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  • [Solved] HCP Week 4 Reply to Peer 2

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    Florida maintains a mixed regulatory framework in maternal health that combines insured coverage and state assistance programs for uninsured women. However, the state has not expanded Medicaid under the Affordable Care Act, leaving approximately 1.3 million low-income residents without regular acces…

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    Florida maintains a mixed regulatory framework in maternal health that combines insured coverage and state assistance programs for uninsured women. However, the state has not expanded Medicaid under the Affordable Care Act, leaving approximately 1.3 million low-income residents without regular access to affordable health care. Health plans, including Medicaid, cover contraceptive methods, including long-acting reversible methods, without copayment under the provisions of the ACA (Neiman et al., 2021). Coverage of fertility treatments varies by insurance plan and is not universally guaranteed. As of May 2024, Florida prohibits abortion after six weeks gestation, with limited exceptions. State law requires informed consent, performance of an ultrasound at least 24 hours prior to the procedure and, for minors under 18, the consent of at least one parent.

    Reproductive health clinics funded by the Title X program have faced significant reductions in capacity due to federal policy changes and lack of adequate funding. This has limited access to family planning and reproductive health services for low-income and uninsured women in the state. In 2022, the infant mortality rate in Florida was 6.0 per 1,000 live births, slightly above the national average (Krass et al., 2022). The maternal mortality rate was 24.1 per 100,000 live births, also above the national average. Black women in Florida face significantly higher maternal mortality rates than white women, reflecting inequities in access to and quality of health care. The lack of Medicaid expansion in Florida limits access to preventive services, which can contribute to unplanned pregnancies and undetected complications. Studies show that states that have expanded Medicaid have experienced reductions in maternal and infant mortality rates. To improve these indicators, it would be beneficial for Florida to consider expanding Medicaid and removing barriers to accessing reproductive health services (Diouf et al., 2024).

    References

    Diouf, F., Thompson, T., Silesky, M., & Bonnevie, E. (2024). A Call to Action: Supporting Black Maternal and Infant Health Using the Collective Impact Model. Maternal and Child Health Journal, 28(8), 1265-1271. https://doi.org/10.1007/s10995-024-03937-z

    Krass, P., Tam, V., Min, J., Joslin, I., Khabie, L., Wilkinson, T. A., & Wood, S. M. (2022). Adolescent Access to Federally Funded Clinics Providing Confidential Family Planning Following Changes to Title X Funding Regulations. JAMA Network Open, 5(6), e2217488. https://doi.org/10.1001/jamanetworkopen.2022.17488

    Neiman, P. U., Tsai, T. C., Bergmark, R. W., Ibrahim, A., Nathan, H., & Scott, J. W. (2021). The Affordable Care Act at 10 Years: Evaluating the Evidence and Navigating an Uncertain Future. The Journal of Surgical Research, 263, 102-109. https://doi.org/10.1016/j.jss.2020.12.056.

    – a year ago

  • [Solved] Resp wk 1 Inform

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    – a year ago **files (1)** – ## Dis.Nurs8210HealthInformationTechnologyandNursingInformatics.docx **## Dis.Nurs8210HealthInformationTechnologyandNursingInformatics.docx** Health Information Technology and Nursing Informatics: Introduction ![A person in scrubs using a computer AI-generated content ma…

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    – a year ago

    **files (1)**

    – ## Dis.Nurs8210HealthInformationTechnologyandNursingInformatics.docx

    **## Dis.Nurs8210HealthInformationTechnologyandNursingInformatics.docx**

    Health Information Technology and Nursing Informatics: Introduction

    ![A person in scrubs using a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/resp-wk-1-inform)

    In the video,
    _Nursing Informatics Innovators,_  you are provided an extensive list of 34 nursing informatics innovators. Each of these individuals has been integral in advancing nursing informatics and the field of nursing practice.

    Innovators in the field of nursing informatics, led the way in shifting the perception of a nurse as an art of patient care, to the practice of nursing as a science, vested in science, technology, and advancements.

    Nursing informatics innovators facilitated and created major advancements in the field of nursing and ensured the field would be one of advancement, continual change, and scientific innovation. Exploring the work of these innovators is essential in understanding where nursing informatics began, where it is now, and where it continues to go.

    For this Discussion, reflect on the role of individual nursing informatics innovators and consider their contributions, the impact of their contributions, and what you might specifically learn from them in your nursing practice. Reflect on your background and experiences in nursing informatics. You will also review Table 1 from the American Nurses Association (2015) Scope and Standards of Practice (2nd ed.) Explore on how you might apply the knowledge of these innovators and the information from Table 1 to your nursing practice, your education, and your future goals.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883163)

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-1-learning-resources?module_item_id=6883163)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 1, “Basic Project Management for the Advanced Practice Nurses and Healthcare Professionals” (pp. 3–21)

    · Chapter 2, “Advanced Practice Nurse Role Descriptions and Application of Project Management Concepts” (pp. 22–54)

    · Chapter 3, “Design/Initiation: Project Management—Phase 1” (pp. 55–84)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_ (2nd ed.).

    · “Introduction” (p. 1)

    · “The Scope of Nursing Informatics Practice” (pp. 1–6)

    · “Standard 1: Assessment” (pp. 68–69)

    · “Standard 2: Diagnosis, Problems, and Issues Identification” (p. 70)

    · Walden University Oasis: Writing Center. (n.d.).
    [_Citations: OverviewLinks to an external site._](https://academicguides.waldenu.edu/writingcenter/apa/citations) _._  https://academicguides.waldenu.edu/writingcenter/apa/citations

    · Walden University Oasis: Writing Center. (n.d.).
    [_Common assignments: Discussion post_ Links to an external site.](https://academicguides.waldenu.edu/writingcenter/assignments/discussionpost). https://academicguides.waldenu.edu/writingcenter/assignments/discussionpost

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-1-learning-resources?module_item_id=6883163)

    · American Medical Informatics Association. (2021).
    [_Nursing informatics innovators_ Links to an external site.](https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators). https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

    · Fung, B. (2018, November 3).
    [_Nursing informatics: A day in the lifeLinks to an external site._](https://www.youtube.com/watch?v=WBAyqTQn28w)[Video]. YouTube. https://www.youtube.com/watch?v=WBAyqTQn28w

