Medical Education Commons^™

Handgrip, Pinch Grip, And Reaction Time Of Firefighters And Police Officers, Zarmina Amin, Galilea Gutierrez, Yangmi Kang, Larissa True

International Journal of Exercise Science: Conference Proceedings

Handgrip strength (HGS) and pinch grip strength are related to proper hand function. Quick and accurate reaction to stimuli is critical to perceptual-motor abilities. Firefighters (FF) and police officers (PO) are routinely involved in high-intensity emergency tasks that require HGS, pinch grip strength, and reaction time (RT). PURPOSE: The purpose was to examine differences in bimanual HGS, bimanual pinch grip strength, and dominant hand RT between FF and PO in the Southwest. METHODS: Anthropometric measures of the hand were taken. HGS was measured using a hand dynamometer. Tip, key and palmar pinch grip strength were measured using a …

Heart Rate Variability Threshold Evaluation During Arm And Leg Cycling, Kaylee Allen, Nicolas Clark, David H. Fukuda Ph.D.

International Journal of Exercise Science: Conference Proceedings

Background: The Heart Rate Variability Threshold (HRVT) is a point of deflection in heart rate variability assessed during incremental exercise to exhaustion. This threshold is thought to represent a shift in the autonomic balance. Purpose: The purpose of this study was to evaluate (HRVT) during arm (AC) and leg cycling (LC). Methods: There were twenty-three participants (age: 23.3±4.7 years; height: 168.6±7.5 cm; weight 66.8±8.9 kg). Participants completed two graded exercise tests, one for AC and one for LC on different days. They wore a heart rate monitor which recorded R-R intervals. The test performed was a graded exercise test to …

Intervening On Impostor Phenomenon: Prospective Evaluation Of A Workshop For Health Science Students Using A Mixed-Method Design, Shine Chang, Hwa Young Lee, Cheryl Anderson, Kava Lewis, Devasmita Chakraverty, Melinda Yates

Faculty, Staff and Student Publications

BACKGROUND: Unaddressed impostor feelings that impede developing interest in science and self-efficacy in conducting research have a dispiriting effect that perpetuates unsatisfactory diversity in the health science workforce when such feelings are experienced more by those historically underrepresented in the workforce. This warrants effective interventions to reduce the impact of impostor feelings and related factors that diminish career resilience. We examined the effects of a 90-minute workshop on impostor perceptions and growth mindset to raise awareness of impostor phenomenon (IP) and develop skills to manage IP successfully for students attending a 10-week summer research experience program.

METHODS: Using a convergent …

Assessment During Covid-19: Quality Assurance Of An Online Open Book Formative Examination For Undergraduate Medical Students, Javeria Rehman, Rahila Ali Mazhar, Azam Afzal, Sara Shakil, Amber Shahmim Sultan, Romana Idress, Syeda Sadia Fatima

Department of Pathology and Laboratory Medicine

Background: The spread of COVID-19 pandemic in early 2020 compelled all the educational activities, including medical education to be shifted from face-to-face interaction to a virtual platform. This shift provided opportunities for exploring online assessment modalities. One such assessment method is an online open book exam which is a unique concept in medical education of Pakistan. Limited information is available in literature regarding open book exam for the basic science subjects. Hence, the objective of the study was to determine the quality of the open book exam administered as a pilot project to the first-year medical students.
Methods: It was …

Should Mindfulness For Health Care Workers Go Virtual? A Mindfulness-Based Intervention Using Virtual Reality And Heart Rate Variability In The Emergency Department., King Pascual, Amiad Fredman, Athanasios Naum, Chaitrali Patil, Neal Sikka

Health Sciences Education Research

BACKGROUND: Research on burnout in the medical community has extensively studied the impact of mindfulness-based interventions (MBIs), which can include meditation, outdoor retreats, in-person didactics, and/or online wellness modules. However, in addition to these MBIs lacking objective, physiological measures for wellness, there has been little to no research involving virtual reality (VR) as an MBI modality for healthcare professionals in the United States.

