Digital Commons Network^™

Hpv Vaccine In Adolescents: How To Increase Uptake, Natasha Richesin

Physician Assistant Scholarly Project Papers

The human papillomavirus (HPV) is a sexually transmitted virus that affects both males and females of all ages. An HPV vaccine was developed to help protect against harmful infections caused by the virus. This literature review focuses on the relationship between the HPV vaccine and its low uptake from untoward events, misinformation surrounding the vaccine, and different education methods. PubMed, Clinical Key, and Cochrane electronic databases are used for the literature review. A comprehensive literature review was conducted, and articles utilized were based on the age of the population being 11 to 29 years old, the HPV vaccine’s involvement in …

Use Of Marijuana In Those With Anxiety And Depression, Heather Brooke Flaa

Physician Assistant Scholarly Project Papers

The purpose of this research and literature review is to compare the use of marijuana to Selective Serotonin Reuptake Inhibitors (SSRIs) in reducing anxiety and depression symptoms. The safety of marijuana in those with psychiatric disorders such as, general anxiety disorder and major depressive disorder, was also analyzed. The literature review searched databases Cochrane, PubMed, Clinical Key, PsycINFO, and DynaMed Plus. A variety of key terms were used when searching. Studies excluded were due to narrowed sub topics on anxiety disorders or poor design. Due to limited research, the study time frame was extended to studies completed in the last …

Comparison Of Buprenorphine-Naloxone And Buprenorphine Monotherapy In Opioid Dependent Pregnant Women, Ellie Gillund

Physician Assistant Scholarly Project Papers

Opioid use disorder during pregnancy has continued to rise, and more primary care providers are being encouraged to prescribe opioid agonist pharmacotherapy. Such medications include methadone, buprenorphine, and naloxone. Many studies have been done to compare these medications’ role in medication assisted treatment (MAT) in pregnant women with opioid use disorder. The purpose of this literature review is to compare the use e of buprenorphine, with and without naloxone, as MAT for opioid dependent pregnant women. Specific outcomes compared in this study include maternal and neonatal safety, neonatal abstinence syndrome, and peripartum pain management. This review included three electronic search …

The Gut-Brain Axis: Treating Depression Through Microbiome Alterations, Alexandra Bachman-Williams

Physician Assistant Scholarly Project Papers

The purpose of this research and literature review is to explore the possible role that gut microbiome alterations have in the treatment of neurobehavioral diseases; specifically, anxiety and depression. This literature review searched PubMed, CINAHL, and Clinical Key. A variety of key terms were used during the search. Due to the field of research being relatively new and limited, studies from the last ten years and animal models were included in the study. Studies were excluded due to poor design or if the studies did not include anxiety or depression in the research. The research shows that there are the …

The Safety And Efficacy Of Antidepressant Use In The Adolescent Population, Jason Marcello

Physician Assistant Scholarly Project Papers

This literature review was conducted to determine the safety and efficacy of antidepressants in the adolescent population based on the currently available research. Specifically, are antidepressants safe and efficacious in treating depression in adolescents and is their use associated with increased risk of suicide. Data was collected by searching medical databases including: Clinical Key, CINAHL Complete, PsycINFO, PubMed, DynaMed Plus, and Cochrane Review. The review of the literature included systematic reviews, meta-analysis, cross-sectional, longitudinal, randomized control trials, and survey methods. All literature works selected were published within the past 14 years. A focused search was performed to gather information on …

Implementation Of Mental Health Resources To Decrease Depression And Suicide In Healthcare Professional Students, Matthew Knealing

Physician Assistant Scholarly Project Papers

The intent of this review of literature is to determine if implementing mental health resources in graduate healthcare programs decreases the rate of depression and suicidal ideations. In this review of literature, five databases were searched. Databases included: PubMed, PsycInfo, CINAHL Complete, Clinical Key, and the Cochrane Library from September 15 to January 3, 2020. Due to the topic being dynamic and receiving more acknowledgment in recent years, articles reviewed were restricted to the last six years within the United States. Works chosen were peer-reviewed, which included meta-analysis, cross-sectional, systemic reviews, longitudinal and, survey method studies. Sources excluded included opinion-based …