    · Project Management. (2018, November 5).
    [_Project planning for beginners: Project management trainingLinks to an external site._](https://www.youtube.com/watch?v=ZWmXi3TW1yA)[Video]. YouTube. https://www.youtube.com/watch?v=ZWmXi3TW1yA

    · ProjectManager. (2018, July 2).
    [_How to write a scope of work document: Project management trainingLinks to an external site._](https://www.youtube.com/watch?v=oacSSamqP6s)[Video]. YouTube. https://www.youtube.com/watch?v=oacSSamqP6s

    ·
    **Document:** [Welcome to the DNP Program](https://waldenu.instructure.com/courses/175732/files/13727386?wrap=1) [Download Welcome to the DNP Program](https://waldenu.instructure.com/courses/175732/files/13727386/download?download_frd=1)(PPT)

    ·
    **Document:** [Welcome to the DNP Program Narrative](https://waldenu.instructure.com/courses/175732/files/13727432?wrap=1) [Download Welcome to the DNP Program Narrative](https://waldenu.instructure.com/courses/175732/files/13727432/download?download_frd=1)(Word document)

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-1-learning-resources?module_item_id=6883163)

    · Marr, B. (2020).
    [_These 25 technology trends will define the next decade_ Links to an external site.](https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology-trends-will-define-the-next-decade/?sh=459cc02129e3). Forbes. https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology-trends-will-define-the-next-decade/?sh=459cc02129e3

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883157)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883168)

    To Prepare

    · Review the American Nurses Association. (2015).
    _Nursing informatics: Scope and standards of practice_ (2nd ed.).

    · “Introduction” (p. 1)

    · “The Scope of Nursing Informatics Practice” (pp. 1–6) in this week's resources.

    By Day 3 of Week 1

    After reviewing the weekly resources, including the nursing informatics innovators stories, discuss your experience with nursing informatics and how this course could enhance your informatics skills and competencies.

    By Day 6 of Week 1

    **Read** a selection of your colleagues’ responses and
    **respond** to
    **at least two** of your colleagues on
    **two different days**, continue the discussion by commenting on how your classmates experience could enhance your own practice.

    RESPOND TO THIS DISCUSSION POST

    Charline

    **Health Information Technology and Nursing Informatics: Introduction**

    Nursing informatics is a critical field that merges nursing science with information and communication technologies to support decision-making and enhance patient care. As outlined by the American Nurses Association (ANA, 2015), the scope of nursing informatics includes the management of data, information, knowledge, and wisdom to improve health outcomes. My experience with nursing informatics has primarily involved using electronic health records (EHRs), computerized provider order entry (CPOE) systems, and clinical decision support systems (CDSS). However, my use has been largely at the point-of-care level rather than in project management or systems design.

    This course provides an opportunity to expand my competencies in areas that go beyond routine clinical tasks. For example, Sipes (2025) emphasizes the importance of project management skills for advanced practice nurses (APNs) who lead change and implement health technology solutions. I am particularly interested in learning how to initiate and design informatics-based projects that align with organizational goals and improve care delivery. Understanding the phases of project management, such as design/initiation and planning, will empower me to contribute more meaningfully to interdisciplinary teams (Sipes, 2025).

    Additionally, the nursing informatics innovators showcased by the American Medical Informatics Association (2021) illustrate how nurses can lead technological transformation in healthcare. These stories are particularly inspiring as they show the real-world application of informatics in addressing problems such as workflow inefficiencies and patient safety concerns. Watching the video by Fung (2018) also gave me a clearer understanding of the day-to-day responsibilities of a nursing informaticist, including data analysis, system customization, and user training.

    Informatics competencies are increasingly necessary in modern nursing practice. This course will help me enhance my skills in data interpretation, system evaluation, and project leadership. Moreover, it aligns with the ANA's standards of practice, which highlight the informaticist’s role in assessment and problem identification to support evidence-based decisions (ANA, 2015).

    **References**

    American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

    American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.).

    Fung, B. (2018, November 3). Nursing informatics: A day in the life [Video]. YouTube. https://www.youtube.com/watch?v=WBAyqTQn28w

    Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    ## image1.jpeg

    **## Dis.Nurs8210HealthInformationTechnologyandNursingInformatics.docx**

    Health Information Technology and Nursing Informatics: Introduction

    ![A person in scrubs using a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/resp-wk-1-inform)

    In the video,
    _Nursing Informatics Innovators,_  you are provided an extensive list of 34 nursing informatics innovators. Each of these individuals has been integral in advancing nursing informatics and the field of nursing practice.

    Innovators in the field of nursing informatics, led the way in shifting the perception of a nurse as an art of patient care, to the practice of nursing as a science, vested in science, technology, and advancements.

    Nursing informatics innovators facilitated and created major advancements in the field of nursing and ensured the field would be one of advancement, continual change, and scientific innovation. Exploring the work of these innovators is essential in understanding where nursing informatics began, where it is now, and where it continues to go.

    For this Discussion, reflect on the role of individual nursing informatics innovators and consider their contributions, the impact of their contributions, and what you might specifically learn from them in your nursing practice. Reflect on your background and experiences in nursing informatics. You will also review Table 1 from the American Nurses Association (2015) Scope and Standards of Practice (2nd ed.) Explore on how you might apply the knowledge of these innovators and the information from Table 1 to your nursing practice, your education, and your future goals.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883163)

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-1-learning-resources?module_item_id=6883163)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 1, “Basic Project Management for the Advanced Practice Nurses and Healthcare Professionals” (pp. 3–21)

    · Chapter 2, “Advanced Practice Nurse Role Descriptions and Application of Project Management Concepts” (pp. 22–54)

    · Chapter 3, “Design/Initiation: Project Management—Phase 1” (pp. 55–84)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_ (2nd ed.).

