Blended learning is a hybrid of classroom and on-line learning that includes some of the conveniences of on-line courses without the complete loss of face-to-face tact. Purpose: The purpose of this study was to evaluate student achievement and satisfaction with blended learning course delivery compared to a traditional face-to-face class format in a general health course. Method: Surveys were distributed to randomly selected classes during the fall 2007 semester: three blended and one traditional sections participated (n=251). Results: Total satisfaction scores between blended (54.986) and traditional (49.788) classes were significantly different (p< 0.01). Achievement by students of blended and traditional sections brought mixed findings, yet blended students’ overall grades were significantly higher (p=0.048). Conclusion: Results indicated that a blended course delivery is preferred over a traditional lecture format, and promising data emerged to challenge teachers’ traditional approach to teaching general health courses at the university level.

This study aimed to characterize running-related injuries (RRIs), explore their relationship with run and resistance training (RT) parameters, and identify perceived prevention measures among adult recreational runners. An anonymous online survey was designed and distributed via social media and email. Data were analyzed with chi-square, t-test, or analysis of variance (ANOVA), with significance accepted at p ≤ 0.05. Data from 616 participants (76.8% female, age: 42.3 ± 10.5 y) were analyzed. Most runners (84.4%) had an injury history, with 44.6% experiencing one in the past year. The most common RRI sites included the foot/ankle (30.9%) and knee (22.2%). RRI prevalence was higher in those running >19 miles weekly (48.4%, p = 0.05), but there were no differences based on RT participation status. Among those using RT, relatively more RRIs were observed in runners who trained the hip musculature (50.3%, p = 0.005) and did not include the upper body (61.6%, p < 0.001). A disproportionately high RRI prevalence was found for several of the other risk-reduction strategies. RRIs remain a substantial problem, particularly around the ankle/foot and knee. Higher run volume and performance motives were positively associated with RRIs. Most runners incorporated RRI risk-reduction techniques, with over half using RT. The current study did not determine whether preventative strategies were implemented before or after injury; therefore, prospective studies controlling for previous injuries are required to evaluate the effectiveness of RT in preventing future RRIs.

State-level COVID-19 vaccination rates among older adults have been uneven in the United States. Due to the immunocompromised nature of older adults, vaccine hesitancy increases the risk of morbidity and mortality. This study aims to determine the association between the social determinants of health, the structural determinants of health, and COVID-19 vaccine hesitancy among older adults in the United States. Secondary data from the Health and Retirement Study (HRS) dataset were used. A descriptive analysis and multinomial multivariable logistic regression were performed to examine the association of the independent variables—gender, age, race, immigration status, marital status, broadband internet access, social security income, Medicare coverage, education, and frequency of religious service—with the dependent variable, vaccine hesitancy. Compared to the respondents with no vaccine hesitancy and without the specific predictor, the respondents who reported religious attendance at least once/week were more likely to be “somewhat hesitant”, divorced respondents had higher odds of being “somewhat hesitant”, and older adults aged 65–74 years were more likely to be “very hesitant” or “somewhat hesitant” about the COVID-19 vaccine. Compared to the respondents with no vaccine hesitancy and without the specific predictor, females had higher odds of being “very hesitant”, “somewhat hesitant”, or a “little hesitant”, and African Americans were more likely to be “very hesitant”, “somewhat hesitant”, or a “little hesitant” about the COVID-19 vaccine. Addressing these factors may limit the barriers to vaccine uptake reported among older adults and improve herd immunity among the immunocompromised population.

Background: Physician burnout has become a critical issue in healthcare, particularly among emergency medicine physicians, who face unique stressors that can compromise their well-being and quality of life. This study investigates the relationship between burnout and quality of life in emergency medicine physicians and how these factors influence their intent to remain in practice. Methods: In August 2024, a survey was distributed to 103 emergency physicians to assess burnout using the Maslach Burnout Inventory and quality of life using the World Health Organization Quality of Life—BREF survey. Demographic information and intentions regarding their continued practice in emergency medicine were also collected. Statistical analyses, including independent samples t -test, Pearson’s correlation and multiple regression, were performed to examine relationships among variables. Results: Most respondents (77.7%) were identified as being at high risk for burnout. Most physicians reported a high quality of life despite significant burnout rates, with the lowest score being psychological health ( M = 66.24, SD = 18.97) while the highest being physical health ( M = 76.06, SD = 13.38). There was a statistically significant association between all burnout domains and the quality of life subgroups. Emotional exhaustion showed a strong negative correlation with psychological health ( r = −0.634, P < 0.01) and social relationships ( r = −0.358, P < 0.01). At the same time, personal accomplishment correlated positively with both psychological health ( r = 0.525, P < 0.01) and social relationships ( r = 0.317, P < 0.01). A statistically significant negative correlation existed between emotional exhaustion and depersonalization and the physician’s years of intended practice ( r = −.127, P = .010). Using multiple linear regression, physical and psychological health significantly predicted emotional exhaustion and psychological health significantly predicted depersonalization. Conclusion: This study highlights the high prevalence of burnout among emergency medicine physicians and its significant impact on their quality of life and professional intentions. Furthermore, physical and psychological quality of life substantially influences emotional exhaustion and depersonalization. The findings underscore the need for comprehensive interventions to address burnout and enhance well-being in this demanding specialty to promote retention and improve patient care.

Background: About 47% of children < 5 years of age are stunted in Guatemala. In this study, the investigators aimed to compare growth and cognitive outcomes between children in second grade that attended five Guatemala City Municipal Nurseries (GCMN) vs. same sex, grade, and age-matched children. Methods: A cross-sectional design nested in a retrospective cohort was implemented between 2015 and 2019. Children that attended the GCMN and matched controls completed a math test and validated receptive language and fluid intelligence tests. The primary caregivers completed a sociodemographic survey. General and generalized linear mixed effect models were used to compare children that attended the GCMN vs. controls. The models were adjusted by maternal education, sex, asset score, and other relevant covariates. Results: Children that attended the GCMN exhibited greater math and fluid intelligence scores relative to the controls in the adjusted models (ß = 6.48; 95% CI (2.35–10.61)) and (ß = 1.20; 95% CI (0.12–2.29)), respectively. Lower odds of stunting were significant for children who went to any early childcare institution (AOR = 0.28; 95% CI (0.09–0.89)). Conclusions: The importance of integrating nutrition and high-quality early childhood education interventions in cognitive and growth outcomes is highlighted in this study. The GCMN model may be a scalable model in similar low-resource settings.

Physician quality of life is a critical factor influencing overall health, wellness, occupational stress, and burnout.  Exercise has been demonstrated to enhance quality of life through multiple mechanisms, positively impacting physical, psychological, and social health domains.  The objective of this study was to examine the exercise habits of emergency medicine physicians and their association with quality of life.  A quantitative, non-experimental, cross-sectional design was employed to study 103 attending emergency medicine physicians.  Participants completed an online questionnaire comprising the International Physical Activity Questionnaire (IPAQ) and the World Health Organization Quality of Life BREF (WHOQOL-BREF) survey to assess physical activity levels and quality of life, respectively.  There was no significant difference between compliance with moderate and vigorous physical activity and quality of life across domains.  However, strength training compliance was statistically significant (p = 0.041) and correlated with improved physical health and quality of life scores.  Quality of life among this cohort was slightly elevated in the physical health domain but lower in psychological, social, and environmental health domains compared to population averages.  Furthermore, age and the number of hours worked per week were not statistically different in any quality of life domains. Exercise compliance among emergency physicians showed no statistically significant impact on quality of life, except for strength training, which was found to significantly enhance the physical health domain of quality of life.