Digital Commons Network^™

Antibiotic Overuse In The Treatment Of Viral Uri's In Healthy Adult Populations, Tracy L. Dozak

Theses and Dissertations

No abstract provided.

Increasing Breastfeeding Rates In Rural Areas Of The United States: What Do We Know And What Can We Do?, Kristin M. Stabo

Theses and Dissertations

Background: Breastfeeding is the recommended form of infant nutrition. However, breastfeeding rates in the United States (US) are below recommended goals. Rates in rural areas are even lower than in urban areas

Purpose: The purpose of this manuscript was: I) to identify potential barriers to breastfeeding in rural areas, 2) to review what is currently known about breastfeeding interventions that promote successful breastfeeding in rural areas, and 3) to identify interventions that have the potential to increase breastfeeding initiation and duration in rural areas of the US

Conclusion: Numerous interventions to promote and support breastfeeding have been …

Female Condoms As A Means To Reduce The Transmission Of Hiv Among Maasai Women, Lisa R. Boeger

Theses and Dissertations

No abstract provided.

Class Is Out: Mental Health Professionals' Social Class Identification And Classist Attitudes Toward Low-Income Clients, Kipp Ryan Pietrantonio

Theses and Dissertations

Social class as a variable of culturally competent psychology remains a misunderstood and understudied phenomenon. This study was designed to explore how mental health providers’ social class of origin and classist attitudes impact their beliefs and treatment of clients from different economic backgrounds. This was accomplished by exploring five domains across two vignettes that varied in SES indicators (Low-­‐Income vs. Middle Class Vignette). The domains of study included classist beliefs, GAF scores with or without treatment over time, positive and negative stereotype endorsement, perceptions of the therapeutic relationship, and potential treatment modalities. Clinicians did not rate the vignettes differently in …

Exploring The Marital Conflict Of Police Officers: The Roles Of Job Stress, Job Burnout, And Work-To-Family Conflict, Shannon Marie Morley

Theses and Dissertations

Previous scholarship suggests that the nature of policing is stressful and has important implications for the marital quality of police officers. Given the stresses inherent in policing, the purpose of this study is to examine how job stress, job burnout, and work-to-family conflict experienced by male and female police officers impact the likelihood of experiencing marital conflict; the potential mediating role of work-to-family conflict is also examined. This thesis also explores gender differences that may exist in the experience of these variables. Data from the 1995 Work and Family Services for Law Enforcement Personnel in the United States study was …

A Nurse Practitioner Guide To Obstructive Sleep Apnea, Sarah B. Gustafson

Theses and Dissertations

LacK of awareness of the complication and symptoms of obstructive sleep apnea (OSA) among prov1d~rs and their patients may lead to inadequate prevention, diagnosis, and treatment strategies. This article will evaluate and synthesize the evidence regarding the complications of OSA, raise awareness of the seriousness of this disease, and highlight the recommended clinical management of OSA by nurse practitioners. Data sources that were used include Coloane Library, PubMed, and CINAI-IL. Clinical trials, systematic reviews, validation studies, and Meta analyses were reviewed. An in-depth search of the literature revealed very limited InfoMation geared toward nurse practitioners. Adequate screening for OSA can …

Pet Therapy And The Associated Benefits On The Elderly, Lindsey Senger

Theses and Dissertations

Pet therapy (also known as Animal Assisted Therapy {AAT}) today involves both human and animal interactions. Pet therapy is utilized most commonly with the elderly living in Long Term Care (LTC) facilities or assisted living facilities to promote health and healing for the patients. It is especially beneficial for those who are chronically ill, may suffer from disabilities or may have depression. The feeling of isolation and loneliness that accompanies depression is not healthy, especially for the elderly population. Research has shown that the health and well-being of the elderly who suffer from depression, decline rapidly when compared to those …

Educating Staff Nurses On The Early Recognition Of Clostridium Difficile In Cancer Patients, Jennie A. Meyer

Theses and Dissertations

No abstract provided.

Evaluation And Management Of The Adult Patient With Dermatomyositis: A Review For The Advanced Practice Nurse, Tana L. Bock

Theses and Dissertations

PURPOSE: To examine a case of adult dermatomyositis (DM) and provide a clinical review that clarifies the pathogenesis, diagnosis, evaluation, and management of DM in the adult patient.

DATA SOURCES: Findings from the history, physical examination, and diagnostic testing of a 57-year-old woman with dermatomyositis. A search of literature from 1970 to 2013 was conducted including textbooks, Pub Med and CINAHL databases with the search terms "dermatomyositis," "idiopathic inflammatory myopathies," "polymyositis," "pathogenesis," "myopathies," "pathogenesis," "therapy," and "treatment."