    · “Introduction” (p. 1)

    · “The Scope of Nursing Informatics Practice” (pp. 1–6)

    · “Standard 1: Assessment” (pp. 68–69)

    · “Standard 2: Diagnosis, Problems, and Issues Identification” (p. 70)

    · Walden University Oasis: Writing Center. (n.d.).
    [_Citations: OverviewLinks to an external site._](https://academicguides.waldenu.edu/writingcenter/apa/citations) _._  https://academicguides.waldenu.edu/writingcenter/apa/citations

    · Walden University Oasis: Writing Center. (n.d.).
    [_Common assignments: Discussion post_ Links to an external site.](https://academicguides.waldenu.edu/writingcenter/assignments/discussionpost). https://academicguides.waldenu.edu/writingcenter/assignments/discussionpost

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-1-learning-resources?module_item_id=6883163)

    · American Medical Informatics Association. (2021).
    [_Nursing informatics innovators_ Links to an external site.](https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators). https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

    · Fung, B. (2018, November 3).
    [_Nursing informatics: A day in the lifeLinks to an external site._](https://www.youtube.com/watch?v=WBAyqTQn28w)[Video]. YouTube. https://www.youtube.com/watch?v=WBAyqTQn28w

    · Project Management. (2018, November 5).
    [_Project planning for beginners: Project management trainingLinks to an external site._](https://www.youtube.com/watch?v=ZWmXi3TW1yA)[Video]. YouTube. https://www.youtube.com/watch?v=ZWmXi3TW1yA

    · ProjectManager. (2018, July 2).
    [_How to write a scope of work document: Project management trainingLinks to an external site._](https://www.youtube.com/watch?v=oacSSamqP6s)[Video]. YouTube. https://www.youtube.com/watch?v=oacSSamqP6s

    ·
    **Document:** [Welcome to the DNP Program](https://waldenu.instructure.com/courses/175732/files/13727386?wrap=1) [Download Welcome to the DNP Program](https://waldenu.instructure.com/courses/175732/files/13727386/download?download_frd=1)(PPT)

    ·
    **Document:** [Welcome to the DNP Program Narrative](https://waldenu.instructure.com/courses/175732/files/13727432?wrap=1) [Download Welcome to the DNP Program Narrative](https://waldenu.instructure.com/courses/175732/files/13727432/download?download_frd=1)(Word document)

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-1-learning-resources?module_item_id=6883163)

    · Marr, B. (2020).
    [_These 25 technology trends will define the next decade_ Links to an external site.](https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology-trends-will-define-the-next-decade/?sh=459cc02129e3). Forbes. https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology-trends-will-define-the-next-decade/?sh=459cc02129e3

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883157)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883168)

    To Prepare

    · Review the American Nurses Association. (2015).
    _Nursing informatics: Scope and standards of practice_ (2nd ed.).

    · “Introduction” (p. 1)

    · “The Scope of Nursing Informatics Practice” (pp. 1–6) in this week's resources.

    By Day 3 of Week 1

    After reviewing the weekly resources, including the nursing informatics innovators stories, discuss your experience with nursing informatics and how this course could enhance your informatics skills and competencies.

    By Day 6 of Week 1

    **Read** a selection of your colleagues’ responses and
    **respond** to
    **at least two** of your colleagues on
    **two different days**, continue the discussion by commenting on how your classmates experience could enhance your own practice.

    RESPOND TO THIS DISCUSSION POST

    Charline

    **Health Information Technology and Nursing Informatics: Introduction**

    Nursing informatics is a critical field that merges nursing science with information and communication technologies to support decision-making and enhance patient care. As outlined by the American Nurses Association (ANA, 2015), the scope of nursing informatics includes the management of data, information, knowledge, and wisdom to improve health outcomes. My experience with nursing informatics has primarily involved using electronic health records (EHRs), computerized provider order entry (CPOE) systems, and clinical decision support systems (CDSS). However, my use has been largely at the point-of-care level rather than in project management or systems design.

    This course provides an opportunity to expand my competencies in areas that go beyond routine clinical tasks. For example, Sipes (2025) emphasizes the importance of project management skills for advanced practice nurses (APNs) who lead change and implement health technology solutions. I am particularly interested in learning how to initiate and design informatics-based projects that align with organizational goals and improve care delivery. Understanding the phases of project management, such as design/initiation and planning, will empower me to contribute more meaningfully to interdisciplinary teams (Sipes, 2025).

    Additionally, the nursing informatics innovators showcased by the American Medical Informatics Association (2021) illustrate how nurses can lead technological transformation in healthcare. These stories are particularly inspiring as they show the real-world application of informatics in addressing problems such as workflow inefficiencies and patient safety concerns. Watching the video by Fung (2018) also gave me a clearer understanding of the day-to-day responsibilities of a nursing informaticist, including data analysis, system customization, and user training.

    Informatics competencies are increasingly necessary in modern nursing practice. This course will help me enhance my skills in data interpretation, system evaluation, and project leadership. Moreover, it aligns with the ANA's standards of practice, which highlight the informaticist’s role in assessment and problem identification to support evidence-based decisions (ANA, 2015).

    **References**

    American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

    American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.).

    Fung, B. (2018, November 3). Nursing informatics: A day in the life [Video]. YouTube. https://www.youtube.com/watch?v=WBAyqTQn28w

    Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    ## image1.jpeg

  • [Solved] nutrition

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    In-depth study guidance and analytical solution covering nutrition.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] ACC111 Discussion !

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    [>Accounting homework help](https://www.sweetstudy.com/fields/business-finance-accounting) acc111 – a year ago

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    [>Accounting homework help](https://www.sweetstudy.com/fields/business-finance-accounting)

    acc111

    – a year ago

  • [Solved] credit analysis

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    [>Accounting homework help](https://www.sweetstudy.com/fields/business-finance-accounting) – a year ago

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    Assignment Prompt & Instructions

    [>Accounting homework help](https://www.sweetstudy.com/fields/business-finance-accounting)

    – a year ago

  • [Solved] disc3

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    A genogram is often used to illustrate the behaviors of a family unit across generations. The genogram can be used to reduce resistance to harmful family patterns. – Recall a family with a member who has a history of drug or alcohol dependence. – Describe how the genogram can be used to address the …

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    Assignment Prompt & Instructions

    A genogram is often used to illustrate the behaviors of a family unit across generations.  The genogram can be used to reduce resistance to harmful family patterns.