METHODS: A randomized controlled intervention trial was used to study the impact of VR-based guided-meditations in the form of brief paced-breathing exercises. Heart-rate variability (HRV), a biomarker for relaxation, was measured during each session. Thirty-two participants, consisting …

Intouch Week Of November 14, 2022, New York Medical College

InTouch

• Alums Celebrate and Reminisce at SOM Reunion
• Office of Public Safety Hosts Campus Training

Early And Progressive Mobility: A Program Implementation Strategy For High Acuity Patient Care Locations, Stefani Poland

Student Scholarly Projects

Despite an increase in the promotion of early progressive mobility, its decrease in hospital-acquired complications and improvement of patient outcomes, there remains a reluctance in staff commitment to daily evaluation and implementation. This is largely due to the fact nurses or other interprofessional staff are the primary individuals responsible for this change in process. A lack of confidence in staff to correctly identify patients that meet criteria and anxiety regarding the safe transfer or mobilization of patients, particularly in high acuity settings have been identified as major barriers. The PICOT question that guided this program development of a CBO toolkit …

30th Annual Scientific Congress Of Hong Kong College Of Cardiology Abstracts

Journal of the Hong Kong College of Cardiology

No abstract provided.

30th Annual Scientific Congress Of Hong Kong College Of Cardiology Proceedings

Journal of the Hong Kong College of Cardiology

No abstract provided.

Development And Use Of A Survey Tool To Prioritize And Catalyze Change Surrounding Faculty Wellness In A Department Of Pediatrics, Sarah Rhoads, Alison Riese, Mohammed Faizan, Lloyd Feit, Shuba Kamath, Albert Ross, Katherine Mason

Journal of Wellness

Introduction: Physician wellness is an important factor in the delivery of safe, effective and humanistic patient care. There is compelling data describing the widespread prevalence of physician burnout and its subsequent adverse impact on patient care, healthcare costs, and relationships. Initiatives to improve wellness are necessary to maintain the healthcare work force as well as to ensure high-quality care. This project investigated faculty physicians’ attitudes and priorities regarding physician wellness within the department of Pediatrics at a single-center academic institution.

Methods: A survey was created and distributed via e-mail to all faculty physicians employed within the Department of Pediatrics in …

Reproducibility Efforts As A Teaching Tool: A Pilot Study, Nestoras Karathanasis, Daniel Hwang, Vibol Heng, Rimal Abhimannyu, Phillip Slogoff-Sevilla, Gina Buchel, Victoria Frisbie, Peiyao Li, Dafni Kryoneriti, Isidore Rigoutsos

Computational Medicine Center Faculty Papers

The "replication crisis" is a methodological problem in which many scientific research findings have been difficult or impossible to replicate. Because the reproducibility of empirical results is an essential aspect of the scientific method, such failures endanger the credibility of theories based on them and possibly significant portions of scientific knowledge. An instance of the replication crisis, analytic replication, pertains to reproducing published results through computational reanalysis of the authors' original data. However, direct replications are costly, time-consuming, and unrewarded in today's publishing standards. We propose that bioinformatics and computational biology students replicate recent discoveries as part of their curriculum. …

Evaluating Internal Medicine Residents’ Awareness On Cancer Survivorship Care Plan: A Pilot Survey, Ivy Riano, Hugo Pomares-Millan, Klaorat Prasongdee, Lauren Kiel, Robin Park, Narjust Florez

Journal of Community Hospital Internal Medicine Perspectives

Introduction: Survivorship care plan (SCP) is a tool to improve communication between oncologists and primary care physicians. Internal medicine residency curricula are lacking training for cancer survivorship and SCPs. Here, we aimed to assess the awareness and utilization of SCPs in medicine trainees.

Methods: A pilot survey investigating awareness and experience with SCPs was distributed among internal medicine trainees in an outpatient setting. Participants were stratified by program type (transitional and categorical) and year of training. Differences in proportions were tested with parametric and non-parametric tests.

