Digital Commons Network^™

Mixed Method Case Study Of The Silver Program: Nohwi Báyáni Bidádadil’Įį - Watching Over Our Elder, Cameron Ray Smith

Theses and Dissertations

This program effects case study provides a comprehensive case review of Apache Behavioral Health Services (ABHS) Nohwi Báyáni Bidádadil’įį – Watching Over Our Elders (Silver Program). The research aims to understand the program’s effectiveness in identifying, addressing, and reducing Elder abuse/neglect/and exploitation. Assess how the program has used the Elder Abuse Suspicion Index (EASI), assess community partners and ABHS staff knowledge/familiarity with the program, and whether the Silver Program is effective.

To achieve the research aim, I reviewed four data sources: ABHS Electronic Health Record (EHR), ABHS internal survey, interviews with community partners, and artifact review of the Silver Program. …

Materal Care In Focus: Non Birthing Facility Administrative Report, Juliana Antwi, Andrew Williams

Public Health Faculty Publications

A snapshot of facility types, staffing, and service gaps across North and South Dakota-this survey reveals key challenges and opportunities to strengthen maternal healthcare through the work of the NDPQC.

Fundamental And Formant Frequencies Of Vowels In Ventriloquial And Normal Speech, Corrie S. Wiesner, Manish Rami

Communication Sciences & Disorders Faculty Publications

This study explored the fundamental frequency and the first and second formant frequencies of vowels produced in ventriloquial and normal speech. It tested whether these frequencies differ by speech type and vowels. Voice recordings were collected from a participant who produced words containing ten target English vowels in normal and ventriloquial speech. Digitized recordings were analyzed to determine formant frequencies. A multivariate analysis detected statistically significant differences in the three frequency measures across speech type. Speech type by frequency interaction was examined via overlapping vowel quadrilateral plots that explored differences in formants of vowels across speech type and the vowel …

Occupational Therapy’S Role In Enhancing Awareness And Treatment Of Pelvic Floor Dysfunction In Women’S Health, Nicole Gentry

Occupational Therapy Capstones

Background: There are a variety of reasons that pelvic floor dysfunction can occur in women throughout their life, however, pelvic floor therapy is a minimally invasive and a holistic treatment option that can make significant differences (Cozean & Cozean, 2016; Moody & Fashokun, 2021; Wallace et al., 2019). Pelvic floor therapists can treat and provide interventions to help women manage symptoms associated with pelvic floor dysfunction. Currently, there is limited research on the correlation between pelvic floor dysfunction and recurrent vaginal and urinary infections. However, research suggests that recurrent infections can lead to inflammation, high muscle tone, increased tissue sensitivity, …

Religion-Justified Childhood Maltreatment, Maladjustment, And Child Abuse Potential, Hannah Doctor

Theses and Dissertations

Childhood abuse is a widely studied construct that has been shown to be related to higher levels of maladjustment and physical discipline and abuse perpetration in adulthood. Religion has been studied in relation to traumatic experiences and shown to be a factor that may help mitigate subsequent maladjustment. The idea religion may have been used to justify abusive acts has not been as widely studied but may complicate the picture of religion being a protective or resiliency factor. The present study sought to explore the relationships between religion, childhood abuse, maladjustment, and parenting behaviors. It was hypothesized that religion being …

The Effects Of Chronic Sleep Deprivation On Visuomotor Performance Using Electroencephalographic Measurement, Jaxon Duane Erie

Theses and Dissertations

The present study investigated the impact of acute and chronic sleep deprivation on visuomotor performance using both electroencephalographic (EEG) and behavioral measures (Senaptec Sensory Station) in a sample of 43 college students aged 18 to 27. Participants were assigned to low or high sleep conditions based on Chronic Sleep Reduction Questionnaire (CSRQ) scores, while acute sleep deprivation was assessed via the Karolinska Sleepiness Scale (KSS). Heart rate variability (HRV) was recorded to support condition placement, but comparisons revealed no significant differences between groups. No significant differences were found in visuomotor control or eye-quickness assessments. However, visual clarity was significantly better …

Rethinking Pilot Retention In The United States: An Analysis Of Key Factors, Michael James Hickey

