Oxidative Stress Response to Short Duration Bout of Submaximal Aerobic Exercise in Healthy Young Adults

The purpose of this study was to investigate the oxidative stress response to a short duration bout of submaximal exercise in a cohort of healthy young adults. 15 apparently healthy college age males and females completed a modified Bruce-protocol treadmill test to 75–80% of their heart rate reserve. Blood samples collected immediately before (pre-exercise), immediately after, 30, 60 and 120 minutes post-exercise were assayed for total antioxidant capacity (TAC), superoxide disumutase (SOD), thiobarbituric acid-reactive substances (TBARS), and protein carbonyls (PC). SOD activity was significantly increased from pre-exercise levels at 30 minutes (77%), 60 minutes (33%), and 120 minutes (37%) post-exercise. TAC levels were also significantly increased from pre-exercise levels at 60 minutes (30%) and 120 minutes (33%) post-exercise. There were no significant changes in biomarkers for reactive oxygen/nitrogen species (RONS) mediated damage (TBARS and PC) across all post-exercise time points. In a cohort of healthy young adults, a short duration bout of submaximal aerobic exercise elicited increases in antioxidant activity/concentration, but did not evoke changes in oxidative stress-induced damage. These results may suggest that: (1) short duration bouts of submaximal aerobic exercise are sufficient to induce RONS generation; and (2) the antioxidant defense system is capable of protecting against enhanced RONS production induced by a short duration, submaximal exercise bout in healthy young adults

The Challenge of Exemplification in Crisis Communication

This case study characterizes the crisis communication challenges and potential response strategies of organizations facing crises of perception created by media exemplars. Exemplars are created through repeated news stories made memorable by highly vivid language, shocking visual materials, and evocative personal testimonies. ABC’s portrayal of Lean Finely Textured Beef as “pink slime” is provided as a case for analysis. The study concludes that organizations responding to crises of perception are at an extreme disadvantage when their standard operating procedures are portrayed negatively as exemplars. In addition, stigmatization increases an organization’s susceptibility to exemplars. Finally, appeals to neutral parties have the potential to bring some degree of added credibility to organizations responding to crises of perceptions caused by exemplars

Child and Infant Mortality; Risk Factors Related to SUID in Marion County

poster abstractBetween 2003- 2012, Indiana had 434 child deaths, including 53 Sudden Unexpected Infant Death (SUID) cases. Marion County has a high rate of SUID at 14%. The purpose of our research is to identify the risk factors for suffocation and to determine if SUID can be better prevented. In a pilot exploratory study, we analyzed five de-identified Marion County SUID cases to identify the asphyxia variables. The Fetal Infant Mortality Review (FIMR) cases allowed for thematic analysis. We used a meta-aggregation program NOTARI (Narrative, opinion, text assessment, and review instrument) to focus on categorical variables. Results identified asphyxia variables such as swaddling, blanket suffocation, wedging, parents bedding, soft bedding with pillows. Common maternal variables were obesity, hypertension, and STDs. Infant variables included breathing problems and cardio-respiratory pathologies. We found four cases with documented safe sleep education. The education that parents receive on safe sleep is not a guarantee that they will practice safe sleep with their infants. The education might not be effective enough to help them comprehend its importance; therefore nurses and other healthcare professionals need to consider changing the way they educate and advocate for parents. We suggest the introduction of more primary educational programs that will help the community understand safe sleep and SUID. This intervention would help decrease the incidence of sudden unexpected infant death

A longitudinal study of website accessibility: Have social work education websites become more accessible?

This study (N = 45 schools) sought to determine the accessibility of baccalaureate social work program websites in 2003 and 2008 using Priority 1 checkpoints from the World Wide Web Consortium (W3C) 1.0 guidelines. Paired t-test results indicate that the mean accessibility scores of five of the nine items (plus the website accessibility scale as a whole) was statistically higher after five years. However, 75.6% of programs still had one or more Priority 1 accessibility barriers in 2008 and thus did not meet the lowest W3C accessibility guidelines. This highlights the need for more education about barriers to accessibility and methods for making websites more accessible

What Are the Factors that Influence Caregiver/Parent Co-sleeping Education?

poster abstractBackground: In the United States, 13% of infants routinely co-sleep with a caregiver, and 50% of infants share a bed with a caregiver for part of the night. Co-sleeping has been identified as a risk factor for infant death by Sudden Unexplained Infant Death Syndrome (SUIDS). The purpose of this research was to carry out a systematic review for determining best practices related to education to caregivers on the risks of co-sleeping. Method: After a rigorous multi-database search, we accessed 100 research articles related to SUIDS from years 2002-2015 for inclusion for this review. A total of 20 papers related to co-sleeping and SUIDS met the inclusion criteria and were assessed for validity by a primary and secondary reviewer via standardized critical appraisal instruments from the Joanna Briggs Institute. Due to the articles’ descriptive methods, NOTARI (Narrative, Opinion, and Text Assessment and Review Instrument) was used to appraise, extract data, and thematically organize the findings resulting in meta-aggregation. Results: The data extracted included specific details for co-sleeping. We identified that a) educational, b) family dynamics, c) racial/cultural, and d) socioeconomic factors were the significant concepts that influenced the caregivers’ attitude toward co-sleeping and their likelihood to co-sleep. Heterogeneity for the study’s methods was represented in the results. Conclusions: Many caregivers and families that practice co-sleeping display resistance to education about the discontinuation of co-sleeping based on the belief that healthcare providers do not take into account the family’s personal situation. The caregivers are more likely to be receptive to advice regarding safer co-sleeping practices as opposed to omitting the practice of co-sleeping. Family-centered interventions and tailored education delivered by nurses should be identified. Caregiver safe practices for sleep, taking into account situational factors such as socioeconomic level, race, culture, and core beliefs, should be encouraged

