Digital Commons Network^™

Analysis Of Tech-Based And Telemental Health Approaches Within The Adolescent And Young Adult Populations Of Rural America, Audrey Smeenk

Physician Assistant Scholarly Project Papers

Background: The incidences of depression and anxiety among adolescent and young adult populations are intensifying, and resources remain limited for the management of these diseases within rural America. Objective: The purpose of this literature review is to evaluate evidence-based practices regarding telemedicine and tech-based mental health interventions. Evaluation of different interventions will demonstrate the ability of access, efficacy, and patient adherence with the hope of decreasing the incidence of disease and increase the availability of resources to rural areas. Methods: A comprehensive literature review was completed by assessing journal articles and scientific databases from the last fifteen years using a …

Low-Dose Naltrexone For Treatment In Crohn’S Disease And Fibromyalgia, Hannah Rachel Tkach

Physician Assistant Scholarly Project Papers

The United States has experienced a dramatic increase in opioid abuse and overdoses, leading to a national epidemic. Contributing to this epidemic is the use of opioid therapy for complex chronic inflammatory and neuropathic conditions that remain difficult to treat. Many traditional treatments are ineffective or have intolerable side effects, forcing providers to utilize opioid therapy as a last resort. Recently, there is increased interest in the use of partial opioid antagonist naltrexone to treat Crohn’s disease and fibromyalgia. Previous research suggests the potential for naltrexone to provide analgesic effects when administered in low doses via its unique interaction with …

May 7, 2020: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the May 7, 2020, meeting of the University Senate. 106 pages

Assessing Cultural Drivers Of Safety Resilience In A Collegiate Aviation Program, Daniel Kwasi Adjekum, Marcos Fernandez Tous

Aviation Faculty Publications

Organizational safety resilience is a key factor in sustaining an effective safety management system (SMS) in high-reliability organizations (HROs) such as aviation. Extant research advocates for monitoring, assessing and continuously improving safety in an organization that has a fully-functional SMS. Safety resilience provides a buffer against vulnerabilities. Extant research also suggests a paucity in terms of a measurement framework for organizational safety resilience in collegiate aviation operations. A quantitative approach using Reason’s safety resilience concept (Reason, 2011) is used to assess organizational safety resilience in a collegiate aviation program with an active conformance SMS accepted by the FAA. A sample …

Spring 2020, University Of North Dakota Alumni Association

ALL: UND Alumni Review Master List

Summer 2020 issue of "The University of North Dakota Alumni Magazine." 52 pages

Volume 103, Number 2

Addressing Transportation Barriers To Improve Appointment Attendance In Outpatient Mental Health Services, Tehut T. Tefera

Nursing Capstones

This quality improvement project aimed to reduce missed appointment rates in five outpatient mental health services through appointment reminder calls along with mitigation of transportation barriers. Studies have established the wide-ranging health and financial implications of missed appointments affecting patients and healthcare systems. During a one-month project intervention period, pre- and post-intervention missed appointment rates were compared, and providers’ sentiments were measured utilizing Likert scale questionnaires. A reduction in missed appointments by 1.1% was achieved collectively across all sites through the project duration. Additionally, provider satisfaction regarding missed appointment rates increased by 4.46%. Project cost analysis revealed that this intervention …

Not A Magic Pill: An Educational Model On Antibiotic Prescribing, Christina Rose Leonard

Nursing Capstones

Background: Inappropriate antibiotic prescribing is common in outpatient settings across the United States. The Centers for Disease Control and Prevention has found in studies that nearly 1 in 3 antibiotics prescribed at outpatient facilities is unnecessary. The misuse and overuse of antibiotics is accelerating the process of antibiotic resistance, as well as causing an increase in adverse events, including death. The literature indicates that knowledge plays a major factor in overprescribing, as well as provider attitude and patient expectations.

Objective: Present clinical practice guidelines to providers within a rural family practice clinic setting aimed at improving antibiotic prescribing. Gather information …

Improvement In Heart Failure Management Through Implementation Of An Interdisciplinary Algorithm To Reduce 30 Day Hospital Re-Admission, Lindsey Whiting

Nursing Capstones

Heart failure (HF) is a progressive disease in which the heart is unable to pump enough blood to support the body’s vital functions. Recent projections estimate that by the year 2030 the number of HF patients will increase by 46%, resulting in an increased financial strain on the health care system. In response to increasing health care costs the Hospital Re-Admission Reduction Program (HRRP) was implemented. The goal of the HRRP is to improve the quality of patient care by linking defined parameters of quality of patient care to the payment/reimbursement of health care providers and hospitals. A rural northern …

Effect Of Provider Education On Urinary Incontinence Knowledge And Assessment, Kendra L. Roloff

Nursing Capstones

Nearly 50% of women in the United States will experience urinary incontinence at some point during their lives. Urinary incontinence impacts multiple aspects of a woman’s life, yet remains underdiagnosed by primary care providers. The purpose of this project is to implement education and reminders for primary care providers, in order to improve urinary incontinence knowledge and assessment of women 18 years of age or older. The project was carried out in a primary care clinic with primary care providers serving as the participants.

