weight Loss Drugs, Crystal M. Duque Rdn-Ldn, Toye Jackman

Department of Nutrition Student Projects

This paper provides a comprehensive, evidence-based framework for dietitians counseling patients who are using GLP-1 receptor agonists, such as Ozempic and Wegovy, for weight management. These medications are rapidly gaining popularity for their effectiveness in supporting weight loss; however, they come with unique nutritional considerations that require tailored guidance. This review outlines key aspects of GLP-1 mechanisms of action, emphasizing how these medications alter digestive processes, specifically impacting the absorption and metabolism of essential macronutrients, including proteins and dietary fibers. The paper also highlights hydration needs to support optimal health and weight loss outcomes in patients on GLP-1 therapies. Additionally, …

Investigating Pre-Health Students’ Science Identity And The Factors That Influence Them To Change Programs Or Tracks, Taylor Humphreys

The Cardinal Edge

Retention rates for undergraduate students in pre-health programs or tracks have had a continual decline as students progress through their bachelor’s degrees. While numerous articles publish statistics regarding students on a pre-med track with intentions to apply to medical school, information is not available for pre-health students applying to other health professional schools. It is important to know what measures can be taken or resources offered to improve the retention rates across these programs or tracks.

Peer-led focus groups were used to elicit uncensored responses from students. Focus groups allowed for a small number of participants with similar interests or …

2024 November 19 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Patients' Perceptions: A Group Differences Study Twelve Months Before And Twelve Months During A Worldwide Pandemic, Nancy B. Valla

Patient Experience Journal

Objective: The COVID-19 pandemic subjected healthcare systems' to decreasing operational margins, enhanced regulatory scrutiny, and challenges related to patients' expectations. Until now, there was a lack of empirical evidence studying patients' perceptions prior to versus deep immersion into the pandemic. Methods: This quantitative non-experimental ex post facto causal-comparative study examined if and to what extent there were significant differences in patients' perceptions of the nurses' communications, doctors' communications, overall hospital rating, and willingness to recommend before versus during the COVID-19 pandemic for HCAHPS participating hospitals in California. The final sample size was 292 facilities grouped by two identically …

Their Stories, Our Testimony: A Narrative Inquiry Into The Remote Teaching Experiences Of Community College Clinical Nurse Educators During The Covid-19 Pandemic, Catherine E. Fenner

Doctor of Education Program Dissertations

This narrative inquiry explored the lived experiences of clinical nurse educators who taught at community colleges during the COVID-19 global pandemic, contributing to the growing body of literature about what nurses endured during the pandemic. The pandemic and the ensuing havoc it caused occurred when the profession faced significant staffing shortages. In the early months of 2020, when the virus was spreading rapidly, many states issued stay-at-home orders requiring nursing programs to pivot to remote learning platforms. Teaching hands-on skills, communication techniques, and time management strategies through virtual and remote pedagogy was a time of confusion for nurse educators, who …

Representation Of Women At Select Academic Ophthalmology Institutions In The United States, Hazem M Mousa, Camryn Thompson, Sri Meghana Konda, Keke Liu, Jay Rathinavelu, Terry Lee, Katherine Peters, Kevin J. Jackson, Laura Enyedi, Pratap Challa, Sharon Fekrat

Journal of Academic Ophthalmology

Purpose: To investigate the representation of women among ophthalmology faculty members at select academic institutions in the United States (US).

Design: Cross-sectional study

Subjects: Clinical faculty members at the top 20 academic ophthalmology institutions in the U.S. according to US News and World Report ranking

Methods: Gender as reported on institutional websites either directly or via pronouns, academic rank, medical school graduation year, and subspecialty were collected about clinical faculty members with MD, MD/PhD, MBBS or DO from their respective institutional websites. The number of publications for each faculty member was collected using Scopus ® (Elsevier, …

Real-World Assessment (Rwa): Validity Evidence For Cataract Surgery With A Tool Your Faculty Will Actually Use, Grace L. Paley, Hui Zhao, Victoria M. Addis, Casey J. Beal, Geetha K. Davis, Gabriela M. Espinoza, Michael S. Lee, Stacy L. Pineles, Jamie B. Rosenberg, Robert T. Swan, Misha F. Syed, Evan L. Waxman, Susan M. Culican

Journal of Academic Ophthalmology

Background: We developed and implemented a real-world assessment tool (RWA) for resident surgery. It was designed to improve utility by reducing faculty and trainee cost (completion and training time, cognitive burden). RWA uses an entrustability scale where higher scores indicate a resident’s readiness for independent surgical practice. We describe a two-phase implementation of RWA and report validity evidence for cataract surgery assessment.