Theses and Dissertations

This thesis examined pilot retention challenges in U.S. regional and low-cost carriers (LCCs), focusing on nonfinancial incentives such as quality of life, career stability, and work-life balance, which may have a greater influence on retention than traditional financial incentives. This quantitative, survey-based approach assesses how pilots rank the factors that influence their retention. Using a sample of U.S.-based pilots, the study examines six key areas adapted from a European pilot retention framework. Statistical analyses, including the Friedman test, the Mann-Whitney U test, and the Kruskal-Wallis test, identified correlations between demographic variables and retention priorities. The inherent financial constraints of regional …

The Ability Of The Millon Pre-Adolescent Clinical Inventory (M-Paci) To Distinguish Between Adhd And Non-Adhd Clinical Groups, Michael Jowkar

Theses and Dissertations

The M-PACI is a personality scale based on Millon’s biosocial personality theory designed to measure emerging personality patterns in pre-adolescents (9-12 years old). There is minimal published research on this inventory, particularly in clinical contexts. For this study, we used a data set collected at a Midwestern private practice clinic where children are assessed for ADHD and learning disabilities. This study looks at how those diagnosed with ADHD differ in emerging personality patterns and current clinical signs scales compared to those in a clinical sample who have not been diagnosed with ADHD. Some studies have shown differences between children diagnosed …

Perceptions Of Emotional Abuse As A Partial Function Of The Abuser-Victim Gender Dyad, Kaitlyn Kidder

Theses and Dissertations

Emotional abuse affects approximately half of people in an intimate relationship, yet it is often not considered intimate partner violence (IPV) on its own (Dokkedahl et al., 2022; Leemis et al., 2022). Despite the prevalence, there is a lack of consistency on the definition of emotional abuse and IPV as well as a lack of clarity of what acts qualify for these terms. Past research has largely focused on IPV, specifically physical or sexual abuse, in heterosexual relationships with a male perpetrator and female victim. Few studies have explored the interactions of the gender of the victim and perpetrator in …

An Intersectional Exploration And Analogue Investigation Of Transgender And Gender Diverse Bi+ Women’S Preferences For Sexual Violence Vulnerability Reduction Interventions, Sara K. Kuhn

Theses and Dissertations

Transgender and gender diverse (TGD) bisexual+ (bi+, e.g., pansexual, polysexual) women disproportionately experience sexual violence victimization and their acceptability of applicable interventions is under-researched. Online self-report data was collected from 240 ethnoracially diverse bi+ adult American women, who identified as TGD (n = 69) or cisgender (cis; n = 171), and who read standardized descriptions of interventions. TGD bi+ women found intervention descriptions inclusive of their sexual and gender identities—and those including in-person active resistance strategy instruction (bystander/self-defense)—more acceptable. Intervention descriptions with alcohol use and/or sexual activity reduction components were largely found to be less acceptable. Intervention elements of importance …

A Phenomenological Study Of The Motivations, Persistence And Challenges Of African Immigrant Adult Learners In Community Colleges In Minnesota, Saah Jackson Delu Kpakar

Theses and Dissertations

African Immigrant Adult Learners (AIAL) are considered an exclusive demographic group who left Africa and obtained permanent residency in the United States. They experience a wide range of challenges in their quest for postsecondary education, which impact their access, persistence, and academic success. The purpose of this qualitative study based on a phenomenological approach was to explore the factors that motivate African Immigrant Adult Learners and enable them to persist and remain resilient in their pursuit of higher education at community colleges in Minnesota. The theories that guided this research are the Self-Determination Theory (SDT) and Schlossberg’s Transition Theory (STT). …

Student Participation In Informal Resolution: Examination Of Impact Factors On Recidivism And Student Perceptions Of Institutional Care And Fairness, Linnea Rose Nelson

Theses and Dissertations

This exploratory case study, conducted at the University of North Dakota (UND), examined factors influencing recidivism and student perceptions of institutional care and fairness among participants in the piloted Informal Resolution (IR) option. A restorative justice (RJ)-informed alternative to the traditional student conduct process, the IR is offered to students charged with first-time, low-level violations of UND’s code of conduct. This study aimed not only to evaluate the new process but also to respond to recent calls from scholars and practitioners for more extensive research on the intersection of RJ and student conduct outcomes. Sherman’s (1993) defiance theory provided the …

