Medical Education Commons^™

Ability Of The Functional Movement Screen (Fms) To Predict Injury In Ncaa Division Ii Track And Field Athletes And The Association Between The Fms, Eccentric Hip Abduction Strength, And Injury Risk, Shane Purser, Collin Brown, Teresa Huckaby, Shelly Weise

International Journal of Exercise Science: Conference Proceedings

A high injury rate is present in the collegiate cross country and track population. Currently no gold standard measurement exists to predict future injury. The FMS and eccentric hip strength are two potential measures to predict future injury risk. PURPOSE: To establish if the 100 point FMS and 21 point FMS scores are correlated with injury risk among NCAA Division II cross country and track and field athletes, as well as determine if hip strength is associated with injury risk or FMS score. METHODS: This investigation was an exploratory prospective cohort study of eight Division II cross country …

Assessment Of Travis County Health Disparities And Child Obesity Rates, David Rodriguez

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: The youth obesity epidemic in the United States represents a prevalence of health challenges that can potentially lead to future preventable diseases. There are many factors that contribute to the ongoing obesity epidemic in America. PURPOSE: This study investigated the correlation between environmental factors, behavioral factors, socioeconomic status (SES), and obesity/overweight rates among school grade children within Travis County. We aimed to identify risk factors that contribute to obesity rates on the national, state, and Travis County levels. METHODS: We researched, contacted school district representatives, and photographed two Travis County school districts on opposite ends of the SES …

Validity Of Bmi-Based Equations For Estimating Body Fat Percentage In Collegiate Male Soccer Players: A Three-Compartment Model Comparison, Alexandra Loredo, Kassandra A. Jaramillo, Brett S. Nickerson

International Journal of Exercise Science: Conference Proceedings

The ease of calculating body mass index (BMI)-based body fat percentage (BF%) is appealing in collegiate male soccer player who have limited time availability and strict training regimens. However, research has yet to evaluate whether BMI-based BF% equations are valid when compared to a criterion multi-compartment model. PURPOSE: The purpose of this study was to compare BMI-based BF% equations with a three-compartment (3C) model in collegiate male soccer players. METHODS: Sixteen NCAA Division II male soccer players (age = 21 ± 2 years; ht = 179.0 ± 8.2 cm; wt = 78.0 ± 8.5 kg) participated in this study. BMI …

Exercise-Induced Th17 Lymphocyte Response And Their Relationship To Cardiovascular Disease Risk Factors In Obese, Post-Menopausal Women, Maria A. Cardenas, Michael M. Levitt, Bryan Richie, Shaohan Lu, Elise Erickson, Carmen Cook, Jay Haynes, Andreas Kreutzer, Joel B. Mitchell, Melody D. Phillips

International Journal of Exercise Science: Conference Proceedings

Obesity-induced inflammation promotes type 2 diabetes and cardiovascular disease (CVD). A causative link between adaptive immunity and pathogenesis of obesity-associated diseases has been established. PURPOSE: To examine the effects of exercise on circulating T-helper (Th) 17 lymphocytes in overweight/obese post-menopausal women. METHODS: Twenty-seven overweight/obese women (BMI 32.7 ± 5.1 kg×m^-2, 55-75 yr) were randomly assigned to the exercise (EX, n=14) or education (ED, n=13) groups. EX performed a 25-min walk (75-80% HRR) and 2 sets of 8 resistance exercises (70-80% 1RM) with blood samples obtained at: pre-exercise, post-exercise, one-hour and two-hour post-exercise. Blood samples were obtained …

Accelerometer-Determined Physical Activity And Sedentary Behavior Among Majority-Minority Sample Of Adults: The Houston Train Study, Ashleigh Johnson, Kelley Pettee Gabriel, Deborah Salvo, Erin Dooley, Casey Philip Durand, Gregory Knell, Samantha Kreis, Harold W. Kohl Iii

International Journal of Exercise Science: Conference Proceedings

Based on self-reported data, minority populations are often found to be less active compared to whites, which may contribute to overall health disparities. The Houston Travel Related Activity in Neighborhoods (TRAIN) Study provides an opportunity to examine differences in accelerometer-determined physical activity levels among a majority-minority sample of adults. PURPOSE: To describe and examine differences in accelerometer-determined physical activity and sedentary behavior among TRAIN participants at baseline, by race/ethnic groups and sex. METHODS: Study participants were part of an ongoing natural experiment of transportation-related physical activity. At baseline, a group of participants self-selected to wear an ActiGraph wGT3X-BT …