Results: All thirty-seven participants who were administered a survey responded; 32.4% and 67.6% were …

An Interprofessional Public Library-Academic Partnership For Community Outreach On Women's Health, Lyndonna Marrast, Eun Ji Kim, Danielle Ezzo, Joseph Conigliaro

Urban Library Journal

This article describes a collaboration between a branch of the Queens Public Library in NY and an academic medical center that delivered a women’s health educational program with an interprofessional team of faculty, trainees, and students. The team delivered interactive 1-hour long monthly sessions in a Question and Answer format guided by a Powerpoint presentation. The overall goal was to deliver health education workshops on common medical conditions (i.e. diabetes, heart disease) and concerns of interest to women across the lifespan (i.e. infertility, dementia) to improve the health literacy of local community members. We outlined the steps in establishing this …

2022 November 8 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

The Role Of Gut Health In Parkinson’S Disease: The Impact On Motor Symptoms And Fitness Levels, Kaylie Zapanta, E Todd Schroeder, Beth E. Fisher

International Journal of Exercise Science: Conference Proceedings

While Parkinson’s disease (PD) has traditionally been considered a central nervous system disease, recent groundbreaking research argues that PD symptomology is influenced by gut microbiota alterations (dysbiosis).¹ People with PD suffer from dysbiosis,^2-6 and gut symptoms characteristic of dysbiosis, like constipation.^7,8 Given this evidence, strategies that improve gut health in PD are warranted. One possible strategy is exercise. In non-PD populations, fitness status is linked to gut health,^9-13 and exercise which increases fitness status improves the gut.^14-19 It is now known that exercise improves motor symptoms in PD,^20-23 but the gut may be a …

The Two-Dimensional Relationship Between Ground Reaction Force Vector And Knee Axis Of Rotation Reflect Knee Loading Deficits During Squatting Post-Aclr, Jiaqi Wang, Susan Sigward

International Journal of Exercise Science: Conference Proceedings

PURPOSE

Individuals post-anterior cruciate ligament reconstruction (ACLr) perform reduced knee extensor moments (KEM) during squats by shifting weight to the non-surgical (NSx) limb ¹ or by shifting demands from the knee to hip ^1,2. These compensations occur without observable differences in joint angles by small adjustments in the center of pressure (COP). This makes them difficult to detect and may contribute to their persistence. Differences between limbs in COP position suggest that individuals adjust the relationship of the ground reaction force vector (GRFv) relative to the joint center to redistribute the loading demands in the surgical limb ³. …

Stimulated Muscle Contractions Regulate Membrane-Bound And Soluble Tlr4 To Prevent Lps-Induced Signaling And Myotube Atrophy In Skeletal Muscle Cells, Jeremy B. Ducharme, Zachary J. Fennel, Zachary J. Mckenna, Quint N. Berkemeier, Michael R. Deyhle

International Journal of Exercise Science: Conference Proceedings

Toll-like receptor 4 (TLR4) activation by lipopolysaccharides (LPS) contributes to chronic inflammation and causes upregulation of muscle atrophy signaling pathways. Exercise can suppress LPS/TLR4 axis activation by reducing the expression of TLR4 on immune cells. It is unknown how this regulation occurs, and it is not clear how exercise affects TLR4 on skeletal muscle. PURPOSE: To uncover the nature and mechanisms by which exercise affects TLR4 expression and intracellular signaling using cell culture models and human experiments. METHODS: C2C12 myotubes were subjected to electrical pulse stimulation (EPS) with and without subsequent treatment with 500 ng/mL lipopolysaccharide (LPS) along with …

Sex Differences In Hemodynamic Response To High Intensity Interval Exercise (Hiie), Leah N. Coe

