LAIR: Lenoir-Rhyne Academic Institutional Repository
Not a member yet
198 research outputs found
Sort by
Trends from NFL Combine Data may Predict Performance Values of Future NFL Draft Picks
Get PDFThe NFL Combine has been conducted for years with a paucity of investigations regarding predictive validity. Through the use of trend analysis and standard error of estimate, strength and conditioning coaches may be able to identify minimum performance values of future NFL draft picks. Application of these methods was able to predict the minimum performance values of the 2012 NFL draft picks with 69-84% success for all positions. This means that depending upon position, 69-84% of all draft picks met the minimum performance standards set by linear standard error of estimate boundaries applied to trend analysis. Therefore, minimum performance values for future draft picks could be used as a goal for athletes to achieve prior to their NFL Combine debut because it showed high predictive validity with the 2012 draftees
Smoking Cessation Screening and Interventions for a Vulnerable Population
Get PDFBackground: Smoking remains the leading preventable cause of death and disease in the United States. Smoking has contributed to nearly 41,000 deaths of nonsmokers and 400 deaths of children annually. Smoking cessation is one of the most important actions that can be taken to improve health. Although many adult smokers want to quit, over 40% do not receive education on smoking cessation from a healthcare professional. This project's purpose was to identify smokers, provide smoking cessation education, and connect patients to community resources to assist with smoking cessation
The Difference Between Apgar Scores of Infants Born to Substance Abuse Positive Mothers versus Mothers Without Substance Abuse
Get PDFThe purpose of this study determined there was a difference in Apgar scores at 1 and 5 minutes of those using substances and those not using substances. The study examined factors like maternal age, gestational age, and infant gender for their relationship to Apgar scores. A retrospective chart review of data from a labor and delivery unit at an acute care facility in western North Carolina was conducted. The findings showed no statistically significant difference (t=-1.425, p=.059) in 1-minute Apgar scores between infants exposed to substances during pregnancy and those not exposed. However, the 1-minute Apgar scores trended higher for infants not exposed to substances. Similarly, there was no statistically significant difference (t=.677, p=.099) in 5-minute Apgar scores between infants of mothers who used substances during pregnancy and those who did not use substances during pregnancy. One additional finding that was found was that mothers who were younger were more likely to use substances while mothers over the age of 30 were less likely to use substances
Exploring the Impact of Influenza Vaccine Hesitancy among undergraduate students
Get PDFThis study was designed with the purpose of spreading the importance of educating students to receive the flu vaccination annually because flu strains vary throughout the year and as a result, the vaccine is constantly being updated to protect people from the different flu strains that appear. This study assessed undergraduate students of Lenoir-Rhyne University to gain an understanding of their knowledge and attitudes towards the flu vaccine
Soccer Match Analysis Based on 15-Minute Periods
Get PDFPURPOSE: This study aimed to evaluate the physical demands placed on soccer players by analyzing GPS-derived metrics during 15-minute segments of matches, focusing on the physical performance differences between first and second halves, as well as between match periods.
METHODS: GPS data were collected from 16 male Division II soccer players during competitive matches, segmented into 15-minute intervals, and analyzed for total distance, HSRD, 3D load, and intensity. MANOVA and Bonferroni post hoc analysis were used to assess differences.
RESULTS: Significant differences in performance were found between early and late match segments, particularly between 15.1-15.2, 15.1-15.3, 15.1-15.5, and 15.1-15.6, while no differences were found between the first and second halves' opening segments (15.1-15.4).
CONCLUSIONS: Physical demands fluctuate across match periods, with intensity peaking in the early stages of both halves. Coaches should target these periods during training to better prepare players for match-day demands.
PRACTICAL APPLICATION: The findings highlight the importance of periodized conditioning and recovery planning to match the specific physical demands of different phases of a soccer match. Coaches can use this information to structure training sessions that reflect the intensity of key match segments, improving player performance and minimizing injury risk
Atherosclerotic Cardiovascular Disease Risk Screening for Vulnerable Adults
Get PDFBackground: Heart disease remains the leading cause of death in the United States with the mortality rate increasing in some subpopulations. There are an estimated 40.2 million residents who have uncontrolled hypertension, a leading risk factor for atherosclerotic cardiovascular disease (ASCVD). Guidelines have been developed to address ASCVD risk, treatment, and patient education through a 10-year risk assessment tool (Arnett et al., 2019).
Objective: The goal of this QI project was to implement an ASCVD risk assessment tool in a community health clinic and initiate statin therapy based on risk scores and provide patient education related to modifiable risk factors.
Methods: Risk assessment data was collected during the intake process for each patient. Using an ASCVD risk assessment tool, patients were assessed for risk and providers calculated 10- year and lifetime ASCVD risk scores. Based on these findings, providers determined if specific risk reduction education was needed and if initiation of statin therapy was indicated.
