LAIR: Lenoir-Rhyne Academic Institutional Repository
Not a member yet
198 research outputs found
Sort by
Increasing Prenatal Choice to Breastfeed in a Vulnerable Population
Get PDFBackground: There is about a 12% decline in exclusive breastfeeding rates from 2010 to 2019, which may be attributed to incomplete or absent information on breastfeeding from healthcare providers given to patients during pregnancy (Kellams, 2022). In low-income, rural communities, the support of a provider is key to the initiation and success of breastfeeding.
Purpose: The purpose of this project is to determine if the implementation of a breastfeeding initiative program increases the decision to exclusively breastfeed at birth
SAGE Video: Counseling & Psychotherapy
Get PDFSAGE Video: Counseling & Psychotherapy from Sage Publications Inc. is a collection of over 130 hours of streaming video focused on topics to provide educational training to prepare students entering the mental health profession. With a large portion of the collection being proprietary in nature and published within the past 10 years, users will find stable access to relatively current videos. Users will appreciate the flexibility to either purchase or subscribe to the collection in its entirety. The Sage Knowledge platform is intuitive, and the playback functionality of videos and the value-added features such as video clipping, creating playlists, and downloading and citing transcripts are user-friendly. Nearly half, but not all, of the collection provides psychotherapy demonstrations. Those who would like a product dedicated to psychotherapy demonstrations, particularly with well-known master therapists, may find Psychotherapy.net or APA PsycTherapy to be more suitable. In particular, users who would like the option to earn continuing education credits along with expanded choices for customized packages of selected videos may find Psychotherapy.net to be a preferred option. In comparison, APA PsycTherapy may be of interest to academic users seeking a range of available platforms along with a more robust collection of psychotherapy demonstration video
Transformative community projects in East Germany's rural spaces: exploring more sustainable forms of learning, working, and living
Get PDFIncreasingly people experience alienation in educational institutions, in work life, and fragmentation in their personal life. This study explores more self-determined, healthy, and sustainable forms of working, learning, and living through a dynamic process that began in 2020 with the purchase of an old homestead in Eastern Germany. Through the remodeling of the buildings and grounds, the first social and cultural references emerged. Along with practical uses, the farm project sees itself as a future workshop or think tank. The resulting consideration includes ideas of compulsory schooling woven into a self-designed format and the introduction of an unconditional basic income. These components could lead to thousands of such projects in rural and urban areas. Drawing from communitarianism, the belief is that an active civil society must take on social, economic, and educational responsibilities and offer children and young people improved conditions in which to grow up. Theory development on the individual components exists, such as entrepreneurship, transformation, community-building, basic income, or self-directed learning but not on the interaction of these variables in the overall context. We tentatively call this integrated design a transformative community project
Validity of Wearable Technology Assessments of Heart Rate and Energy Expenditure Under Exercise Conditions
Get PDFApple Watches are just one popular form of tracking fitness metrics including heart rate and caloric expenditure. We tested Apple Watches against gold standard technologies for measuring heart and energy expenditure during light steady-state exercise. We recruited 9 subjects (6F; 3M; Age=20±0.78; Height=171±8.53cm; Weight=184±63.21lbs; Percent body fat=29±8.69%; Predicted VO2max= 38±6.73ml/kg/min) who owned Apple Watches with the most current operating software to participate in this study. Each subject completed 3 5-minute bouts of steady-state exercise on a rower, treadmill, and cycle ergometer in a randomized order. Subjects were allowed to select their own pace with instructions to achieve a “fairly light” intensity. Oxygen consumption was measured via open-circuit spirometry and heart rate was monitored via a three-lead electrocardiogram (ECG). Apple Watch estimates of caloric expenditure and average exercise heart rate were compared with values gathered from oxygen consumption and ECG, respectively. Pearson product-moment correlations were used to compare electrocardiogram and caloric expenditure values between Apple Watch and gold standard measures across the 3 exercise conditions. Correlations for caloric expenditure between the two devices were as follows: treadmill=0.88, bike=0.54, rower=0.87. For heart rate, the correlations were the following: treadmill=0.99, bike=0.96, rower=0.85. These data indicate strong correlations between Apple Watch and ECG with lower correlations between Apple Watch and oxygen consumption, particularly in the cycling condition. Apple Watch appears to accurately measure heart rate; however, it appears to overestimate caloric expenditure
Promoting Weight Loss: A Primary Care Intervention
Get PDFProblem: Approximately 80 million people in the United States are affected by obesity and the prevalence has increased by approximately 11% from 2017-2020. Providers are aware of the obesity risk factors and co-morbidities, but some still lack the knowledge to educate patients properly on weight reduction.