Treatment Option Decision Making For Low-Grade Prostate Cancer, Janene Caldwell Witherite

Physician Assistant Scholarly Project Papers

Prostate cancer (PCa) is the second most common cancer, behind skin cancer, among men, in the United States (Centers for Disease Control and Prevention [CDC], 2019.). PCa is defined as low-grade or low risk if the neoplasm grows slowly or not at all. According to the Institute for Quality and Efficiency in Health Care, (2020), to make the conclusion that a PCa is low-grade, several tests are performed including a prostate specific antigen (PSA) level, a Gleason score, and a TNM score, which refers to tumor size, lymph node involvement, and metastasis outside the prostate. Low-grade PCa is further defined …

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 …

The Romantic Cyclic Sonata As A Hidden Counterculture : Rethinking The Subdominant Through A Structural-Hermeneutic Approach, Marcelo Gabriel Rebuffi

Theses and Dissertations

No abstract provided.

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 …

Mocca College: An Assessment Of Inferential Narrative And Expository Comprehension, Mark L. Davison, Ben Seipel, Virginia Clinton-Lisell, Sarah E. Carlson, Patrick C. Kennedy

Education, Health & Behavior Studies Faculty Publications

MOCCA-C is an assessment of adult reading ability designed for early diagnosis of reading problems, for formative assessment in reading intervention planning, for assessment of reading improvement over time, and for assessment of reading intervention outcomes. It uses both narrative and expository reading passages and it currently has four forms. Two goals of this research were to compare narrative and expository passages on (a) their difficulty and (b) their ability to discriminate between good and poor readers. An additional goal was to assess whether narrative and expository passages measure the same or different comprehension dimensions. A final goal was to …

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 …

A Drug Diversion Resource For Crna Supervisors, Steven D. Ydstie

Nursing Capstones

Substance abuse disorder among Certified Registered Nurse Anesthetists (CRNAs) poses risks to both the provider and the patients they care for. Associated with this disorder is the problem of drug diversion. The specialty of anesthesia is recognized as having an elevated risk for the development of substance abuse. Although there are multiple studies addressing substance abuse amongst anesthesiologists, there are few similar studies specific to CRNAs. The purpose of this DNP project was to ascertain the level of Self-Efficacy CRNA supervisors have when intervening with one of their direct reports found to have been diverting scheduled narcotics. Knowledge level regarding …

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 …

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 …

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 …

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

University Letter Archive

No abstract provided.

Temporal Trends In The Standing Broad Jump Performance Of United States Children And Adolescents, Bridget K. Pinoniemi, Grant R. Tomkinson, Tanis J. Walch, James N. Roemmich, John S. Fitzgerald

Education, Health & Behavior Studies Faculty Publications

Purpose: To estimate temporal trends in broad jump performance for United States youth, a marker of muscular fitness and health.

Method: Electronic databases, topical systematic reviews, and personal libraries were systematically searched for studies reporting descriptive standing broad jump data for apparently healthy United States youth (age 10–17 years). Temporal trends at the sex-age level were estimated using sample-weighted regression models associating the year of testing to mean jump performance, with national trends standardized to the year 1985 using a post-stratified population-weighting procedure.

Results: Collectively, there was a small increase of 12.6 cm (95%CI: 12.5 to 12.7) or 7.9% (95%CI: …

A Systematic Analysis Of Temporal Trends In The Handgrip Strength Of 2,216,320 Children And Adolescents Between 1967 And 2017, Faith L. Dooley, Tori Kaster, John S. Fitzgerald, Tanis J. Walch, Madison Annandale, Katia Ferrar, Justin J. Lang, Jordan J. Smith, Grant R. Tomkinson

Education, Health & Behavior Studies Faculty Publications

Objective: To estimate national and international temporal trends in handgrip strength for children and adolescents, and to examine relationships between trends in handgrip strength and trends in health-related and sociodemographic indicators.

