Medical Education Commons^™

Influence Of Virtual Reality Cognitive Fidelity On Biomechanical Adaptation And Motor Strategies With A Custom Prosthesis And Foot Controller., Marek R. Kwasek

International Journal of Exercise Science: Conference Proceedings

In an age of digitization, rehabilitation is embracing newer technologies, particularly VR, to enhance motor development and learning skills with real-world applications. With its practical replicability, VR’s visual (i.e., how visually realistic a virtual environment is) and cognitive fidelity (i.e., how well a virtual environment mimics the cognitive demands of real-world tasks) has the potential to influence motor strategies and, ultimately, a person’s functional biomechanics when learning a new skill. PURPOSE: To examine how different levels of visual and cognitive fidelity impact users’ reaching biomechanics when controlling a prosthetic arm using a foot controller. METHODS: Participants completed 12 …

Nanomechanical Effects Of Microgravity On Murine Tendon Fibrils, Patrick Bialy, Andrew S. Ichimura, Kent A. Lorenz, Ryan T. Scott, James R. Bagley

International Journal of Exercise Science: Conference Proceedings

Microgravity, characterized by a weak gravitational pull, poses physiological risks to astronaut health and performance. While its impact on muscle and bone is well documented, effects on connective tissue, such as tendon, remain understudied. PURPOSE: This study aimed to 1) quantify the effects of 37 days of microgravity on the compressive nanomechanics of individual collagen fibrils and 2) compare these findings to existing literature and previously collected lab data. We hypothesized that spaceflight (SF) fibrils would exhibit a lower Young’s Modulus (YM) than ground controls (GC). METHODS: Female C57BL/6J mice were exposed to 37 days of spaceflight aboard the International …

Effects Of Acute Sleep Reduction And Aerobic Exercise On Metabolic Function In Healthy Adults, Eric Lessard, Gracie Dupuis, Jocelyn Kaveney, Braden Wilson, Grahm Mcginnis, Ryan Perkins

International Journal of Exercise Science: Conference Proceedings

INTRODUCTION: The number of adults who receive insufficient sleep is progressively increasing, impacting the established relationship between sleep and metabolic function. PURPOSE: The purpose of this study was to explore the effects of acute sleep reduction on metabolic variables at rest and during aerobic exercise. METHODS: Healthy, active adults (n=11; 26.4±5.4 yr; 45% female) were screened to ensure eligibility (i.e., meeting the CDC’s sleep recommendations of 7-9hr/night, apparently healthy, recreationally active, and non-smoking), characterize body composition via DXA and measure maximal cardiovascular capacity (VO2max). Utilizing a within subjects, repeated measures design, participants completed an initial 7d period of …

Correlational Analysis Between Fat-Free Mass And Physical Performance In College Students, Rhea Misra, Giselle Murillo, Fraz Tahir, Tianou Zhang

International Journal of Exercise Science: Conference Proceedings

Fat-free mass (FFM), the body’s metabolically active tissue excluding fat, plays a critical role in strength, endurance, and overall physical performance. PURPOSE: The objective of this study is to investigate the association between FFM and physical performance in college students. METHODS: FFM was evaluated using the BodPod in a sample of 21 male and 12 female students. Various performance metrics were measured, including handgrip strength, aerobic capacity (via VO₂max test), anaerobic capacity (peak power and peak force through Wingate test), vertical jump height, and broad jump distance. Spearman correlations were used to evaluate correlations between FFM and performance …

Interleukin-6 As A Mediator Of Circadian And Sex Differences In Exercise-Induced Stat3 And Autophagy Signaling, Srushti Wagh, Ariana Khzarjyan, Joshua Corpuz, Elias M. Malek, Charli Aguilar, Michael Dial, Paula Martinez, Graham Mcginnis

International Journal of Exercise Science: Conference Proceedings

Circadian rhythms are highly conserved across tissues and play an important role in regulating how the heart responds to physiological and pathological stress. Exercise is known to be cardioprotective, yet the impact of exercise timing on molecular signaling is still being explored. Interleukin-6 (IL-6) is an exercise-induced cytokine which has been shown to be important to cardioprotection and metabolism. It is currently unknown how exercise timing modulates the IL-6 signaling pathway in the heart.