CONCLUSION: Dermatomyositis is one of the idiopathic inflammatory myopathies affecting individuals of all ages. Its underlying pathology is related to …

Volume 50, Number 36: April 24, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 35: April 17, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 34: April 10, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 33: April 03, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Spring 2013, University Of North Dakota Alumni Association

ALL: UND Alumni Review Master List

Spring 2013 issue of "The University of North Dakota Alumni Review." 49 pages

Volume 96, Number 1

Self Management In Heart Failure Education, Michelle Brown

Theses and Dissertations

Heart failure is a growing health problem in the United States, costing the healthcare system billions of dollars and having a significant impact on patients' quality of life. To improve heart failure outcomes and reduce associated costs, we must educate patients to properly manage their disease condition. Traditionally, this patient education takes place during a standard office visit with a provider. However, in a self-management program, the provider, through individualized education, empowers the patient to become an active participant in their care. The purpose of this literature review was to explore the effect of self management programs, in comparison to …

Review Of The Efficacy Of Titratable Oral Mandibular Advancement Devices For The Treatment Of Obstructive Sleep Apnea, Illara Moore

Theses and Dissertations

Obstructive sleep apnea (OSA) is prevalent throughout the United States and worldwide, and is associated with cardiovascular, pulmonary, and metabolic complications. Despite the strong evidence confining its clinical sequelae, significant barriers to clinical diagnosis and treatment of OSA exist, including under-diagnosis by medical providers and poor patient compliance with CPAP therapy-the current treatment of choice

The purpose of this project was to review the literature of mandibular advancement devices (MADs) as an efficacious alternative treatment for OSA. Randomized controlled trials demonstrate that CPAP is superior in reducing the Apnea-Hypopnea Index, but MADs show a similar impact on daytime sleepiness and …

Virtual Reality Exposure Therapy For The Treatment Of Combat Related Ptsd, Jeff C. Anderson

Theses and Dissertations

Virtual reality exposure therapy (VRET) has emerged as a developing treatment modality in the treatment of post-traumatic stress disorder (PSTD) related to combat. Current evidenced based practice guidelines favor psychotherapy involving exposure through guided visual imagery. However there are limitations to this method. The technology of virtual reality brings an integrated and authentic enviromnent to prolonged exposure therapy that was previously unattainable. Tlu·ough an extensive review of the literature this paper seeks to answer the question: ls virtual reality exposure therapy effective in treating combat related PTSD when compared to more traditional methods or no treatment? There were 12 studies …

Concussion Management And Evaluation By Health Care Providers, Jamie Hillmer

Theses and Dissertations

Around 300,000 sports-related concussions are reported each year in the United States; however, the number may be between 1.6 to 3.8 million recreational and sport-related concussions, since many go unreported (Halstead, Walter, and the Council on Sports Medicine and Fitness, 2010; Scorza, Raleigh, & O'Connor, 2012). Concussions are a serious injury that can lead to prolonged symptoms and cumulative cognitive deficits in adolescent athletes. Concussion management has gained national attention due to recent legislation passed in 38 states regarding youth concussion laws (Sanford Health, 2011 ). This literature review intent was to condense relevant research on concussion evaluation and management …

Evidence For Increasing The Use Of Ecg Monitoring During Pre-Participation Screening To Detect Cardiac Abnormalities, Courtney Nordmeyer

Theses and Dissertations

No abstract provided.

Vol. 38, No. 1: Spring 2013, School Of Medicine & Health Sciences

North Dakota Medicine Archive

No abstract provided.

Therapeutic Horticulture In Depression And Mental Health, Jody A. Carlson

Theses and Dissertations

The purpose of this review is to examine available evidence for the use of Therapeutic Horticulture (TH) as a supplemental treatment of depression. For this paper, TH is defined as active or passive use of plants to achieve wellness (Sempik, Aldridge, & Becker, 2003) as applied to depression. A review of the available literature was performed using academic databases and the internet. Terms used in the search were horticultural therapy, depression, gardening, horticulture, and therapeutic horticulture. Few studies were devoted specifically to depression; applications for other mental health conditions are also discussed. Results support the use of TH as supplemental …

Utilizing Goal Attainment Concepts To Empower Nursing Students For Effective Interprofessional Communication, Andrea M. Nelson

Theses and Dissertations

Ineffective interprofessional communication is an identified issue affecting patient safety in health care. A multitude of barriers can impact interactions between and among disciplines leading to relationship strain and adverse patient outcomes. Nursing and other health care professions have limited curricular focus on interdisciplinary communication and collaboration. Interventions to improve interprofessional teamwork and collaboration are important foci for students in the health care profession. A learning event with the goal of student development of effective interdisciplinary communication was delivered to a group of nursing students in the classroom setting. King's Theory of Goal Attainment (1981) and interacting systems framed the …

