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Advance Care Planning: Implementing Online Education For Rural Primary Care Providers, Jessica Kurtz Jan 2024

Advance Care Planning: Implementing Online Education For Rural Primary Care Providers, Jessica Kurtz

Nursing

Advance care planning (ACP) can assist patients and their families in navigating personal and medical choices at the end-of-life; however, these conversations often transpire too late. Primary care providers (PCPs) frequently develop extended relationships with their patients, especially those with chronic disease, and possess opportunities throughout a patient’s lifespan to assess when ACP conversations could be initiated. Unfortunately, many PCPs lack confidence in leading ACP conversations, although they are willing to facilitate them. Despite the alarming number of people living with chronic disease and documented benefits of ACP, advance directive completion remains low. According to previous research, online ACP education …


Improving Caregiver Burden For Professional Caregivers Of Dementia Residents, Austin Anderson Jan 2024

Improving Caregiver Burden For Professional Caregivers Of Dementia Residents, Austin Anderson

Nursing

This practice improvement project examines the burden on professional caregivers of persons with dementia (PWD), aiming to enhance their well-being. With dementia significantly impacting cognitive functions, caregivers face heightened levels of stress, depressive symptoms, and physical health issues, more so than those caring for individuals with other conditions. Utilizing Roy's Adaptation Model (RAM) and the Theory of Caregiver Stress, the dissertation proposes comprehensive strategies to understand and alleviate the challenges faced by caregivers. The core of this practice improvement project aims to enhance the well-being of formal caregivers by implementing a comprehensive training session. This session was designed to equip …


Mental Health: Implementation Of The Smhat-1 Tool To Screen For Mental Health Concerns Among Collegiate Athletes Attending A Midwestern University, Chrisann Richter Jan 2024

Mental Health: Implementation Of The Smhat-1 Tool To Screen For Mental Health Concerns Among Collegiate Athletes Attending A Midwestern University, Chrisann Richter

Nursing

College athletes experience increased prevalence of anxiety, depression, sleep disorder, substance misuse, and eating disorders when compared to general college student population. When suffering from mental illness, signs and symptoms that elite, or professional athletes portray may mimic behaviors that are normative for dedicated athletes with demanding schedules and high-performance expectations. Early identification by athletic staff, coaches, and healthcare professionals is the key to facilitating early intervention. Routine screening for mental health has been proven effective in identifying athletes who are at risk for, or currently suffering from mental health disorders. Early identification, intervention and treatment offer athletes a better …


Pediatric Preparedness In A Rural Health System, Sarah Nielsen Jan 2024

Pediatric Preparedness In A Rural Health System, Sarah Nielsen

Nursing

Pediatric emergencies present significant challenges and emotional strain in healthcare settings. In critical access hospitals, the provision of safe, effective, and high-quality emergency response for pediatric cases is especially demanding. Many rural hospitals have infrequent exposure to pediatric emergency care, which can contribute to a lack of confidence when caring for this population. Diminished confidence in pediatric skills and procedures has been linked with a reduction in overall patient safety. Research on pediatric emergency preparedness in rural settings outlines the need for further multi-faceted education to achieve increased provider comfort and preparedness. The practice improvement project aimed to understand health …


Healthcare Professionals' Education Regarding Human Trafficking Identification And Resources, Madeline Iversen Jan 2024

Healthcare Professionals' Education Regarding Human Trafficking Identification And Resources, Madeline Iversen

Nursing

Human trafficking is one of the largest illegal industries with over 40 million adults and children enslaved worldwide. The psychological and physical consequences of human trafficking are high and may impact a victim for their entire life. Approximately 88% of human trafficking victims report receiving medical care during their time captured, and a majority of these victims seek care in the emergency department (ED). Only 11% of healthcare professionals (HCPs) report receiving education on human trafficking. The purpose of this project was to determine if education regarding human trafficking influences HCPs including, nurses, physicians, nurse practitioners (NPs), physician assistants (PAs), …