PURPOSE: To investigate how time-of-day and IL-6 influence exercise-induced activation of STAT3 and its downstream signaling pathways in male and female mouse hearts.

METHODS: Wild-type and …

Comparison Of Lower Limb Sagittal Plane Kinematics Measured Using Opencap And Traditional Mocap During Single Limb Squat Analysis In Patients Post-Aclr, Alexander Chen, Jiaqi Wang, Susan Sigward, Willa Ma, Grace Choi

International Journal of Exercise Science: Conference Proceedings

OpenCap (Stanford University) uses standard smartphone cameras and computer vision algorithms to estimate joint kinematics without markers. With affordable equipment and reasonable setup procedures, it may provide an alternative to visual assessment of movement impairments in the clinic. Subtle alterations in joint kinematics can be relevant to the interpretation of recovery progress following musculoskeletal injury or surgery such as anterior cruciate ligament reconstruction (ACLr). It is important to understand the level of agreement between new tools for assessment and gold standard kinematic measures. PURPOSE: To determine concurrent validity of kinematic data collected using OpenCap and gold standard technologies during …

The Effect Of Fatigue On Hip, Knee, And Ankle Kinetics During Rear Foot-Elevated Split Squats, Sara C. Mills, Jaime Alvarado, Tyler Lindholm, Michele Leblanc Facsm

International Journal of Exercise Science: Conference Proceedings

Rear foot-elevated split squats (RFESS) are a widely used movement to increase lower body strength, but little is known about how fatigue alters joint torque demands across the ankle, knee, and hip. Previous research has shown that fatigue changes kinematics during RFESS, increasing hip and knee motion while reducing ankle movement, but the effect on joint torques remains unclear. PURPOSE: To examine the effects of fatigue on ankle, knee, and hip torque in the sagittal and frontal planes during the eccentric and concentric phases of the RFESS in active females aged 18–25. METHODS: Participants performed repeated body weight RFESS until …

High-Dose Sodium Supplementation On Hydration And Thermoregulatory Responses While Cycling In The Heat, Melani Kelly

International Journal of Exercise Science: Conference Proceedings

Sodium is commonly included in sports beverages to promote hydration and support carbohydrate (CHO) absorption, typically at concentrations of ~270-400mg. Recently, high-dose sodium supplements, often approaching 1000mg and lacking CHO, have entered the market with minimal evidence to support their use. PURPOSE: Investigate how hydration and thermoregulatory responses change during cycling in the heat when consuming a supplement containing 810mg of sodium. METHODS: Twenty recreationally active participants (15 males, 5 females; age = 23.4 ± 2.8) completed a 2-h bout of cycling in an environmental chamber (37.3℃, 59.1 ± 4.4% relative humidity) on two occasions separated by > 7 …

Understanding The Effects Of Training On Brain And Muscle Hemodynamics During Exercise-Induced Muscle Fatigue, Aqueen Lenon, Christine Dy, Stefan Keslacy

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: While the muscle fatigue during weightlifting exercise is well-documented, the relationship of brain/muscle activity are less known. PURPOSE: to investigate the changes in oxygenation levels in the brain and muscles during resistance training, comparing these effects between athletes (ATH) and sedentary (SED) individuals. METHODS: 24 participants (14 SED, 10 ATH) were recruited. The bench press protocol included four sets of twelve repetitions at a weight corresponding to a Rate of Perceived Exertion (RPE) of 6. Oxygenation levels in prefrontal cortex and the right triceps muscle were continuously monitored using near-infrared spectroscopy (NIRS) (Oxymon Mk III). NIRS data …

Intensity Over Effort: Exercise Prescription Strategies For Glycemic Control, Oscar Chavez Jr., Marissa Ramirez, Jacob Dawes, Isaac Chapman, Kosar Valaei, Maja Gebauer, Christine Mermier, Jonathan Little Facsm, Luotao Lin, Gretchen Ray, Roberto M. Alvidrez, Zachary Mang, Fabiano T. Amorim, Valmor Tricoli, Flavio De Castro Magalhaes