Methods: RWA was developed iteratively with resident and faculty input and piloted at a single residency program in phase 1. Phase 2 implemented RWA at 11 ophthalmology residency programs. The main outcome measures were 1) number …

Exploration Of The Patient Experiences Of A University Lgbtq+ Community: A Preliminary Analysis, Joelle M. Kidder, Eric G. Waldon, Tracey Delnero, Michelle Brady, Kristine Himmerick, Deepti Vyas, Vienna Sa, Malinda Thao, Lindsay Gietzen

Pacific Journal of Health

PURPOSE: This qualitative study aimed to explore the lived experiences of people from a university LGBTQ+ community to inform health professional training in the interprofessional education setting.

METHODS:

Focus groups and semi-structured interviews from the University of the Pacific LGBTQ+ community were conducted by the researchers. Participants were recruited through campus-wide notification and fliers. Focus groups were held virtually on Zoom. Participants were asked to de-identify any identifying information. Informed consent and basic demographic information were obtained electronically. Participants were asked to reflect on personal experiences of their interactions within the healthcare system. The focus groups consisted of open-ended questions …

Perceived Stress Modulates Blood Pressure Reactivity To Stress In College Students, Manuel Sune, Natalie Younan, Caio Sousa

International Journal of Exercise Science: Conference Proceedings

Stress is an unavoidable part of everyday life that can have numerous effects on our bodies. In addition, the individual psychological perception of stress could represent a higher stress or stress reactivity in the physiological level, becoming the onset of many stress-related diseases. Persistently high levels of stress are common in college students and it's important to manage these levels to prevent the risk of health problems in the future. PURPOSE: The purpose of this study is to investigate the effect of perceived stress on cardiovascular reactivity to stress in college students. METHODS: Fourteen college students (f=5) participated in the …

The Effects Of Physical Activity On Cardiovascular Reactivity To Stress In College Students, Natalie Younan, Manuel Sune, Caio V. Sousa

International Journal of Exercise Science: Conference Proceedings

Stress is part of everyday life. Chronic stress can be a contributor to many physiological and psychological health problems. Chronic stress is also related to hyperreactivity to acute stress. PURPOSE: In this study, we aimed to investigate whether students with low, moderate, and high levels of physical activity (PA) have distinct cardiovascular responses to the cold pressor test (CPT). METHODS: College students (n=14; f=5) were given the short version of the International Physical Activity Questionnaire (IPAQ) to assess their physical activity levels. After the assessment, participants were set up to the FINAPRES with an arm cuff and finger …

Sled-Pull Training Decreases Rate Of Force Development In Men And Women Soccer Players, James Ma, John A. Brasher, Robert Musci, Jenevieve L. Roper

International Journal of Exercise Science: Conference Proceedings

Sled-pull training is a popular training method thought to increase lower extremity strength and power in athletes. Lower extremity strength and power are factors for success in sport, particularly soccer. Asymmetry is thought to negatively impact athletes, by increasing their risk of injury, and should be the focus of any training program. PURPOSE: To determine the impact of a 12-week sled pull training intervention on isometric leg rate of force development (RFD) and RFD asymmetry. METHODS: Thirty men (n = 15; 20 ± 1.5yrs, 168.28 ± 5.17cm, 73.44 ± 3.46kg) and women (n = 15; 19.58 ± 1yr, …

Heart Rate And Energy Expenditure Validity Of Garmin Instinct Devices During Hiking Outdoors With And Without Trekking Poles: A Pilot Study, Kavon Mcarthur, Bethany Hoag, Josie Gines, Myranda Peck, James Navalta, Facsm, Kelly Goonan, Julie E. Taylor, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

ACSM has again named wearable technology the top fitness trend for 2024. Yet, the validity of wrist-worn devices for measuring average/maximal heart rate (HR) and estimating energy expenditure (EE) during outdoor hiking with and without trekking poles is unknown. PURPOSE: To determine the concurrent validity of identical Garmin Instinct devices to record valid measures of average and maximal HR as well as estimated EE during outdoor hiking with no poles, 1 or 2 trekking poles. METHODS: 11 (n=6 males, n=5 females, aged 20-39 yrs) adults randomly completed 3 pole conditions (no poles, 1 or 2 poles) during an ~10 min. …

Impact Of Running A 162-Km Mountain Race On Hydration And Gastrointestinal Response, Ryan Ott, Kamiry Robison, Kiara Fradin, Melani Kelly, Andrew Creer