Designing A Holistic Environment For Athletic Performance: Athletics Canada High Performance Training Center, Sofia Naranjo Mata Jan 2024

Designing A Holistic Environment For Athletic Performance: Athletics Canada High Performance Training Center, Sofia Naranjo Mata

Architecture Theses

Sports are highly profitable, but when looking at the design of sports buildings, the spectators and owners are the primary user groups, pushing athletes to the side and compromising where they train. As athletic talent continues to better with each generation, the environment in which the athlete trains must be considered as a factor in performance. By shifting the focus of design back onto the athletes, a prosperous environment can be created that improves their wellness and performance. By examining sports performance, how design affects the experience of users and surveying athletes, information can be derived that creates a protocol …


‘Omics’ Approaches To Understand Ecology And Physiology Of Bees, Gagandeep Brar Jan 2024

‘Omics’ Approaches To Understand Ecology And Physiology Of Bees, Gagandeep Brar

Biological Sciences

Bees face several ecological and physiological challenges due to poor nutrition and abiotic stress. This dissertation explores various aspects related to these challenges, including the microbial ecology of honey bees and the alfalfa leafcutting bee, as well as the cold physiology of the alfalfa leafcutting bee. The first study delves into the dynamics of gut microbiota in overwintering adult worker honey bees, Apis mellifera. Through 16S rRNA gene amplicon sequencing, variations in the microbial composition among the bee strains, due to types of storage conditions, and the month of storage were examined. Overall, in this study a stable gut microbiota …


Childhood Obesity Conversations: Motivational Interviewing In The Brief Primary Care Visit, Nora Mettler Jan 2024

Childhood Obesity Conversations: Motivational Interviewing In The Brief Primary Care Visit, Nora Mettler

Nursing

Childhood obesity is a global epidemic that sets a child up for future health complications into adulthood. There’s no current consensus on approaching weight-related conversations with patients and families. Nurse practitioners (NPs) are in a unique position to recognize obesity and initiate weight-related conversations with patients and families. Unfortunately, formative educational programs under-educate practitioners in the conduction of obesity conversations, so there is a decreased confidence and resulting avoidance of weight-related conversations. This practice improvement project (PIP) aimed to increase provider confidence and utilize motivational interviewing techniques to initiate and sustain weight-related conversations with children and families with overweight or …


Adolescent Obesity Pathway: Updating Clinical Practice Guidelines In Primary Care, Amanda Fechtner Jan 2024

Adolescent Obesity Pathway: Updating Clinical Practice Guidelines In Primary Care, Amanda Fechtner

Nursing

Obesity has become a public health crisis with the prevalence of pediatric obesity being one in five children in the United States. The effects of the COVID-19 pandemic and widening social disparities are driving obesity rates up. Preventing obesity in children should be priority but despite our society’s best efforts, children are crossing the BMI threshold and entering an obese BMI range. Advances in medication options are showing promising results for adolescents with obesity when combined with a healthy diet and exercise. Additionally, surgical options are proving to be safe and sustainable options for children 14 years and older. Clinicians …


Managing Sclerotinia Sclerotiorum: An Emerging Threat To The Sugar Beet Industry, Mayowa Aderoju Jan 2024

Managing Sclerotinia Sclerotiorum: An Emerging Threat To The Sugar Beet Industry, Mayowa Aderoju

Plant Pathology

Recent studies have reported S. sclerotiorum (Lib.) de Bary as an emerging pathogen of sugar beet (Beta vulgaris L.) causing leaf blight, seedling damping-off and root necrosis, becoming a fundamental production problem in the Red River Valley of North Dakota and Minnesota. The continuous spread of this pathogen's damaging impact across sugar beet-producing states necessitates proactive management measures to reduce the risk of potential outbreaks. This study aimed to (1) assess inoculation methods for sugar beet reaction to S. sclerotiorum, varietal response and cross-infectivity, and (2) evaluate fungicide efficacy against Sclerotinia diseases in three sugar beet varieties. Disease evaluation was …