International Journal of Exercise Science: Conference Proceedings

There are sex differences in the cardiorespiratory and hemodynamic response to exercise due to inherent differences in heart size, blood volume, and hemoglobin mass that elicit a higher VO₂max in men versus women. These alterations in cardiac structure and function may mediate changes in VO₂max per the Fick Equation. However, existing data are inconclusive on whether sex differences in training responsiveness exist. PURPOSE: The purpose of this study is to investigate potential sex differences in the hemodynamic response to HIIE. If men and women reveal discrepant cardiovascular responses to HIIE, this may partially mediate sex differences …

Inter-Step Height Variation Of Stairways And Observations Of Fall-Related Events, Chayston B. Brown, Shandon Poulsen, Chris Dakin, Sara Harper, Tyson Barrett

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: Variation in step height within a stairway could negatively impact safe stairway negotiation by decreasing step height predictability, and consequently, increasing stair users’ fall risk. Unfortunately, inter-stairway step height variability is common, particularly in older stairways, but its impact may be lessened by highlighting steps’ edges using high-contrast stripes on the top front edge of each step. Such contrast enhancement may draw greater attention to the steps’ edges and potentially enhance the precision of the edge’s estimated location. PURPOSE: To determine (1) if fall-related events are associated with greater inter-step height variation, and (2) if such fall-related events are …

The Impact Of Squat Velocity On Force, Power, And Muscle Activity, Kyle D. Puccini, James Baldonado, Bonnie Yee, Christie R. O'Hara

International Journal of Exercise Science: Conference Proceedings

The squat is a thoroughly examined movement pattern and commonly used in sport performance training protocols, rehabilitation programs, and recreational exercise. Previous research measuring absolute strength has shown hamstring muscle activity in a six-repetition max barbell back squats. PURPOSE: The purpose of this study is to examine the effects of varying squat velocities (25, 50, 75 deg/s) on force, power, and the activation of the quadricep and hamstring muscles. Using a single-blind randomized research design, we hypothesized that hamstring muscle activity will increase at faster squat velocities. Our secondary hypothesis is that peak power will occur at 50 deg/s and …

Impact Of Mask Wearing On Post-Exercise Hemodynamics, Payton J. Price, Zachary Zeigler, Luke Heikka, Adarius West, Sofia Harman, Anthony Acevedo

International Journal of Exercise Science: Conference Proceedings

As the guidelines regarding COVID-19 regressed, many fitness centers established regulations requiring mask-wearing during exercise. Data suggest that the impact of a mask during exercise has minimal effects on exercise hemodynamics. The post-exercise period has been described as a window of opportunity to lower blood pressure, a phenomenon called post-exercise hypotension. The impact of wearing a mask on post-exercise hemodynamics is unknown. PURPOSE: The purpose of this study was to examine the impact of mask-wearing during exercise on post-exercise hemodynamics. METHODS: Nine total participants aged 18-30 yr were recruited for this experimental cross-over study. This within-subject design involved …

Muscle Mitochondrial Function At Different Phases Of The Menstrual Cycle, Brandon S. Pfeifer, Briell King, Erin Atkinson, Chad R. Hancock, Robert D. Hyldahl

International Journal of Exercise Science: Conference Proceedings

The effect of menstrual cycle (MC) phase on muscle recovery from damage has been studied using markers of strength and soreness, but remains inconclusive. Mitochondrial function is essential for muscle recovery, and has been found to be influenced by estradiol (E2). Understanding the relationship between MC phase and mitochondria can provide further insight into women’s muscle health. The PURPOSE of this study was to determine how MC phase affects markers of muscle damage and recovery, with emphasis on mitochondrial function, following electrically-stimulated muscle contractions. METHODS: 22 premenopausal females were recruited and split into two groups, early follicular (EF) and …

Exercise And Esr1 Control Mitochondrial Content And Function To Regulate Adiposity, Alice M. Ma, Nicole Lee Yang, Alexander R. Strumwasser, Zhenqi Zhou, Andrea L. Hevener

