scholarly journals Portability of United States Athletic Training Education in an International Setting

2018 ◽  
Vol 13 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Hideyuki Izumi ◽  
Masaaki Tsuruike

Context: United States-educated athletic trainers (ATs) are expected to have more opportunities in the international environment as the number of mutual recognition agreements grows. However, no information is available from existing studies regarding the portability of current US athletic training education in an international environment. Objective: To determine if there are differences in the practices and perceptions of ATs' tasks between US-educated Japanese ATs and Japan-educated Japanese ATs. Design: Cross-sectional study. Setting: Analysis of secondary datasets from the Global Practice Analysis Survey. Patients or Other Participants: Two hundred seventeen Japanese ATs in Japan, of whom 34 were educated in the United States and 183 completed the required coursework to be certified by Japan Sports Association. Main Outcome Measure(s): Fisher exact tests were used (P < .05) to determine the difference in each of 24 task ratings in terms of the criticality, importance, and frequency dimensions between the 2 groups. Further, Spearman's ranked correlation, in which rankings were based on the average score of 4-point Likert scales (P < .05), were used to compare priorities regarding the 24 tasks between the 2 groups. Results: Differences were identified for only 2 tasks among 72 (24 tasks for 3 dimensions) in task-level evaluations. The correlation coefficients were as follows: criticality = 0.92 (P < .01), importance = 0.93 (P < .01), and frequency = 0.92 (P < .01). Conclusions: There were negligible differences in the practice patterns and perceptions between those trained in Japan and those who were US trained, indicating that US athletic training education prepares Japanese students well to work in Japan and may be portable internationally.

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000012225
Author(s):  
Conall Francoeur ◽  
Matthew J Weiss ◽  
Jennifer M Macdonald ◽  
Craig Press ◽  
David Matthew Greer ◽  
...  

Objective:To determine the variability in pediatric death by neurologic criteria (DNC) protocols between US pediatric institutions and compared to the 2011 DNC guidelines.Methods:Cross-sectional study of DNC protocols obtained from pediatric institutions in the United States (US) via regional organ procurement organizations. Protocols were evaluated across five domains: general DNC procedures, prerequisites, neurologic examination, apnea testing and ancillary testing. Descriptive statistics compared protocols to each other and the 2011 guidelines.Results:One hundred and thirty protocols were analyzed with 118 dated after publication of the 2011 guidelines. Of those 118 protocols, identification of a mechanism of irreversible brain injury was required in 97%, while 67% required an observation period after acute brain injury before DNC evaluation. Most protocols required guideline-based prerequisites such as exclusion of hypotension (94%), hypothermia (97%), and metabolic derangements (92%). On neurologic examination, 91% required a lack of responsiveness, 93% no response to noxious stimuli, and 99% loss of brainstem reflexes. 84% of protocols required the guideline-recommened two apnea tests. CO2 targets were consistent with guidelines in 64%. Contrary to guidelines, fifteen percent required ancillary testing for all patients and 15% permitted ancillary studies that are not validated in pediatrics.Conclusionsand Relevance: Variability exists between pediatric institutional DNC protocols in all domains of DNC determination, especially with respect to apnea and ancillary testing. Better alignment of DNC protocols with national guidelines may improve the consistency and accuracy of DNC determination.


Author(s):  
Heather Mechler ◽  
Kathryn Coakley ◽  
Marygold Walsh-Dilley ◽  
Sarita Cargas

In recent years, researchers have increasingly focused on the experience of food insecurity among students at higher education institutions. Most of the literature has focused on undergraduates in the eastern and midwestern regions of the United States. This cross-sectional study of undergraduate, graduate, and professional students at a Minority Institution in the southwestern United States is the first of its kind to explore food insecurity among diverse students that also includes data on gender identity and sexual orientation. When holding other factors constant, food-insecure students were far more likely to fail or withdraw from a course or to drop out entirely. We explore the role that higher education can play in ensuring students’ basic needs and implications for educational equity.


2021 ◽  
Vol 3 (9) ◽  
pp. e0523
Author(s):  
Maria K. Abril ◽  
David M. Berkowitz ◽  
Yunyun Chen ◽  
Lance A. Waller ◽  
Greg S. Martin ◽  
...  

2021 ◽  
pp. 151517
Author(s):  
Janell L. Mensinger ◽  
Heather Brom ◽  
Donna S. Havens ◽  
Alexander Costello ◽  
Christine D’Annunzio ◽  
...  

Ophthalmology ◽  
2011 ◽  
Vol 118 (1) ◽  
pp. 184-190 ◽  
Author(s):  
Quan Dong Nguyen ◽  
Elham Hatef ◽  
Brian Kayen ◽  
Cynthia P. Macahilig ◽  
Mohamed Ibrahim ◽  
...  

Author(s):  
Faraz Kureshi ◽  
Ali Shafiq ◽  
Suzanne V Arnold ◽  
Kensey Gosch ◽  
Tracie Breeding ◽  
...  

Background: Eliminating angina is a primary goal in the management of chronic coronary artery disease (CAD). There are few data quantifying the prevalence, severity and intensity of angina treatment in contemporary cardiology practice in the United States. Methods: Leveraging the ACC PINNACLE registry, we conducted a cross-sectional study across 23 US outpatient cardiology clinics to examine the burden and management of angina in patients with stable CAD. Angina was assessed using the Seattle Angina Questionnaire (SAQ) angina frequency (AF) domain score and categorized as daily/weekly (SAQ AF < or = 60), monthly (score 61-99), and no (score =100) angina. At each site, we examined the proportion of patients with daily/weekly (frequent) angina and the proportion of patients with frequent angina who were treated with optimal medical treatment (> 2 anti-anginal medications). Results: Among 1154 patients from 23 sites, 8.0% (n=93) reported daily/weekly angina, 24.3% (n=280) monthly angina, and 67.7% (n=781) no angina. The proportion of patients with frequent angina at each site ranged from 2.0-24.0%. Among these patients, 53.8% (n=50) were on optimal medical treatment, with wide variability noted across sites (0%-100%; Figure). Conclusion: Nearly a third of CAD outpatients followed by cardiologists report angina, with 8.0% having frequent symptoms. Among frequent angina patients, just over half were on optimal medical management with wide variability across sites, suggesting important opportunities to improve care in chronic CAD.


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