Relationships Between Electronic Handgrip Dynamometer Derived Muscle Function And Purdue Pegboard Performance, Samantha Fitzsimmons Jan 2024

Relationships Between Electronic Handgrip Dynamometer Derived Muscle Function And Purdue Pegboard Performance, Samantha Fitzsimmons

Health Nutrition and Exercise Science

Purpose: To examine the relationships of electronic handgrip dynamometer and accelerometer derived maximal handgrip strength (HGS), sub-maximal control, and neuromuscular steadiness on Purdue Pegboard Test (PPT) performance in older adults. Methods: The analytic sample included 30 generally healthy community-dwelling older adults (age 72.4±5.3). Participants squeezed the handgrip dynamometer with maximal effort on each hand to determine strength capacity. A 25% sub-maximal target was calculated from maximal HGS, and participants were asked to maintain this target for 10-seconds for sub-maximal control. The accelerometer, which was placed on top of the handgrip dynamometer, quantified neuromuscular steadiness. Standard protocols were used for PPT. …


Ai Approaches In Personalized Meal Planning For A Multi Criteria Problem, Maryam Amiri Jan 2024

Ai Approaches In Personalized Meal Planning For A Multi Criteria Problem, Maryam Amiri

Computer Science

Food is one of the necessities of life. The food we consume every day provides us with the nutrition we need to have energy. However, food plays a more significant role in life. There is a relationship between food, culture, family, and society [1]. Since ancient civilization, people have realized the correlation between food and healthiness. Earlier, Physicians were treating people by prescribing special recipes. Last century, assorted studies investigated the impact meals have on human nutritional intake and the different diseases connected to it. There have been numerous other studies that focused on the required nutritional intake to ensure …


Dietary Impacts On Mitochondrial Respiration Of Gestating Heifers And Fetal Offspring, Kathryn Slavick Jan 2024

Dietary Impacts On Mitochondrial Respiration Of Gestating Heifers And Fetal Offspring, Kathryn Slavick

Animal Sciences

Two projects were conducted to evaluate dietary impacts on mitochondrial respiration of gestating heifers and fetal offspring. Our first hypothesis was that maternal vitamin and mineral supplementation during gestation improves the liver, muscle, and jejunum mitochondrial function of F1 and F2 offspring. In project 1, vitamin and mineral supplementation was provided to the F0 generation of dams from breeding to calving to isolate the effects of nutrition during pregnancy on future generations. Our second hypothesis was that altering limit-fed diets' forage: concentrate ratio would influence mitochondrial respiration in maternal and fetal jejunum and liver. In project 2, replacement heifers were …


Developing A Modified Diabetes Education Project In A Global Health Setting, Megan Harrington Jan 2024

Developing A Modified Diabetes Education Project In A Global Health Setting, Megan Harrington

Nursing

T2DM (type 2 diabetes mellitus) is a global health challenge, with Latinos, particularly Mexicans, facing a significantly higher risk. Mexico ranks among the top ten countries in terms of T2DM prevalence, with 12.8 million adults living with the condition. In rural Mexican communities, health disparities and challenges associated with social determinants of health often impede effective T2DM management. This highlights the need for targeted interventions and research initiatives. The project aimed to increase participants’ knowledge about T2DM management, assess their perceptions of their diagnosis and management, and distribute evidence-based dietary management information in a resource-constrained setting in Ensenada, Mexico. To …


Healing Through Humanitarian Design: Understanding The Refugee Crisis And Designing For The Future, Matthew Peikert Jan 2024

Healing Through Humanitarian Design: Understanding The Refugee Crisis And Designing For The Future, Matthew Peikert