    – Recall a family with a member who has a history of drug or alcohol dependence.
    – Describe how the genogram can be used to address the denial of family unit addiction to individual family members

    500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

    – a year ago

  • [Solved] Interview

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    **Informational Interview Report** **Conduct your Informational interview report with a Career Counselor. You are to interview a Certified Career Counselor via email, F2F, or via a conference call. This interview should include the questions noted in the following link:** [**http://www.careerchoiceg…

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    Assignment Prompt & Instructions

    **Informational Interview Report**

    **Conduct your Informational interview report with a Career Counselor. You are to interview a Certified Career Counselor via email, F2F, or via a conference call. This interview should include the questions noted in the following link:**

    [**http://www.careerchoiceguide.com/informational-interview-questions.html**](http://www.careerchoiceguide.com/informational-interview-questions.html)

    **In addition to the interview, include a copy of your current resume and a one-page summary sharing your thoughts regarding this interview.**

    **Here are some suggestions of individuals places to contact:**

    **Rebekah Palmquist rebekah.palmquist@judsonu.edu**

    **Virtual Counseling:**

    [**Virtual Counseling is available upon email request. You must complete the resume then attach it to an email and send it to:**](mailto:CMS.CounselingByEmail@Illinois.gov)

    [**CMS.CounselingByEmail@Illinois.gov**](mailto:CMS.CounselingByEmail@Illinois.gov)

    **In the subject line, please enter “Virtual Counseling Request”. Please be sure to indicate your employment preferences, geographic preferences and salary requirements in the body of the email.**

    **Counseling by Email:**

    **Counseling by email is available upon email request. You must complete a resume then attach it to an email and send it to:** [**CMS.CounselingByEmail@Illinois.gov**](mailto:CMS.CounselingByEmail@Illinois.gov)

    **In the subject line, please enter “Counseling by Email Request”. Please be sure to indicate your employment preferences, geographic preferences and salary requirements in the body of the email.**

    **Do not wait until the last minute to reach out to someone as there may be a delay in response.**

    – a year ago

  • [Solved] 10-2 Sport Facility Project Report

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) THIS PAPER MUST COME WITH A 5 SLIDE POWER POINT PLEASE THAT IS DUE TOMORROW THE PAPER IS DUE ON SATURDAY THE PAPER IS 10 PAGES IM WILLING TO PAY $105 To successfully complete this project, you will be expected…

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    Assignment Prompt & Instructions

    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    THIS PAPER MUST COME WITH A 5 SLIDE POWER POINT PLEASE THAT IS DUE TOMORROW THE PAPER IS DUE ON SATURDAY THE PAPER IS 10 PAGES IM WILLING TO PAY $105 To successfully complete this project, you will be expected to apply what you have learned in this course and should include several of the following course and module objectives:

    1. To provide the student with a basic understanding of the operation and management of public assembly facilities including arenas, stadiums, convention centers and performing arts centers
    2. To help students develop a framework for understanding the current issues involved in the design, construction, and financing of public assembly facilities

    ## Format

    The Sport Facility Project Report should be 10 pages, double-spaced, use 12-point Times New Roman font and one-inch margins, and contain citations in APA format. For background information on the facility, you should have **no less than ten (10) references**. These can include journals, sport management texts, newspaper articles, the team’s official website, etc.

    ## Project Content

    The focus of the report should be a complete overview of the facility and its amenities. Below are examples of questions you may ask to help guide your research—there will undoubtedly be others.

    – What was the funding procedure for the facility?
    – How was the facility approved?
    – What types of amenities are provided at this facility?
    – How does it compare with other similar facilities?
    – What makes this facility unique or innovative?
    – What hurdles did the city and/or franchise have to overcome to build the facility?
    – What was the cost for the facility?
    – What are the major sponsorship agreements they have in place?
    – What major events take place in the facility (e.g., sports, concerts, etc.)?
    – Identify a minimum of two facility issues that occurred recently (2005 to present) and discuss the impact of each issue on the facility, the events, and the industry as a whole. Examples include improper maintenance of a facility, facility failure, inadequate security, poor risk management, spectator riots, and/or overcrowding.
    – Appendices may include:
    – Detailed and/or to scale floor plans of the inside and outside of the facility
    – Model(s) of the facility
    – Drawings/pictures of the interior and exterior
    – Itemized budget of construction, equipment, and operating costs
    – Listing of sponsorship plans and their costs
    – Project and/or marketing brochures

    – a year ago

  • [Solved] well child wk4

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – a year ago **files (1)** – ## wellchildsoapnotetemplate.docx **## wellchildsoapnotetemplate.docx** **Well-child SOAP Note Format** _Demographic Data_ · Age, and gender (must be HIPAA compliant) _Subjective_ · ___-day/week old infant/child accompanied by ___________ and here for a rou…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## wellchildsoapnotetemplate.docx

    **## wellchildsoapnotetemplate.docx**

    **Well-child SOAP Note Format**

    _Demographic Data_

    · Age, and gender (must be HIPAA compliant)

    _Subjective_

    · ___-day/week old infant/child accompanied by ___________ and here for a routine well-child/baby check (and vaccines). Any parental concerns/ questions today?

    · Interval Events/History:

    · Nutrition:

    · Elimination:

    · Sleep:

    · Medications:

    · Allergies:

    · Past Medical

    ·

    · Pregnancy and delivery?

    · Surgeries, hospitalizations, or serious illnesses to date?

    · Immunizations?

    · Development: (describe as applicable to age)

    ·

    · Gross motor:

    ·

    · Fine motor:

    · Cognitive:

    · Social/Emotional:

    · Communication:

    · Social History:

    · Smoking in the home?

    · Family life/structure/dynamics? Primary caregivers?

    · Stressors?

    ·  Family History:

    _Objective_ _(Should be a thorough head to toe assessment)_

    · Vital Signs/growth measurements (weight, length, head circumference, BMI, BP, HR, etc. if applicable)

    ·

    · Physical findings listed by body systems, not paragraph form.

    · Highlight abnormal findings

    · Growth Chart Percentages: if applicable

    · Labs/Studies: if applicable

    _Assessment_

    · Well-child visit ICD10 code(s)

    _Plan_

    · Vaccines today:

    · Anticipatory guidance (discussed or covered in the visit)?

    · Health Maintenance

    · Return precautions?

    **## wellchildsoapnotetemplate.docx**

    **Well-child SOAP Note Format**

    _Demographic Data_

    · Age, and gender (must be HIPAA compliant)

    _Subjective_

    · ___-day/week old infant/child accompanied by ___________ and here for a routine well-child/baby check (and vaccines). Any parental concerns/ questions today?