A quasi-experimental one-group pretest-posttest design was utilized. Data from a five question pre- and posttest were …

Maximizing Mental Health With Early Detection In The Outpatient Setting: Provider Education On Suicide Screening, Elizabeth A. Doddato

Nursing Capstones

Background: Despite advancements in research, increased efforts to identify “best practices” for suicide prevention, and the subsequent development of evidence-based interventions, suicide trends continue to rise at epidemic proportions. Objective: The project’s purpose is to highlight the significance and benefit of utilizing and implementing evidence-based research interventions into the primary investigator’s outpatient psychiatric organization. Goal: The project’s goal is to determine if provider-specific education on suicide screening enhanced the provider’s comfort level, knowledge-base, and otherwise positively impacted their plan for future implementation of such tools that would ultimately assist in the early detection of at-risk patients. Methods: The project used …

Improving Palliative Care Utilization Process: An Effort To Enhance Providers` Contribution, Orina Machoka

Nursing Capstones

Worldwide, an estimated 20 million people require palliative care. The Worldwide Palliative Care Alliance has identified the need for palliative care has never been higher and is increasing at a rapid rate due to the world`s aging population, increase in cancer, and noncommunicable disease. Despite the increased need, the palliative care establishment has not been efficient in identifying patients who need palliative care. The use of a standardized screening process to assist in the timely identification of patients with palliative care needs is lacking, or in some cases, non-existent. At a Midwestern pain clinic lack of screening is causing a …

Primary Care And Behavioral Health Provider Communication: Strategy For Improvement, Kathleen J. Matthews

Nursing Capstones

Communication in health care is essential. Limited communication between primary care and behavioral health providers was identified as a barrier access to care and effective collaborative care of patients seeking behavioral health treatment in the Matanuska-Susitna (Mat-Su) Borough, Alaska. A one-group pre- and post-test design quality improvement project was created to develop and implement a standardized communication template to facilitate communication and collaboration between behavioral health and primary care providers in the project group. The theory of relational coordination with an emphasis on the mutually reinforcing interaction between relationships and communication served as the theoretical framework for the project. Objectives …

April 2, 2020: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the April 2, 2020, meeting of the University Senate. 14 pages

Deep Multilayer Brain Proteomics Identifies Molecular Networks In Alzheimer's Disease Progression, Bing Bai, Xusheng Wang, Yuxin Li, Ping-Chung Chen, Kaiwen Yu, Kaushik Kumar Dey, Jay M. Yarbro, Xian Han, Brianna M. Lutz, Shuquan Rao, Yun Jiao, Jeffrey M. Sifford, Jonghee Han, Minghui Wang, Haiyan Tan, Timothy I. Shaw, Ji-Hoon Cho, Suiping Zhou, Hong Wang, Mingming Niu, Ariana Mancieri, Kaitlynn A. Messler, Xiaojun Sun, Zhiping Wu, Vishwajeeth Pagala, Anthony A. High, Wenjian Bi, Hui Zhang, Hongbo Chi, Vahram Haroutunian, Bin Zhang, Thomas G. Beach, Gang Yu, Junmin Peng

Biology Faculty Publications

Alzheimer's disease (AD) displays a long asymptomatic stage before dementia. We characterize AD stage-associated molecular networks by profiling 14,513 proteins and 34,173 phosphosites in the human brain with mass spectrometry, highlighting 173 protein changes in 17 pathways. The altered proteins are validated in two independent cohorts, showing partial RNA dependency. Comparisons of brain tissue and cerebrospinal fluid proteomes reveal biomarker candidates. Combining with 5xFAD mouse analysis, we determine 15 Aβ-correlated proteins (e.g., MDK, NTN1, SMOC1, SLIT2, and HTRA1). 5xFAD shows a proteomic signature similar to symptomatic AD but exhibits activation of autophagy and interferon response and lacks human-specific deleterious events, …

Sleeping Time Is Associated With Functional Limitations In A National Sample Of Older Americans, Brenda M. Vincent, Nathaniel Johnson, Grant R. Tomkinson, Ryan Mcgrath, Brian C. Clark, Bong-Jin Choi

Education, Health & Behavior Studies Faculty Publications

Background: Engaging in healthy behaviors may help to preserve function during aging; however, it is not well understood how sleeping time is associated with functional capacity in older adults.