Methods: Data was collected over a four-month period in a primary care setting related to weight loss and education for patients with obesity. Descriptive statistics were summarized, and a quantitative analysis was used to determine if an educational toolkit was provided by the provider to patients with a BMI>35% and if the provider documented the patients’ correct BMIs within the Electronic Health Record.
Results: The average patient age was 65.7 and males and females were equally represented. Although the toolkit was consistently given to patients. the McNemars chi-square test performed did not show a significant difference in the documentation of weight loss education. Results of a Kruskal-Wallis rank sum test indicated that there was not a significant difference in BMIs pre- and post-implementation but 28.6% of patients experienced weight loss and 25% maintained their weight without additional gain.
Conclusion: Providers and patients received benefits from having access to an educational toolkit. Twenty-eight percent of patients experienced weight loss and 25% maintained their weight without any gain. There was a mild improvement in weight loss education documented by providers and the correct BMI was updated in the EMR for all patients in the study.
Keywords: weight loss, obese, BMI>35, eating habits, weight loss education, ICD 10 code
Mind Over Matter - Urgent Care Facilities for Mental Health Patients
Get PDFMind Over Matter is an evaluation of Behavioral Health Urgent Care centers, or BHUCs, in North Carolina. These facilities offer medical services specifically for mental health patients in an urgent care clinic setting. The paper also promotes the advocation and creation of more BHUCs
U-CLEAN-IT: Ultraviolet-C Lights to Eliminate All Nosocomial-Infections and Transmission
Get PDFHealthcare-associated infection (HAIs), or also known as nosocomial infections, are an emerging global health threat. HAIs can be defined as infections/illnesses that a patient acquires while receiving care for an unrelated infection/illness. While the concept of HAIs is not new in the field of public and global health, the sheer severity of this type of infection is just becoming known. Although contracting something as simple as the common cold while receiving care in a
hospital is considered an HAI, this is not a common HAI. The vast majority of HAI cases can be credited to a group of specific pathogens called the ESKAPE-E pathogens. For many years scientists have attempted to determine the best method for preventing HAIs from these harmful germs, and this program details how to implement and evaluate the current most successful option: ultraviolet-C lights
Effectiveness of an Educational Program on the Reduction of Urinary Tract Infections in Long Term Care Residents
Get PDFProblem: Urinary tract infections (UTIs) are a common, costly, yet preventable problem among residents in long-term care. Unlicensed staff are the primary caregivers of residents in long-term care and can implement strategies to prevent UTIs.
Objective: The purpose of this quality improvement project was to determine if an evidence-based education presentation would increase the knowledge of unlicensed staff related to UTIs and prevention and reduce their occurrence.
Methods: An evidence based education program was developed and presented to unlicensed staff who participated in the project. A validated pre- and post-assessment questionnaire was used to measure knowledge gained from the education.
Results: The average score for pre- to post-assessment increased from 69.39 to 85.32. Retrospective chart reviews were completed for 94 patients three months before and three months after education was provided to determine if the intervention was effective in preventing UTIs. The result was a reduction from 19 to 12 UTIs, a 36.8% decrease between pre-intervention and post-intervention.
Conclusion: Educating caregivers on prevention strategies for UTIs increased knowledge and reduced the number of UTIs documented in the facility
Program Planning and Evaluation for the Treatment of Women with Gestational Diabetes (GDM) in Rural Northwest Washington
Get PDFGestational diabetes (GDM) is the most common metabolic disorder in pregnancy. The CDC estimates that up to ten percent of women in the United States experiences GDM. This health concern can be managed by both lifestyle changes and medications when needed. GDM can have serious health implications for both mother and baby. If not treated adequately, babies can be born nine pounds or more, which can result in injury to baby during delivery or increase the mother’s chances of cesarean birth with longer recovery time. Additionally, GDM increases chances of type two diabetes, a growing chronic disease, in both baby and the mother.
Due to the rural nature of Fidalgo Island, there is limited access to diabetes specialty care, such as an endocrinologist in this area, leaving most of the diabetes management to the diabetes educator and family care provider or obstetrician (OB). The current Island Health (IH) GDM program has room for improvement. Currently, there are no official protocols for when or how to initiate medication management in these patients. Additionally, there are no classes before, during or after pregnancy specific to gestational diabetes management or prevention. Also, there is limited participant qualitative information gathered in the GDM program. Moreover, prior to this project there have not been any questionnaires, satisfaction surveys, focus groups, or process evaluations implemented to assess the program.
After implementing a GDM program focus group, findings dictated clear recommendations for the program. The focus group indicated the need for more support and education prior to and after the current GDM program. Moreover, the focus group indicated the need for additional breastfeeding resources and support in completing postpartum oral glucose tolerance tests (OGTT). Though the focus group was small, findings were critical in implementing program changes to benefit the IH GDM program