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Is There A Relationship Between Direct Patient Care Registered Nurses Emotional Intelligence And Patient Satisfaction?, James J. Leach Apr 2023

Is There A Relationship Between Direct Patient Care Registered Nurses Emotional Intelligence And Patient Satisfaction?, James J. Leach

Theses and Dissertations

Many studies have examined Emotional Intelligence (EI) ’s role in various groups of people. However, to date, there have not been any studies examining the role of EI in direct patient care given by ICU nurses and the relationship between the nurses’ EI and patient satisfaction. With the importance of patient satisfaction tied to hospital reimbursement and the many approaches that have been made to improve patient satisfaction, studying the people (nurses) who spend the most time with the patient seems right. The data used for this study was obtained from an EI inventory for the nurses and an ICU-specific …


Nature As Culture: Ecofeminist Narratives Of Environmental And Colonial History, Sydney Leimbach Apr 2023

Nature As Culture: Ecofeminist Narratives Of Environmental And Colonial History, Sydney Leimbach

Theses and Dissertations

“Nature as Culture: Ecofeminist Narratives of Environmental and Colonial History” is a cross-cultural, comparative, feminist investigation of two films, The Nightingale and Wolfwalkers, and two books, The Giving Tree and The Overstory. The narratives are analyzed through a combination of ecofeminism and decolonial feminism, revealing the four narratives’ investment in the effects of colonization on the environment. The two chapters explore the association of women with nature, traditionally used as a subordinating position, instead as a condition of empathetic understanding with both the colonized and the environment. Further, these narratives use the association of women with nature as …


Bayesian Dependence Structure Analysis For Ordinal Data, Yang He Apr 2023

Bayesian Dependence Structure Analysis For Ordinal Data, Yang He

Theses and Dissertations

This dissertation explores different methods to study the dependence structure among many ordinal variables under the Bayesian framework.

Chapter 1 introduces ordinal data analysis methods, and the related literature works are briefly reviewed. An outline of the dissertation is put forward.

In Chapter 2, Gaussian copula graphical models with different priors of graphical Lasso, adaptive graphical Lasso, and spike-and-slab Lasso on the precision matrix are assessed and compared. The proposed models are well illustrated via simulations and a real ordinal survey data analysis.

In Chapter 3, adaptive spike-and-slab Lasso prior is proposed as an extension of Chapter 2. The developed …


Py-03 The Effect Of Notifications On Different Levels Of Processing Of Memory, Brandon Stiff, Sarah Connor Burns Phd Mar 2023

Py-03 The Effect Of Notifications On Different Levels Of Processing Of Memory, Brandon Stiff, Sarah Connor Burns Phd

SC Upstate Research Symposium

Memory is a process that involves the acquiring, encoding, storing, and retrieving of information obtained from the environment. According to the levels of processing theory, proposed by Craik and Lockhart, the perception of stimuli requires analysis at various cognitive levels (1972). Processing things at greater “depth” involves more cognitive analysis and making connections with already known material. This deeper analysis is associated with longer retention and better performance on memory recall tasks (Craik & Lockhart, 1972).

To process the presence of a stimulus, you must first attend to it. According to Mulligan, divided attention results in worse performance on semantic …


Py-05 Pediatric Vehicular Heatstroke: Analysis Of Cases That Children Gained Access To Vehicle, Emily N. Krull, Jennifer Gray Phd Mar 2023

Py-05 Pediatric Vehicular Heatstroke: Analysis Of Cases That Children Gained Access To Vehicle, Emily N. Krull, Jennifer Gray Phd

SC Upstate Research Symposium

Since 1998, 937 children have died from Pediatric Vehicular Heatstroke (PVH), while this number is small regarding childhood mortality, it is still an important concern because the deaths of these children could have been prevented. Previous research has analyzed the deaths that occurred when children were left in the vehicle knowingly and unknowingly but does not discuss the cases where children gained access to the vehicle. The goal of this research is to determine what went wrong in the cases where children gained access to the vehicle and what parents were doing at the time of the incident, to understand …


Garnet & Black Spring 2023, University Of South Carolina, Office Of Student Media Mar 2023

Garnet & Black Spring 2023, University Of South Carolina, Office Of Student Media

Garnet & Black Magazine

No abstract provided.