Using Machine Learning To Investigate Weather Impacts On Crop Yield For Probabilistic, Climate-Informed Predictive Crop Breeding, Levi Newell

Theses and Dissertations

As the world’s population continues to grow, the importance of food security willonly continue to increase, with some estimates requiring a global increase in food production between 59 and 98% by 2050. The agriculture industry is also a crucial economic driver, with the industry supporting 20% of the state of North Dakota’s workforce, and with a total valuation of $41.3 billion. The economic importance of this industry and the challenges of future growth prompt a need for data driven decision making into the future, particularly with predictive crop breeding. This is the method by which crops are developed that are …

Speech-Language Pathology Graduate Programs: What Influences Students To Apply?, Emily Stephens

Theses and Dissertations

Speech-Language Pathologists (SLPs) are licensed professionals trained to work with various age ranges who have communication, feeding, and/or swallowing difficulties. The entry level education for an SLP to actively practice is a master’s degree. To fill the many vacant and needed SLP jobs across the country, it is necessary for SLP master’s programs to admit highly qualified students into their programs, resulting in many competent SLPs entering the workforce to fill the current job openings. Minot State University’s SLP master’s program has experienced a significant decline in graduate applications over the past decade. There is limited research specific to the …

Energy Systems Optimization Techniques In The Oil And Gas Industry With Special Attention On Oil Field Reciprocating Compressors, Sean Jainarine

Theses and Dissertations

The oil and natural gas exploration and production industry is undergoing rapid growth, resulting in an increased number of operational wells and heightened potential for air emissions from oil and natural gas sources. Within production sites, compressors play a pivotal role and are often regarded as the "heart of a manufacturing plant" in the oil and gas sector. These crucial devices are designed to compress air or other gases to pressures higher than atmospheric pressure. Gas compression is typically achieved using devices with rotating blades or cylinders featuring reciprocating compressors while are essential for operations demanding high-pressures in small packages. …

Virulence Of Emerging Tick-Borne Pathogens, Borrelia Miyamotoi And Borrelia Mayonii, Dawn Cleveland

Theses and Dissertations

As climate change leads to global expansion of tick habitats, tick borne diseases are becoming more prevalent and widespread, and emerging tickborne pathogens Borrelia miyamotoi and Borrelia mayonii warrant increased study. Both B. miyamotoi and B. mayonii are vectored by the same tick species as B. burgdorferi, the causative agent of Lyme disease, with B. miyamotoi causing a relapsing fever-like disease known as Borrelia miyamotoi disease (BMD), and B. mayonii causing a Lyme disease-like illness with atypical clinical presentations. This dissertation has two aims. The first aim encompasses B. miyamotoi infection and growth, isolation of clonal populations, and characterization of …

Autonomous Corrosion Detection In Steel Structures Using Different Non-Contact Techniques, Amrita Das

Theses and Dissertations

Metallic corrosion is an electrochemical process that can occur due to the formation of aqueous adlayers on the metal surface. It is often described as reverse metallurgy, as corrosion drives refined metals back to their lowest energy state, namely an oxidized, ore-like form. Environmental factors that promote corrosion include precipitation, high humidity, and chemical condensation, which can result from the hygroscopic nature of pollutants deposited on the surface. There is a significant impact of metallic corrosion on the U. S. economy including infrastructure, transportation, utilities, production, and manufacturing. The total direct cost of corrosion in the United States has been …

Get In The Zone: Utilizing A Food Skills Survey To Assess The Education Needs Of A Blue Zones Project Community, Sophia Kathryn Dunlap

Theses and Dissertations

Under-resourced communities often demonstrate little to basic knowledge and skills regarding food and nutrition-related practices, such as cooking and meal planning, nutrition label reading, and gardening. This can be attributed to various factors such as education level, socioeconomic status, available education programs, and overall interest in these topics. Limited research is available discussing the current knowledge, skills, and interests of nutrition topics and healthy eating patterns within Blue Zones Project (BZP) communities. To explore this gap in the literature, a cross-sectional design was implemented via a food skills survey completed by the residents of a modest-sized college town and site …

