Medicine and Health Sciences Commons^™

Effect Of Emergency Severity Index (Esi) Annual Competency Assessment On Mistriage Rates, Stefanie Hoffman

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: In order to accurately assign an Emergency Severity Index (ESI) acuity level to patients who present to the emergency department (ED) triage area, it is essential triage nurses remain competent in the ESI triage tool. In addition, effective use of the ESI triage tool is critical in preventing patients from being mistriaged.
Objective: The purpose of this quality improvement project was to determine the effect of an ESI annual competency assessment in an ED for triage trained registered nurses (RNs).
Methods: Triage trained RNs completed an ESI competency assessment composed of 25 patient scenarios in competency assessment A, and …

Association Between Prepregnancy Obesity And Health Behaviors, Adverse Conditions, And Birth Outcomes In South Dakota, Lily Sanderson

Electronic Theses and Dissertations

Introduction: Prepregnancy obesity is associated with an increased risk for various adverse outcomes for mother and fetus. These adverse associations exist within the realms of preconception health, prenatal health, birth outcomes, and postnatal health.
Methods: This retrospective cohort study used data from the South Dakota Pregnancy Risk Assessment Monitoring System (SD PRAMS) survey, which is an ongoing statebased surveillance system of maternal behaviors, attitudes, and experiences before, during, and shortly after pregnancy. The 2017 and 2018 SD PRAMS sampled a total of 3,805 mothers who were randomly selected from birth certificate records to be representative of all South Dakota women …

Characterization Of Cucurbitacin-Inspired Estrone Analogues As Novel Inhibitors Of Human Atp- Binding Cassette Proteins (Abcb1 And Abcc1), Jennifer Kyeremateng

Electronic Theses and Dissertations

ATP-binding cassette (ABC) transporters are a large class of integral membrane proteins that contribute to key physiological functions in all organisms by utilizing ATP binding and hydrolysis to transport diverse substrates across membrane barriers. P-glycoprotein (P-gp/ ABCB1) and Multidrug Resistance protein 1 (MRP1/ABCC1) are widely reported ABC transporters associated with multidrug resistance in cancer. Multidrug resistance (MDR) mediated by P-gp and MRP1 is responsible for treatment failures of many metastatic cancers as a result of reduced accumulation, bioavailability and diminished potency of anticancer drugs. Currently, known P-gp and MRP1 inhibitors are limited due to toxicity, lack of selectivity and low …

Incorporating Technology Into The Icook 4-H Program, A Cooking Intervention For Adults And Children: Randomized Controlled Trial, Sarah Colby, Lauren Moret, Melissa D. Olfert, Kendra Kattelmann, Lisa Franzen-Castle, Kristin Riggsbee, Magen Payne, Ainsley Ellington, Cary Springer, Chelsea Allison, Sanearlda Wiggens, Rochelle Butler, Douglas Mathews, Adrienne A. White

Health and Nutritional Sciences Faculty Publications

Background: Families who cook, eat, and play together have been found to have more positive health outcomes. Interventions are needed that effectively increase these health-related behaviors. Technology is often incorporated in health-related interventions but is not always independently assessed.
Objective: The objective of this study was to describe challenges and facilitators to incorporating technology into the iCook 4-H intervention program.
Methods: Dyads (n=228) composed of children (mean 9.4, SD 0.7 years old) and an adult primary meal preparer (mean 39.0, SD 8 years) were randomly assigned to a control (n=77) or treatment group (n=151). All treatment group dyads participated in …

Predicting Unplanned Medical Visits Among Patients With Diabetes Using Machine Learning, Arielle Selya, Eric L. Johnson

SDSU Data Science Symposium

Diabetes poses a variety of medical complications to patients, resulting in a high rate of unplanned medical visits, which are costly to patients and healthcare providers alike. However, unplanned medical visits by their nature are very difficult to predict. The current project draws upon electronic health records (EMR’s) of adult patients with diabetes who received care at Sanford Health between 2014 and 2017. Various machine learning methods were used to predict which patients have had an unplanned medical visit based on a variety of EMR variables (age, BMI, blood pressure, # of prescriptions, # of diagnoses on problem list, A1C, …