Neural Mechanisms Of Language Development In Infancy, Scott Huberty, Christian O'Reilly, Virginia Carter Leno, Mandy Steiman, Sara J. Webb, Mayada Elsabbagh, The Basis Team Mar 2023

Neural Mechanisms Of Language Development In Infancy, Scott Huberty, Christian O'Reilly, Virginia Carter Leno, Mandy Steiman, Sara J. Webb, Mayada Elsabbagh, The Basis Team

Publications

Understanding the neural processes underpinning individual differences in early language development is of increasing interest, as it is known to vary in typical development and to be quite heterogeneous in neurodevelopmental conditions. However, few studies to date have tested whether early brain measures are indicative of the developmental trajectory of language, as opposed to language outcomes at specific ages. We combined recordings from two longitudinal studies, including typically developing infants without a family history of autism, and infants with increased likelihood of developing autism (infant-siblings) (N = 191). Electroencephalograms (EEG) were recorded at 6 months, and behavioral assessments at …


Practices And Perceptions Of Family-Centered Care: A Cross-Sectional Survey Of Secondary School Athletic Trainers, Zachary K. Winkelmann, Nancy A. Uriegas, James M. Mensch, Conner E. Montgomery, Toni M. Torres-Mcgehee Mar 2023

Practices And Perceptions Of Family-Centered Care: A Cross-Sectional Survey Of Secondary School Athletic Trainers, Zachary K. Winkelmann, Nancy A. Uriegas, James M. Mensch, Conner E. Montgomery, Toni M. Torres-Mcgehee

Faculty Publications

Family-centered care (FCC) includes collaboration between families and healthcare providers, the creation of flexible policies, and the family taking an active role in the delivery of care. Secondary school athletic trainers provide care for underage patients in school-based health systems, making them responsible for maintaining communication with parents, guardians, and/or caregivers. This cross-sectional survey investigated the extent to which athletic trainers (n = 205) include aspects of FCC in their daily secondary school clinical practice (current practices = CP) and whether they believe that aspect of care is necessary for FCC to be provided in athletic training (perceived necessary = …


Isolation: The Experience Of Adolescent Motherhood In Laos, Souksamone Thongmixay, Dirk Essink, Taewee Kahrs, Viengnakhone Vongxay, Pamela Wright Phd, Ms, Med, Rn, Cen, Vanphanom Sychareun, Jacqueline E. Broerse Mar 2023

Isolation: The Experience Of Adolescent Motherhood In Laos, Souksamone Thongmixay, Dirk Essink, Taewee Kahrs, Viengnakhone Vongxay, Pamela Wright Phd, Ms, Med, Rn, Cen, Vanphanom Sychareun, Jacqueline E. Broerse

Publications

BACKGROUND:Teenage pregnancy is a persistent public health problem with pervasive socio-economic consequences, particularly in in low- and middle-income countries, often related to low social participation and low economic security. The experiences of adolescent pregnancy and motherhood have seldom been described from a personal point of view. This study aimed to gain insights into how adolescent mothers in Laos experience their motherhood, how they perceive their situation and try to cope with it.

METHODS: This qualitative study was undertaken with 20 pregnant adolescents and young mothers living in peri-urban areas in two of the 18 provinces in Laos. Data were collected …


Leveraging Digital Technology To Support Pregnant And Early Parenting Women In Recovery From Addictive Substances: A Scoping Review, Phyllis Raynor, Cynthia F. Corbett Phd, Rn, Faan, Delia West, D'Arion Johnston, Kacey Eiche, Alain Litwin, Constance Guille, Ron Prinz Mar 2023

Leveraging Digital Technology To Support Pregnant And Early Parenting Women In Recovery From Addictive Substances: A Scoping Review, Phyllis Raynor, Cynthia F. Corbett Phd, Rn, Faan, Delia West, D'Arion Johnston, Kacey Eiche, Alain Litwin, Constance Guille, Ron Prinz

Publications

Little is known about digital health interventions used to support treatment for pregnant and early parenting women (PEPW) with substance use disorders (SUD).METHODS: Guided by the Arksey and O'Malley's Scoping Review Framework, empirical studies were identified within the CINAHL, PsycInfo, PubMed, and ProQuest databases using subject headings and free-text keywords. Studies were selected based on a priori inclusion/exclusion criteria, and data extraction and descriptive analysis were performed. RESULTS: A total of 27 original studies and 30 articles were included. Varying study designs were used, including several feasibility and acceptability studies. However, efficacious findings on abstinence and other clinically important outcomes …


March 1, 2023 Faculty Senate Minutes, University Of South Carolina Mar 2023

March 1, 2023 Faculty Senate Minutes, University Of South Carolina

Faculty Senate

No abstract provided.


