CHP Research Publications

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    Associations between the dietary inflammatory index and sleep metrics in the Energy Balance Study (EBS)
    (MDPI, 2023-01-13) Farrell, Emily T.; Wirth, Michael D.; McLain, Alexander C.; Hurley, Thomas G.; Shook, Robin P.; Hand, Gregory A.; Hébert, James R.; Blair, Steven N.
    (1) Background: Sleep, a physiological necessity, has strong inflammatory underpinnings. Diet is a strong moderator of systemic inflammation. This study explored the associations between the Dietary Inflammatory Index (DII®) and sleep duration, timing, and quality from the Energy Balance Study (EBS). (2) Methods: The EBS (n = 427) prospectively explored energy intake, expenditure, and body composition. Sleep was measured using BodyMedia’s SenseWear® armband. DII scores were calculated from three unannounced dietary recalls (baseline, 1-, 2-, and 3-years). The DII was analyzed continuously and categorically (very anti-, moderately anti-, neutral, and pro-inflammatory). Linear mixed-effects models estimated the DII score impact on sleep parameters. (3) Results: Compared with the very anti-inflammatory category, the pro-inflammatory category was more likely to be female (58% vs. 39%, p = 0.02) and African American (27% vs. 3%, p < 0.01). For every one-unit increase in the change in DII score (i.e., diets became more pro-inflammatory), wake-after-sleep-onset (WASO) increased (βChange = 1.00, p = 0.01), sleep efficiency decreased (βChange = −0.16, p < 0.05), and bedtime (βChange = 1.86, p = 0.04) and waketime became later (βChange = 1.90, p < 0.05). Associations between bedtime and the DII were stronger among African Americans (βChange = 6.05, p < 0.01) than European Americans (βChange = 0.52, p = 0.64). (4) Conclusions: Future studies should address worsening sleep quality from inflammatory diets, leading to negative health outcomes, and explore potential demographic differences.
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    How therapists act: Combining major approaches to psychotherapy and the adaptive counselling and therapy model
    (Taylor & Francis, 1995) Nance, Don W.
    In this edited casebook, therapists identified with major theoretical approaches demonstrate how they use the Adaptive Counselling and Therapy ACT Model in combination with their preferred theoretical perspective. Differences in each therapist's tone and approach are captured in six case chapters. Weaving the integrative thread of ACT throughout the tapestry of cases, this text combines illustrative material from specific theoretical approaches.; A major focus of the volume involves combining ACT with Cognitive Behaviour Therapy, Humanistic Psychotherapy, Systems Theory, Time-Limited Psychodynamic Counselling and Eclectic Counselling for women and men.; Serving as a text for graduate-level methods and theory courses in counselling, psychology, mental health counselling and counselling guidance, this book can also be used as a resource for practitioners in the same areas. It emphasises tasks, readiness, and adapting therapist behaviour and treatments to each client.
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    McCune Albright Syndrome
    (Kansas Journal of Medicine, 2020-02-28) Jibbe, Nada; Jibbe, Atieh; Rajpara, Anand
    A ten-year-old female presented to our dermatology clinic with her mother, our patient, at which time we incidentally noted a large light brown patch on the daughter’s cheek (shown above). The girl was a fifth grader in elementary school. On physical exam, a large brown smooth patch with jagged borders consistent with a caféau-lait patch was noted on the right cheek. The lesion was present since birth, was asymptomatic, and had grown in proportion with her growth overtime.
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    Effects of lower-leg training with CLX bands on balance, strength, and mobility in older women
    (Lippincott Williams & Wilkins, 2018-05) Rogers, Michael E.; Rogers, Nicole L.
    Weakness in the lower-leg, particularly the tibialis anterior, can negatively impact balance and mobility, and thus exacerbate the risk for falls. Although a variety of interventions have been shown to improve strength and balance, such programs often require extensive time and trained professionals. Furthermore, targeting the muscles of the lower-leg is difficult using traditional resistance exercises. The advent of CLX elastic bands with their continuous-loop design has made it easier to perform such exercises. However, the efficacy of such training is unknown. PURPOSE: The purpose of this study was to determine if performing two lower-leg exercises using CLX bands for short periods of time (10 min) each day in a home-based setting improves strength, balance, and mobility in older women.
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    Changes in cortisol levels with an aquatic resistance workout versus a weight workout
    (Lippincott Williams & Wilkins, 2018-05) Colado, Juan C.; Triplett, N. Travis; Flandez, Jorge; Madera, Joaquin; Tella, Victor; Rogers, Nicole L.; Rogers, Michael E.
    Aquatic resistance training could be an effective type of strength training. However, the response of cortisol to aquatic exercise versus training with traditional weights has not been determined. PURPOSE: To compare the response of cortisol during similar resistance training protocols performed in an aquatic medium versus traditional weights.