Learning To Teach Digital Literacy: Faculty As Learners, Nicole Marie Maier Derenne

Theses and Dissertations

Rapid developments in artificial intelligence technologies and widening digital divide inequities have made digital literacy instruction an urgent priority in higher education. This qualitative, interpretive case study examined how faculty learned to teach Digital Information Literacy at an instructional development workshop facilitated by academic librarians, following a mandate to integrate digital literacy into the institution’s general education program. Using transformative learning theory as a framework, data were collected from a purposive sample of faculty, librarians, and administrators involvedin the workshop through field notes, interviews, a focus group, document reviews, and journaling, and then hermeneutically analyzed. Findings revealed that although demonstrations …

Analysis Of Job Satisfaction Factors Influencing Pilot Retention In The United States Coast Guard, Margaret Morgan

Theses and Dissertations

United States Coast Guard (USCG) aviation is facing increasing challenges in pilot retention. A survey was designed to explore job satisfaction constructs and pilots’ intention to separate from the USCG to determine how gender, airframe, and retirement plan influence retention. The survey was distributed to Active Duty USCG pilots with 183 valid responses. Statistical analysis for job satisfaction found that female pilots are less satisfied with work-life balance. Differences between gender were not significant for the other job satisfaction constructs or intention to separate from the USCG. The analysis found that fixed wing pilots have a higher intention to separate …

Teacher Skills Needed For Effective Participation In Multi-Tiered Systems Of Support (Mtss): A State Framework Analysis, Melissa Osborne

Theses and Dissertations

This study is a secondary data analysis that uses a validated rubric to score the degree of alignment between the teacher skills (TS) necessary for the effective implementation of Multi-Tiered Systems of Support (MTSS) and the preservice teacher training standards (PTS) across five states located in the North Central United States. This investigation also assessed whether states employing an MTSS process to establish special education eligibility for specific learning disabilities (SLD) exhibit higher alignment between TS and PTS compared to states that do not follow that process. Literature outlines the TS needed in an MTSS framework, but there is limited …

High-Fidelity Surface And Environment Simulation Using Immersive Virtual Reality For Lunar Analog Training, Shriya Pedaparthi

Theses and Dissertations

The study explores the integration of high-fidelity Virtual Reality (VR) into astronaut training for lunar analog missions. A realistic VR simulation was developed to represent lunar terrain, allowing participants to perform critical tasks under simulated lunar conditions. Specifically, participants navigated from a compromised lunar habitat (ILMAH) facing a pressure breach, to a secure facility, testing their ability to respond effectively to emergency scenarios. Participants underwent three sequential trials to assess how VR and physical constraints influence gait and performance: (1) a baseline trial measuring natural gait without equipment; (2) a trial incorporating a real spacesuit and lunar gravity simulated through …

Nutrition Implications In Hypermobile Ehlers-Danlos Syndrome (Heds)/Hypermobility Spectrum Disorder (Hsd), Lauren Steiner

Theses and Dissertations

Hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD) are a poorly recognized and under researched group of genetic connective tissue disorders that have widespread impacts on the human body, including gastrointestinal (GI) symptoms. The role of dietary and supplemental interventions in GI symptom control in this patient population has not been researched. This study used an exploratory survey to collect data on diets and supplements that the patient population has used to combat GI symptoms. The low histamine, gluten free, dairy free, anti-inflammatory, and intermittent fasting diets, as well as magnesium, probiotic, coenzyme Q10, vitamin C, vitamin B12, and …

Negotiating Gender: A Qualitative Analysis Of Trans-Parasocial Relationships With Gen Z Social Media Users, Hannah Grace Scheffer-Wentz

Theses and Dissertations

The growth of social media and its functions as an online, international forum has been a growing topic of interest for researchers and the public alike. With the rise of native influencing and the incorporation of “organic” advertising, Social Media Influencers have grown in not just following and publicity with affiliate marketing and brand partnerships, but they have grown in social interest, as well. With the rise in technology and the introduction of Gen Z, who are digital natives, this has challenged previous understanding of online relationships, specifically with the expansion of Parasocial Relationship Theory to the online application of …