Mass Chlamydia Screening Vs. Opportunistic Screening In College Freshmen, Amanda E. Allmaras

Theses and Dissertations

Chlamydia trachomatis is the number one sexually transmitted disease in the United States and North Dakota. It has seen a steady rise in the past 10 years. Chlamydia is a preventable and treatable disease but the current lack of sufficient screening and identification of this disease often leads to many health consequences. Standard USPSTF screening guidelines are available for practitioners but despite the use of recommended opportunistic screening with patients, only about 3 8% of females ages 15-25 years are being screened appropriately and there is even less identification in males. There is growing literature on the efficacy of using …

Management Of Anticoagulation In Patients Undergoing Catheter Ablation Of Atrial Fibrillation, Traci L. Buescher

Theses and Dissertations

No abstract provided.

For Patients With Advanced Chronic Illness, Does Enrollment In A Palliative Care Program Promote Healthcare Cost Savings At End-Of Life Compared To Those Not Enrolled In A Palliative Care Program?, Debee L. Stassen

Theses and Dissertations

Background: The recognition that care for the clinically ill, as they advance through the illness trajectory, is expensive and contributes to the health care spending crisis reinforces the need for cost effective programs that address patient goals and preferences, symptom management and coordination of care while continuing to provide high-quality, cost-effective care.

Methods: The objective of this literature review is to determine if enrollment in a palliative care program for patients with advanced chronic illness, promotes healthcare cost savings at end-of life compared to those not enrolled in a palliative care program? Various charge structures and costs were …

Factors That Affect Adolescents' Physical Activity, Jennifer Verkuehlen

Theses and Dissertations

Description

Decline in physical activity levels of adolescents play a role in overall energy balance and can lead to overweight and obesity. Determining the factors that affect physical activity can help tailor specific obesity prevention and intervention and long-term management .

Method

Published studies were reviewed over a ten year period from 2003-2013 for factors that have an effect on physical activity of adolescents ages 10-21. Databases used for the search included: PubMed, SportDiscus, PsyclNFO, Scopus and ClNAHL. Articles were limited to the English language. Articles that did not have a research focus or that were not looking specifically at …

Diet Options For Cardiovascular Risk Reduction, Ruth Eckstrom

Theses and Dissertations

Cardiovascular disease is a leading killer in the United States and worldwide. Diet as a modifiable risk factor can have a beneficial impact on the reduction of cardiovascular risk. The purpose of this document is to determine the evidence that supports the most effective cardioprotective dietary interventions which can be recommended to patients to reduce the cardiovascular risk factors of elevated low density lipoprotein cholesterol (LDL-C) and hypertension. An extensive review of the literature was conducted to detinning the evidence that supports the most effective cardio-protective dietary interventions using Pub Med, CINAHL, and the World Wide Web. Based on the …

Patient Education For Oral Anticoagulation Therapy, Tammy J. Diehn

Theses and Dissertations

Oral anticoagulant therapy is recommended as a therapeutic prophylaxis treatment against thromboembolism for patients with atrial fibrillation who are at high risk of having a stroke. While this medication has life saving benefits, potential adverse side effects with life threatening risks also exist. Medication adherence and patient lifestyle decisions influence the associated risks. To reduce potential for patient harm associated with oral anticoagulation therapy, the Joint Commission implemented a national patient safety goal in the ambulatory care setting indicating patient education should be an essential part of an anticoagulation therapy program (2012). Through a comprehensive review of literature, insufficient knowledge …

You Have Served Us...Now Let Us Serve You. Help With Ptsd., Nicki Busch

Theses and Dissertations

Background:The purpose of this project was to review evidence-based literature to determine what factors may affect returning service members in seeking treatment for posttraumatic stress disorder. With the identification of these factors an informational pamphlet was created to distribute to rural clinics.

Method: A systematic strategy was used to locate research and literature relating to PTSD in service members published within the last l O years. The search included 6 electronic databases and included the following terms: health belief model; PTSD; posttraumatic stress disorder; baITiers to seeking treatment for PTSD; psychological effects of war; why people don' t …

The Many Faces Of Lyme Disease, Blythe H. Kersula

Theses and Dissertations

Lyme disease is the most common vector-borne disease in the United States today, and cases

continue to grow every year. Lyme disease can be challenging to diagnose due to the many

presenting symptoms. This independent study is meant to describe symptoms of Lyme Jess

traditionally discussed in medical and nursing literature when considering how and when to

~ diagnose Lyme disease. It is also meant to examine common diagnostic problems in pediatric,

maternal, and elderly populations. This was accomplished with the use of a literature review, ~ resulting in the development of a white paper and educational brochure for dissemination …