Methods: Data were obtained through a systematic search of studies reporting temporal trends in the handgrip strength for apparently healthy 9–17 year-olds, and by examining large national fitness datasets. Temporal trends at the country-sex-age level were estimated by sample-weighted regression models relating the year of testing to mean handgrip strength. International and national trends were estimated by a post-stratified population-weighting procedure. Pearson’s correlations quantified relationships between trends in handgrip …

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.

Volume 57, Number 22: January 22, 2020, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 57, Number 21: January 15, 2020, University Of North Dakota

University Letter Archive

No abstract provided.

Fluid Identity Play: A Case Study Of A Bilingual Child’S Ethnic Identity Construction Across Multiple Contexts, Hyonsuk Cho, X. Christine Wang

Teaching, Leadership & Professional Practice Faculty Publications

Informed by positioning theory as well as a nexus of multimembership, the year-long case study examined how a 7-year-old Korean American bilingual child, Meeso, constructed her ethnic identity across different educational contexts. Data were collected through observations of Meeso’s interactions with her monolingual and bilingual peers and teachers. Discourse analysis revealed that Meeso constructed fluid ethnic identity positionings depending upon how she desired to position herself and to be positioned by others. We also identified that the social context, language proficiency, and peer dynamics were related to the process. Based on the findings, we discuss the roles of context, language, …

Volume 57, Number 20: January 08, 2020, University Of North Dakota

University Letter Archive

No abstract provided.

The Use Of Bottom-Up, Sensory-Based Approaches For Adolescents With Complex Trauma, Dina Nickoson, Rebecca Rimel, Cassie Madsen

Critically Appraised Topics

Complex trauma is defined as the long-term effects of repeated exposure to severe traumatic events (Fraser, McKenzie & Versnel, 2019). Children who have experienced complex trauma have a decreased ability to regulate their emotions (Warner, Spinazzola, Westcott, Gunn & Hodgdon, 2014). Not being able to process and regulate one’s emotions leads to a lack of occupational participation (Fraser et al., 2019; Warner et al., 2014). These impacts can be seen in adolescents’ daily occupations such as play, education, leisure activities, and social interactions both at home and in the community (Fraser et al., 2019; Warner et al., 2014). This type …

Supporting Adults With Chronic Pain Through The Use Of A Non-Opioid Pain Management Program, Chloe Haas, Richard Seaman, Jaslyn Seeley

Critically Appraised Topics

Chronic pain is experienced by 20.4% of adults in the United States. It is one of the most common reasons that adults seek medical attention and is linked to restrictions in mobility and daily activities (Dahlhamer et al., 2016). The incidences of anxiety and depression, perceived poor health, reduced quality of life, and dependence on opioids are common with chronic pain (Dahlhamer et al., 2016). This type of pain is described as pain experienced every day for three to six months or more (Pitcher, Von Korff, Bushnell, & Porter, 2001). Chronic pain includes headaches, pain from the lower back, cancer, …

Effectiveness Of Complete Decongestive Therapy (Cdt) As A Lifestyle Management Intervention For Adults With Secondary Lymphedema., Hannah Curlett, Alexia Gallagher, Amy Shaver

Critically Appraised Topics

The National Cancer Institute (2019) explains that lymphedema is a condition where there is a buildup of fluid in soft tissues as a result of the lymphatic system being damaged or blocked. Lymphedema is estimated to impact 2 to 3 million people in the United States, with secondary lymphedema being the most common form (Rockson & Rivera, 2008). Prevalence rates for lymphedema are likely underestimated, as not all patients have received treatment for their condition (Rockson & Rivera, 2008). Secondary lymphedema occurs when the lymph system is damaged or blocked from cancer, infection, injury, removal of lymph nodes, radiation, or …