The Relationship Between Social Determinants Of Health And Maternal Risk Factors With Severe Maternal Morbidity, Rebecca Smith

Theses and Dissertations

Severe maternal morbidity (SMM) remains a significant public health concern in the United States, with rates rising despite advancements in obstetric care. While extensive research has examined the role of clinical risk factors in SMM, less attention has been given to the influence of social determinants of health (SDOH). Factors such as financial insecurity, food access, housing stability, intimate partner violence, social connectedness, and transportation barriers may contribute to maternal health disparities. This study aims to assess the relationship between SDOH and SMM, evaluating how these non-clinical factors shape maternal health outcomes. Additionally, this research explores the impact of maternal …

Public Perceptions Of Fracking And Anti-Fracking Activism: A Theory Of Planned Behavior Approach And Its Implications For Environmental Policy, Okhumode Hector Yakubu

Theses and Dissertations

Hydraulic fracturing, or fracking, has become one of the most contentious energy technologies of the 21st century, drawing support for its economic and energy security benefits and opposition due to its perceived environmental and health risks. This study applies the Theory of Planned Behavior (TPB) to examine the psychological, social, and informational factors that shape public perceptions of fracking and motivate anti-fracking activism. Using a nationally representative sample of U.S. adults (N = 522), this research investigates how attitudes, subjective norms, perceived behavioral control, and domain-specific knowledge predict support or opposition to fracking, as well as intentions to engage in …

Congolese Refugee Narratives Of Belonging, Grief, And Cultural Continuity In Appalachia, Kayla Davis

Theses and Dissertations

This research examines the communicative challenges that Congolese refugees face after resettlement, particularly as they strive to reconstruct a sense of belonging in the United States that reflects their experiences in either their home country or secondary countries where they endured protracted displacement in refugee camps. Narrative qualitative research methods were used to conduct interviews with five Congolese refugees in Appalachia. Through qualitative thematic and lexical analysis derived from the interviews, the study reveals patterns of linguistic isolation, community continuity, and emotional displacement. A key finding is that participants often conceptualize community not as a geographic entity, but as an …

Understanding Provider Perspectives To Strengthen Materal Care In North Dakota: 2025 Non Birthing Facility Provider Survey Report, Juliana Antwi, Andrew Williams

Public Health Faculty Publications

A survey-based snapshot of provider experiences, gaps, and opportunities in prenatal and postpartum care -- informing the path toward better outcomes for facilities and mothers.

Strengthening The Health And Well-Being Of American Indian And Alaska Native Elders, Andria Begay

Theses and Dissertations

Health is a holistic concept within Indigenous communities, emphasizing the balance and interconnectedness of mind, body, and spirit. This dissertation explores the health and wellbeing of American Indian and Alaska Native Elders, with each of the products for this three-part portfolio, targeting different health matters that are often overlooked among Elders, aged 55 years and older. Using secondary data from National Resource Center on Native American Aging’s 2020-2023 cycle of the Identifying our Needs: A Survey of Elders, I conducted three quantitative research analyses with chi-square tests and binary logistic regressions to assess the association and differences in variables. Manuscript …

Measuring The Clinical Effectiveness Of Telenutrition Medical Nutrition Therapy Among American Indian And Alaska Native Adults Newly Diagnosed With Type 2 Diabetes, Charisse Lindsey Holiday

Theses and Dissertations

The COVID-19 global pandemic was the impetus of the transition from in-person medical nutrition therapy (MNT) visits to telephone MNT. This occurred without evaluation of its clinical effectiveness, especially for American Indians and Alaska Natives (AI/AN). It is known that in-person MNT is clinically effective at lowering hemoglobin A1c (A1c) and that people with diabetes who experience food insecurity have poorer health. However, research characterizing food insecurity among AI/ANs is limited. This retrospective observational analytical study was conducted at the Phoenix Indian Medical Center (PIMC) in Phoenix, Arizona to assess the clinical effectiveness of telephone delivered MNT services by a …