Accuracy Of Fitbit Charge 2 At Estimating Vo2max, Calories, And Steps On A Treadmill, Naomi D. Lucio, Elvia V. Salazar, Ivan A. Figueroa, Jose L. Gamez, Ryan D. Russell, Merrill D. Funk

International Journal of Exercise Science: Conference Proceedings

Current fitness activity trackers can account for steps, calories burned, heart rate, and distance traveled. A new feature has recently been introduced on the Fitbit Charge 2, “Cardio Fitness Level,” which is comparable to a VO2max score in that it allows consumers to be aware of their aerobic fitness level. PURPOSE: To assess the accuracy of the Fitbit Charge 2 at estimating VO2 score (“Cardio Fitness Level”), calories, and steps when compared to indirect calorimetry and video analyzed steps, respectively. METHODS: Twenty-two healthy adults (Mean±SD; 24.1±4.2yrs; 16.9±9.0%fat; 15 male) completed two separate visits. On the first visit, anthropometric measurements were …

Diet And Sex Differences Induce Unique Alterations Of Markers For Blood Brain Barrier Integrity In Age-Accelerated Mice, Dakota R. Kamm, Kenneth A. Witt, Karin E. Sandoval, Megan L. Schaller, Matthew P. Harris, Joshua S. Wooten

International Journal of Exercise Science: Conference Proceedings

The role of diet on brain health has received significant attention, with the Western diet (WD) contributing to cerebrovascular alterations and neurodegenerative disease. The blood-brain barrier (BBB) may play a particularly important role as it forms the interface between the peripheral circulation and the central nervous system. The WD has been shown to negatively impact the BBB. Whether there are sex specific differences with diet on BBB integrity remains unclear. PURPOSE: To determine the effect of diet and sex on the mRNA expression of markers of BBB integrity in an age-accelerated mouse model. METHODS: Male and female Senescence …

What Determines The Metabolic Cost Of Human Running Across A Wide Range Of Velocities?, Shalaya Kipp, Alena Marie Grabowski, Rodger Kram

International Journal of Exercise Science: Conference Proceedings

The cost of generating force hypothesis proposes that the metabolic rate during running is determined by the rate of muscle force development (1/t_c, t_c=contact time) and volume of active leg muscle. A previous study assumed a constant recruited muscle volume and reported that the rate of force development alone explains ~70% of the increase in metabolic rate for human runners across a moderate velocity range (2-4 m s^-1). PURPOSE: We performed a more systematic analysis of the effective mechanical advantage (EMA) of the lower leg over a wide velocity range to determine if …

Validity Of Cardiorespiratory Fitness Assessment In Adolescents Using The Non-Exercise Test, Pacer, And The K4b2 Portable Metabolic System, Pedro Migliano, Megan James, Allison Hall, Amy Fruge, Anna Flipse

International Journal of Exercise Science: Conference Proceedings

Cardiorespiratory fitness (CRF) is an important indicator of adolescent cardiovascular and future cardiometabolic health. The PACER test is often used to measure CRF in adolescents but is not feasible with pediatric populations unable to perform physical testing secondary to physical impairments. The non-exercise test (NET) has been recommended as a proxy for estimating VO₂ in individuals not able to perform physical tests by using variables such as gender, age, body mass index, resting HR, and self-reported habitual physical activity levels. PURPOSE: The purpose of this study was estimate the concurrent validity of the NET for adolescents against the PACER …

Metabolic Responses To A Battling Rope Protocol Performed In The Seated Or Stance Positions, Dominisha Felder, Kasey Hogan, Reka Kovacs, Hannah Mitchell, Wayne Brewer

International Journal of Exercise Science: Conference Proceedings

Achieving the recommended amount of physical activity is a greater challenge for individuals who are disabled than those who are not disabled. Battling ropes is an intense exercise that has been shown to promote elevation of heart rate and increased oxygen consumption, and may be a beneficial exercise alternative for individuals with disabilities. PURPOSE: To compare the levels of perceived exertion (RPE), oxygen consumption (VO₂) and heart rate (HR) responses elicited by a treadmill (TM) or bicycle (BK) VO₂ max test with a standing or sitting battling rope protocol (BRP) (TM vs. standing BRP) (BK vs. …