Examination Of The Cumulative Risk Assessment And Nutritional Profiles Among College Ballet Dancers, Kenya Moore, Nancy A. Uriegas, Jessica Pia, Dawn M. Emerson, Kelly Pritchett, Toni M. Torres-Mcgehee Feb 2023

Examination Of The Cumulative Risk Assessment And Nutritional Profiles Among College Ballet Dancers, Kenya Moore, Nancy A. Uriegas, Jessica Pia, Dawn M. Emerson, Kelly Pritchett, Toni M. Torres-Mcgehee

Faculty Publications

This study examined female collegiate ballet dancers' ( = 28) Female Athlete Triad (Triad) risk via the Cumulative Risk Assessment (CRA) and nutritional profiles (macro- and micronutrients; = 26). The CRA identified Triad return to play criteria (RTP: Full Clearance, Provisional Clearance, or Restricted/Medical Disqualified) by assessing eating disorder risk, low energy availability, menstrual cycle dysfunction, and low bone mineral density. Seven-day dietary assessments identified any energy imbalances of macro- and micronutrients. Ballet dancers were identified as low, within normal, or high for each of the 19 nutrients assessed. Basic descriptive statistics assessed CRA risk classification and dietary macro- and …


The Daily Gamecock, Redefining Normal, February 2023, University Of South Carolina, Office Of Student Media Feb 2023

The Daily Gamecock, Redefining Normal, February 2023, University Of South Carolina, Office Of Student Media

February

No abstract provided.


Artificial Intelligence-Based Chatbots For Promoting Health Behavioral Changes: Systematic Review, Abhishek Aggarwal, Cheuk Chi Tam, Dezhi Wu, Xiaoming Li, Shan Qiao Feb 2023

Artificial Intelligence-Based Chatbots For Promoting Health Behavioral Changes: Systematic Review, Abhishek Aggarwal, Cheuk Chi Tam, Dezhi Wu, Xiaoming Li, Shan Qiao

Publications

BACKGROUND: Artificial intelligence (AI)-based chatbots can offer personalized, engaging, and on-demand health promotion interventions. OBJECTIVE: The aim of this systematic review was to evaluate the feasibility, efficacy, and intervention characteristics of AI chatbots for promoting health behavior change. METHODS: A comprehensive search was conducted in 7 bibliographic databases (PubMed, IEEE Xplore, ACM Digital Library, PsycINFO, Web of Science, Embase, and JMIR publications) for empirical articles published from 1980 to 2022 that evaluated the feasibility or efficacy of AI chatbots for behavior change. The screening, extraction, and analysis of the identified articles were performed by following the PRISMA (Preferred Reporting Items …


Maternal And Infant Outcomes Of Syrian And Palestinian Refugees, Lebanese And Migrant Women Giving Birth In A Tertiary Public Hospital In Lebanon: A Secondary Analysis Of An Obstetric Database, Stephen J. Mccall, Tanya C. El Khoury, Hala Ghattas Ph.D., Shady Elbassuoni, Mhd Hussein Murtada, Zeina Jamaluddine, Christine Haddad, Aya Hussein, Amina Krounbi, Jocelyn Dejong, Janoub Khazaal, Rabih Chahine Feb 2023

Maternal And Infant Outcomes Of Syrian And Palestinian Refugees, Lebanese And Migrant Women Giving Birth In A Tertiary Public Hospital In Lebanon: A Secondary Analysis Of An Obstetric Database, Stephen J. Mccall, Tanya C. El Khoury, Hala Ghattas Ph.D., Shady Elbassuoni, Mhd Hussein Murtada, Zeina Jamaluddine, Christine Haddad, Aya Hussein, Amina Krounbi, Jocelyn Dejong, Janoub Khazaal, Rabih Chahine

Faculty Publications

Objectives This study aims to assess whether the characteristics, management and outcomes of women varied between Syrian and Palestinian refugees, migrant women of other nationalities and Lebanese women giving birth at a public tertiary centre in Beirut, Lebanon.