Architecture Theses

This project is an exploration into understanding the qualities of the built environment to attain a level of dignity for refugees in their healing process. Architecture cannot solve these social issues but seeks to understand the impact of the built environment on individual people. This research will focus on the humanitarian design response method and how it can be improved in the future. Can healing take place through design created by architects and does the design of a refugee camp have anything to do with that healing process? This research will use the global refugee situation as a vehicle to …


Combining Metabolite Breeding With Good Agronomic Performance In Dry Bean (Phaseolus Vulgaris L.), Oscar Rodriguez Jan 2024

Combining Metabolite Breeding With Good Agronomic Performance In Dry Bean (Phaseolus Vulgaris L.), Oscar Rodriguez

Plant Sciences

Growth habit is one of the most important domestication traits in dry bean (Phaseolus vulgaris L.). In the U.S., Type II indeterminate upright varieties have helped farmers to switch from historic two-pass harvest to one-pass in direct harvest. Previous work suggested a stem diameter of 5.6 mm as threshold to select Type II architecture plants suitable for direct combining. In addition, the metabolic profile of indeterminate plants in dry bean is of great interest not only to define differences in seed coat color but to observe relationships with other traits, plant growth one of them. This study aimed to validate …


Implementation Of Interprofessional Education: Respiratory Management In Amyotrophic Lateral Sclerosis, Brooke Campbell Jan 2024

Implementation Of Interprofessional Education: Respiratory Management In Amyotrophic Lateral Sclerosis, Brooke Campbell

Nursing

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects nerve cells, leading to muscle weakness, including weakness of respiratory muscles. Respiratory issues significantly contribute to the morbidity and mortality of persons with ALS. Therefore, respiratory management is a critical aspect of care. There is a concerning lack of awareness and knowledge among rural and urban healthcare professionals regarding the respiratory management of persons with ALS. Healthcare professionals need to understand the differences between oxygenation and ventilation and the importance of following evidence-based guidelines. Nurse practitioners play a crucial role in the care of a person with ALS, overseeing …


Improving Care Of Pregnant Women Through Provider Education Of Group Prenatal Care, Morgan Kautzmann Jan 2024

Improving Care Of Pregnant Women Through Provider Education Of Group Prenatal Care, Morgan Kautzmann

Nursing

Prenatal care has been associated with improved pregnancy outcomes for both a mother and her unborn child. However, there are still many disparities that exist in healthcare today, resulting in inadequate access to prenatal care for many groups of women. Women face many barriers to prenatal care that can lead to poor maternal and neonatal outcomes such as lack of transportation, scheduling difficulties, inability to pay for services, and other social factors (Abshire et al. 2019; Akamune, 2018; Crocket et al., 2019). Since the early 1900’s, the focus has been on individualized care models, but the benefits of group prenatal …


Processing And Application Of Mxene (Ti3c2) For Plant Nutritional Stress Sensing, Sampada Koirala Jan 2023

Processing And Application Of Mxene (Ti3c2) For Plant Nutritional Stress Sensing, Sampada Koirala

Biomedical Engineering

Environmental stresses cause nutritional stresses which in turn lower crop yields, so understanding this complex relationship can improve crop growth and enable new precision farming methods. The aim of this study is to develop a new nanomaterial MXene-based sensing technology for the detection of the soybean plant nutritional stress released by the plant leaves in order to help plants early diagnosis and disease prevention. When terpenes were applied to MXene material using MILD method, the sensor had a significant response towards alpha-pinene and alpha-humulene with a minimal response showed for linalool terpene. Conversely, terpenes applied to MXene prepared using hydrothermal …


Arizona Arena: Ice In The Desert, Cal Wigestrand Jan 2023

Arizona Arena: Ice In The Desert, Cal Wigestrand

Architecture Theses

Sports have the ability to bring a whole city together, especially in a time of such division in this world, sports can bridge those differences, even if it is for just a few hours. For many, sports are a source for passion in one’s life. Growing up, playing sports gave me an outlet to escape from the normal world. Arena’s have some of the most unique design options in the entire world. This thesis proposal shows how these buildings can be built for sustainability, and made for all athletes at different stages in their careers. These spaces provide a community …


