Medical Education Commons^™

Effects Of Caffeine Dose Timing On Total Urine Excretion During Sodium-Aided Hyperhydration Protocols, Shelby L. Greene, David M. Morris

International Journal of Exercise Science: Conference Proceedings

When used alone, both caffeine and sodium-aided hyperhydration (SAH) can be ergogenic. Although caffeine use in conjunction with SAH promotes diuresis, hyperhydration can be achieved, albeit at lower levels compared to SAH alone. Previous caffeine and SAH work has suggested most of the caffeine induced diuresis occurs within 15 min of consumption of a bolus of caffeine, sodium and water. This response suggests that caffeine-induces diuresis for only 15 min following its consumption, and/or that the diuretic effects of caffeine are dependent on hydration levels. PURPOSE: To determine the effects of caffeine, consumed at different time-points, on diuresis during SAH …

Case Presentation For Suprascapular Neuropathy, Samantha N. Day, Tal Amasay, Scott Freer

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: The patient is an 18-year-old female collegiate volleyball player who has suffered progressive shoulder pain in her right shoulder. She states that the pain has progressively gotten worse over the past 3-4 years. The sharp pain began when she would raise her right arm above 90 degrees when hitting an overhand serve. Over time, the pain progressed and became noticeable in additional movements. The patient had noted significant weakness in both her right arm and right shoulder. The patient states when she sleeps on her right arm/shoulder she wakes up in severe pain. She has tried sleeping …

Validity Of Four-Compartment Model Body Fat Using Single- Or Multi-Frequency Bioelectrical Impedance Analysis To Estimate Body Water, M. Lane Moore, Marqui L. Benavides, Jacob R. Dellinger, Brian T. Adamson, Claire P. Underwood, Tyler C. Dierolf, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

Most common body composition assessment techniques make assumptions about the body, including the density and hydration of fat-free mass (FFM). An advantage of the four-compartment (4C) model is the ability to take these FFM characteristics into account when assessing body composition, thus reducing potential error. The total body water (TBW) estimate utilized in 4C models is particularly important due to the large contribution of water to an adult human’s total body mass (~40 - 70%) and FFM (~68 - 81%); however, the impact of utilizing different estimates of TBW within 4C model has not been fully explored. PURPOSE: The …

Comparison Of Regional Body Composition Estimates Obtained From Dual-Energy X-Ray Absorptiometry And Single-Frequency Bioelectrical Impedance Analysis, Jacob Dellinger, M. Lane Moore, Marqui L. Benavides, Tyler C. Dierolf, Brian T. Adamson, Claire P. Underwood, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

The anatomical distribution of fat mass (FM) and lean mass (LM) is significant for health and athletic performance. Dual-energy x-ray absorptiometry (DXA) is often used for regional body composition analysis but is not portable, often inaccessible, and costly, while single-frequency bioelectrical impedance analysis (SFBIA) is a more affordable and accessible alternative. PURPOSE: The purpose of this analysis was to compare regional body composition estimates obtained via DXA and SFBIA. METHODS: After an overnight food and fluid fast, 102 adults (64 F, 38 M; age: 29.2 ± 13.4 y; BMI: 24.3 ± 3.9 kg/m²; BF%: 24.6 ± …

Validity Of Infrared 3-Dimensional Scanning For Estimation Of Body Composition: A 4-Compartment Model Comparison, Brian T. Adamson, Jacob R. Dellinger, Marqui L. Benavides, M. Lane Moore, Claire P. Underwood, Tyler C. Dierolf, Grant M. Tinsley

International Journal of Exercise Science: Conference Proceedings

Multiple infrared 3-dimensional (3D) scanning technologies exist, including time of flight (ToF) scanners and structured light scanners with static (SL-S) and dynamic (SL-D) configurations. ToF scanners measure depth by using the round-trip time of reflected photons, whereas SL scanners measure deformations in light patterns and allow for creation of a depth image using geometric triangulation. Recently, 3D scanning technologies have been proposed as novel methods of body composition assessment. PURPOSE: The purpose of this analysis was to examine the validity of four different commercially-available 3D scanners for estimation of body fat percentage (BF%) as compared to a 4-compartment (4C) …

Circulating Inflammatory And Oxidative Stress Responses To Steady-State Moderate-Intensity And High-Intensity Interval Exercise In Mid-Spectrum Chronic Kidney Disease, Matthew Peterson, Jeffrey S. Forsse, James K. Taylor, Zach Papadakis, Nick Schwedock, Burritt Hess, Jackson O. Griggs Md, Crawford Allison, Ron Wilson Md, Kathleen Adair, Mitch Cholewinski, Peter Grandjean

International Journal of Exercise Science: Conference Proceedings

Inflammation and oxidative stress can be potent modulators of vascular function. These factors may transiently respond to moderate-intensity steady state exercise (SSE) in a manner that improves post-exercise vascular function in healthy adults. Whether exercise imparts similar effects in adults with Stage 3 or 4 chronic kidney disease (CKD) remains understudied. Moreover, a comparison of SSE and high-intensity interval exercise (HIIE) may add to clinically-relevant findings for improving vascular function in mid-spectrum CKD. PURPOSE: To determine the influence of SSE and a comparable amount of HIIE on post-exercise inflammation and oxidative stress in patients diagnosed with secondary Stage 3 or …

