Digital Commons Network^™

Executive Functioning And Childhood Abuse Predictors On Laboratory Induced Aggression, Jessica R. Mugge

Theses and Dissertations

Previous research has indicated that neuropsychological dysfunction and the experience of violence during childhood are linked to the acquisition and expression of aggressive behavior. How these variables interact to influence aggression has not been effectively established in the literature, however. This study provided a prospective examination of the relationships between EF, the experience of childhood abuse, and aggression. Based on responses on a pre-screening questionnaire that assessed EF (BRIEF-A), 101 participants at a Midwestern university were selected for inclusion in this study. Fifty participants were classified as at risk for EF deficits (24 males, 26 females) while 51 participants were …

A Review Of The Benefit Of Pre-Operative Education Prior To Coronary Artery Bypass Grafting, Patrick C. Jahn

Theses and Dissertations

Coronary Artery Bypass Graft surgery is the most common type of heart surgery performed each year in the United States (U.S. Department of HHS, 2010). If your healthcare provider were to tell you that you needed heart surgery what would be the first thing to come to mind, would it be fear, pain, anxiety, denial? Do you have any idea what this procedure entails or what to expect before, during, or after your hospitalization?

Preparation is most often a prerequisite for success. Multiple research studies have shown that proper patient preparation can lead to better patient outcomes, including pain and …

Demand For Sanitation And Hygiene In Rural Households In Cameroon: Case Of And Njinikom Village, Irin A. Njuakom

Theses and Dissertations

Inadequate sanitation and hygiene remain a major health concern in the world today with ill effects that are particularly debilitating in developing nations. Preventable diseases related to poor sanitation (inadequate human waste disposal) and lack of hygiene are estimated to kill some 3900 children daily and are the leading causes of increasing morbidity and mo1iality among the poor in the world. The issue of inadequate sanitation and hygiene has been construed as a problem of the poor. ln the impoverished village of Njinikom in Cameroon, the lack of access to basic sanitation and hygiene is apparent in the practice of …

Established Statin Therapy And The Benefits Of Niacin, Jennifer Orsua

Theses and Dissertations

Residual cardiovascular risk is an issue for patients despite aggressive LDL-C lowering in intervention trials. Currently no guidelines are available for increasing HDL-C, an independent risk factor for coronary vascular disease. Niacin is the most potent drug available for raising plasma levels of HD L-C. A review of literature was conducted to determine if the addition of niacin to an established statin therapy would decrease residual cardiovascular risk. Key words used in multiple literature searches included the terms "dyslipidemias, Hydroxymethylglutaryl-CoA Reductase Inhibitors, cardiovascular diseases, niacin, cholesterol HDL, and cardiovascular risk". It has been concluded that niacin is beneficial in reducing …

Ssri Safety During Pregnancy, Julie N. Johnson

Theses and Dissertations

Depression is one of the most common disorders in our country today. The most frequently used treatment for depression is the antidepressant drug class, selective serotonin reuptake inhibitors (SSRis). Due to a higher incidence of depression during pregnancy, researchers have been meticulously trying to detennine the risks and benefits of SSRI use and risks of depression to the mother and her fetus. The purpose of this project is to provide healthcare providers with current evidence about SSRI use during pregnancy. A brochure was presented to healthcare providers which addressed the risks and benefits of SSRI use and the risks of …

Best Practices For Public Health And Behavioral Health Collaboration Following Disasters To Enhance Community Resiliency, Maureen A. Alms

Theses and Dissertations

Disasters have the potential to create massive public health devastation and overwhelming psychosocial impact within communities in which they occur. Since the events of September 11, 2001, behavioral health has become more integrated with public health preparations and response to disasters. Yet there can be challenges between public health's population-wide focus of protecting and restoring community wellness and behavioral health's focus on treating mental health symptoms of individuals. Evidence suggests that integrated, multidisciplinary approaches including the community itself are best to address the needs of those most at risk and restore a community's resiliency, yet best practices for doing so …