Diagnosis And Rehabilitation Of Multiple Hip Pathologies In A Division I Football Player: A Case Study, Kelsey E. Sanders

Electronic Theses and Dissertations

Objective: To present a diagnosis and rehabilitation plan for femoroacetabular impingement (FAI), labral tear, and sports hernia in a Division I college football player. Background: A 21-year-old NCAA Division I college football player experienced a rare combination diagnosis of hip FAI, labral tear and sports hernia. Overlapping signs and symptoms proved difficult to conclude a diagnosis. The patient underwent three months of conservative treatment with no relief before electing to undergo surgery. Differential Diagnosis: Hip flexor strain, osteitis pubis. Treatment: A combination of conservative treatment such as activity modification, anti-inflammatories, therapeutic modalities, injections, and rehabilitation were unsuccessful in relieving symptoms …

Changes In Vertical Jump Components Utilizing The Myvert Device In Female Collegiate D-1 Volleyball Players, Samantha Modrick

Electronic Theses and Dissertations

The purpose of this study was to determine daily and weekly variations in vertical jump (VJ) volume and VJ height over the course of a season for female collegiate division 1 volleyball players using Vert® technology. Sixteen volleyball player’s external load was monitored through jump count, average VJ height, number of VJs completed over 20-inches, and the ratio of VJ height relative to maximum tested VJ height. The VJ parameters were compared between practices and games, and between the various position groups (outside hitters, middle blockers, libero/defensive specialist, setters). A large increase in jump count observed during pre-season, peaked at …

Quality Of Life Associated With Physical Activity But Not Sedentary Time In Youth, K. Kattelmann, E. Hofer, C. Merfeld, J. Meendering, M. Olfert, J. White, S. Colby, R. Meade, L. Franzen-Castle, T. Aquirre, D. Matthews, A. White

Health and Nutritional Sciences Faculty Publications

Purpose: It has been reported that youth who engaged in more screen time had lower quality of life scores compared to those that were more physically active. Furthermore, increased sedentary behavior increases health risks particularly the risk for obesity. A cross-sectional analysis was completed to examine the relationship between healthrelated quality-of-life (HRQOL) and accelerometer-measured sedentary time (ST) and physical activity (PA) in 9-10-yearold youth who were recruited for the family-based, childhood obesity intervention, iCook 4-H. It was hypothesized that objectively measured ST would be negatively correlated and PA would be positively correlated with HRQOL.
Methods: A subset of participants (n=118) …

Case Report: A Novel Ocular Screening Aid For Detection Of Sport-Related Concussion In High School Athletes, Payton Monson

Electronic Theses and Dissertations

Objective: The purpose of this study was to develop, implement and determine the general effectiveness of a novel battery of ocular tests referred to as the Rapid Ocular Screening Test (ROST) that can be performed efficiently on the sideline and is based on our current understanding of the physiological effects of blunt head trauma on ocular functioning.
Background: Assessment of ocular function following a suspected head-injury has been recognized as an important adjunct to a concussion evaluation protocol; however, sideline-screening recommendations currently do not include a comprehensive set of ocular functioning tests. Three high school student athletes who suffered a …

A Longitudinal Examination Of Eating Disorders And Associated Risk Factors In Division I Student-Athletes, Nicole Court-Menendez

Electronic Theses and Dissertations

CONTEXT: Eating disorders represent a significant concern across multiple populations including collegiate athletes. Risk factors for eating disorders may be amplified in athletes because of internal and external performance and image expectations. Little is known about how these risk factors change over time in collegiate student-athletes.
OBJECTIVE: To longitudinally examine select eating disorder risk factors in National Collegiate Athletic Association (NCAA) Division I student-athletes.
DESIGN: Descriptive longitudinal study.
SETTING: NCAA Division I collegiate athletics.
PARTICIPANTS: Retired Division I collegiate athletes (n=204), ages 18-22, who competed in football, women’s soccer, women’s volleyball, baseball, men’s and women’s track and field, men’s and …