Methods This was a secondary data analysis of routinely collected data from the public Rafik Hariri University Hospital (RHUH) between January 2011 and July 2018. Data were extracted from medical notes using text mining machine learning methods. Nationality was categorised into Lebanese, Syrian, Palestinian and migrant women of other nationalities. The main outcomes were diabetes, pre-eclampsia, placenta accreta spectrum, hysterectomy, uterine rupture, …


On The Legal Life-History Of Beaches, Josh Eagle Jan 2023

On The Legal Life-History Of Beaches, Josh Eagle

Faculty Publications

Climate change is, among other things, making it more and more difficult to get to the beach. Recent studies show that rising sea levels have been shrinking America’s beaches through erosion and inundation. This trend is unlikely to slow down anytime soon, and some scientists predict that we will see feet of additional sea-level rise within our lifetimes. While beaches are shrinking, reducing the availability of recreational opportunities for locals and tourists alike, the number of people who want to visit the beach has grown dramatically. The growth in demand is due to a variety of factors, including the very …


Effects Of Positive Social Comparative Feedback On Motor Sequence Learning And Performance Expectancies, Allison F. Lewis, Rachel Bohnenkamp, Lynn Johnson, Dirk B. Den Ouden, Sarah Wilcox Phd, Stacy L. Fritz, Jill Campbell Stewart Pt,Phd Jan 2023

Effects Of Positive Social Comparative Feedback On Motor Sequence Learning And Performance Expectancies, Allison F. Lewis, Rachel Bohnenkamp, Lynn Johnson, Dirk B. Den Ouden, Sarah Wilcox Phd, Stacy L. Fritz, Jill Campbell Stewart Pt,Phd

Faculty Publications

Introduction: Positive social comparative feedback indicates to the learner that they are performing better than others. While this type feedback supports motor skill learning in some tasks, the effect of social comparative feedback on implicit motor sequence learning remains unknown. The aim of this study was to determine the effect of positive social comparative feedback on the learning of and expectancies for a motor sequence task. Methods: Forty-eight individuals practiced a joystick-based sequence task and were divided into three feedback groups: CONTROL (no performance feedback), RT ONLY (response time only feedback), and RT+POS (response time plus positive social comparison). Participants …


Student, Classroom, And Teacher Factors Associated With Teachers’ Attunement To Bullies And Victims, Molly Dawes Ph.D., Angela Starrett, Kate Norwalk, Jill Hamm, Thomas Farmer Jan 2023

Student, Classroom, And Teacher Factors Associated With Teachers’ Attunement To Bullies And Victims, Molly Dawes Ph.D., Angela Starrett, Kate Norwalk, Jill Hamm, Thomas Farmer

Faculty Publications

Teachers are instrumental in antibullying efforts given their position of authority in the classroom context, yet teachers can only be effective at reducing victimization and bullying in their classrooms if they are aware of who is involved. Consequently, teachers’ attunement to bullies and victims is a critical component of social dynamics management and antibullying practices. Given the importance of teacher attunement, there is a pressing need to identify relevant factors related to the degree to which teachers are attuned to bullies and victims. The major objective of the current investigation was to examine student- (gender, popularity status), classroom- (average bullying, …


Putting All My Eggs Into The App': Self, Relational And Systemic Surveillance Of Mothers' Use Of Digital Technologies During The Transition To Parenting, Jodi Hall, Bradley Hiebert, Danica Facca, Lorie Donelle Phd, Rn, Fcan Jan 2023

Putting All My Eggs Into The App': Self, Relational And Systemic Surveillance Of Mothers' Use Of Digital Technologies During The Transition To Parenting, Jodi Hall, Bradley Hiebert, Danica Facca, Lorie Donelle Phd, Rn, Fcan

Publications

This paper builds on thematic findings from a larger study that explored how digital technologies (e.g. smartphones, apps, search engines) shape expectant and new mothers' early parenting practices. An overarching theme that arose across these mothers' experiences which deserved deeper exploration was relational digital surveillance. In the context of this paper, relational digital surveillance describes how mothers evaluate their sense of preparedness, goodness or suitability for motherhood as they transition into parenting in relation to: their own use of digital technologies when caring for their pregnant bodies (self-surveillance), partners' and family members' commentary and/or judgement regarding their use of digital …