Spring 2012, University Of North Dakota Alumni Association

ALL: UND Alumni Review Master List

Spring 2012 issue of "The University of North Dakota Alumni Review." 59 pages

Volume 95, Number 1

Rain Rhythms: Spring 2012 - Fall 2012, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Recognition And Treatment Modalities For Complicated Grief In The Bereaving Widowed Elderly, Tanya Smith

Theses and Dissertations

Reactions to spousal bereavement are very individualized; while a large majority of individuals are able to navigate their way through the bereavement process, there are a significant number who can’t. Individuals who suffer from complicated grief are thought to be essentially stuck in a chronic and intense state of mourning that lasts longer than six months post loss. As one would expect, adverse health outcomes are a consequence of untreated complicated grief. It is the purpose of this paper to present the reader with evidence that there are effective treatment interventions for complicated grief. Additionally, a second purpose of this …

What Is The Effect Of An Enclosed Nurses Station, In An Adult Inpatient Psychiatric Unit, On The Perception Of Nursing Accessibility?, Tonya Auck

Theses and Dissertations

In general, nurses have among the highest rates of nonfatal workplace assault and violent victimization in health care. Furthermore, psychiatric nurses are among the highest in violent victimization rates of all types of nurses (Peek-Asa et al., 2009).

Although increased security measures through the use of cameras, locked doors, and even enclosed nursing stations on high risk units have been instituted, separating nurses from their patients by utilizing a nursing station with enclosed shatterproof glass may be damaging to the therapeutic nurse-patient relationship. In order to overcome this potential relationship barrier during times of increased security, literature was reviewed regarding …

Lipid Emulsion Therapy For Local Anesthetic Systemic Toxicity, Jenna Klabunde

Theses and Dissertations

This paper explores Local Anesthetic Systemic Toxicity (LAST) and the effectiveness of lipid emulsion (LE) therapy as a potential treatment modality. Regional anesthesia is a common method of anesthesia due to the significant benefits in both the perioperative and postoperative periods. LAST is a potential complication of regional anesthesia due to local anesthetic inadvertently entering the bloodstream and causing central nervous system and cardiac toxicities. Extensive research was performed through highly respected, evidence-based search engines to gather evidence of LE therapy for LAST. Through numerous animal studies, literature reviews, systematic reviews, and case reports that were reviewed to complete this …

Healthcare Directive And The Disabled, Shannon L. Slagter

Theses and Dissertations

No abstract provided.

Concussions: Development Of A Universal Return-To-Play Guideline For Athletes Of Contact Sports, Benjamin J. Bucher

Theses and Dissertations

Sports-related concussions remain the most common head injury among athletes of contact sports. Recent estimates indicated the incidence of concussions range from 1.6-3.8 million cases per year in the United States (US). The importance of appropriate medical management of these patients is vital to their health and they should be allowed to return to their sport only after medical clearance. Concussion guidelines are currently available for primary practitioners to use in order to assist them in their clinical judgment of the concussed patient; the utilization and effectiveness of these guidelines remain in question. A literature review was performed to analyze …

Vol. 37, No. 1: Spring 2012, School Of Medicine & Health Sciences

North Dakota Medicine Archive

No abstract provided.

Antidepressants As A Standalone Treatment Modality Compared To Antidepressants With Conjunctive Therapies For Treatment Of Major Depressive Disorder, Patricia J. Moos

Theses and Dissertations

Major Depression Disorder is a wide spread epidemic in our country. Antidepressants are commonly prescribed by general medical practitioners as well as mental health practitioners with a low success rate ( de Jonghe, 2008). The purpose of this Independent Study was to conduct a literature review to determine if antidepressants are effective as a standalone therapy in the treatment of Major Depressive Disorder or if they have a higher success rate when used with conjunctive therapies such as cognitive therapy, exercise, and electroconvulsive therapy (ECT). An evidence based review of the literature was conducted to determine the current knowledge base …

Can Breastfeeding Greater Than 6 Months Reduce The Risk Of Childhood Obesity? A Literature Review, Jessica M. Kotrba

Theses and Dissertations

Breastfeeding has many benefits for infants. It provides nutrients and antibodies that protect them from getting ill. Breastfeeding also has benefits for children as they grow older such as decreasing their risk of becoming obese. This paper will look at current research about how breastfeeding especially for at least six months can reduce a child's risk of becoming obese later in life.