Results: All patients seen in the community clinic during implementation were assessed for 10-year and lifetime ASCVD risk. Prior to the project there was no standardized screening tool used to assess for ASCVD risk. Retrospective chart reviews for established patients revealed that patient education increased from 11% pre- to 100% post-implementation through the use of an ASCVD specific printed educational packet. With risk scores, providers were able to make informed decisions related to treatments.
Conclusion: Implementation of an ASCVD risk assessment tool facilitated the identification of vulnerable patients at risk for ASCVD and improved patient care by using ASCVD specific education and current evidence-based guidelines to determine interventions
Relationship of Time to Antibiotic Initiation and Length of Hospital Stay for Patients Diagnosed with Sepsis
Get PDFSepsis is recognized as a complex and critical condition posing a severe threat to life. This medical condition produces severe dysfunction of vital organs through an exaggerated and uncontrolled response to infection (Hoffman & Sullivan, 2020). The urgency of this medical emergency necessitates prompt identification and intervention. Current literature supports initiation of a broad-spectrum antibiotic within one hour of suspicion of sepsis. Given that nurses are often the first to assess patients, their role in early detection and response is incredibly important. A retrospective chart review was used to determine if there is a relationship between time to antibiotic initiation and length of hospitalization in sepsis patients.
Analysis of the data suggested an inverse relationship highlighting a trend of longer time to antibiotic initiation correlating with shorter hospital stays (r = -.009, p =.945). The average time for antibiotic administration was found to be 169.2 minutes. Additionally, it was found that older patients spent more time in the hospital, but received antibiotics more promptly, indicating a need for timely treatment in this demographic. Patients with septic shock had the longest length of stay, while those with sepsis pneumonia had the shortest. The predominant diagnosis was sepsis of unspecified origin (61.7%), followed by pneumonia-induced sepsis (13.3%). These results revealed trends in the relationship between time of antibiotic initiation and hospital stay duration, alongside other incidental findings pertinent to nursing practice
An Evaluation of Soccer Training and Match Demands from Global Positioning System Volume: Daily Training Volume Recommendations.
Get PDFPURPOSE: The purpose of this research was to identify the percent difference and statistically significant differences in the weekly training schedule (match, M-1, and M-2) for GPS derived loads. METHODS: GPS data from matches and training were analyzed to identify relative percent difference between matches and training. Several MANOVAs were used to evaluate statistically significant differences in GPS loads between matches, M-1, and M-2. RESULTS: There are large differences between GPS variables for M-1 and M-2 as compared to match loads. There are statistically significant differences between M-1, M-2 and Matches for all GPS variables. Discussion: M-1 has the lowest training volumes, most likely for the management of fatigue and reduction of injury risk the day before a match. Differences between matches and training demonstrate a high degree of variation in weekly training. This variation prevents monotonous training from occurring, potentially resulting in a greater degree of adaptation from the training stimulus
Length of Hospital Stay for Smokers and Nonsmokers
Get PDFThis research investigates the impact of smoking on the length of hospital stays for cardiac surgical patients. The study is a retrospective chart review of 60 individuals equally divided between smokers and non-smokers. Contrary to some existing literature, the findings revealed no statistically significant difference in the length of hospital stays between the two groups (t = 0.886, p = 0.190). The average hospital stay for the entire sample was approximately 10 days, highlighting the complex nature of postoperative recovery. The study's limitations, including a small sample size and specific demographic characteristics, underscore the need for caution in generalizing these results. Recommendations for future research emphasize the importance of larger, more diverse samples, exploration of additional influencing factors, and including the changing landscape of smoking. This research underscores the complexity of surgical recovery and offers valuable insights to enhance nursing practice
Infant Apgar Scores In Relation to Maternal SSRI Use
Get PDFThe purpose of this study was to determine if there was a difference in one- and five-minute Apgar scores for infants of women on selective serotonin reuptake inhibitors (SSRIs) versus women who were not. According to The American College of Obstetricians and Gynecologists, an Apgar score is defined as: “An accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed” (ACOG, 2015). It is a mnemonic that describes five components of the newborn infant: activity, pulse, grimace, appearance, and respiration. This measurement is completed at one minute and five minutes after birth. SSRIs are a class of medications commonly prescribed to treat depression and anxiety in individuals. Pregnant women are often already taking these medications before they conceive or may be started on them during gestation.
This research was a quantitative, comparative study that used a retrospective chart review to obtain data. Researcher completion of the Protecting Human Research Participants online training occurred as part of the process of requirements involving human subjects. Lenoir-Rhyne University’s Institutional Review Board along with the local acute care facility in Western North Carolina granted approval of the study. All individual charts remained confidential and without breach in privacy.
A total of 60 charts of women and infants were reviewed. Data analysis demonstrated a statistically significant finding that women not on SSRIs delivered newborns who had higher Apgar scores at 1 and 5 minutes versus women who were on SSRIs during pregnancy. An incidental finding presented that as gestational age in weeks increases, Apgar 1- and 5-minute scores increase