An Examination Of Depression, Anxiety, And Self-Esteem In Collegiate Student-Athletes, Samantha R. Weber, Zachary K. Winkelmann, Eva V. Monsma, Shawn M. Arent, Toni M. Torres-Mcgehee Jan 2023

An Examination Of Depression, Anxiety, And Self-Esteem In Collegiate Student-Athletes, Samantha R. Weber, Zachary K. Winkelmann, Eva V. Monsma, Shawn M. Arent, Toni M. Torres-Mcgehee

Faculty Publications

Mental health research exists for student-athletes in the areas of depression, anxiety, and self-esteem prevalence. However, updated prevalence rates and assessment of risks across sports, academic status, and genders are needed. Filling the gaps in research assists in the creation of patient-centered mental health screening and interventions designed for student-athletes. Therefore, the purpose is to examine the prevalence of depression, anxiety, and self-esteem in collegiate student-athletes and differences between sex, academic status, and sport type, and identify associations for risks. Using a cross-sectional design, collegiate student-athletes were surveyed to assess for risks of depression, anxiety, and self-esteem. With the use …


Moderation Effect Of Community Health On The Relationship Between Racial/Ethnic Residential Segregation And Hiv Viral Suppression In South Carolina: A County-Level Longitudinal Study From 2013 To 2018, Fanghui Shi, Jiajia Zhang Ph.D., Xueying Yang Ph.D., Xiaowen Sun, Zhenlong Li, Chengbo Zeng, Huan Ning, Sharon Weissman, Bankole Olatosi Ph.D., Xiaoming Li Ph.D. Jan 2023

Moderation Effect Of Community Health On The Relationship Between Racial/Ethnic Residential Segregation And Hiv Viral Suppression In South Carolina: A County-Level Longitudinal Study From 2013 To 2018, Fanghui Shi, Jiajia Zhang Ph.D., Xueying Yang Ph.D., Xiaowen Sun, Zhenlong Li, Chengbo Zeng, Huan Ning, Sharon Weissman, Bankole Olatosi Ph.D., Xiaoming Li Ph.D.

Faculty Publications

Background: Viral suppression is the ultimate goal of the HIV treatment cascade and a primary endpoint of antiretroviral therapy. Empirical evidence found racial/ethnic disparities in viral suppression among people living with HIV (PWH), but the evidence of the relationship between racial/ethnic residential segregation and place-based viral suppression is scarce. Further exploring potential structural moderators in this relationship has substantial implications for healthcare policymaking and resource allocation. The current study aimed to investigate the spatial-temporal disparities in the HIV viral suppression rate across 46 counties in South Carolina from 2013 to 2018. We also examined the impact of racial/ethnic residential segregation …


Artificial Intelligence: Past, Present And Future, James R. Couch Jan 2023

Artificial Intelligence: Past, Present And Future, James R. Couch

Journal of the South Carolina Academy of Science

No abstract provided.


Second Victim Syndrome And Organizational Support For Healthcare Providers: A Scoping Review, K R. Petryszyn, J P. Young, E R. Neil, J E. Benedict, L E. Eberman Jan 2023

Second Victim Syndrome And Organizational Support For Healthcare Providers: A Scoping Review, K R. Petryszyn, J P. Young, E R. Neil, J E. Benedict, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Healthcare providers may experience critical incident, medical error, or other adverse patient events in their clinical practice. Those that do encounter such events, may experience second victim syndrome (SVS), a condition in which providers feel psychological, cognitive, or physical reactions rendering care in these instances. Those with SVS may experience symptoms such as anxiety, depression, or burnout. Organizational support may mediate the impacts of SVS after an adverse patient event. We conducted a scoping review to explore and synthesize the literature on the support strategies implemented by healthcare organizations in the United States, for healthcare providers, after adverse patient …


Overwhelmed Or Overteaching?: Humanism For Time Use And Pedagogy, Kim M. Thompson Jan 2023

Overwhelmed Or Overteaching?: Humanism For Time Use And Pedagogy, Kim M. Thompson

Faculty Publications

No abstract provided.