The Comparison Of High-Intensity Interval Exercise Vs. Continuous Moderate-Intensity Exercise On C1q/Tnf-Related Protein-9 Expression And Flow-Mediated Vasodilation In Obese Individuals, Brandon G. Fico, Ryan S. Garten, Michael C. Zourdos, Michael Whitehurst, Peter J. Ferrandi, Katelyn M. Dodge, Gabriel Pena, Alexandra A. Rodriguez, Chun-Jung Huang

International Journal of Exercise Science: Conference Proceedings

PURPOSE: A recent novel adipocytokine, C1q/TNF-related protein-9 (CTRP9), has been shown to increase activation of endothelial nitric oxide synthase and reduce vasoconstrictors (e.g., endothelin-1). In addition, CTRP9 may play a compensatory role in obesity-related endothelial dysfunction. Although there is limited information regarding exercise-mediated CTRP9, high-intensity interval exercise (HIIE) has been shown to be as or more effective than continuous moderate-intensity exercise (CME) in improving indicators of endothelial function (e.g., brachial artery flow-mediated dilation [BAFMD]). Therefore, the purpose of this study was to investigate the effect of acute HIIE vs. CME on serum CTRP9 and BAFMD responses in obese individuals. METHODS: …

Development And Validation Of A Measure Assessing Blind Patients' Perceptions Of Their Healthcare Providers' Stereotype Content, Nazanin Mina Heydarian

Open Access Theses & Dissertations

People with disabilities (PWDs) constitute about 15-20% of the total population. Health disparities among PWD's are due, in part, to stereotypes about PWDs as incompetent. These stereotypes may lead some healthcare providers (HCP) to patronize PWDs, over-focus on the PWDs' impairments and potentially neglect their presenting problem. Moreover, if the PWD violates stereotypical assumptions, the HCP may actively interfere with the PWD's goals. This Dissertation focused on the blind population because this is a large, stigmatized and understudied subpopulation of PWDs. In Study 1, the content of stereotypes about blind patients in the clinical setting were examined from the patient …

Nutrition Label Accuracy And The Theory Of Triadic Influence: The Impact Of Knowledge On Healthy Food Choices In A Predominantly Hispanic Sample, Mosi Staudt Dane'el

Open Access Theses & Dissertations

Unhealthy food choices and the outcomes of those choices are a significant concern in the United States. Multiple governmental agencies recommend using nutrition labels to promote healthier food choices. This study investigated this claim using the theory of triadic influence to examine the efficacious use of nutrition labels on food choices. The theory of triadic influence presents a model of variables that affect food choice, including knowledge pathways on which this study focuses. Within the model, we expected increased scores on two measures of health knowledge to predict nutrition label understanding, which predict healthy food attitudes. Next, we expected that …

Cancer Survivorship: Promoting A Lifetime Of Health, Janelle Coleman-Smith

Master's Projects and Capstones

Abstract

Introduction Cancer survivors can face post-cancer treatment effects that need addressing throughout their care trajectory. Education provided to stakeholders and patients will be beneficial in preventing fragmented care, increasing patient satisfaction, and expanding ongoing supportive clinical survivorship care. Methods An adapted Dr. Joanne Lester survivorship needs survey was given to n=7 post-cancer treatment patients within a northern California cancer patient advisory committee. The survey results were analyzed to identify common underserved chronic long-term survivorship needs. Based on the data, an evidence-based educational component was included within a booklet to enhance future survivorship care. Additional surveys were sent to stakeholders …

The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey

Senior Theses

Type 1 Diabetics have various ways of managing their diabetes that have been studied for their effectiveness. Pregnancy in the Type 1 Diabetic has been understudied. It is known that Diabetics in general have poorer pregnancy outcomes because of poor glycemic control. This coupled with the fact that the body needs 3-4 times more insulin as pregnancy comes to an end makes managing blood glucose levels challenging for diabetics (Lowdermilk, 2016, p. 689). For the Type 1 Diabetic, there are two main ways to control diabetes: multiple daily injections using at least two type of insulin and continuous subcutaneous insulin …

The Relationship Between Aerobic Fitness And Depression Level Determined With Hamilton Scale In Older Adults, Ermilo Canton-Martínez, Patricia C. García-Suárez|, Gabriela Valles-Verdugo, Iván Rentería, Alberto Jiménez-Maldonado