Familial Stress Reduction With Dying Patients, Durand Jones

Theses and Dissertations

As more of our critical care treatments involve advanced technology and increasingly aggressive treatments, the inclusion and influence of family members and loved ones cannot be over looked. The interaction of a staff member with family members can greatly influence the family's perception of caring, compassion and competency. This interaction between family/loved ones and the staff members also can determine the stress level reported by family members during and after a family member has died. In seeking the best ways for staff members in interact with family members that will bring about the best stress reduction for the family, a …

Dexamethasone Bridging Versus The Hydrocortisone Standard, Mathew J. Janezic

Theses and Dissertations

A concern for anesthesia providers is the risk of perioperative shock due to secondary adrenal insufficiency in patients receiving long-term glucocorticoid therapy who do not receive supplemental stress steroid coverage for surgery. Dexamethasone is currently used by anesthesia providers as a perioperative anti-inflammatory agent and as an antiemetic adjunct. Hydrocortisone is currently the most commonly used drug for bridging patients who have previously received long tem1 glucocorticoid therapy. The increased potency, duration of action, and antiemetic properties of dexamethasone may make it a desirable substitution for hydrocortisone . The purpose of this independent project was to review the current literature …

Not A Drop To Drink, Beth A. Monsebroten

Theses and Dissertations

Fluid restrictions for the management of lower extremity edema in patients with heart failure has long been a treatment standard. However, the use of evidence based medicine has found this treatment option does not have the research to support the continued use with patients. An extensive literature review was conducted to find the most appropriate treatment options for these patients. It was determined fluid restrictions are not effective in reducing lower extremity edema in patients with heart failure. The discontinuation of this practice and the use of weight based diuretic therapy are suggested. Further research should be conducted into the …

Standardized Follow-Up: The Key To Successful Diabetic Management, Jana J. Heger

Theses and Dissertations

No abstract provided.

Volume 49, Number 32: March 28, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 31: March 21, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 30: March 14, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 29: March 07, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Screening For Depression In Cancer Patients, Annie Kitzman

Theses and Dissertations

No abstract provided.

March 1, 2012, University Of North Dakota

University Senate Meeting Minutes

Minutes from the March 1, 2012, meeting of the University Senate. 29 pages

Addressing Functional Decline And Psychosocial Needs In Hospitalized Elderly, Rebecca A. Porier

Theses and Dissertations

Do hospitalized geriatric patients have better outcomes such as increased patient satisfaction, decreased length of stay, and decreased readmission rates with specialized interdisciplinary care, as on Acute Care of Elders (ACE) units, versus usual care? This is one question that this paper will address. The goal in this type of care is to achieve medical stability while preserving maximum functioning. Collaboration with all health care specialties is crucial to geriatric care . Secondarily, the gap in nursing knowledge of the elderly patient's care needs has to be addressed. Thirdly, patient's psychosocial needs should be addressed in order to promote their …

Acute Otitis Media, Tonia A. G. Poirier

Theses and Dissertations

Acute otitis media (AOM) is a common childhood illness that almost every child experiences by the time that they are five years of age. AOM is a self-limiting condition in which analgesics are thought to be efficient in treating the pain in these children. Literature was reviewed and the information that was compiled was presented as a PowerPoint presentationto a local group of mothers with children under the age of 6 years. This information explained the anatomy of the ear, the risk factors for AOM, treatment options, and preventative measures for AOM. As a future Nurse Practitioner, it is imperative …

Volume 49, Number 28: February 29, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 27: February 22, 2012, University Of North Dakota

University Letter Archive

No abstract provided.