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

Resistance exercise (RE) is effective in mitigating the development of type 2 diabetes (T2D) and prediabetes, but long-term adherence is low in these populations. Continuous glucose monitoring (CGM) devices are important tools in clinical practices to assist glycemic control. Previous meta-analysis shows the functionality of CGM devices among different exercise modalities but mentions the lack of studies with controlled diet and physical activity levels in free-living conditions. PURPOSE: To examine whether perceived effort during RE influences glycemic control and psychological outcomes in individuals with prediabetes and T2D using CGM under free-living conditions. METHODS: In randomized order, 25 …

Dexterity Assessment Scores Vary With Controller Type But Not Super Smash Bros. Ultimate Player Skill, Jacob D. Cervantes, Dillon Harris, Zachary R. Mcfadden, Steven B. Machek

International Journal of Exercise Science: Conference Proceedings

Within the expanding Esports industry, competitive Super Smash Bros Ultimate (SSBU) players require high neuromotor execution. They consequently select controllers and permit functional modifications to match the individual precision and dexterity preferences within their playstyle. PURPOSE: To examine how skill level and controller preference impact dexterity scores in SSBU players of differing skill relative to each other and non-gamers. METHODS: 56 (22 male casual CAS; 24y ± 4; play >4 hr per week, 15 male ES; 24y ± 4; top 150 globally- ranked competitive SSBU players, and 19 non-gamer controls NG; 24y ± 5; 16F/3M) subjects voluntarily participated …

Different Glycemic Control Responses In Women And Men With Type 2 Diabetes And Prediabetes To Resistance Exercise, Kosar Valaei, Oscar Chavez Jr., Marissa Ramirez, Jacob D. Dawes, Isaac Chapman, Maja Gebauer, Christine M. Mermier, Jonathan Little, Luotao Lin, Gretchen M. Ray, Roberto Mota, Zachary A. Mang, Fabiano Amorim, Valmor Tricoli, Flavio De Castro Magalhaes

International Journal of Exercise Science: Conference Proceedings

Resistance exercise (RE) is recommended for individuals with type 2 diabetes (T2D) and prediabetes to improve glycemic control, but sex differences remain unclear. PURPOSE: To investigate sex-related differences in glycemic responses to RE in individuals with T2D and prediabetes METHODS: Twenty-five participants (12 males, 13 females, 36–78 year) with T2D or prediabetes completed four randomized crossover sessions: a high-intensity (HI) RE session (3 sets × 8 reps, 75%-1RM, 120 seconds interval), a rest-redistribution (RR) RE session (6 sets × 4 reps, 75%-1RM, 60 seconds interval), a low-load (LL) RE session (3 sets × 16 reps, 37.5%-1RM, 103 seconds …

Trunk Rotational Range Of Motion And Abdominal Oblique Strength In High School And Collegiate Baseball Pitchers: Implications For Performance And Energy Flow, Belinda Aldern, Arnel Aguinaldo, Avery Takata, Antonio Squillante

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Baseball pitching requires complex sequencing of the kinetic chain, with the trunk serving as an integral role for linking the lower body to the upper body. Despite past research on energy flow in pitching, there is an increased need to study age-specific performance. PURPOSE: The purpose of this study was to examine differences in Trunk Rotational Range of Motion (TRROM) and Abdominal Oblique Strength (AOS) between high school and collegiate baseball pitchers and how these variables relate to performance and mechanical energy flow through the lumbosacral (L5S1) joint. METHODS: 12 High School and 12 Collegiate aged pitchers …

Management Of Difficult Patient Situations, Sangeetha Larsen Mpas, Pa-C

Lynchburg Journal of Medical Science

The purpose of this paper is to provide strategies for clinicians to manage difficult patient interactions. A comprehensive search of PubMed was conducted, identifying articles that identified the root cause of difficult patient interactions and assessed methods for successfully navigating these situations. The term “difficult patient” reflects the interaction of patient behavior, clinician perception, and systemic constraints rather than an inherent patient flaw. Effective management involves reframing difficult behavior as an expression of unmet needs and responding with empathy, active listening, clear boundaries, and collaborative decision-making. System-level strategies reduce patient distress and clinician burnout. Ultimately, the difficult patient represents strained …

Eeg Pressure Injuries, Paula Ebert

Nursing Grand Rounds

EEG Pressure Injuries. Paula Ebert, MS, RN, CNS, ACCNS-AG, CCRN, SCRN

Objectives:

