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Introduction. Perfectionism consists of high standards and hypercritical self-evaluation. Some doctor of physical therapy (DPT) students experience increased stress levels due to rigorous academic expectations. There is limited understanding of how successful these students are at managing increased stress, especially among perfectionists. The purpose was to examine perfectionism among entry-level DPT students and its relationship to perceived stress. Review of Literature. Researchers have studied perfectionism and stress in health professions programs, but not DPT programs. Being a Maladaptive Perfectionist (MP) was positively and strongly associated with stress among health professions students. Subjects. Convenience sample of first-year, second-year, and third-year DPT students (n = 163). Methods. This was a nonexperimental, single-site, cross-sectional study. Investigators used 3-way analysis of variance to compare student characteristics and binomial logistic regressions to determine whether characteristic and/or perceived stress was predictive of perfectionism subtype. They completed bivariate correlations to determine associations between perfectionism and stress. Results. Sample results demonstrated 41.10% Adaptive Perfectionists and 25.15% MPs. There was a moderate, direct association between perceived stress and the perfectionism discrepancy measure (r s =.51, P <.01). The perceived stress and perfectionism subtype logistic regression model was statistically significant, [chi]2(1) = 18.73, P <.01. Participants with increased perceived stress had 1.17 times higher odds of being categorized as an MP than those with lower stress levels. Discussion and Conclusion. Maladaptive Perfectionist students may be at greater risk for stress-related issues. Perfectionism and stress measures may assist educators in identifying at-risk students, monitor student response to stress management interventions, and consider curricular changes to lower stress. Students who effectively manage stress may ultimately have overall greater well-being. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine the relationships among mean combined relative grip strength (MCRGS), the metabolic syndrome (MetS), and the individual MetS criterion using a nationally representative sample of U.S. adults (≥20 years of age). The study sample included subjects from the 2011-2014 National Health and Nutrition Examination Study (NHANES). Subject MCRGS, using an average of 3 attempts per hand, was measured by a trained examiner using a handgrip dynamometer. All anthropometric, blood pressure, and serum blood measures used to diagnose the MetS were obtained in a Mobile Examination Center using a subsample of NHANES subjects (N = 4,664). Results suggest a favorable inverse dose-response relationship exists across quartiles of increased MCRGS and likelihood of MetS in both men and women (p < 0.0001 for trend). In analyses adjusted for age, race, education, and meeting aerobic physical activity recommendations, when compared with a referent group in the lowest quartile of MCRGS (MCRGS <2.66 kg/body mass index [BMI] in men; MCRGS <1.58 kg/BMI in women), those in the third (MCRGS >3.20-3.77 kg/BMI in men; MCRGS >1.99-2.38 kg/BMI in women) and fourth quartile (MCRGS >3.77 kg/BMI in men; MCRGS >2.38 kg/BMI in women), were significantly less likely to have the MetS, independent of gender (p ≤ 0.05 for all). Similar findings varied according to individual MetS criterion. These findings provide the first data suggesting that increased MCRGS may be inversely related to the MetS or the individual MetS criterion in a nationally representative sample of U.S. adults. [ABSTRACT FROM AUTHOR]

Introduction. As students and faculty are increasingly becoming more comfortable with technology, physical therapy programs are using the flipped classroom (FC) to provide an environment more conducive to active and problem-based learning. Most literature on students in graduate level health care professional programs rely on subjective student report. To our knowledge, no studies have compared objective actual student consumption of online content to subjective student perception of online content consumption. Nor have studies explored the relationship between actual online content consumption and classroom performance. In this study, we compared estimated and actual online content consumption as well as its relationship to student performance. We hypothesized that students would inaccurately estimate online content viewing amounts and that a positive correlation would exist between online content consumption and student performance. Methods. Upon completion of a patient mobility training course, 46 year-one physical therapist students estimated their weekly online content consumption. In this cross-sectional study design, we compared these estimations with student usage data provided by an online learning management system. Additionally, we compared examination grades and overall course grades to average weekly viewing times. A Pearson's product moment correlation assessed the relationship between weekly viewing time and student performance. Discriminant ability of weekly viewing time was assessed with receiver operating characteristic curve analyses. Results. At least 40% of the students overestimated their online consumption. Students overestimated their weekly viewing by 63.2%. Weekly viewing time was correlated with percentile class ranks. Discussion and Conclusion. Students chronically overestimated online content consumption. Physical therapy faculty should be aware of discrepancies between objective actual and subjective perceived consumption of online content and may consider implementing an open feedback loop relative to actual preparation for the FC since this study also found a positive relationship between weekly viewing time and student performance. [ABSTRACT FROM AUTHOR]

Objective: To use gender-stratified logistic regression analysis to examine the associations between elevated C-reactive protein (CRP; >3-10 mg/L) and sleep duration.Methods: The study sample included male (n = 5033) and female (n = 4917) adult (20 years old and older) participants in the 2007-2010 National Health and Nutrition Examination Survey. Sleep duration was categorized as short (≤6 hours/day), adequate (7-8 hours/day), or long (≥9 hours/day). Logistic regression models were adjusted for age, race, smoking status, physical activity, and waist circumference.Results: Analysis revealed significantly (P = 0.0151) higher odds of elevated CRP in men reporting ≤6 hours/day of sleep (odds ratio 1.26, 95% confidence interval 1.05-1.52) when compared with a referent group of men reporting 7 to 8 hours/day of sleep. Similar associations were not revealed in women.Conclusions: Short sleep duration was significantly associated with elevated serum CRP concentration independent of waist circumference and moderate physical activity in men but not in women. [ABSTRACT FROM AUTHOR]

The article presents a synthesis on the peer-reviewed evidence to clarify the modes of polyethylene glenoid component failure (GCF) in total shoulder arthroplasty, and suggests strategies for addressing each of these modes. Based on the synthesis, it has been observed that GCF occurred when its component failed to replicate essential properties of the normal glenoid articular surface. The synthesis also showed that there is little progress in strategies for reducing the risk of GCF.