Pilot Study: Knowledge And Attitudes Regarding Sport-Related Concussion In A Rural Interscholastic Sport Sample, Austin Westland

Electronic Theses and Dissertations

Context: Evidence supports education initiatives to improve knowledge of sport-related concussion (SRC) in active children and adolescents, as well as improve attitudes towards reporting concussion events to a supervising adult with the ultimate goal of early diagnosis and management. Most evidence focuses on urban and suburban children’s SRC knowledge and attitudes; however, little is known regarding knowledge and attitudes of children participating in sport in rural environments. Understanding current knowledge and attitudes of rural children can inform future education and health behavior strategies that encourage early reporting. Objective: Two objectives guided this study. First, obtain and analyze pilot data regarding …

Ischemic Preconditioning Improves Maximal Accumulated Oxygen Deficit In Ncaa Division I Middle-Distance Runners, Emily Paull

Electronic Theses and Dissertations

Purpose: There is an ongoing debate concerning whether ischemic preconditioning elicits consistent and meaningful exercise performance benefits. We have previously demonstrated no performance benefits of ischemic preconditioning at submaximal aerobic exercise intensities. It is likely that the beneficial effects of ischemic preconditioning on performance only involve supramaximal anaerobic exercise bouts, which elicit greater metabolic and neuromuscular stress. The aim of the study was to test the hypothesis that ischemic preconditioning improves maximal accumulated oxygen deficit (aO2D), an indicator of anaerobic capacity, in NCAA Division I middle-distance runners. Methods: A randomized sham-controlled crossover study was employed in which 10 NCAA Division …

Effectiveness Of A Low-Budget Sports Vision Training Program For Improving Batting Statistics Of An Ncaa Division I Baseball Team, Adam J. Melstrom

Electronic Theses and Dissertations

Context: Sports vision training (SVT) has been increasing in popularity among many dynamic reactive sports. Dynamic reactive sports require extremely accurate detection and discrimination of visual stimuli in order to execute a precise motor response. Manual interception, locomotion, and depth judgement are found to be the most important visuomotor abilities with interceptive sports such as baseball. Baseball is a highly visually demanding sport, especially offensively. The effectiveness of the batter is dependent on his/her ability to locate, track, and swing at a projectile in ~0.2 seconds. This presents the opportunity to implement an SVT program with a baseball team as …

Effectiveness Of A Shoulder Strengthening Intervention On The Incidence Rate Of Glenohumeral Joint Instability Injuries, Michael Aderman

Electronic Theses and Dissertations

Context: Shoulder injuries are frequently sustained in American football due to the contact and collision aspect of the sport. Injuries to the shoulder account for about 10% to 20% of all musculoskeletal injuries that occur in football and the shoulder is the fourth most commonly injured joint behind the hand, knee and ankle. The effectiveness of the dynamic stabilizers of the glenohumeral joint is a factor that could affect the rate of injuries that occur at the joint. The CKCUEST has been shown to be an effective test for assessing the dynamic stability of the glenohumeral joint.
Objective: The purpose …

Associations Between Personality Style, Perceptions Of Health Coaching And Percent Of Starting Weight In Meal Replacement Program Participants, Anne E. Sawyer

Electronic Theses and Dissertations

Purpose: To determine if personality style and an individual’s perception of their health coaching experience impact their ability to lose weight and/or maintain weight loss. Methods: An electronic survey was distributed to 20,000 current and past meal replacement program participants. Personality style was assessed via the Ten Item Personality Inventory, providing individual perceptions of each of the Big Five personality domains (extraversion, agreeableness, conscientiousness, emotional stability, and openness to experience). The Working Alliance Inventory (Short Revised) was used to assess three key perceptions of health coaching: 1) agreement on the goals of coaching (goal), 2) agreement on the tasks of …