Aims: We sought to determine the association of sleeping time on functional limitation in a national sample of older Americans.

Methods: The analytical sample included 6,020 adults aged at least 65 years who participated in the 2007-2016 waves of the National Health and Nutrition Examination Survey. Respondents indicated their hours of sleep/week night and were categorized as <5, 5-6.5, 7-8, 8.5-9, and >9 hours of sleep/week night. Ability to complete 19 functional tasks …

March 5, 2020, University Of North Dakota

University Senate Meeting Minutes

Minutes from the March 5, 2020, meeting of the University Senate. 4 pages

March 5, 2020: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the March 5, 2020, meeting of the University Senate. 9 pages

Emotional Responses To A Sexual Assault Threat: A Qualitative Analysis Among Women With Histories Of Sexual Victimization, Kristin E. Silver, Raeann E. Anderson, Amanda M. Brouwer

Psychology Faculty Publications

Sexual assaults against women are a leading threat to human rights and public health in the United States. Considering the high rates of sexual revictimization among women and the limited understanding of the mechanisms which fuel this phenomenon, the goal of the present study was to investigate the role of emotion in coping with a hypothetical threat of sexual assault for previously sexually victimized college women. A total of 114 college women with a history of sexual victimization listened to an audio-recording describing a sexual assault scenario and then described how they felt. A qualitative analysis paradigm was used to …

Febuary 25, 2020, The Dakota Student

The Dakota Student

No abstract provided.

Volume 57, Number 26: February 19, 2020, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 57, Number 25: February 12, 2020, University Of North Dakota

University Letter Archive

No abstract provided.

Febuary 11, 2020, The Dakota Student

The Dakota Student

No abstract provided.

February 6, 2020, University Of North Dakota

University Senate Meeting Minutes

Minutes from the February 6, 2020, meeting of the University Senate. 3 pages

Febuary 4, 2020, The Dakota Student

The Dakota Student

No abstract provided.

An Exploration Of Correctional Counselor Workloads In A Midwestern State, Adam K. Matz, Nathan C. Lowe

Criminal Justice Faculty Publications

Time studies have been conducted with a variety of occupations. However, no known research has examined the workload of correctional counselors. The Iowa Department of Corrections, in partnership with the American Probation and Parole Association, performed the first known workload evaluation of this population. Over a hundred correctional counselors participated in a time study informed by a task analysis conducted with a representative advisory committee. The most common activities concerned inmate requests, classification, assessment, release planning, treatment group work, and administrative tasks. Most concerning, respondents indicated anywhere from 20-to-50% of the activities engaged in were unsatisfactorily completed.

Und Today: February 2020, University Of North Dakota

UND Today Archive

No abstract provided.

General Brochure, University Of North Dakota. Energy And Environmental Research Center

EERC Brochures and Fact Sheets

Information about the Energy & Environmental Research Center (EERC). Includes information on the EERC’s expertise, research priorities, facilities, and employment statistics. [This item is an outdated or superseded version and retained for historical purposes only. It may no longer reflect current information, policies, or practices.]

Role Of Endolysosomes And Inter-Organellar Signaling In Brain Disease, Zahra Afghah, Xuesong Chen, Jonathan David Geiger

Biomedical Sciences Faculty Publications

Endosomes and lysosomes (endolysosomes) are membrane bounded organelles that play a key role in cell survival and cell death. These acidic intracellular organelles are the principal sites for intracellular hydrolytic activity required for the maintenance of cellular homeostasis. Endolysosomes are involved in the degradation of plasma membrane components, extracellular macromolecules as well as intracellular macromolecules and cellular fragments. Understanding the physiological significance and pathological relevance of endolysosomes is now complicated by relatively recent findings of physical and functional interactions between endolysosomes with other intracellular organelles including endoplasmic reticulum, mitochondria, plasma membranes, and peroxisomes. Indeed, evidence clearly indicates that endolysosome dysfunction …

February 6, 2020: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the February 6, 2020, meeting of the University Senate. 13 pages

Volume 57, Number 23: January 29, 2020, University Of North Dakota

University Letter Archive

No abstract provided.