The Effects of a Single Bout of Soccer Heading of Single and Dual-Task Tandem Gait in Collegiate Recreationally Active Individuals

Introduction: The understanding of subconcussive impacts is limited with few assessments to determine effects in a recreationally active population due to existing tests being static and unidimensional. Methods: This study investigated the effects of 10 soccer headers on pre and post-test measurements of patient reported outcome measures and single and dual-task tandem gait of 12 recreationally active college-aged participants. Results: No changes due to the heading session were observed; however, there was a detectable learning effect with participants walking faster and committing more gait errors but less cognitive errors. Conclusion: A bout of soccer heading may not pose an immediate risk to dynamic postural control and cognitive function.

ADHD and DIRAS Single Nucleotide Polymorphism as an Indicator of Prolonged Concussion Recovery

The purpose of this study was to determine the association between the presence of a single nucleotide polymorphism (SNP; rs1412005) within DIRAS2 (i.e., a gene associated with attention-deficit/hyperactivity disorder (ADHD) and prolonged recovery following a sport-related concussion. A case-control study design was implemented, where cases and controls were selected from a cohort of 117 deidentified concussed athletes. Eleven samples from this patient cohort self-reported ADHD diagnosis and were age and sex-matched to 22 participants with no self-reported ADHD diagnoses. The average recovery times were 21.50 + 13.96 days and 15.66 + 8.50 days for the case and control groups, respectively. The authors found that only 13.6% of the individuals without an ADHD diagnosis recovered in > 30 days (p = 0.044). Also, the authors found that 72.7% of the carriers of the T allele (i.e., minor allele) recovered in greater than 30 days (p = 0.213). Researchers concluded that individuals with ADHD had a higher risk of prolonged concussion recovery lasting greater than 30 days. Also, carrying the rare allele was associated with prolonged recovery, which suggests this SNP could be a potential genetic marker for both prolonged concussion recovery and the presence of ADHD.

Vision Payment Claims Analyses with Health Insurance

The purpose of this study was to identify associations between insurance type and costs and to investigate specified variables’ influence on individuals’ access to adequate coverage. This was a cross sectional study, using secondary data analyses. The study was completed at The Eye Institute (TEI) East Oak Lane Campus in Philadelphia, PA. The study population was all patients seen at TEI East Oak Lane Campus, specifically patients seen at TEI clinic from January 1st, 2019, - to December 31st, 2019, whose encounter generated an insurance claim (n=68,484). The exposure was insurance type and outcomes were patient total amount, billed amount, and pay amount by patient. Data analyses were performed using SAS, version 9.4. In all statistical analyses, p-values were one-sided and considered statistically significant if 0.05 or lower. The study protocol was approved by the Institutional Review Boards of Salus University. The sample represented an older population with an average age of about 55. There was a significant association found between financial class with patient total amount (p<0.0001), billed amount(p<0.0001), and pay amount (p<0.0001). People with managed PPO pay the least, while those on Medicaid and workers compensation pay the most out of pocket. The two Philadelphia zip codes which pay the most out of pocket have two of the lowest average household incomes in the Greater Philadelphia area. Insurance type and out of pocket expenses potentially have a negative effect on patient vision health and affordability of care as well as access to care. These findings contribute to the identification of variables that influence individual’s healthcare accessibility and evidence for opportunities to improve insurance coverage.

The long term effects of outdoor air pollution in urban environments on cardiovascular health: a global review

The effect of air pollution on health is listed as a significant cause of death worldwide. Slightly over 3 million deaths per year are due to outdoor air pollution. Studies have shown that short term increases in exposure to particulate matter have increased the risk of cardiovascular diseases such as myocardial infarction, stroke, and heart failure. However, less is known about the longer term effects of air pollution on various cardiovascular diseases. The American Heart Association formally recognized PM2.5 as a significant cardiovascular risk factor in 2010. Since then, more prolonged term exposure to air pollution has been suggested to cause chronic cardiometabolic and cardiovascular problems. The effects of long term (>3 years) air pollution are significant, but not as much is known about how location affects this exposure. Associations with cardiovascular diseases and their risk factors are often increased in urban settings, which is attributed to a higher concentrations of outdoor air pollution, independent of ethnic groups and seasonal changes. Potential causes of long term air pollution concentrations in cities or metropolitan areas come from traffic exposure and traffic intensity. The Environmental Protection Agency and United Nations have suggested changes in air quality standards, implementation plans, and ways to reduce vehicle emissions specifically to improve human health and reduce the adverse effects of air pollution; however, more work still needs to be done. This review assesses the impact of the global long term (>3 years) air pollution exposure, specifically in urban environments on cardiovascular health and disease.

Social media use and physical activity participation in college students: An exploratory analysis

Social media has become a part of a college student’s environment, highlighting the importance of investigating the role that social media may play in PA participation and other health behaviors. Purpose: To describe social media use and physical activity (PA) participation in a sample of college students and explore relationships between social media and PA, including health and fitness social media. Methods: College students (age 18-29 years) enrolled at a four-year university completed an online questionnaire regarding self-reported social media use and PA participation. Independent sample t-tests were used to compare PA outcomes between those that follow health and fitness accounts and those who do not. A multiple linear regression model was used to examine associations between social media use and PA. Results: Two hundred and ninety-two students completed the questionnaire (63.72% female, 63.61% white, BMI 24.14±4.25 kg/m2). There was no difference in PA participation between those that do and do not follow health and fitness social media in moderate (p=0.17) or vigorous intensity PA (p=1.0) when controlling for confounding variables. Spending 1-2 hours/day (p=0.02) or 3-4 hours/day (p=0.01) on social media compared to <1 hour/day and accessing social media in the evening (p=0.04) are associated with lower moderate PA. Conclusions: Following health and fitness social media may not have the intended impact on college student PA. Further research needs to be done to assess the most effective and impactful strategies for content delivery via social media to increase PA behavior.

Child Sexual Abuse Recurrence: A Narrative Review

Child sexual abuse recurrence can have a detrimental and devastating effect on victims. Less is known, however, about the risk and protective factors associated with child sexual abuse recurrence. In order to better understand these risk and protective factors, a narrative review was conducted of the current literature. Academic databases, cited references, and reference lists were searched for peer-reviewed research that focused on sexual abuse recurrence prior to age 18 years. The risk and protective factors identified in the literature were organized into four a priori categories based on an ecological systems framework: child, characteristics of the maltreatment, family, and community/social systems. Examples of risk factors at each level were child mental health concerns (child), the perpetrator being the mother’s significant other (characteristics of the maltreatment), parental history of sexual abuse (family), and active or prior child welfare involvement (community/social systems). Only two protective factors were identified, both regarding the family: family social support and a parent believing the child’s report of the initial victimization. There were mixed or inconclusive findings for several factors. Overall, the review indicates that tertiary prevention, including child-, caregiver-, and perpetrator-focused strategies, should be employed to mitigate the risk factors and enhance the protective factors for child sexual abuse recurrence. Further research is needed to address protective factors and community/social systems factors and could, building on this narrative review, involve a systematic review of the child sexual abuse recurrence literature.

Healthcare Reform: Implications for Mental Health in Rural America

Rural communities are significantly impacted by mental health and substance use disorders. Reform is needed to solve these issues. The Biden Administration’s Public Option and Representatives Pramila Jayapal and Debbie Dingell's Medicare for All Act of 2021 aim to improve the United State’s health care system. While each of these pieces of legislation are steps in the right direction, additional investment is needed in mental health infrastructure in order to make meaningful improvements in rural communities.