The Effects of Men\u27s Lacrosse Protective Equipment on Thermoregulation and Perceptions During Exercise Heat Stress

The effects of men\u27s lacrosse protective equipment on thermoregulation and perceptions during exercise heat stress Amanda P. Glasgow: Exercise Science Research Center, University of Arkansas, Fayetteville, AR. Background: Exertional heat stroke and other heat related illnesses are a common concern for athletic coaches and players. Looking to prevent further injuries, it is questioned whether players perceive if their bodies are heating to a dangerous level. Many factors play into the body’s response and the players perception including thirst, thermoregulation, and the kind of protective equipment the athletes are wearing. Purpose: Examine if perceptual responses are different when participants wear men’s lacrosse protective equipment compared to when they do not. Our hypothesis was that reported perceptual responses would be different between equipment and non-equipment trials. Methodology: We recruited 12 healthy males ages 21.8 ± 3.35 with heights 181.29 cm ± 6.07 cm, with body fat of 14.7% ± 4.4% to complete our randomized crossover study. Participants were required to have previous equipment intensive sport experience. After a health history clearance and a familiarization session, participants completed two trials (once with and once without standard men’s lacrosse protective equipment) a simulated lacrosse exercise protocol consisting of four 12-minute sessions with rests totaling 60 minutes. Measured values included first morning urine osmolality and rating of perceived exertion (RPE), thermal sensation, thirst perception, and muscle pain perception every 15minutes throughout and following exercise. Results: There was no significant difference between trials with first morning urine osmolality (p=.128). In terms of equipment, RPE was significantly greater with equipment throughout trials (p\u3c.001) compared to the no equipment trial. Thermal sensation was significantly greater during the equipment trial versus the no equipment trial (p\u3c.001). Regardless of time point, thirst sensation was greater in the equipment trial compared to the no equipment trial (p=.001). Muscle pain was significantly greater throughout trials, regardless of time point (P=.006) in the equipment trial as well. Discussion: Overall, our study supported our hypothesis that men’s lacrosse equipment accentuates perceptual stress during exercise heat stress. Regardless of time point, RPE, thermal sensation, thirst sensation, and muscle pain were reported as greater during equipment trials than non-equipment trials. Funding Source: University of Arkansas Honors College Research Gran

The Effects of Men\u27s Lacrosse Protective Equipment on Thermoregulation and Perceptions During Exercise Heat Stress

The effects of men\u27s lacrosse protective equipment on thermoregulation and perceptions during exercise heat stress Amanda P. Glasgow: Exercise Science Research Center, University of Arkansas, Fayetteville, AR. Background: Exertional heat stroke and other heat related illnesses are a common concern for athletic coaches and players. Looking to prevent further injuries, it is questioned whether players perceive if their bodies are heating to a dangerous level. Many factors play into the body’s response and the players perception including thirst, thermoregulation, and the kind of protective equipment the athletes are wearing. Purpose: Examine if perceptual responses are different when participants wear men’s lacrosse protective equipment compared to when they do not. Our hypothesis was that reported perceptual responses would be different between equipment and non-equipment trials. Methodology: We recruited 12 healthy males ages 21.8 ± 3.35 with heights 181.29 cm ± 6.07 cm, with body fat of 14.7% ± 4.4% to complete our randomized crossover study. Participants were required to have previous equipment intensive sport experience. After a health history clearance and a familiarization session, participants completed two trials (once with and once without standard men’s lacrosse protective equipment) a simulated lacrosse exercise protocol consisting of four 12-minute sessions with rests totaling 60 minutes. Measured values included first morning urine osmolality and rating of perceived exertion (RPE), thermal sensation, thirst perception, and muscle pain perception every 15minutes throughout and following exercise. Results: There was no significant difference between trials with first morning urine osmolality (p=.128). In terms of equipment, RPE was significantly greater with equipment throughout trials (pDiscussion: Overall, our study supported our hypothesis that men’s lacrosse equipment accentuates perceptual stress during exercise heat stress. Regardless of time point, RPE, thermal sensation, thirst sensation, and muscle pain were reported as greater during equipment trials than non-equipment trials. Funding Source: University of Arkansas Honors College Research Gran

Model for Semi-informal Online Learning Communities: a Case Study of the Nasa Inspire Project