Implications of a Production Entitlement Guarantee (PEG) Program for World Commodity Markets, 1992-2000

A Production Entitlement Guarantee (PEG) program would replace existing agricultural policies with a program that would allow governments to subsidize only a fixed proportion of each farmer\u27s historical production. World supply and demand conditions would determine the price farmers receive for any production in excess of the guaranteed PEG quality because all import barriers and export subsidies would be eliminated. A dynamic multicountry, multicommodity model is used to evaluate the impact of replacing current agricultural policies in the United States, the European Community, Japan, and Canada with a PEG program. For all countries and commodities, the guaranteed PEG quantity is set equal to 80 percent of each farmer\u27s average production between 1985 and 1989. Government payments are made to farmers on their PEG production as partial compensation for revenue losses. Except for programs with environmental aims, all other programs that subsidize or protect domestic agriculture would be eliminated

Cinq façons de prendre en main la mise en place d'un modèle d'évaluation de programmes dans les académies vouées au développement professionnel des formateurs en sciences de la santé

The proliferation of health professions educator academies across Canada and the United States illustrates the value they hold for faculty and institutions.  Yet, establishing and evaluating the efficacy of them through program evaluation can be challenging. Moreover, academy leadership often lack the time, bandwidth skillset and personnel to undertake rigorous program evaluation efforts. We outline a step-by-step guide for getting a grip on evaluating health professions educator academies. Developing a plan for program evaluation in advance of any new academy initiative helps to ensure the academy calibrates and re-calibrates to accomplish outcomes and meet stakeholder expectations.  It also provides a mechanism for tracking academy impact, which strengthens requests for funding, promotes sustainability and encourages continued buy-in and support from institutional stakeholders. For all of these reasons, we present the following recommendations: apply the relevant program evaluation framework(s); identify resources for program evaluation; prepare to tell your academy’s story; list desired program outcomes; establish a data collection plan; and obtain institutional review board approval.La prolifération des écoles (« académies ») vouées au développement professionnel des formateurs en sciences de la santé au Canada et aux États-Unis témoigne de l’importance que leur accordent le corps enseignant et les établissements d’enseignement.  Pourtant, il peut s'avérer difficile d'établir et d'évaluer leur efficacité au moyen d'une évaluation de programme. De plus, les responsables de ces écoles manquent souvent de temps, de compétences et de personnel pour entreprendre une évaluation rigoureuse de leurs programmes. Nous présentons un guide étape par étape pour évaluer les écoles vouées au développement professionnel des formateurs en sciences de la santé. L'élaboration d'un plan d'évaluation des programmes avant toute nouvelle initiative de l’école permet de s'assurer que celle-ci s’ajuste et se réajuste pour obtenir des résultats et répondre aux attentes des personnes concernées. Ce plan fournit également un mécanisme de suivi des retombées de l'école et ainsi renforcer ses demandes de financement, favoriser sa pérennité et encourager l'adhésion et le soutien continus des partenaires institutionnels. Pour toutes ces raisons, nous présentons les recommandations suivantes : appliquer le(s) cadre(s) d'évaluation de programme pertinent(s); identifier les ressources pour l'évaluation de programme; se préparer à raconter l'histoire de votre école; dresser la liste des résultats de programme souhaités; établir un plan de collecte de données et obtenir l'approbation du comité d'examen institutionnel

Patient medication knowledge and adherence to asthma pharmacotherapy: a pilot study in rural Australia

Asthma is a chronic disease with both inflammatory and bronchoconstrictive elements and often requires multiple medications. Most asthma regimens include medications with different therapeutic modes of action and a number of different medication delivery devices. To effectively participate in their asthma management, patients need to recognize each of their medication types, understand their purpose, adhere to their treatment regimen, and be proficient in using the required delivery devices. This study evaluated patient knowledge of asthma pharmacotherapy and adherence. An interview study was undertaken in two rural locations, in Australia, to elicit participants' knowledge, use, and inhalation device technique. Of participants, 75.9% used preventer medication and the remaining 24.1% used reliever medication only. Of those using preventer medication, 82.5% could distinguish their preventer from a range of asthma medicines. Metered dose inhalers (MDIs) were used by 80% of participants; 23% used a Turbuhaler®; 24% used an Accuhaler®; and 5% used an MDI with a spacer device. The study established poor medication knowledge, suboptimal device technique, and disturbing levels of adherence with management recommendations. Asthma education strategies need to be modified to engage patients with low asthma knowledge to achieve improved patient outcomes. Further, strategies need to motivate patients to use preventer medication during times when they feel well