The Effect Of Sport Participation On Bone, Maggie M. Minett

Electronic Theses and Dissertations

Mechanical loading – or physical activity – is essential in the bone remodeling process as well as optimizing the densitometric and geometric properties of bone throughout the lifespan. Participation in sports is a common mode of physical activity that can enhance bone mass accrual at younger ages and facilitate bone mass maintenance at older ages. Research suggests that sport participation continued from adolescence into high school and college provides added benefits on aBMD and cortical bone measures and these benefits remain 10-15 years after retirement from sport. However, in most studies, the higher rates of bone loss after sport cessation …

The Lived Experience Of Retired College Athletes With A History Of 1 Or More Concussions, Rebecca Cover

Electronic Theses and Dissertations

CONTEXT: Concussions remain misunderstood, underreported, and undiagnosed. While most concussion symptoms resolve within 2 weeks, some patients experience persistent symptoms which adversely affect physical, emotional, social, and/or cognitive functioning. Minimal evidence delineating the effect of concussions on recently retired college athletes currently exists. OBJECTIVE: To examine the lived experience of retired collegiate athletes with a history of 1 or more concussions to discern individual concussion histories, knowledge and perceptions of concussions, and post-concussion quality of life. DESIGN: Qualitative.
SETTING: Personal life after retirement from competitive athletics.
PATIENTS or OTHER PARTICIPANTS: Former Division I athletes (n=14) 1-5 years post-athletics retirement with …

The Relationship Between Relative Strength Levels To Sprinting Performance In Collegiate 100-400m Sprinters, Philip Reuer

Electronic Theses and Dissertations

The purpose of this study was to determine the relationship between relative maximal (1RM) strength (i.e. back squat and power clean) to sprinting performance in 60-400m collegiate sprinters. A secondary purpose was to determine the distribution of athletes within the theoretical relationship between relative squat strength and performance capabilities. Fifty-six (n = 56) male and sixty-four (n = 64) female collegiate track and field sprinters were observed from DI (n = 88) and DII schools (n = 32) that participated in a year round strength and conditioning program. Maximal strength was divided by body weight to calculate relative strength and …

Monitoring Pollen Counts And Pollen Allergy Index Using Satellite Observations In East Coast Of The United States, Murat Cagatay Kececi

Electronic Theses and Dissertations

Allergic diseases have become increasingly common over the world during the last four decades, and they are affecting millions of people. Pollination is an important process in the life cycle of plants. However, pollen exposure is associated with allergic diseases such as asthma and seasonal allergic rhinitis (hay fever). As a result, the total annual expenditure for asthma-associated morbidity is about $56 billion in the United States, and the overall cost of allergic diseases is over $18 billion annually. For allergic rhinitis, the annual medical cost is approximately $3.4 billion. The intensity and frequency of the pollen exposures can be …

The Effect Of Six Days Of Dietary Nitrate Supplementation On Performance In Trained Crossfit Athletes, Samuel J. Kramer, Daniel A. Baur, Maria T. Spicer, Matthew D. Vukovich

Health and Nutritional Sciences Faculty Publications

Background: While it is well established that dietary nitrate reduces the metabolic cost of exercise, recent evidence suggests this effect is maintained 24 h following the final nitrate dose when plasma nitrite levels have returned to baseline. In addition, acute dietary nitrate was recently reported to enhance peak power production. Our purpose was to examine whether chronic dietary nitrate supplementation enhanced peak power 24 h following the final dose and if this impacted performance in a heavily power-dependent sport.
Methods: In a double-blind, randomized, crossover design, maximal aerobic capacity, body composition, strength, maximal power (30 s Wingate), endurance (2 km …

Longitudinal Examination Of Perceived Stress And Depression Symptomology In Division I Student-Athletes, Bobby Daigle

Electronic Theses and Dissertations

CONTEXT: Concussions are all too prevalent in amongst athletes. Concussions make up almost 5 percent of all collegiate athletic injuries. Concussions have been linked with many long lasting effects including depression and increased stress or anxiety.

OBJECTIVE: To longitudinally examine post-concussion depression and stress levels in National Collegiate Athletic Association Division 1 athletes.

DESIGN: Descriptive longitudinal study.