Scamle Journal 2023 Front Matter Jan 2023

Scamle Journal 2023 Front Matter

South Carolina Association for Middle Level Education Journal

No abstract provided.


Scamle Journal 2023 Full Volume Jan 2023

Scamle Journal 2023 Full Volume

South Carolina Association for Middle Level Education Journal

No abstract provided.


Study Protocol For The Breathe Easier Trial: A Pilot Rct Of A Dyad-Based, Multiple-Behavior Intervention For Improving Physical And Emotional Health In Survivors Facing Lung Cancer, Karen Kane Mcdonnell Phd, Rn, Jeannette O. Andrews Phd, Rn, Faan, Chih Hsiang Yang Ph.D., Brandi R. Newsome, Ella Weinkle, Jean Elizabeth Davis, Shira Dunsiger Jan 2023

Study Protocol For The Breathe Easier Trial: A Pilot Rct Of A Dyad-Based, Multiple-Behavior Intervention For Improving Physical And Emotional Health In Survivors Facing Lung Cancer, Karen Kane Mcdonnell Phd, Rn, Jeannette O. Andrews Phd, Rn, Faan, Chih Hsiang Yang Ph.D., Brandi R. Newsome, Ella Weinkle, Jean Elizabeth Davis, Shira Dunsiger

Faculty Publications

Background: Research targeting survivors of lung cancer has yet to adequately address the management of physical deconditioning and unresolved symptoms (dyspnea, fatigue). The objective of the Breathe Easier trial is to test the feasibility and preliminary effects of a theory-based, multiple-behavior intervention (physical activity, smoking reduction for current smokers, stress management) targeting survivors of localized non-small-cell lung cancer (NSCLC, stages I-III) and their supportive partners. Methods: This pilot RCT will enroll 30 dyads (60 participants). Each dyad will consist of one survivor and one partner (defined as a family member or friend) Dyads will be randomized to the Intervention Group …


Introduction: Making The World A Better Place: First Generation College Students Tackling World Issues Through Stories, History, And Research, Florencia V. Cornet Jan 2023

Introduction: Making The World A Better Place: First Generation College Students Tackling World Issues Through Stories, History, And Research, Florencia V. Cornet

Athena: Undergraduate Research and Literary Journal

No abstract provided.


Robot Regulations, Henry H. Perritt Jr. Jan 2023

Robot Regulations, Henry H. Perritt Jr.

South Carolina Law Review

No abstract provided.


International Society Of Sports Nutrition Position Stand: Nutritional Considerations For Single-Stage Ultra-Marathon Training And Racing, Stacy T. Sims, Chad M. Kerksick, Abbie E. Smith-Ryan, Xanne A.K. Janse De Jonge, Katie R. Hirsch, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Susan Joyce Hewlings, Susan M. Kleiner, Erik Bustillo, Jaime L. Tartar, Valerie G. Starratt, Richard B. Kreider, Casey Greenwalt, Liliana I. Rentería, Michael J. Ormsbee, Trisha A. Vandusseldorp, Bill I. Campbell, Douglas S. Kalman, Jose Antonio Jan 2023

International Society Of Sports Nutrition Position Stand: Nutritional Considerations For Single-Stage Ultra-Marathon Training And Racing, Stacy T. Sims, Chad M. Kerksick, Abbie E. Smith-Ryan, Xanne A.K. Janse De Jonge, Katie R. Hirsch, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Susan Joyce Hewlings, Susan M. Kleiner, Erik Bustillo, Jaime L. Tartar, Valerie G. Starratt, Richard B. Kreider, Casey Greenwalt, Liliana I. Rentería, Michael J. Ormsbee, Trisha A. Vandusseldorp, Bill I. Campbell, Douglas S. Kalman, Jose Antonio

Faculty Publications

Based on a comprehensive review and critical analysis of the literature regarding the nutritional concerns of female athletes, conducted by experts in the field and selected members of the International Society of Sports Nutrition (ISSN), the following conclusions represent the official Position of the Society: 1. Female athletes have unique and unpredictable hormone profiles, which influence their physiology and nutritional needs across their lifespan. To understand how perturbations in these hormones affect the individual, we recommend that female athletes of reproductive age should track their hormonal status (natural, hormone driven) against training and recovery to determine their individual patterns and …