A New Root: Architecture For Food, Rebekkah R. Gilbertson Jan 2023

A New Root: Architecture For Food, Rebekkah R. Gilbertson

Architecture Theses

Only 17% of America’s land is considered ideal for agricultural purposes. However, traditional agriculture ruins our land in the long run by depleting the soil of essential nutrients. By conserving the land, we can reap its many benefits. To name a few, conserving the land can play a role in reducing air and water pollution, preserving biodiversity, preventing soil erosion, and can aid in sequestering greenhouse gases. Because land is such a vital resource, we can further preserve it by bringing vertical farming into urban environments. This yields the question: How can architecture be designed for food production to have …


Bioclimatic Architecture: Incorporating Sustainable Design Methods In Cold Climates, Katie T. Kent Jan 2023

Bioclimatic Architecture: Incorporating Sustainable Design Methods In Cold Climates, Katie T. Kent

Architecture Theses

Sustainable practices have been a topic of interest for decades within the design community. Architects and engineers alike are keen on the use of alternative energy sources such as wind and solar, but only recently have they shifted focus to building materials and methods as a potential solution for more environmentally conscious design. Our material selections and where they are sourced impacts our carbon footprint in ways we are just beginning to understand. One such material is the use of mass timber or cross laminated timber (CLT). Introduced in Europe, mass timber construction has slowly grown in popularity internationally. After …


Orphereal: Orphic Journey To Healing: A Therapeutic Design For The Anxious And Depressed, Sydney Suzanne Weigel Jan 2023

Orphereal: Orphic Journey To Healing: A Therapeutic Design For The Anxious And Depressed, Sydney Suzanne Weigel

Architecture Theses

Mental health has been rising for years, although since the pandemic that swept the world in 2020, it only seems to have been getting worse. When we hear somebody has broken their leg, has been diagnosed with a cancer or a terminal illness, why do we feel empathy towards the person? We feel called to deliver get well cards, and post about their misfortune and rally others to do the same; in the simplest terms, we support them on the path to heal. Mental health should be no different. The 2 most common mental illness diagnoses in America are depression …


Adaptive Thinking, Tanner Trosen Jan 2023

Adaptive Thinking, Tanner Trosen

Architecture Theses

The LEED Green Building Rating System was founded in 1993 and officially launched in 1998. Since then LEED’s goal has been to certify buildings that save money, improve efficiency, lower carbon emissions and create healthier places for people. LEED has done a very good job at producing the former. LEED certified buildings are very environmentally friendly, efficient, and save money day to day. Unfortunately when it comes to healthier places for people, the ball gets dropped. The WELL Building Standard bridges this gap. WELL buildings seek to improve the nutrition, fitness, mood, sleep, comfort, and performance of its occupants. This …


The Reconnection Of Nature And Health, Kirsten Spaude Jan 2023

The Reconnection Of Nature And Health, Kirsten Spaude

Architecture Theses

Healthcare is an ever-changing field and often a field of uncertainty of what will be around the next corner. As of recent we have faced new challenges such as the Covid-19 pandemic where the medical field had to shift of this virus that was completely unknown to the world. We, as a society, are increasingly aging and urbanizing. Even among staff there are shortages, efficiency problems among departments, and the need for better work environments. Thus, becoming the premise for this thesis project which dives into how circulation can improve movement and efficiency with patients and professionals. Which leads to …


Proposed Intensity And Proximity To Failure Recommendations For Improving Resistance Training Strength, Joseph David Koenecke Jan 2023

Proposed Intensity And Proximity To Failure Recommendations For Improving Resistance Training Strength, Joseph David Koenecke