The purpose of this study was to develop a model of informal online learning communities based on theory, research and practice. Case study methodology was used to examine the NASA Interdisciplinary National Science Project Incorporating Research and Education Experience (INSPIRE) Project as an example of a successful informal online learning community. The case study examined how the INSPIRE project models informal online learning and how that model compares to current research in informal and online learning community education. This case study revealed that, while all aspects of informal learning and online education are present within the INSPIRE project, there were many factors that have led to the success of the project that do not fit into current informal or online learning community models. Many aspects of formal education are not only present, but necessary components to the success of the INSPIRE OLC where both knowledge development and community building are desired equally. A model for semi-inforSchool of Teaching and Curriculum Leadershi

The learner’s perspective in GP teaching practices with multi-level learners: a qualitative study

BACKGROUND Medical students, junior hospital doctors on rotation and general practice (GP) registrars are undertaking their training in clinical general practices in increasing numbers in Australia. Some practices have four levels of learner. This study aimed to explore how multi-level teaching (also called vertical integration of GP education and training) is occurring in clinical general practice and the impact of such teaching on the learner. METHODS A qualitative research methodology was used with face-to-face, semi-structured interviews of medical students, junior hospital doctors, GP registrars and GP teachers in eight training practices in the region that taught all levels of learners. Interviews were audio-recorded and transcribed. Qualitative analysis was conducted using thematic analysis techniques aided by the use of the software package N-Vivo 9. Primary themes were identified and categorised by the co-investigators. RESULTS 52 interviews were completed and analysed. Themes were identified relating to both the practice learning environment and teaching methods used.A practice environment where there is a strong teaching culture, enjoyment of learning, and flexible learning methods, as well as learning spaces and organised teaching arrangements, all contribute to positive learning from a learners' perspective.Learners identified a number of innovative teaching methods and viewed them as positive. These included multi-level learner group tutorials in the practice, being taught by a team of teachers, including GP registrars and other health professionals, and access to a supernumerary GP supervisor (also termed "GP consultant teacher"). Other teaching methods that were viewed positively were parallel consulting, informal learning and rural hospital context integrated learning. CONCLUSIONS Vertical integration of GP education and training generally impacted positively on all levels of learner. This research has provided further evidence about the learning culture, structures and teaching processes that have a positive impact on learners in the clinical general practice setting where there are multiple levels of learners. It has also identified some innovative teaching methods that will need further examination. The findings reinforce the importance of the environment for learning and learner centred approaches and will be important for training organisations developing vertically integrated practices and in their training of GP teachers.This project was supported by a grant from General Practice Education and Training through Coast City Country General Practice Training. This project was approved for conduct by the ANU Human Research Ethics Committee (protocol number 2011/415)

Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women

Background: More research on sustainment of interventions is needed, especially return on investment (ROI) studies to determine cost-benefit trade-offs for effort required to sustain and how much is gained when effective programs are sustained. The ROSE sustainment (ROSES) study uses a sequential multiple assignment randomized (SMART) design to evaluate the effectiveness and cost-effectiveness of a stepwise approach to sustainment of the ROSE postpartum depression prevention program in 90 outpatient clinics providing prenatal care to pregnant women on public assistance. Postpartum depression (PPD) is common and can have lasting consequences. Outpatient clinics offering prenatal care are an opportune place to provide PPD prevention because most women visit while pregnant. The ROSE (Reach Out, Stay Strong, Essentials for mothers of newborns) program is a group educational intervention to prevent PPD, delivered during pregnancy. ROSE has been found to reduce cases of PPD in community prenatal settings serving low-income pregnant women. Methods: All 90 prenatal clinics will receive enhanced implementation as usual (EIAU; initial training + tools for sustainment). At the first time at which a clinic is determined to be at risk for failure to sustain (i.e., at 3, 6, 9, 12, and 15 months), that clinic will be randomized to receive either (1) no additional implementation support (i.e., EIAU only), or (2) low-intensity coaching and feedback (LICF). If clinics receiving LICF are still at risk at subsequent assessments, they will be randomized to either (1) EIAU + LICF only, or (2) high-intensity coaching and feedback (HICF). Additional follow-up interviews will occur at 18, 24, and 30 months, but no implementation intervention will occur after 18 months. Outcomes include (1) percent sustainment of core program elements at each time point, (2) health impact (PPD rates over time at each clinic) and reach, and (3) ROI (costs and cost-effectiveness) of each sustainment step. Hypothesized mechanisms include sustainment of capacity to deliver core elements and engagement/ownership. Discussion: This study is the first randomized trial evaluating the ROI of a stepped approach to sustainment, a critical unanswered question in implementation science. It will also advance knowledge of implementation mechanisms and clinical care for an at-risk population

Patient rationale in selecting androgen deprivation (PRISAD): Do we give patients what they want?