    · Interval Events/History:

    · Nutrition:

    · Elimination:

    · Sleep:

    · Medications:

    · Allergies:

    · Past Medical

    ·

    · Pregnancy and delivery?

    · Surgeries, hospitalizations, or serious illnesses to date?

    · Immunizations?

    · Development: (describe as applicable to age)

    ·

    · Gross motor:

    ·

    · Fine motor:

    · Cognitive:

    · Social/Emotional:

    · Communication:

    · Social History:

    · Smoking in the home?

    · Family life/structure/dynamics? Primary caregivers?

    · Stressors?

    ·  Family History:

    _Objective_ _(Should be a thorough head to toe assessment)_

    · Vital Signs/growth measurements (weight, length, head circumference, BMI, BP, HR, etc. if applicable)

    ·

    · Physical findings listed by body systems, not paragraph form.

    · Highlight abnormal findings

    · Growth Chart Percentages: if applicable

    · Labs/Studies: if applicable

    _Assessment_

    · Well-child visit ICD10 code(s)

    _Plan_

    · Vaccines today:

    · Anticipatory guidance (discussed or covered in the visit)?

    · Health Maintenance

    · Return precautions?

  • [Solved] Article Report

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Article Report – a year ago **files (2)** – ## physicaleducationarticle1.docx – ## KotzeChloeexample1.pdf **## physicaleducationarticle1.docx** Find three peer-reviewed articles pertaining to your research topic and write a report summarizing your findings. Each article needs to be summarized in you…

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    Immediate access to the full model answer, formatted citations, and rubric breakdown.

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    Assignment Prompt & Instructions

    Article Report

    – a year ago

    **files (2)**

    – ## physicaleducationarticle1.docx

    – ## KotzeChloeexample1.pdf

    **## physicaleducationarticle1.docx**

    Find three peer-reviewed articles pertaining to your research topic and write a report summarizing your findings. Each article needs to be summarized in your 3-4-page report. Each summary should include an explanation of the findings. Do not copy and paste the abstract of each article. At the end of your report, include an overview of how the articles impact the current climate of sports management, exercise science, physical education, etc. (use critical thinking here)

    Cite each article using APA. If you are not familiar with or confident in using APA, I would strongly suggest reaching out to the Writing Center on campus. You can make an appointment
    **here**
    **Links to an external site.**. See format below.

    This is what it should look like Example

    Cover Page

    Should include, research topic, name, date, and class

    Towards Social Leverage of Sport Events (Chalip, 2006)

    Summary of article

    Small-Scale Event Sport Tourism (Gibson, Kaplanidou, & Kang, 2012)

    Summary or article

    Sport Tourism and Theory and Other Developments (Gibson, 2017)

    Summary of article

    Overview

    Summary of overall findings

    References (APA format)

    Chalip, L. (2006). Towards social leverage of sport events. Journal of Sport & Tourism, 11(2), 109-127.

    Gibson, H. (2017). Sport tourism and theory and other developments: some reflections. Journal of Sport & Tourism, 21(2), 153-158.

    Gibson, H., Kaplanidou, K., and Kang, S.J. (2012). Small-scale event sport tourism: a case study in sustainable tourism. Sport Management Review, 15, 160-170.

    ·

    research topic

    1. Trends in Youth Fitness and Physical Activity Levels

    (Examines how activity levels in children and teens have changed in recent years and what’s being done to encourage movement.)

    **## KotzeChloeexample1.pdf**

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 1

    Current Literature Concerning Return to Play for Athletes Post-Concussion

    Chlöe Kotzé

    Division of Health, Physical Education, and Recreation

    College of Education and Human Sciences

    Delta State University

    PER 611 Current Literature and Trends in Physical Education

    Dr. Caroline Fletcher

    26 January 2024

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 2

    Return to play and risk of repeat concussion in collegiate football players: comparative

    analysis from the NCAA Concussion Study (1999–2001) and CARE Consortium (2014–

    2017)

    (McCrea et al., 2020)

    Sports-related concussions (SRCs) have gained enhanced awareness over the past 30

    years, aiding in the increased number of individuals reporting concussions, as well as the

    level of seriousness devoted to abiding by strict protocol for return-to-play (RTP). This study

    focused on collegiate-level football players forming part of the NCAA, and suggested that an

    initial 7-10 waiting period (at which cerebral vulnerability to enhanced damage is present) for

    recovery and zero involvement in the contact sporting environment was necessary to mitigate

    the potential risk for adverse neurological events post-SRC. Currently, athletes and coaches

    are to adhere to the NCAA’s Concussion Safety Protocol, which considers athlete education

    in the preseason, assessment of the athlete pre-participation, diagnoses of concussions, and

    injury management post-SRCs to ensure appropriate and safe RTP. Future insights could

    adopt a more holistic approach to this, including both subjective and objective assessment

    methods for enhanced rehabilitation.

    Biomarkers to aid the return to play decision following sports-related concussion: a

    systematic review

    (Seranatne et al., 2022)

    The premature RTP for individuals post-SRC shows increased risks for both

    neurological injury and the persistence of the symptoms associated therewith. Due to SRCs

    being considered mild traumatic brain injuries (mTBIs), their assessment and compliance

    with a suitable clinical protocol prior to the RTP for the respective athlete remains crucial,

    with current assessments lacking required objectivity to ensure safe RTP without associated

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 3

    prolonging of negative neurological effects. With biomarkers aiding in the rehabilitation of

    mTBIs, the authors suggest considering the testing of these in accordance with the periodic

    phasing of rehabilitation to monitor neurological symptoms that may surpass the

    physiological improvements noted visually and via current assessment. For this reason,

    biomarkers possess the ability to potentially identify pathological mechanisms and pathways

    associated with SRCs, which could refine and improve current assessment and RTP

    protocols.