International Journal of Exercise Science: Conference Proceedings

Gastrointestinal (GI) distress is a common complaint among runners, often worsening when less hydrated. PURPOSE: The purpose of this study is to evaluate hydration status and GI responses of 162-km ultramarathon runners. METHODS: 14 runners (11 males, 3 females; 36.9 ± 6.1 yrs, 72.5 ± 11.9 kg) completed the Bear 100 (7200m of vertical gain). Pre-, post-, and 24-h post-race completion, a survey to assess GI symptom presence was completed and weight and a urine sample was collected. Scored on a 10-point scale (0 = no problems; 10 = worst it has ever been), GI symptoms were divided into 1) …

The Effect Of Low Water Intake On Blood Glucose Measured With A Continuous Glucose Monitor, Doris Cheung, Safiya Rufino, Adam Seal

International Journal of Exercise Science: Conference Proceedings

The number of people with Type II diabetes is rapidly increasing worldwide. Previous studies have shown several factors contribute to the development of Type II diabetes, such as genetics, diet, and physical activity. Previous laboratory studies have demonstrated adequate water intake may slightly reduce post-prandial blood glucose. However, none have focused on the relationship between water intake and blood glucose excursions in a free-living situation. PURPOSE: This study aimed to examine the effect of low water intake on glucose regulation in a free-living situation using continuous glucose monitoring. METHODS: In a counterbalanced cross-over fashion, three participants were randomly …

Comparison Of Pulmonary Measures During Virtual Reality Exercise And Outdoor Exercise, Setareh Zarei, Devin Green, Myranda Peck, Olivia R. Perez, Eric Lambert, Ty Erickson, Lijie Zhou, James W. Navalta, Jeffrey Cowley

International Journal of Exercise Science: Conference Proceedings

The development of high-tech wearable devices is revolutionizing not only the way we live but also the way we exercise. Pulmonary responses to virtual reality (VR), as one of the latest technologies on the market, have been largely unstudied. To ensure that the workload is equivalent, one approach is to compare VR and outdoor (OUT) walks of similar visual environments. The findings from this study may be an initial step in providing evidence of VR as a platform for virtual exercise. PURPOSE: The purpose of this study was to assess whether walking in VR affects pulmonary responses differently than …

Effect Of Blood Flow Restriction Exercise On Post-Activation Potentiation In Resistance Trained Men And Women, Bulent Sokmen, Christopher Daniels, Melissa Aragon Matias, Garrett Campedel, Jairo Carrillo, Carter Michnevich, Cinthya Romano, Kandace Syer, Pauline Josephine Woodard, Hasan Ghadiri, Ibai Guadron, Arturo Ortiz, Collins Onyeukwu, Valentin Sanchez, Kent Abe, Monica Ohkubo

International Journal of Exercise Science: Conference Proceedings

Post-activation potentiation (PAP) is commonly employed to enhance the force-generating capacity of skeletal muscles. However, no studies have directly compared the PAP response elicited by blood flow restriction (BFR) exercise versus traditional bilateral training (TT). This distinction is critical, as differences in muscle activation are observed when comparing various exercise modalities. PURPOSE: Therefore, the purpose of this study was to investigate whether a BFR squat exercise would elicit a different PAP response compared to a traditional bilateral squat exercise. METHODS: A within-subjects repeated measures design was used to assess the acute effects of two distinct PAP protocols (traditional …

Effects Of Compression Sleeves On Muscle Oxygen Saturation During Graded Exercise In Acute Hypoxia, Geoffrey Dorsett, Nathan Chang, Hunter Paris, Jong-Kyung Kim, Trevor Gillum

International Journal of Exercise Science: Conference Proceedings

Lower partial pressure at altitude reduces the amount of oxygen able to be delivered to exercising muscles. Interventions to restore muscle oxygen saturation during hypoxic exercise have the potential to improve related measures like cardiac output and VO2. PURPOSE: The purpose of our study was to explore the effects of lower leg compression sleeves on muscle oxygen saturation during graded exercise in acute, normobaric hypoxia. METHODS: Seven male participants were recruited (Age = 24.5±3.2; Bodyfat% = 21.8±2.7; VO2 = 42.2±7.1) and underwent two graded exercise bouts at 20%, 40% and 60% of sea level VO2max in normobaric hypoxia (13.5% FiO2). …

Concurrent Heart Rate And Energy Expenditure Validity Of Polar Verity Sense Devices During Light And Moderate Intensity Resistance Training In Recreationally Active Adults: A Pilot Study, Collin Dawson, Spencer Maxwell, Olivia Perez, Setareh (Star) Zarei, Devin Green, Bethany Hoag, Michael Wong, Dustin Davis, Jeffrey C. Cowley, Merrill Funk, James W. Navalta Facsm, Marcus M. Lawrence