• Understand the clinical impact of pressure injuries related to EEG
• Understand the implemented changes to reduce pressure injuries related to EEG
• Understand the multidisciplinary approach to addressing the problem

Embedding Interprofessional Education In Pediatric Clerkships: Lessons From Nebraska’S Tracking Infant Progress Statewide (Tips) Program, Grace E. Berentson, Liliana Bronner, Paige Hardy, Neil Kalsi, Brianna Brei, Kerry Miller

Posters and Presentations: Munroe-Meyer Institute

Background: NICU graduates experience disproportionate developmental and health challenges. Their families face barriers to equitable care including access to coordinated follow-up services. Traditional medical education rarely exposes students to authentic interprofessional models of care that address these inequities. The Tracking Infant Progress Statewide (TIPS) program provides developmental, social, and medical follow-up for NICU graduates across Nebraska, bringing together physicians, nurse practitioners, child developmental specialists, and nurses in a single family-centered visit. Embedding third-year medical students into this setting models collaborative practice, builds understanding of interprofessional competencies, and fosters awareness of systemic inequities affecting NICU families. This innovative curricular approach differs …

Perceived Academic Workload And Well-Being Among Radiologic Technology Students During Home-Based Learning, Alvin Diaz Crudo

The Lasallian Journal of Health

Introduction: COVID-19 disrupted educational delivery worldwide, forcing Higher Education Institutions (HEIs) to shift to home-based learning modalities combining synchronous and asynchronous modes. Radiologic technology students' academic workload intensified with digital and non-digital activities, requiring stronger internet connectivity amid barriers like stress and burnout. This study determined the correlation between perceived academic workload and well-being among third-year radiologic technology students at De La Salle Medical and Health Sciences Institute during home-based learning. Methods: A correlational research design was employed with 124 of 136 students (91.18%) participating during A.Y. 2021-2022. Researchers used self-made questionnaires based on Bowyer's (2012) "Student Workload Model" and …

The Efficacy And Safety Of Laparoscopic Cholecystectomy For Acute Cholecystitis: A Descriptive Study, Michael Lawenko, Marie Abigail Dumlao

The Lasallian Journal of Health

Objectives: Laparoscopic Cholecystectomy (LC) is gaining traction to become a safe and effective surgical option for Acute Cholecystitis (AC). In our institution, the trend toward laparoscopic management of AC has only recently gained traction. The objective of this study is to describe the early experience of our institu tion utilizing LC. Methods: This descriptive study involved a retrospec tive analysis of early institutional cases of LC. Included were cases with both pre- and post-operative diagnoses of AC, as well as cases admitted for non-AC conditions but found to have incidental AC postoperatively. Cases were further categorized into severe (SAC) and …

Development Of Research Productivity Appraisal Tool (Reprodapt): Validity And Reliability, Daisy Alberto, Roberto C. Sombillo, Danaida Marcelo, Juanito O. Cabanias

The Lasallian Journal of Health

Objectives: The aim of this study is to develop a research productivity appraisal tool (ReProdApT) and determine its validity, reliability/reproducibility, feasibility, and usability for De La Salle Medical and Health Sciences Institute.
Methods: The ReProdApT has a set of indicators and an academic relative value unit as recommended by several authors for measuring academic research productivity [1-3]. Through a non-experimental, crosssectional design, the tool underwent content validation by experts, inter- and intra- rater reliability testing and assessment of feasibility and usability. Results: Of the 22 faculty members from different colleges who participated in the study, 13 were females and nine …

The Five-Step Teaching Method Vs Demo-Return Demo Of Laparoscopic Camera Manipulation On Medical Students: A Randomized Controlled Trial In A Philippine Medical School Curriculum, Michael Lawenko

The Lasallian Journal of Health

Objectives: This study aims to examine if laparoscopic camera manipulation, using the five-step teaching method, is more effective than the traditional demoreturn demo method in developing psychomotor and visuospatial skills in fourth year medical students. Methods: Randomization was done to create two groups (n = 129). One group, (n = 70), received training using the five-step method: (1) conceptualization, (2) visualization, (3) verbalization by the preceptor, (4) verbalization by the student, and (5) practice. The other group, (n = 59), followed the traditional demo-return demo method. Psychomotor and visuospatial skills of the students were assessed using a rubric. The subjective …