Clinical Scenario People from different cultures, races, ethnicities, genders, sexualities, and other social locations have different beliefs about illness and different needs and preferences when it comes to receiving health care. Cultural competence in health care can generally be defined as the
Miranda Brunett and René Revis Shingles
Ítalo R. Lemes, Rômulo A. Fernandes, Bruna C. Turi-Lynch, Jamile S. Codogno, Luana C. de Morais, Kelly A.K. Koyama and Henrique L. Monteiro
.4, €1.9, and €4.8 million in Germany, Spain, and Italy, respectively. In addition, this estimate is expected to rise by 59%, 179%, and 157% by 2020. 12 Although there are few studies investigating health care expenditures directly related to MetS, several studies have investigated the economic burden
D. Enette Larson-Meyer, Kathleen Woolf and Louise Burke
Nutrition assessment is a necessary first step in advising athletes on dietary strategies that include dietary supplementation, and in evaluating the effectiveness of supplementation regimens. Although dietary assessment is the cornerstone component of the nutrition assessment process, it should be performed within the context of a complete assessment that includes collection/evaluation of anthropometric, biochemical, clinical, and environmental data. Collection of dietary intake data can be challenging, with the potential for significant error of validity and reliability, which include inherent errors of the collection methodology, coding of data by dietitians, estimation of nutrient composition using nutrient food tables and/or dietary software programs, and expression of data relative to reference standards including eating guidance systems, macronutrient guidelines for athletes, and recommended dietary allowances. Limitations in methodologies used to complete anthropometric assessment and biochemical analysis also exist, as reference norms for the athlete are not well established and practical and reliable biomarkers are not available for all nutrients. A clinical assessment collected from history information and the nutrition-focused physical exam may help identify overt nutrient deficiencies but may be unremarkable in the well-trained athlete. Assessment of potential food-drug interactions and environmental components further helps make appropriate dietary and supplement recommendations. Overall, the assessment process can help the athlete understand that supplement intake cannot make up for poor food choices and an inadequate diet, while a healthy diet helps ensure maximal benefit from supplementation. Establishment of reference norms specifically for well-trained athletes for the nutrition assessment process is a future research priority.
Sarah Daniels, Gabriela Santiago, Jennifer Cuchna and Bonnie Van Lunen
Clinical Scenario Therapeutic ultrasound (US) is a popular modality among health care professionals and is used to treat a variety of musculoskeletal conditions. 1 Throughout the past 70 years of clinical use, 2 US has been shown to be an effective way to decrease pain, 2 , 3 increase tissue
Nicole Cascia, Tim L. Uhl and Carolyn M. Hettrich
-ending injury, it is imperative that the best treatment option is provided to these professional throwing athletes. Immediate and long-term RTP rates after conservative management of partial UCL injuries can help guide health care providers in deciding the best treatment in professional throwing athletes
Promoting bicycling has great potential to increase overall physical activity; however, significant uncertainty exists with regard to the amount and effectiveness of investment needed for infrastructure. The objective of this study is to assess how costs of Portland’s past and planned investments in bicycling relate to health and other benefits.
Costs of investment plans are compared with 2 types of monetized health benefits, health care cost savings and value of statistical life savings. Levels of bicycling are estimated using past trends, future mode share goals, and a traffic demand model.
By 2040, investments in the range of $138 to $605 million will result in health care cost savings of $388 to $594 million, fuel savings of $143 to $218 million, and savings in value of statistical lives of $7 to $12 billion. The benefit-cost ratios for health care and fuel savings are between 3.8 and 1.2 to 1, and an order of magnitude larger when value of statistical lives is used.
This first of its kind cost-benefit analysis of investments in bicycling in a US city shows that such efforts are cost-effective, even when only a limited selection of benefits is considered.
Coaches play an extremely valuable role in a profession that offers the opportunity to help develop young people. The purpose of this study, which assessed the state of coaching education, was two-fold: 1) to determine coaching education knowledge and skills in meeting the National Coaching Standards, and 2) to determine the application of effective coaching principles in meeting the National Coaching Standards. An email containing a website link for an online survey was sent to all athletic directors in Kansas middle and high schools asking them to forward the website link to all coaches they worked with. A total of 1,414 surveys were returned. The current state of coaching education assessment listed the national coaching standards developed by NASPE and used a Likert scale to ask how prepared and successful the coaches are in meeting the standard. Results of the survey indicated that coaches feel highly prepared and successful in the following coaching standard topics: teaching positive behavior (Standard 2), demonstrating ethical conduct (Standard 4), environmental conditions (Standard 7), positive learning environments (Standard 19), and skills of the sport (standard 27). Coaches indicated that they felt least prepared and least successful in the following standards: coordinated health care program (Standard 10), psychological implications (Standard 11), conditioning based on exercise physiology (Standard 12), teaching proper nutrition (Standard 13), conditioning to return to play after injury (Standard 15), mental skill training (Standard 24), managing human resources (Standard 32), managing fiscal resources (Standard 33) and emergency action plans (Standard 34). Findings from the study can be used to direct coaching education in the areas coaches feel they are less prepared and less successful.
Janet E. Fulton, David M. Buchner, Susan A. Carlson, Deborah Borbely, Kenneth M. Rose, Ann E. O’Connor, Janelle P. Gunn and Ruth Petersen
Heart disease, cancer, stroke, and diabetes are leading causes of death in the United States. 1 Nearly half of adults live with a chronic disease. 2 The United States spends more than 80% of health care dollars on people with chronic medical conditions. 2 Physical activity can reduce the risk of
Kellie C. Huxel Bliven
mission within our ever-evolving health care arena. Together with JSR ’s Editorial Board and Human Kinetics, I will challenge us to conduct an in-depth analysis and create a strategic plan that further establishes JSR as the “go-to” resource in sport rehabilitation. Ideas I will ask all stakeholders to
Jenny H. Conviser, Amanda Schlitzer Tierney and Riley Nickols
with Eating Disorders,” 3rd ed., by Yager et al., 2012. American Psychiatric Association. Mental Health Care Provider A licensed mental health care provider (MHCP) is a vital member of the MDTT. The MHCP should be a licensed psychologist, social worker, or counselor. The MHCP provides individual, group