International Journal of Exercise Science: Conference Proceedings

Wearable technology is again the top fitness trend from ACSM for 2024. Our lab recently found that bicep-worn devices (Polar Verity Sense) are valid for measuring average/maximal heart rate (HR) but are not valid for estimating energy expenditure (EE) during acute resistance exercise training (RT). We postulated that the errors may have been due to the device’s algorithms assuming higher intensity during RT, but no study has directly tested these outcomes with various RT intensities. PURPOSE: To determine the concurrent validity of identical Polar Verity Sense bicep-devices to record valid measures of average and maximal HR as well as estimated …

Correlation Between Body Weight And Eccentric Hamstring Strength In American Football Players, Ty K. Hacking, Malorie Wilwand, Aaron W. Johnson, B. Brett Mortensen

International Journal of Exercise Science: Conference Proceedings

Hamstring strength and explosiveness is imperative for collegiate American football players to perform at the highest level. Understanding the respective correlations, based on players positions, between eccentric hamstring strength (HS) and body weight (BW) among football players may help coaches and players to develop strength protocols required for specific positions. We hypothesize that increasing BW will result in increased eccentric HS. PURPOSE: This study aims to examine the relationship between football players BW and their max eccentric HS. METHODS: As a secondary analysis from the HAMIR study, 95 (age: 21.4 ± 2.00 yr; Ht: 187.7 ± 6.17 cm; …

The Effects Of Blood-Flow Restriction Training On Bone Health At The Hip, Victoria Batlle, Sophia Lissin, Jacob Laubach, Todd Shoepe

International Journal of Exercise Science: Conference Proceedings

Bloodflow restriction training (BFR) partially restricts arterial inflow and completely restricts venous outflow to the working muscle to promote chemical signals of fatigue and is hypothesized to realize musculoskeletal adaptation with lighter training loads and volume. PURPOSE: The purpose was to determine short-term training effects of BFR on bone health in college-aged students. METHODS: 19 males (20.2±1.5 years, 25.5±4.7 kg/m2) and 21 females (20.2±1.8years, 24.3±3.4 kg/m2) were placed into control group (CON) or BFR groups based on stratified randomization. Hip scans from dual-energy x-ray absorptiometry (DXA) were performed before and after 7 weeks of BFR training at 50% …

The Effect Of Miniband Placement Variations On Hip And Knee Kinetics During Sidestep Activities, Makana Woods, Kevin Valenzuela, Riann Palmieri-Smith

International Journal of Exercise Science: Conference Proceedings

Utilizing the sidestep exercise as a regimen in a strength training program, has shown to improve hip muscle strength. However, varying band placement along the length of the legs may influence muscle activation and joint mechanics thereby influencing the effectiveness of the exercise. PURPOSE: The purpose of this study was to investigate the effect of band placement on hip muscle activation and peak hip and knee abduction moments during the sidestep exercise. METHODS: Three subjects (1 female and 2 males; age: 23 +/- 1.15 years old; height: 1.72 +/- 0.12 m; mass: 76.57 +/- 12.15 kg) performed five …

The Feasibility Of High Intensity Interval Training In Individuals With Post-Stroke Aphasia, Ferdaus Ghafury, Lauren J. Cervantes, Christian J. Thompson

International Journal of Exercise Science: Conference Proceedings

Exercise boosts physical health in clinical populations and high intensity interval training (HIIT) has often been found to improve fitness to a greater and faster degree than moderate intensity exercise. However, there is a lack of research on the feasibility and safety HIIT in chronic stroke survivors. PURPOSE: We studied the safety and feasibility of Aphasia Physical EXercise (APEX), a HIIT program for those with post- stroke aphasia. We measured feasibility by: avoidance of adverse events (e.g., injuries), high adherence rates and participants' ability to meet the prescribed exercise intensity during individual training sessions. We also assessed APEX’s effect …

Comparison Of Lower Limb Sagittal Plane Kinematics And Kinetics Between Theia Markerless And Conventional Marker-Based Double Limb Squat Analysis In Patients Post Aclr, Cole Whitelaw, Willa Ma, Jiaqi Wang, Grace Choi, Susan Sigward

International Journal of Exercise Science: Conference Proceedings

Markerless motion capture (MoCap) may offer a promising advancement in the assessment of limb kinematics and kinetics, providing enhanced convenience and efficiency for movement assessments compared to traditional marker-based MoCap systems lowering the barrier for access into clinical biomechanics testing. In clinical contexts, particularly when evaluating lower limb kinematics and kinetics in populations with conditions like anterior cruciate ligament reconstruction (ACLr), it is crucial for a system to accurately detect subtle changes in movement indicative of injury or pathology. PURPOSE: Determine concurrent validity of kinematic and kinetic data collected using marker and markerless MoCap technologies during a double limb squat …