SETTING: National Collegiate Athletic Association Division I collegiate athletics.

PARTICIPANTS: Concussed and uninjured Division I collegiate athletes, ages 18-22, competing in football, women’s soccer, baseball, softball, and women’s track.

INTERVENTION(S): Participants completed the CES-D at baseline, 1 week, 1 month, and 3 months …

Intraosseous Vascular Access In The Emergency Department, Nicole M. Helsper Devoe

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Current guidelines and recommendations from the American College of Surgeons Advanced Trauma Life Support and the American Heart Association (AHA) include intraosseous (IO) access as a second-line alternative when delayed or failed peripheral vascular access occurs in emergent or trauma situations. IO access is underutilized in the emergency department (ED) due to registered nurses’ knowledge deficit, lack of training and education, and lack of supplies (Cheung, Rosenberg, & Vaillancourt, 2014). The National Association of EMS Physicians (NAEMSP) supports the use of IO access and describes IOs as a significant time saving intervention in achieving vascular access and decreasing the time …

Implementing A Screening Pathway For Identifying Patients At Risk For Obstructive Sleep Apnea In Primary Care, Emily Fett

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Obstructive sleep apnea (OSA) is emerging as a significant health problem largely underrecognized by health care providers in the primary care setting (Pagel, 2008). The intent of this practice innovation project was to change and reduce the variation in practice for OSA screening that did not follow what is known about best practices. In this study, a preexperimental one-group pretest-posttest design was carried out to evaluate the outcomes associated with implementing an evidence-based screening pathway into practice for OSA based on the recommendations set forth in a clinical practice guideline recently published by the American Academy of Sleep Medicine (Epstein …

17beta-Estradiol Increases Basal But Not Bradykinin-Stimulated Release Of Active T-Pa In Young Postmenopausal Women, Mias Pretorius, Gary Van Guilder, Raul J Guzman, James M Luther, Nancy J Brown

Health and Nutritional Sciences Faculty Publications

Angiotensin-converting enzyme inhibition potentiates basal and bradykinin-stimulated tissue-type plasminogen activator (t-PA) release to a greater extent in women than in men. This study tested the hypothesis that 17beta-estradiol enhances the effect of angiotensin-converting enzyme inhibition on t-PA release in young postmenopausal women. We conducted a double-blind, prospective, crossover study in 14 young postmenopausal women (mean age 48.2+/-2.3 years) who were randomized to receive 17beta-estradiol (1 mg/d) or matching placebo for 4 weeks. At the end of each treatment period, we measured the effect of intraarterial infusion of bradykinin, methacholine, and nitroprusside on forearm blood flow and net t-PA release, before …

Walking Age Does Not Explain Term Versus Preterm Difference In Bone Geometry, Haifa Abou Samra, Bonny Specker

Ethel Austin Martin Program Publications

OBJECTIVE: To elucidate the relationship between bone geometry and onset of walking in former term and preterm children.
STUDY DESIGN: We conducted a cross-sectional study of 128 preschool children aged 3 to 5 years who underwent peripheral quantitative computerized tomography measures of bone size at the distal tibia. Linear models were developed, stratifying by sex, to determine whether bone differences between children born term and preterm were caused by differences in walking age.
RESULTS: Children with a history of preterm birth walked later than children born at term (12.4 +/- 0.5 versus 10.9 +/- 0.2 months; P = .004); however, …

The Influence Of Isotonic And Isokinetic Weight Training On Vertical Jumping Proficiency, Jeffrey Thomas Spielman

Electronic Theses and Dissertations

The purpose of this study was to determine the influence of isotonic and isokinetic weight training on vertical jumping proficiency as measured by a modified vertical jump. The subjects were college students enrolled in the Fitness and Lifetime Activities Program at South Dakota State University in Brookings, South Dakota. Isotonic and isokinetic training were assigned to the two experimental groups with the third group serving as controls. Training for the experimental groups consisted of isotonic circuit training on a Universal weight machine and isokinetic training on a Leaper machine. Data analysis included a reliability and reproducibility assessment, and a one-way …