The Effect Of Varying High-Intensity Interval Training Style Warm-Ups On Hemodynamic, Power, And Flexibility Responses, Nelson Wise, Orlando Cepeda, Klarissa Ybarra, Brenda Palma, Brianna Lopez, Manuel Nunez, Ezra Meza, Alexandria Hinojosa, Amanda Hankins, Murat Karabulut

International Journal of Exercise Science: Conference Proceedings

PURPOSE: The purpose of this study was to examine the effectiveness of high-intensity interval training (HIIT) style warm-up on hemodynamic, power, and flexibility responses. METHODS: Twelve male subjects (age: 24.15 ± 3.1 yr. & weight: 78.78 ± 16.83 kg) completed the study. On the first day, initial screening, anthropometric measures, and familiarization with testing procedures were completed. There were a total of 6 randomized testing sessions (separated by at least 48 hours.). The testing sessions were as follows: 3-min warm-up session with 20 sec work followed by 10 sec (C1), 3-min warm-up session with 30 sec work followed …

Mental Health Best Practices In Ncaa: The Bidirectional Relationship Between Mental Toughness And Self-Compassion, R. Noah Padgett, Jeffrey S. Forsse, Zacharias Papadakis, Paul J. Deal, Andreas Stamatis Dr.

International Journal of Exercise Science: Conference Proceedings

Based on National Collegiate Athletic Association (NCAA) reports, student-athletes’ well-being is compromised by sub-clinical issues of mental health (MH) disorders, such as depression and anxiety. Preliminary data have shown a positive relationship between mental toughness (MT) and MH, self-compassion (SC) and MH, and SC and MT. To date, possible indirect causal relationships between these three constructs have not been investigated. PURPOSE: To confirm the three aforementioned relationships in NCAA athletes and explore the mediation role of MT and SC on the SC-MH and MT-MH relationships, respectively. Hypotheses: (1) MT will correlate positively with MH, (2) SC will correlate positively …

Muscle Glycogen Depletion And Replenishment: A Meta-Analytic Review, Ian Macklin, Frank Wyatt, Malaeni Ramos, Grant Ralston

International Journal of Exercise Science: Conference Proceedings

Muscle glycogen depletion and replenishment rates have been associated with sport performance, biomechanical movement and immune system alterations. PURPOSE: the purpose of this study is to determine, through a meta-analytic review, the mechanisms of muscle glycogen depletion and replenishment. METHODS: A systematic literature review and meta-analysis research design was utilized. Inclusion-exclusion criteria were the following: Glycogen depletion- replenishment studies; subjects in studies had no pathologies; human and animal studies were accepted; Studies with diet manipulation were accepted; articles accepted for coding were peer reviewed, original publications. Coded studies were summarized and statistically analyzed. Coded variables were presented as …

Renal Function Responses To Steady-State Moderate-Intensity And High-Intensity Interval Exercise In Mid-Spectrum Chronic Kidney Disease, Kathleen E. Adair, Jeffrey S. Forsse 4681817, Matthew Peterson, Zacharias Papadakis, Mitch Cholewinski, Peter Grandjean

International Journal of Exercise Science: Conference Proceedings

Efficacy of exercise to improve renal function remains understudied in adults with mid-spectrum chronic kidney disease (CKD). In addition, a comparison of steady-state exercise (SSE) and high-intensity interval exercise (HIIE) may contribute clinically-relevant information for exercise-related augmentation of renal function in mid-spectrum CKD. PURPOSE: To determine the influence of SSE and a comparable amount of HIIE on indicators of post-exercise renal function in patients diagnosed with secondary Stage 3 or 4 CKD. METHODS: Twenty participants (n = 6 men; n = 14 women; age 62.0 + 9.9 yr; weight 80.9 + 16.2 kg; body fat 37.3 + 8.5% …

What Influences Our Decision To Vaccinate? The Social Amplification Of Risk Framework And Vaccination, Laura B. Carper

International Crisis and Risk Communication Conference

The current study applies the social amplification risk framework to the anti-vaccination movement, specifically to the social factors that influence the likelihood to vaccinate. A total of 264 participants were recruited using Amazon’s Mechanical Turk engine and students from a large southern university. Participants responded to questions about their personal, friend, and family experiences with vaccines, their discussion about vaccines, and trust in vaccine literature (CDC, Facebook, family, etc.). Lastly, participants responded to a modified Duke’s social support scale. Results indicated that the likelihood to vaccinate is impacted by several social factors and that those factors can be amplified based …

The Effect Of An Educational Video On Device-Related Concerns In A Single-Center Left Ventricular Assist Device Population, Devan Costelle

DNP Projects

PURPOSE:The purpose of this study is to evaluate the prevalence of various concerns among left ventricular assist device (LVAD) patients and evaluate the effect of an educational video intervention on reducing those concerns in a single-center adult LVAD population.