Fatigue Effects On Shoulder And Elbow Joint Loading During The Tennis Serve, Alexander "Sasha" Rovinsky, Sean Chen, Sam Rosenkranz, Christiane O'Hara, Scott Hazelwood

International Journal of Exercise Science: Conference Proceedings

An effective tennis serve is one of the most crucial skills an experienced athlete will implement to gain a decisive advantage in a match. It is an incredibly dynamic, powerful chain of movements classified into preparation, acceleration and follow-through phases. Consequently, the peak physical intensity of these accelerated motions put tennis players at increased risk for shoulder injuries. PURPOSE: To assess how tennis serving arm, shoulder joint forces, shoulder rotation moment, kinematics, and muscle activity are affected by match play induced fatigue. We tested the hypothesis that tennis-related fatigue will have a significant effect on tennis serving arm and …

Associations Between Older Adult Physical Activity Levels, Self-Efficacy For Exercise And Sleep Habits, Edilzer Juarez, Kiana Noriega, Giselle Robles, Jasmine Castillo, Sarah Dunn

International Journal of Exercise Science: Conference Proceedings

Motivation for exercise and engagement in healthy lifestyle behaviors (physically active, quality sleep, etc.) may help reduce the risk of non-communicable diseases, especially in older adults. Self-efficacy for exercise (SEE), performing regular physical activity (PA) and maintaining healthy sleep habits, often lead to positive health benefits. PURPOSE: To assess the relationships between SEE, PA levels and sleep quality/quantity in older adults. METHODS: Older adults (N = 60, age; 71.2 土 8.8 years, female; n = 42 and male; n = 18), were recruited for an IRB-approved cross-sectional research study conducted in spring, 2024. The survey (Qualtrics) consisted of …

Can Increasing Acceleration Factors Of A Massage Gun Increase Blood Flow Within 2-Minutes In The Popliteal Artery - A Pilot Study, Halli Williams, Camille Nguyen, Ray Merill, J. Brent Feland

International Journal of Exercise Science: Conference Proceedings

Percussive massage devices have gained popularity in the last few years for their claimed holistic benefits to promote recovery. Very little research exists to support these widely marketed claims. To date only 2 articles exist suggesting it takes 5 minutes to see improvement in blood flow. PURPOSE: Determine if a larger head and increased amplitude can alter blood flow in the popliteal artery within 2 minutes. METHODS: 11 individuals (age=24.1士4.2yrs, ht=175士10.3cm, wt=71.3士9.9kg) participated in this study. Each participant came in for 3 sessions that consisted of a sham treatment (ST), a 2-minute percussive massage treatment (2M), and a …

Effects Of Dance Footwear On Kinetics And Lower Limb Joint Kinematics During Jeté Jumps, Stephana Powell, Jenny Camacho, Gwendolyn R. Retzinger, Eloisa Hernandez, Danielle N. Jarvis Dr.

International Journal of Exercise Science: Conference Proceedings

Footwear used by dancers often offers little support to the lower extremities. There have been efforts to design footwear aimed at decreasing incidence of injury and increasing dance performance. The interaction between the floor and the foot is heavily influenced by the choice of footwear, yet there has been little research done on the effects footwear has on dance performance. PURPOSE: The purpose of this study was to investigate the effects of footwear on ground reaction forces and lower extremity kinematics and kinetics during a jeté landing. METHODS: Three-dimensional analysis was performed using a 12-camera video motion analysis system (Motion …

Parkinson’S Ambulation Cueing Expedition: The Effects Of Vocalization On Parkinsonian Gait, Gwendolyn R. Retzinger, Wendy T. Pham, Kayla E. Hori, Luis F. Gonzalez, Kenneth M. Mazariegos, Jacob W. Hinkel-Lipsker

International Journal of Exercise Science: Conference Proceedings

Impaired gait is detrimental to the overall quality of life in people with Parkinson’s disease (PD). Characteristic shuffling and freezing gait patterns can be ameliorated through auditory cueing methods. Internal mental singing is more effective than external cueing methods such as singing aloud. The absence of small laryngeal vibrations could be the reasoning behind these improvements. PURPOSE: This feasibility study aimed to determine whether humming or whispering is a more effective cueing method for improving Parkinsonian gait and extrapolate the effects of the vocal cords on PD gait. METHODS: Participants walked 28m under four randomized cueing conditions: no …