    Diagnostic tools for return-to-play decisions in sports-related concussion

    (Wellm & Zentgraf, 2023)

    This systematic review considered the current literature pertaining to the protocol for

    RTP following a SRC and found that despite numerous criteria existing for gradual

    progression into competition, these were inadequate in mitigating potential adverse cognitive

    and neurological events associated with the condition. As many other physical injuries

    (including tendon ruptures and/or torn ligaments) follow a more precise protocol for RTP,

    interestingly, SRC protocols are considered less specific and highly subjective in nature, as

    well as being placed under heightened pressure to be “resolved” in a timely manner, unlike

    their musculoskeletal counterparts. The authors suggest the implementation of specialized

    (objective) cognitive assessments concentrating on the individual areas of impairment post-

    SRC, the skills required for the specific athlete’s sporting code, and the individual goals of

    the athlete to ensure a holistic approach to the traumatic injury is achieved. With 50% of

    SRCs going unreported, the need for appropriate assessments and protocols has become an

    integral component of rehabilitation, especially considering the enormous economic driving

    force behind collegiate and professional sport.

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 4

    Overview

    Current literature regarding RTP protocols for athletes post-SRC remains outdated

    due to highly subjective nature of testing methods adopted, as well as the inaccurate reporting

    of physiological, neurological, and psychological factors from a coach and athlete standpoint.

    For this reason, updated protocols and procedures combining objective and subjective

    measures are required, thus reinforcing the need for a more holistic approach in

    rehabilitation. In this way, the provision of equal attention and focus to these areas may

    produce advances in rehabilitation that are long overdue.

    References

    McCrea, M., Broglio, S., McAllister, T., Zhou, W., Zhao, S., Katz, B., … & Guskiewicz, K.

    M. (2020). Return to play and risk of repeat concussion in collegiate football players:

    comparative analysis from the NCAA Concussion Study (1999–2001) and CARE

    Consortium (2014–2017). British journal of sports medicine, 54(2), 102-109.

    Senaratne, N., Hunt, A., Sotsman, E., & Grey, M. J. (2022). Biomarkers to aid the return to

    play decision following sports-related concussion: a systematic review. Journal of

    Concussion, 6, 20597002211070735.

    Wellm, D., & Zentgraf, K. (2023). Diagnostic tools for return-to-play decisions in sports-

    related concussion. Journal of Concussion, 7, 20597002231183234.

    **## KotzeChloeexample1.pdf**

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 1

    Current Literature Concerning Return to Play for Athletes Post-Concussion

    Chlöe Kotzé

    Division of Health, Physical Education, and Recreation

    College of Education and Human Sciences

    Delta State University

    PER 611 Current Literature and Trends in Physical Education

    Dr. Caroline Fletcher

    26 January 2024

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 2

    Return to play and risk of repeat concussion in collegiate football players: comparative

    analysis from the NCAA Concussion Study (1999–2001) and CARE Consortium (2014–

    2017)

    (McCrea et al., 2020)

    Sports-related concussions (SRCs) have gained enhanced awareness over the past 30

    years, aiding in the increased number of individuals reporting concussions, as well as the

    level of seriousness devoted to abiding by strict protocol for return-to-play (RTP). This study

    focused on collegiate-level football players forming part of the NCAA, and suggested that an

    initial 7-10 waiting period (at which cerebral vulnerability to enhanced damage is present) for

    recovery and zero involvement in the contact sporting environment was necessary to mitigate

    the potential risk for adverse neurological events post-SRC. Currently, athletes and coaches

    are to adhere to the NCAA’s Concussion Safety Protocol, which considers athlete education

    in the preseason, assessment of the athlete pre-participation, diagnoses of concussions, and

    injury management post-SRCs to ensure appropriate and safe RTP. Future insights could

    adopt a more holistic approach to this, including both subjective and objective assessment

    methods for enhanced rehabilitation.

    Biomarkers to aid the return to play decision following sports-related concussion: a

    systematic review

    (Seranatne et al., 2022)

    The premature RTP for individuals post-SRC shows increased risks for both

    neurological injury and the persistence of the symptoms associated therewith. Due to SRCs

    being considered mild traumatic brain injuries (mTBIs), their assessment and compliance

    with a suitable clinical protocol prior to the RTP for the respective athlete remains crucial,

    with current assessments lacking required objectivity to ensure safe RTP without associated

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 3

    prolonging of negative neurological effects. With biomarkers aiding in the rehabilitation of

    mTBIs, the authors suggest considering the testing of these in accordance with the periodic

    phasing of rehabilitation to monitor neurological symptoms that may surpass the

    physiological improvements noted visually and via current assessment. For this reason,

    biomarkers possess the ability to potentially identify pathological mechanisms and pathways

    associated with SRCs, which could refine and improve current assessment and RTP

    protocols.

    Diagnostic tools for return-to-play decisions in sports-related concussion

    (Wellm & Zentgraf, 2023)

    This systematic review considered the current literature pertaining to the protocol for

    RTP following a SRC and found that despite numerous criteria existing for gradual

    progression into competition, these were inadequate in mitigating potential adverse cognitive

    and neurological events associated with the condition. As many other physical injuries

    (including tendon ruptures and/or torn ligaments) follow a more precise protocol for RTP,

    interestingly, SRC protocols are considered less specific and highly subjective in nature, as

    well as being placed under heightened pressure to be “resolved” in a timely manner, unlike

    their musculoskeletal counterparts. The authors suggest the implementation of specialized

    (objective) cognitive assessments concentrating on the individual areas of impairment post-

    SRC, the skills required for the specific athlete’s sporting code, and the individual goals of

    the athlete to ensure a holistic approach to the traumatic injury is achieved. With 50% of

    SRCs going unreported, the need for appropriate assessments and protocols has become an

    integral component of rehabilitation, especially considering the enormous economic driving

    force behind collegiate and professional sport.

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 4

    Overview

    Current literature regarding RTP protocols for athletes post-SRC remains outdated

    due to highly subjective nature of testing methods adopted, as well as the inaccurate reporting

    of physiological, neurological, and psychological factors from a coach and athlete standpoint.

    For this reason, updated protocols and procedures combining objective and subjective

    measures are required, thus reinforcing the need for a more holistic approach in

    rehabilitation. In this way, the provision of equal attention and focus to these areas may

    produce advances in rehabilitation that are long overdue.

    References

    McCrea, M., Broglio, S., McAllister, T., Zhou, W., Zhao, S., Katz, B., … & Guskiewicz, K.

    M. (2020). Return to play and risk of repeat concussion in collegiate football players:

    comparative analysis from the NCAA Concussion Study (1999–2001) and CARE

    Consortium (2014–2017). British journal of sports medicine, 54(2), 102-109.