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Depression is a major public health problem associated with both morbidity and mortality throughout the world, in Mexico epidemiological reports show a prevalence of depression in older adults of 9.5% in women and 5% in men; it is widely held that regular exercise and physical activity in older subjects have a significant impact on psychological health and well-being. PURPOSE: To determine whether if higher aerobic fitness is associated with decreased symptoms of clinical depression in older adults. METHODS: Participants (n=21) included individuals raging ages from 61 to 72 years old and were not regular exercisers. The 6 minute walking …

Communication Of Medication Side Effects In An Acute Care Hospital, Deb Bachand, Rachel Caiola, R6 Neurology Med-Surg Unit, Haley Pelletier, Brendan Lilley, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

MaineHealth Maine Medical Center

COMMUNICATION OF MEDICATION SIDE EFFECTS IN AN ACUTE CARE HOSPITAL

Effective patient education of prescribed medication side effects improves patient safety and reduces overall risk. On an acute care hospital unit, nursing staff felt previous attempts at this education had been ineffective as demonstrated by their HCAHPs scores for communication about medications.

A root cause analysis demonstrated some flaws and several countermeasures were instituted. The goal of this KPI project was to attain a higher than national average for the specific HCAHPs score.

Post KPI inception, the unit’s HCAHPs data showed steady improvement. Within one month, the goal of an …

“A Doctor Is Less Valuable Than A Working Truck”: A Phenomenological Study Exploring International Immersion Experiences Of Primary Care Physicians Trained In The U.S., Julie M. Shasteen

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This phenomenological study describes the experiences of primary care physicians trained in the United States who participated in an international clinical immersion rotation during medical school or residency. Five central themes emerge relating to their experience: (a) Participants chose the international rotation for developmental purposes. (b) The lifestyle in their destination country was different than in the U.S., and this had an impact on participants. (c) There were positive outcomes for participants and their future practice. (d) Harmful external forces (at the rotation site) shortened patients’ lifespans and had a negative impact on their quality of life. And, (e) participants …

Comparison Of Lung Volumes And Estimated Vo2max In College-Aged Wind Musicians Versus Aerobic Athletes, M. Petro, B. Larouere, T. Disanti, J. Bracken

International Journal of Exercise Science: Conference Proceedings

Please see the pdf version of the abstract.

Wearing Personal Protective Equipment And Carrying Tools Effect On Cardiac And Metabolic Stress Of Firefighters, S. Mccauley, K. Lippy, J. Sanders

International Journal of Exercise Science: Conference Proceedings

Please see the pdf version of the abstract.

Alterg Awareness: Attentional Focus Responses To Weighted And Unweighted Walking And Running On A Treadmill, E. Lind, J. Hokanson, D. Van Langen, L. True, R. Fiddler, S. Hupman

International Journal of Exercise Science: Conference Proceedings

Please see the pdf version of the abstract.

The Influence Of Proximal Versus Distal Strength On Balance Control In Athletes Versus Non-Athletes, I. Chahal, M. Meyers, E. Casto, J. Mccrory

International Journal of Exercise Science: Conference Proceedings

Please see the pdf version of the abstract.

Instilling Positive Beliefs About Organ Donation: An Information Processing Approach, Gerardo Jose Moreira

Open Access Theses & Dissertations

The number of those seeking a kidney donation in the United States continues to increase while the number of donors is not growing at the same rate (U.S. Department of Health and Human Services USDHHS, 2010). The lack of donations is more prevalent in low health literate communities which suffer from misinformation and ultimately negative beliefs toward organ donation. Thus, it is important to understand how marketing efforts can effectively change individuals' beliefs about organ donation.

Drawing on the Self-Determination Theory and Schema Theory, I proposed that the effectiveness of health education programs, which is to motivate individuals to be …

Quality Management: A Global Case Study In Organ Transplantation, Cassie L. Rodriguez

Master's Projects and Capstones

Every year the US and European countries face an epidemic of organ failure from a multitude of reasons: cancer, genetic predisposition, exposure to harmful chemicals in home or surrounding areas or through drinking, drugs and smoking. Another problem faced, is the ratio of organ donors to organ recipients. Over 121,000 patients are on the waiting for an organ transplant, and a fraction of those waiting will die because of time. The Hanover Medical school and department of quality management, have created an integrated approach to organ transplant avenues. Quality management is a systematic guide for organ transplantation that allows all …