METHODS:A 15-point LVAD Concerns Scale was created to evaluate the prevalence of specific device-related concerns. An educational video was created to address the concerns presented in the LVAD Concerns Scale. Data collection took place from November 2018 to February 2019. A cross-sectional, pre- post-test implementation study design was used to both identify various device-related concerns that exist among LVAD patients and …

Interprofessional Education: How Curriculum Influences And Develops Future Healthcare Professionals, Karen Keune

CUP Ed.D. Dissertations

The value of higher education is a topic of great consideration and discussion, not only for current and future students, but also for legislators, educators, and employers. A college degree is more than a pathway toward advanced knowledge in a given subject; it is a component of a larger outcome beyond a diploma, it's a job. While the scale of employment opportunities appears to rise for those with a college degree, it is not enough to guarantee security for new graduates, no matter their topic of study. More than a competency in the field of study is required to prove …

It's About Communities: The Commitment To Promoting A Culturally Competent Environmental Health Workforce, Clint Pinion Jr., Leslie D. Mitchell, Jason W. Marion

EKU Faculty and Staff Scholarship

Environmental health and public health are profoundly local. The Association of Environmental Health Academic Programs (AEHAP) firmly agrees and for this reason, it is important to have local environmental health experts who know the pulse of their communities. AEHAP believes in supporting the advanced scientific education of environmental health in these communities through people from these communities. Accordingly, AEHAP has sought to promote and support accredited environmental health programs among a diverse cross-section of the U.S. higher education landscape. AEHAP’s students are diverse in many ways, including socioeconomically, racially, ethnically, and culturally. The value of this approach enhances the overall …

Flipping The Flipped: The Co-Creational Classroom, Vuk Uskoković

Pharmacy Faculty Articles and Research

The flip teaching model is being increasingly adopted by higher education institutions as an active learning alternative to traditional lecturing. However, the flip model shares a number of critical premises with the classical didactics. The further flips of the flip are thus advocated and the fear of returning the method to its initial state, prior to the flip, via such flips of the flipped dispelled. Proposed here is a seminal variation to the flip model based on the active involvement of students in searching, finding, selecting, and assembling knowledge from various literature sources into the learning material for the entire …

Radical Social Ecology As Deep Pragmatism: A Call To The Abolition Of Systemic Dissonance And The Minimization Of Entropic Chaos, Arielle Brender

Student Theses 2015-Present

This paper aims to shed light on the dissonance caused by the superimposition of Dominant Human Systems on Natural Systems. I highlight the synthetic nature of Dominant Human Systems as egoic and linguistic phenomenon manufactured by a mere portion of the human population, which renders them inherently oppressive unto peoples and landscapes whose wisdom were barred from the design process. In pursuing a radical pragmatic approach to mending the simultaneous oppression and destruction of the human being and the earth, I highlight the necessity of minimizing entropic chaos caused by excess energy expenditure, an essential feature of systems that aim …

Antibiotics Reduce While Forced-Exercise Increases Inflammation In The Small Intestine, P. Wisniewski, L. Joseph, S. Lightfoot, R. Dowden, J. Guers, S. Vatner, S. Campbell

International Journal of Exercise Science: Conference Proceedings

Please download pdf version here.

Fitness And Metabolic Syndrome Components Affect Serum-Induced Endothelial Migration And Micrornas In Postmenopausal African-American Women, R. Sapp, D. Shill, C. Dash, L. Adams-Campbell, J. Hagberg

International Journal of Exercise Science: Conference Proceedings

Please download pdf version here.

Reduing Hospital Readmissions: Ideal Discharge Planning For Heart Failure Management, Chun Mei Chen, Chun Mei Chen

Master's Projects and Capstones

Abstract

The objectives during this project were to achieve by the end of 2018 an overall reduction of 25% in HF readmissions within 30 days. By identifying root causes of readmissions and using needs assessment within the microsystem, literature highlights the elements defining interventions that can be used to improve transitions of care and reduce avoidable HF hospital readmissions. A plan was developed for integrating an evidence-based practice, IDEAL Discharge Planning, along with engaging patients and families at bedside from the first day of admission until discharge to more effectively assist staff in providing patient-centered education and self-care skills. The …

Case Study: Monitoring Sleeping Patterns Of A Boy With Duchenne Muscular Dystrophy And His Caregivers, J. Anning, M. Feltman, N. Little, Z. Zhu, A. Kelleher, R. Bendixen

International Journal of Exercise Science: Conference Proceedings

Please see the pdf version of the abstract.

Priorities: A Film Investigation Into The Quality Of Hiv Education In Ri Public High Schools, Ellis Iacono

Senior Honors Projects

HIV infection in Rhode Island is trending in a positive, downward direction as the state continues to emphasize testing and prevention. The Miriam Hospital’s HIV/AIDS Immunology Center is a well-established caregiving facility, providing medical and social support to more than 1,500 Rhode Islanders annually. Despite this progress, there are educational gaps between school districts and an apparent lack of emphasis on HIV education in some RI public high schools. I created a documentary film to better understand the state’s health education standards and how they are presented in curricula. In doing so, I conducted a series of short, on-camera interviews …

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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

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

International Journal of Exercise Science: Conference Proceedings

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