    Senaratne, N., Hunt, A., Sotsman, E., & Grey, M. J. (2022). Biomarkers to aid the return to

    play decision following sports-related concussion: a systematic review. Journal of

    Concussion, 6, 20597002211070735.

    Wellm, D., & Zentgraf, K. (2023). Diagnostic tools for return-to-play decisions in sports-

    related concussion. Journal of Concussion, 7, 20597002231183234.

    **## physicaleducationarticle1.docx**

    Find three peer-reviewed articles pertaining to your research topic and write a report summarizing your findings. Each article needs to be summarized in your 3-4-page report. Each summary should include an explanation of the findings. Do not copy and paste the abstract of each article. At the end of your report, include an overview of how the articles impact the current climate of sports management, exercise science, physical education, etc. (use critical thinking here)

    Cite each article using APA. If you are not familiar with or confident in using APA, I would strongly suggest reaching out to the Writing Center on campus. You can make an appointment
    **here**
    **Links to an external site.**. See format below.

    This is what it should look like Example

    Cover Page

    Should include, research topic, name, date, and class

    Towards Social Leverage of Sport Events (Chalip, 2006)

    Summary of article

    Small-Scale Event Sport Tourism (Gibson, Kaplanidou, & Kang, 2012)

    Summary or article

    Sport Tourism and Theory and Other Developments (Gibson, 2017)

    Summary of article

    Overview

    Summary of overall findings

    References (APA format)

    Chalip, L. (2006). Towards social leverage of sport events. Journal of Sport & Tourism, 11(2), 109-127.

    Gibson, H. (2017). Sport tourism and theory and other developments: some reflections. Journal of Sport & Tourism, 21(2), 153-158.

    Gibson, H., Kaplanidou, K., and Kang, S.J. (2012). Small-scale event sport tourism: a case study in sustainable tourism. Sport Management Review, 15, 160-170.

    ·

    research topic

    1. Trends in Youth Fitness and Physical Activity Levels

    (Examines how activity levels in children and teens have changed in recent years and what’s being done to encourage movement.)

    **## KotzeChloeexample1.pdf**

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 1

    Current Literature Concerning Return to Play for Athletes Post-Concussion

    Chlöe Kotzé

    Division of Health, Physical Education, and Recreation

    College of Education and Human Sciences

    Delta State University

    PER 611 Current Literature and Trends in Physical Education

    Dr. Caroline Fletcher

    26 January 2024

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 2

    Return to play and risk of repeat concussion in collegiate football players: comparative

    analysis from the NCAA Concussion Study (1999–2001) and CARE Consortium (2014–

    2017)

    (McCrea et al., 2020)

    Sports-related concussions (SRCs) have gained enhanced awareness over the past 30

    years, aiding in the increased number of individuals reporting concussions, as well as the

    level of seriousness devoted to abiding by strict protocol for return-to-play (RTP). This study

    focused on collegiate-level football players forming part of the NCAA, and suggested that an

    initial 7-10 waiting period (at which cerebral vulnerability to enhanced damage is present) for

    recovery and zero involvement in the contact sporting environment was necessary to mitigate

    the potential risk for adverse neurological events post-SRC. Currently, athletes and coaches

    are to adhere to the NCAA’s Concussion Safety Protocol, which considers athlete education

    in the preseason, assessment of the athlete pre-participation, diagnoses of concussions, and

    injury management post-SRCs to ensure appropriate and safe RTP. Future insights could

    adopt a more holistic approach to this, including both subjective and objective assessment

    methods for enhanced rehabilitation.

    Biomarkers to aid the return to play decision following sports-related concussion: a

    systematic review

    (Seranatne et al., 2022)

    The premature RTP for individuals post-SRC shows increased risks for both

    neurological injury and the persistence of the symptoms associated therewith. Due to SRCs

    being considered mild traumatic brain injuries (mTBIs), their assessment and compliance

    with a suitable clinical protocol prior to the RTP for the respective athlete remains crucial,

    with current assessments lacking required objectivity to ensure safe RTP without associated

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 3

    prolonging of negative neurological effects. With biomarkers aiding in the rehabilitation of

    mTBIs, the authors suggest considering the testing of these in accordance with the periodic

    phasing of rehabilitation to monitor neurological symptoms that may surpass the

    physiological improvements noted visually and via current assessment. For this reason,

    biomarkers possess the ability to potentially identify pathological mechanisms and pathways

    associated with SRCs, which could refine and improve current assessment and RTP

    protocols.

    Diagnostic tools for return-to-play decisions in sports-related concussion

    (Wellm & Zentgraf, 2023)

    This systematic review considered the current literature pertaining to the protocol for

    RTP following a SRC and found that despite numerous criteria existing for gradual

    progression into competition, these were inadequate in mitigating potential adverse cognitive

    and neurological events associated with the condition. As many other physical injuries

    (including tendon ruptures and/or torn ligaments) follow a more precise protocol for RTP,

    interestingly, SRC protocols are considered less specific and highly subjective in nature, as

    well as being placed under heightened pressure to be “resolved” in a timely manner, unlike

    their musculoskeletal counterparts. The authors suggest the implementation of specialized

    (objective) cognitive assessments concentrating on the individual areas of impairment post-

    SRC, the skills required for the specific athlete’s sporting code, and the individual goals of

    the athlete to ensure a holistic approach to the traumatic injury is achieved. With 50% of

    SRCs going unreported, the need for appropriate assessments and protocols has become an

    integral component of rehabilitation, especially considering the enormous economic driving

    force behind collegiate and professional sport.

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 4

    Overview

    Current literature regarding RTP protocols for athletes post-SRC remains outdated

    due to highly subjective nature of testing methods adopted, as well as the inaccurate reporting

    of physiological, neurological, and psychological factors from a coach and athlete standpoint.

    For this reason, updated protocols and procedures combining objective and subjective

    measures are required, thus reinforcing the need for a more holistic approach in

    rehabilitation. In this way, the provision of equal attention and focus to these areas may

    produce advances in rehabilitation that are long overdue.

    References

    McCrea, M., Broglio, S., McAllister, T., Zhou, W., Zhao, S., Katz, B., … & Guskiewicz, K.