To assess patient rationale in selecting androgen deprivation, structured telephone interviews were conducted on consecutive patients on androgen deprivation over a 17-year period. The majority of these patients have stable disease that require long-term follow-up with 6-monthly PSA estimations. Synchronous PSA check with depot injections are preferred by majority of patients and longer intervals between the depot administrations are preferable due to perceived less needle pain. This study highlights for the first time patients' preferences for synchronous PSA check with their depot injections and a longer interval between the depot administrations due to perceived less needle pain

MakerLab Annual Report 2020

The MakerLab and the Emerging Technology and Experiential Learning Unit team serves the Boise State University students, staff, and faculty. We offer access to emerging technologies, coaching on emerging technologies, and formal instruction on emerging technologies. In 2020, we welcomed a faculty member, a part time staff member, and two new student assistants. We welcomed Associate Professor Yitzhak Yitzy Paul who joined us as a faculty member in August 2020. Marisa Hadley joined us as a part-time instruction assistant also in August 2020. This is in addition to our existing team of Cali Glasgow, Amanda Baschnagel, and Amy Vecchione. This report was written by Cali Glasgow, Amanda Baschnagel, Yitzhak Paul, and Amy Vecchione

Evaluating the health "hubs and spokes" interprofessional placements in rural New South Wales, Australia

Australia has been relatively slow in adopting interprofessional learning (IPL) to prepare health professional students for future collaborative professional practice. A collaborative project between two universities placed senior health professional students in IPL teams in rural southeast New South Wales, Australia, to work on small, locally relevant projects with guidance from locally appointed IPL facilitators. This paper reports on the initial stages of an evaluation of this rural-based IPL intervention using the modified Freeth/Kirkpatrick's 4- level evaluation model. METHODS: Students' responses were collected using a debriefing questionnaire, the Interprofessional Education Perception (IEPS) and Team Performance (TPS) scales. An audience feedback questionnaire was structured around project objectives. RESULTS: Seventy-nine students participated in 33 IPL teams during the evaluation period included in this study. IEPS scores increased with participation (t=2.803; p=0.007). The TPS showed a statistically significant difference between teams (ANOVA, F(31,45) = 1.982, p=0.018) and a trend toward agreement with audience perceptions of team performance. CONCLUSIONS: The evaluation demonstrated positive short-term outcomes suggesting benefits of this applied approach in preparing students to work interprofessionally

Short course montelukast for intermittent asthma in children: a randomised controlled trial

Rationale: In children, intermittent asthma is the most common pattern and is responsible for the majority of exacerbations. Montelukast has a rapid onset of action and may be effective if used intermittently. Objectives: To determine whether a short course of montelukast in children with intermittent asthma would modify the severity of an asthma episode. Methods: Children, aged 2-14 years with intermittent asthma participated in this multicenter, randomized, double-blind, placebo-controlled clinical trial over a 12-month period. Treatment with montelukast or placebo was initiated by parents at the onset of each upper respiratory tract infection or asthma symptoms and continued for a minimum of 7 days or until symptoms had resolved for 48 hours. Measurements and Main Results: A total of 220 children were randomized, 107 to montelukast and 113 to placebo. There were 681 treated episodes (345 montelukast, 336 placebo) provided by 202 patients. The montelukast group had 163 unscheduled health care resource utilizations for asthma compared with 228 in the placebo group (odds ratio, 0.65; 95% confidence interval, 0.47-0.89). There was a nonsignificant reduction in specialist attendances and hospitalizations, duration of episode, and β-agonist and prednisolone use. Symptomswere reduced by 14% and nights awakened by 8.6% (p = 0.043), and days off from school or childcare by 37% and parent time off from work by 33% (p < 0.0001 for both). Conclusions: A short course of montelukast, introduced at the first signs of an asthma episode, results in a modest reduction in acute health care resource utilization, symptoms, time off from school, and parental time off from work in children with intermittent asthma