Digital Commons Network^™

The Effects Of Elevated Pre-Operative Hemoglobin A1c On Post-Surgical Infection Risk, Emily Koska Rn

Nursing Capstones

No abstract provided.

Screening For Fibromyalgia In Patients With Chronic Widespread Pain, Justus Ongaga

Nursing Capstones

Background: Fibromyalgia has an estimated prevalence of 2% of the United States population, with a greater estimated prevalence among women (3.4%) than with men (0.5%). In addition to widespread pain, fibromyalgia symptoms include fatigue, headache, sleep disturbance, anxiety, depression, memory problems, and numbness/tingling sensations. If the condition remains untreated or is poorly managed, then fibromyalgia can present problems among individuals, families, and communities. The lack in fibromyalgia screening processes at a Midwest Pain Clinic presented opportunity for the project.

Objectives: The purpose of this clinical project was to increase fibromyalgia screening by using the Fibromyalgia Rapid Screening Tool (FiRST) in …

Physical Therapy Rehabilitation In A Patient With Guillain-Barre Syndrome With Acute Respiratory Failure: A Case Report, Daniel P. Torok

Physical Therapy Scholarly Projects

Background and Purpose. Guillain-Barre Syndrome (GBS) is a lower motor neuron autoimmune disorder that primarily affects the myelin sheaths of the peripheral nervous system (PNS). GBS results in generalized weakness and sensory deficits of the extremities and trunk; in severe cases it may impact cranial nerves, respiratory musculature, and the autonomic nervous system (ANS). The purpose of this case study is to describe the physical therapy interventions used for a patient diagnosed with GBS and the results from those interventions.

Case Description. This case study describes the 9-week acute care Physical Therapy management of a 51-year-old transgender female diagnosed with …

Effects Of Pole Walking On Adults With Parkinson's Disease Following 6 Weeks Of Training, Kathleen Dennison, Taylor Jamison

Physical Therapy Scholarly Projects

Introduction: Parkinson's Disease is a progressive neurodegenerative disorder that predominantly affects motor planning and motor function. Symptoms associated with this disease include bradykinesia, rigidity, tremor, and postural instability. These symptoms are often accompanied by gait disturbances including decreased step length, arm swing, and gait velocity, as well as diminished trunk rotation and postural instability all which make functional mobility increasingly difficult. Conventional walking has been shown to be an effective physical activity to maintain mobility and improve function and overall fitness. Specifically, walking speed has been identified as a crucial predictor for fall risk which is why clinicians have …

Grit And Perceived Stressors As Predictors Of Academic Success In First And Second Year Doctor Of Physical Therapy Students, Abigail Thomas, Jamal Ibnelhaj

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this longitudinal study was to identify any correlations between grit scores, perceived stress levels, academic success (GPA), and demographics (age) among doctor of physical therapy (DPT) students at the University of North Dakota (UND). Grit was assessed using the 12 item Grit scale (Grit-O) from Angela Duckworth. Perceived stress was assessed using the IO item perceived stress scale (PSS).

Methods: The Grit-O and PSS scales were distributed to first year DPT students at UND by the primary investigator. 154 students consented to participate in the study, 102 first year students and 52 second year …

Prevention Of Postherpatic Neuralgia In Patients With Herpes Zoster Infection, Kadie Erickson Rn

Nursing Capstones

No abstract provided.

Optimizing Outpatient Pediatric Clinic Visits For Children With Autism Spectrum Disorder (Asd), Agnes F. Liem

Nursing Capstones

Autism spectrum disorder (ASD) consists of several complex neurodevelopmental conditions that include deficits in communication, social functioning, and specific repetitive behaviors (American Psychiatric Association, 2013). Based on the services that they receive, parents’ perceptions of care for children with ASD elicit both positive and negative overall experiences during their pediatric outpatient clinic visits. Literature suggests caregivers identify PCP and clinic personnel’s lack of understanding or compassion for a child with ASD as a barrier. Additionally, caregivers identify more external concerns such as environmental stimuli and overstimulation, waiting too long, not knowing what will happen, and the physical examinations during the …

Review Of The Status Of Oncologic Physical Therapy In North Dakota: A Definitive Study, Sarah Biberstine, Arianna Larson

Physical Therapy Scholarly Projects

Background and Purpose. Physical therapy is often reported as an under-utilized resource in oncology care. When utilized, physical therapy intervention addresses multi-dimensional symptoms experienced by individuals with a cancer diagnosis. This study examines the following questions: What is the status of physical therapy in North Dakota’s oncology team? What is the working knowledge of the physical therapist on oncologic rehabilitation? Do professional programs provide adequate knowledge to evaluate and treat oncologic patients and their symptoms? The purpose of the study is to determine if the physical therapy intervention received by individuals in North Dakota with a current of previous diagnosis …

Physical Therapy Rehabilitation Following A Thoracic To Sacroiliac Spinal Fusion: A Case Report, Ragen Wilson

Physical Therapy Scholarly Projects

Background and Purpose. This case study described the 9 week outpatient physical therapy rehabilitation process of a 75 year old female following a posterior thoracic spine (T9) to sacroiliac (S 1) spinal fusion as a result of adult degenerative scoliosis and prolonged back pain (Type 1 ). The purpose of this case report was to describe the overall outpatient physical therapy management of this post-operative fusion.

Description. The patient presented to physical therapy with decreased mobility, decreased function, decreased balance, lower extremity strength deficits, pain, and loss of independence.

Intervention. Initially, treatment occurred in a therapeutic pool and then progressed …

Electromyographic Activity Of Hip Abductor Muscle During Jumping And Landing: Pilot Study, Chloe Coleman, Jairica Christjohn, Ryan Keller, Carly Jo Schroer

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study was to see if there is a difference in the electromyographic (EMG) activity in the hip abductor muscles (right gluteus medius) with regard to knee valgus in free standing vertical jump and landing. Both male and female participants were analyzed.

Methods: Six subjects (2 male, 4 female) in good physical condition with no previous knee pathologies participated in the experiment. EMG activity was recorded using a Noraxon TeleMyo DTS telemetry unit with a sampling rate of 1 kHz. The EMG data for the gluteus medius muscle activity and knee valgus was recorded …

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 …

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 …

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 …

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 …

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 …

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 …

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.

Volume 57, Number 20: January 08, 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, …

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 …