Access Is Not Enough: Family Planning In Dar Es Salaam, Claire Burrus

Independent Study Project (ISP) Collection

Population growth is a large problem, both globally and at local levels. The global population is growing at an unsustainable rate, particularly in developing nations. Tanzania, as a developing nation, is one of the fastest growing countries in the world, and as a result, faces many hardships related to high population. The Tanzanian government, non-governmental organizations, and private institutions have made attempts to address these concerns by encouraging family planning. Even so, the national population continues to rise. Many social and cultural factors have contributed to this phenomenon. This study was performed in the Women’s Clinic at Sanitas Hospital in …

Effective Interventions To Reduce The Increase In Elective Cesarean Sections In Low Risk Women, Kimberly Kelsey, Crystal Hunter, Brianna-Kirsten Tan, Sara Shea, Heather Holland, Sasha Riley, Mary Uy, Tenzin Tsomo, Fasha Ruys-Solorzano, Dolma Tso

Student Research Posters

According to the Annals of Family Medicine, the amount of babies born via cesarean section has increased from 4.5% in 1965 to 26.1% in 2002 and nearly 40% of all cesarean sections are repeats. After an extensive literature review, results showed that patients need to be educated about the risks and benefits of vaginal delivery and cesarean delivery. It was also found that there needs to be policy changes to decrease the amount of cesarean sections done and increase the labor and delivery support without using interventions. Further study should be focused on morbidity and mortality very low birth weight …

The Impact Of Gamified Mobile Applications For Disease Management: Case Study Pre-Diabetic Adolescents, Obie Mcgowan

Dissertations, Master's Theses and Master's Reports

In 2014, diabetes was the seventh leading cause of death in the United States [1]. According to the Centers for Disease Control and Prevention (CDC), one third of all adults in the United State are pre-diabetic. Pre-diabetes is a condition in which blood glucose (sugar) is higher than normal, but not yet high enough to be diabetic. Persons who have an increased risk of developing pre-diabetes are: those who are not physically active, have a family history of diabetes, are within a minority group, are overweight/obese, and other factors. From 1999 to 2008, the occurrence of adolescents ages 12 to …

From Clinical Center To Academic Institution: An Example Of How To Bring About Educational Change, Hanan M. Al-Kadri, Ibrahim A. Al Alwan, Mohamed S. Al-Moamary, Youssef A. Al Eissa, Bandar A. Al Knawy

Health Professions Education

Background: The usual scenario for change management in the medical education field is an academic institution creating a patient care facility. The opposite change is however rather rare and challenging. There is not much in the medical education literature on experiences of change management that provides sufficient support to readers who are involved in such process of change. Methods: We analyzed the experience of a clinical institution that has changed into an academic one. The methods used were archival analysis and interviews with those involved. The raw data were analyzed using a framework derived from the change management literature. Results: …

Promoting Completion Of Advance Directives In A Hispanic Religious Congregation: An Evidence-Based Practice Project, Luis Daniel San Miguel, Mary Jo Clark

Doctor of Nursing Practice Final Manuscripts

Background: Hispanics utilize more aggressive medical treatment at the end of life and are less likely to receive end-of-life care consistent with their wishes than nonHispanic Whites. Hispanics are less likely than nonHispanic Whites to have an advance directive (AD). Increasing AD completion among Hispanics can promote end-of-life care consistent with their wishes, diminish healthcare disparities, and eliminate unnecessary healthcare spending. Objectives: To promote completion of advance directives by increasing knowledge, positive attitudes, and comfort with advance care planning (ACP) among Hispanics through culturally sensitive interventions. Intervention: The project was conducted in Spanish and implemented among a …

Permanence And Picnic Tables Perceptions Of Maji Safi Group’S Disease Prevention Center At Shirati Kmt District Designated Hospital, Sarah Muskin

Independent Study Project (ISP) Collection

This study conducted in Shirati village in the Rorya District of the Mara Region of Tanzania analyzed perspectives on the effectiveness of Maji Safi Group’s Disease Prevention Center at Shirati KMT District Designated Hospital. It took place from April 9th- 24th 2015. The sample frame was those affiliated with or using the Disease Prevention Centers resources. The sample populations were medical professional employed at Shirati Hospital (n = 15), Community Health Workers (n = 11) (CHWs) working for Maji Safi Group, and visitors (n = 113) to the Disease Prevention Center. This study utilized three main methods for data collection: …