Health Nutrition and Exercise Science

Resistance training, widely used in sports and recreation since the 1970s, can be used to achieve goals like muscular hypertrophy, strength, or endurance. Core principles to see noticeable adaptations include progressive overload, achieved by increasing sets, repetitions, frequency, weight, or training near muscle failure. However, high-intensity training may lead to chronic fatigue, which may negate the benefits. Research explores strategies like microdosing and high proximity to failure training to counter this. While high proximity to failure training may offer similar results to low proximity to failure training, microdosing may help coaches reduce fatigue, thus aiding athlete progress. Coaches must tailor …


A Review Of The Effects Of Kinesio Tape Fascial Correction Technique Of The Iliotibial Band Relating To Myofascial Pain Syndrome, Austin James Hills Jan 2023

A Review Of The Effects Of Kinesio Tape Fascial Correction Technique Of The Iliotibial Band Relating To Myofascial Pain Syndrome, Austin James Hills

Health Nutrition and Exercise Science

This paper reviewed the effects of Kinesio Taping® on pain pressure threshold (PPT) of trigger points (TrPs) within the iliotibial band (ITB). The condition known as myofascial pain syndrome (MPS) is a chronic pain disorder where pressure or sensitive points in muscle tissue causes localized or referred pain. This disorder typically manifests chronically due to an overuse or overtraining mechanism. MPS has been identified in individuals of all ages, body types, and activity level. However, the population with the highest reported prevalence is individuals participating in moderate or higher levels of physical activity. Kinesio Taping® fascial correction technique claims an …


Enhancing Restaurant Dining Experience: Design And Evaluation Of A Mobile App For Personalized Menu Item Selection In Restaurants, Kimia Tuz Zaman Jan 2023

Enhancing Restaurant Dining Experience: Design And Evaluation Of A Mobile App For Personalized Menu Item Selection In Restaurants, Kimia Tuz Zaman

Computer Science

Picking the right food item from a restaurant menu can be challenging for people, specially for those who are unfamiliar with local cuisine and those with specific dietary requirements. Existing menus often lack essential information, making it difficult for diners to make quick and confident decisions. In this paper, we propose a mobile app that offers a user-friendly interface to allows users rank menu items based on their preferences and concerns. Using personalized ranking algorithms, the app analyzes the ingredients and nutritional content of menu items, providing users with valuable information to make informed choices. Preliminary tests suggest that the …


An Analysis Of Cpr Performance, Self-Efficacy, And Deliberate Feedback, Caroline Martinez Jan 2022

An Analysis Of Cpr Performance, Self-Efficacy, And Deliberate Feedback, Caroline Martinez

Health Nutrition and Exercise Science

During sudden cardiac arrest (SCA), prompt initiation of cardiopulmonary resuscitation (CPR) by a healthcare provider or layperson is critical to a patient’s odds of survival.4 The absence of health care providers in athletic settings often leaves coaches as the primary responder in competitive or recreational athletics. The goal of this study was to determine if coaches could provide high-quality CPR. Twenty coaches completed confidence and deliberate feedback questionnaires before and after two sessions of 5 minute compression-only CPR. Data were analyzed to compare confidence pre and post CPR assessment, as well as to determine the relationship between CPR performance, self-efficacy, …


The Effects Of Kinesiotape Star Technique In Individuals With Chronic Non-Specific Low Back Pain, Mickaella Langer Jan 2022

The Effects Of Kinesiotape Star Technique In Individuals With Chronic Non-Specific Low Back Pain, Mickaella Langer

Health Nutrition and Exercise Science

Kinesio® Tape is theorized to reduce pain and aid with movement during treatment of chronic non-specific low back pain. This study investigated the effect that Kinesio® Tape has on patient-reported outcome measures and on disability in patients with chronic non-specific low back pain. Six volunteers exhibiting chronic non-specific low back pain, based on an included questionnaire, were recruited for this study. Patient-reported visual analog scores (VAS), Oswestry Disability (ODI) scores, Tampa Scale of Kinesiophobia (TSK) scores and postural stability measured by the Biodex balance system, as well as timed up and go scores were recorded over two randomized sessions with …