    M. (2020). Return to play and risk of repeat concussion in collegiate football players:

    comparative analysis from the NCAA Concussion Study (1999–2001) and CARE

    Consortium (2014–2017). British journal of sports medicine, 54(2), 102-109.

    Senaratne, N., Hunt, A., Sotsman, E., & Grey, M. J. (2022). Biomarkers to aid the return to

    play decision following sports-related concussion: a systematic review. Journal of

    Concussion, 6, 20597002211070735.

    Wellm, D., & Zentgraf, K. (2023). Diagnostic tools for return-to-play decisions in sports-

    related concussion. Journal of Concussion, 7, 20597002231183234.

    **## physicaleducationarticle1.docx**

    Find three peer-reviewed articles pertaining to your research topic and write a report summarizing your findings. Each article needs to be summarized in your 3-4-page report. Each summary should include an explanation of the findings. Do not copy and paste the abstract of each article. At the end of your report, include an overview of how the articles impact the current climate of sports management, exercise science, physical education, etc. (use critical thinking here)

    Cite each article using APA. If you are not familiar with or confident in using APA, I would strongly suggest reaching out to the Writing Center on campus. You can make an appointment
    **here**
    **Links to an external site.**. See format below.

    This is what it should look like Example

    Cover Page

    Should include, research topic, name, date, and class

    Towards Social Leverage of Sport Events (Chalip, 2006)

    Summary of article

    Small-Scale Event Sport Tourism (Gibson, Kaplanidou, & Kang, 2012)

    Summary or article

    Sport Tourism and Theory and Other Developments (Gibson, 2017)

    Summary of article

    Overview

    Summary of overall findings

    References (APA format)

    Chalip, L. (2006). Towards social leverage of sport events. Journal of Sport & Tourism, 11(2), 109-127.

    Gibson, H. (2017). Sport tourism and theory and other developments: some reflections. Journal of Sport & Tourism, 21(2), 153-158.

    Gibson, H., Kaplanidou, K., and Kang, S.J. (2012). Small-scale event sport tourism: a case study in sustainable tourism. Sport Management Review, 15, 160-170.

    ·

    research topic

    1. Trends in Youth Fitness and Physical Activity Levels

    (Examines how activity levels in children and teens have changed in recent years and what’s being done to encourage movement.)

    **## KotzeChloeexample1.pdf**

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 1

    Current Literature Concerning Return to Play for Athletes Post-Concussion

    Chlöe Kotzé

    Division of Health, Physical Education, and Recreation

    College of Education and Human Sciences

    Delta State University

    PER 611 Current Literature and Trends in Physical Education

    Dr. Caroline Fletcher

    26 January 2024

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 2

    Return to play and risk of repeat concussion in collegiate football players: comparative

    analysis from the NCAA Concussion Study (1999–2001) and CARE Consortium (2014–

    2017)

    (McCrea et al., 2020)

    Sports-related concussions (SRCs) have gained enhanced awareness over the past 30

    years, aiding in the increased number of individuals reporting concussions, as well as the

    level of seriousness devoted to abiding by strict protocol for return-to-play (RTP). This study

    focused on collegiate-level football players forming part of the NCAA, and suggested that an

    initial 7-10 waiting period (at which cerebral vulnerability to enhanced damage is present) for

    recovery and zero involvement in the contact sporting environment was necessary to mitigate

    the potential risk for adverse neurological events post-SRC. Currently, athletes and coaches

    are to adhere to the NCAA’s Concussion Safety Protocol, which considers athlete education

    in the preseason, assessment of the athlete pre-participation, diagnoses of concussions, and

    injury management post-SRCs to ensure appropriate and safe RTP. Future insights could

    adopt a more holistic approach to this, including both subjective and objective assessment

    methods for enhanced rehabilitation.

    Biomarkers to aid the return to play decision following sports-related concussion: a

    systematic review

    (Seranatne et al., 2022)

    The premature RTP for individuals post-SRC shows increased risks for both

    neurological injury and the persistence of the symptoms associated therewith. Due to SRCs

    being considered mild traumatic brain injuries (mTBIs), their assessment and compliance

    with a suitable clinical protocol prior to the RTP for the respective athlete remains crucial,

    with current assessments lacking required objectivity to ensure safe RTP without associated

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 3

    prolonging of negative neurological effects. With biomarkers aiding in the rehabilitation of

    mTBIs, the authors suggest considering the testing of these in accordance with the periodic

    phasing of rehabilitation to monitor neurological symptoms that may surpass the

    physiological improvements noted visually and via current assessment. For this reason,

    biomarkers possess the ability to potentially identify pathological mechanisms and pathways

    associated with SRCs, which could refine and improve current assessment and RTP

    protocols.

    Diagnostic tools for return-to-play decisions in sports-related concussion

    (Wellm & Zentgraf, 2023)

    This systematic review considered the current literature pertaining to the protocol for

    RTP following a SRC and found that despite numerous criteria existing for gradual

    progression into competition, these were inadequate in mitigating potential adverse cognitive

    and neurological events associated with the condition. As many other physical injuries

    (including tendon ruptures and/or torn ligaments) follow a more precise protocol for RTP,

    interestingly, SRC protocols are considered less specific and highly subjective in nature, as

    well as being placed under heightened pressure to be “resolved” in a timely manner, unlike

    their musculoskeletal counterparts. The authors suggest the implementation of specialized

    (objective) cognitive assessments concentrating on the individual areas of impairment post-

    SRC, the skills required for the specific athlete’s sporting code, and the individual goals of

    the athlete to ensure a holistic approach to the traumatic injury is achieved. With 50% of

    SRCs going unreported, the need for appropriate assessments and protocols has become an

    integral component of rehabilitation, especially considering the enormous economic driving

    force behind collegiate and professional sport.

    CONCUSSION PROTOCOL FOR RETURN TO PLAY 4

    Overview

    Current literature regarding RTP protocols for athletes post-SRC remains outdated

    due to highly subjective nature of testing methods adopted, as well as the inaccurate reporting

    of physiological, neurological, and psychological factors from a coach and athlete standpoint.

    For this reason, updated protocols and procedures combining objective and subjective

    measures are required, thus reinforcing the need for a more holistic approach in

    rehabilitation. In this way, the provision of equal attention and focus to these areas may

    produce advances in rehabilitation that are long overdue.

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