International Journal of Exercise Science: Conference Proceedings

Mechanisms that underlie adipose tissue remodeling to enhance metabolic health in response to exercise training remain inadequately understood. PURPOSE: We utilized mouse genetics and human GWAS to determine the impact of exercise training on mitochondrial DNA copy number, and interrogate the relationship between Esr1 and adipose tissue health. METHODS: We performed RNAseq on adipose tissue from 100 strains of inbred mice following exercise training and determined mitochondrial content by qPCR. We performed deep phenotyping of mice harboring conditional Esr1 overexpression selectively in adipose tissue. Adipose specific Esr1 overexpression and control mice were fed a high fat diet and …

“Cheating” In A Fast By Exercising After A Snack, Katelynn Hales, Landon Deru Ms, Mba, Atc, Bruce Bailey Phd, Facsm,, Hi'ilei Chan, Jake Moss

International Journal of Exercise Science: Conference Proceedings

As the prevalence of chronic diseases has increased, research has emerged supporting the utility of intermittent fasting in managing certain health conditions. Despite potential benefits, adhering to a fasting regimen can be difficult. PURPOSE: The purpose of this study was twofold. The first purpose was to describe how consuming a modest snack prior to exercise influences plasma glucose, beta-hydroxybutyrate and hunger in reference to fasting with and without exercise. The second purpose was to examine how exercising in a fasted state influences plasma glucose, beta-hydroxybutyrate and hunger. METHODS: A randomized crossover design with counterbalanced treatment conditions was used to compare …

Intouch Week Of November 7, 2022, New York Medical College

InTouch

• SOM Announces New Hires
• NYMC Researchers Awarded $708,618 Grant From NIH to Study Postural Tachycardia Syndrome
• The Office of Human Resources Strives to Attract and Engage a Skilled and Diverse Workforce
• Julie S. Di Martino, Ph.D., newly appointed assistant professor of cell biology and anatomy

Understanding The Mental Health Impact And Needs Of Public Healthcare Professionals During Covid-19 In Pakistan : A Qualitative Study, Waqas Hameed, Anam Shahil Feroz, Bilal Iqbal Avan, Bushra Khan, Zafar Fatmi, Noreen Afzal, Hussain Jafri, Mansoor Ali Wassan, Sameen Siddiqi

Community Health Sciences

Objectives: A dearth of qualitative studies constrains in-depth understanding of health service providers' perspectives and experiences regarding the impact of COVID-19 on their mental health. This study explored the mental health impact and needs of of public sector healthcare workers during COVID-19 who working in secondary-level and tertiary-level healthcare settings of Pakistan.
Design: An exploratory qualitative study.
Setting: Twenty-five secondary-level and eight tertiary-level public hospitals of Sindh and Punjab provinces of Pakistan.
Participants: In-depth interviews were conducted with 16 health service providers and 40 administrative personnel. Study data were analysed on NVivo V.11 using the conventional content analysis technique.
Results: …

Metamotivation In Medical Students: Explaining Motivation Regulation Strategies In Medical Students, Ali Norouzi, Maryam Alizadeh, Dean Parmelee, Saharnaz Nedjat, Saiideh Norouzi, Mohammad Shariati

Medical Education Faculty Publications

BACKGROUND: Metamotivation is a process that students use to monitor their motivational states to reach their academic goals. To date, few studies have addressed the ways that medical students manage their motivational states. This study aim to identify the motivational strategies of medical students as they use the metamotivational process to monitor and control their motivational states.

MATERIALS AND METHODS: This qualitative study uses directed content analysis of the narrative responses of 18 medical students to draft an in-depth and semistructured interview protocol which were conducted through WhatsApp due to social distance restrictions of COVID-19. Data were collected, encoded, and …

Uthealth Quality Symposium 2022 Abstracts-2

Teaching in Clinics

No abstract

29th Annual Scientific Congress Of Hong Kong College Of Cardiology Proceedings

Journal of the Hong Kong College of Cardiology

No abstract provided.

24th Asc Of Icsm Proceedings

Journal of the Hong Kong College of Cardiology

No abstract provided.