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IMPROVING SEPTIC PATIENT OUTCOMES THROUGH A NURSE-LED QUALITY IMPROVEMENT PROJECT IN A RURAL, MIDWESTERN HOSPITAL
Get PDFSepsis is a complex and costly problem that continues to afflict hospitals across the globe (Napolitano, 2018). If it is not identified quickly and treated promptly, sepsis will progress to septic shock and create an increased risk of mortality (Napolitano, 2018). The best way to improve patient outcomes is through early detection and precise treatment (Rello, Valenzuela-Sánchez, Ruiz-Rodriguez, & Moyano, 2017). Through staff education and clinical decision tools, such as checklists, septic patients are more likely to have a favorable outcome (Storozuk, MacLeod, Freeman, & Banner, 2019). The purpose of this DNP project was to decrease fluid resuscitation fallouts and sepsis-related deaths by enhancing the education provided to nursing staff regarding the early warning signs of sepsis and providing a comprehensive checklist to help standardize care for septic patients admitted to the acute care unit at a rural midwestern hospital. Education regarding sepsis early warning signs and current sepsis protocols was provided to the acute care unit nursing staff through an in-person PowerPoint presentation. A comprehensive sepsis checklist was also implemented to standardize care for patients with sepsis. Using a quasi-experimental design, sepsis case fatality rates and fluid resuscitation pre-and post-intervention were examined. There was not a significant difference in sepsis case fatality rates (p = .98) or fluid resuscitation fallout rates pre-and post-intervention (p = .68). This project was implemented within a year of the COVID-19 pandemic, which likely impacted the results. While the results of this DNP project were not statistically significant, previous research does support the use of a sepsis checklist and nursing education
Poetic Commodities: Exploration of the Familial Impacts and History of Indigenous Food Insecurity in “Why I Hate Raisins”
Get PDFThis essay looks at Natalie Diaz\u27s poem Why I Hate Raisins and the historical and contemporary implications of Native American reliance on government commodity programs
ISBS 2022 CONFERENCE PROCEEDINGS TITLE AND FOREWARD
Get PDFThe ISBS is an international society totally dedicated to biomechanics in sports, whose primary purposes are: To provide a forum for the exchange of ideas for sports biomechanics researchers, coaches and teachers. To bridge the gap between researchers and practitioners. To gather and disseminate information and materials on biomechanics in sports.
Papers underwent a double blinded review process. Each paper in these proceedings has been reviewed by at least two members of the scientific committee
COMPARISON OF THE ACCURACY OF THREE WRIST-WORN TRACKING DEVICES WHEN MEASURING HEART RATE DURING AEROBIC EXERCISE
Get PDFThe study aimed to assess the accuracy of the three wrist-worn heart rate monitors compared with a chest strap monitor at different aerobic exercise levels. Ten college students completed a three-level incremental load training on the elliptical machine with different brands of wrist-worn tracking devices including the Apple Iwatch7, Huawei Runner and Garmin 945. Polar H10 was used to measure HR as the gold standard. Huawei Runner showed the best agreement with Polar H10 (r = 0.981) followed by the Apple Iwatch (r = 0.973), the Garmin 945 was the most imprecise device (r= 0.866) when exercising on elliptical trainer. The paired relative error showed the best correlation between the Apple Iwatch7 and polar H10 both during exercise at 0.0 (± 0.5) and during resting at -0.1 (± 0.4). The mean output value ratio of Apple Iwatch7 was 78.10% (± 13.30%), while there wasn’t the missing HR data in the Huawei and Garmin devices. There was no significant difference between left and right hands. The Apple and Huawei devices measured HR with acceptable accuracy during aerobic exercise. While the proportion of missing HR data of Apple Iwatch is more than 20% during exercise in order to ensure the accuracy of measurement by deleting potentially problematic data automatically. This problem needs to be considered for high-precision continuous monitoring scenarios
TRANSFERABILITY OF A PREVIOUSLY VALIDATED IMU SYSTEM FOR LOWER EXTREMITY KINEMATICS
Get PDFThis study tested transferability and validity of an Inertial Measurement Unit (IMU) system for estimation of lower limb kinematics. Peak hip, knee, and plantarflexion angles and sagittal plane range of motion (ROM) were compared during body weight squats (BWSQ) and countermovement jumps (CMJ) in 16 participants using root mean square error (RMSE) and intraclass correlation coefficients (ICC). RMSE wa
A COMPARISON OF SPRINT TECHNIQUE BETWEEN PROFESSIONAL FOOTBALL PLAYERS AND ELITE SPRINTERS
Get PDFThis study compared sprint technique between professional footballer players and elite sprinters. Professional football players sprint technique was assessed using 2D video analysis and compared to publicly available data of elite sprinters from the IAAF biomechanical reports. Results showed sprinters had higher step frequencies and contacted the ground further back, with lower touchdown and higher toe-off distances
BIOMECHANICAL ANALYSIS OF ACCELERATION LADDERS WITH VARYING STEP DISTANCES
Get PDFThis study assessed select kinetics and kinematics of each of the first three steps of the acceleration phase of sprinting using three different acceleration ladders. Subjects (N=15) performed sprints using acceleration ladders with short, medium, and long rung spacing, over two large force platforms. Multi-factorial repeated measure ANOVAs were used to assess horizontal and vertical ground reaction force (GRF), the ratio of horizontal to vertical GRF, the duration of vertical GRF, time between steps, distance between steps, and velocity between steps and across all steps. Main effects were significant (p ≤ 0.05) for all variables except time. Post-hoc analysis identified a variety of differences in the dependent variables in the analysis of steps, test condition and their interaction (p ≤ 0.05). Results show that greater velocity is attained with ladders that have longer step distances
SPATIOTEMPORAL AND JOINT KINEMATIC DIFFERENCES BETWEEN FOOTSTRIKE PATTERNS IN MALE AND FEMALE 10,000M ATHLETES
Get PDFThe aim of this study was to examine biomechanical differences between footstrike patterns in elite 10,000m racing. Video data of 53 men and 33 women were recorded in competition and used to compare spatiotemporal and joint kinematic variables between rearfoot, midfoot and forefoot strikers, and to find associations. There were no differences between footstrike patterns for speed, step length or cadence, but rearfoot strikers had longer contact times than forefoot and midfoot strikers by 0.017 and 0.014 s, respectively, and shorter flight times by 0.023 and 0.021 s, respectively. The main causes of different footstrike patterns were the ankle and foot angles at initial contact; thigh, knee and shank angles differed little. In women, longer hip-ankle “overstriding” distances were associated with faster running speeds (r = 0.58), and so were a positive contributor to performance
ANALYSIS OF THE SERVING MOTION OF MALE COLLEGE TENNIS PLAYERS IN MATCHES.
Get PDFThe purpose of this study was to analyse and compare the serving motions of the fast hitters who can hit fast-ball in serve and normal Japanese male college players in matches. The variables used in this study were ball speed, racket speed, joint and segment angles of the shoulder, the torso and the limbs. Ball speed and racket speed for the fast hitters were significantly greater than that of the normal players. There were a significant differences between two groups in the angles of the shoulder and the knee joint. To improve the racket speed of the normal players, it is necessary to maintain the shoulder more horizontally abducted, the shank not too lean forward and the torso upright during the backswing, and to reduce the shoulder abduction during the forward swing