Digital Commons Network^™

Emergency Provider Education For Management Of Patients With Suicidal Ideation In Rural Minnesota, Stephanie Slivnik

Nursing

This dissertation investigated the efficacy of an educational intervention aimed at enhancing the management of patients with suicidal ideation in a rural emergency department. Employing a quasi-experimental mixed-method design, the study involved an educational session, administration of online pre-, post-, and post three-month surveys, and an electronic health record review. The data was then compared to determine if provider confidence was impacted by education. The educational session, guided by the ICAR²E mnemonic developed by Wilson et al. (2020), encompassed components focused on identifying suicide risk, effective communication with patients, assessment for life-threatening conditions, risk assessment, strategies to reduce suicide risk, …

Advance Care Planning: Implementing Online Education For Rural Primary Care Providers, Jessica Kurtz

Nursing

Advance care planning (ACP) can assist patients and their families in navigating personal and medical choices at the end-of-life; however, these conversations often transpire too late. Primary care providers (PCPs) frequently develop extended relationships with their patients, especially those with chronic disease, and possess opportunities throughout a patient’s lifespan to assess when ACP conversations could be initiated. Unfortunately, many PCPs lack confidence in leading ACP conversations, although they are willing to facilitate them. Despite the alarming number of people living with chronic disease and documented benefits of ACP, advance directive completion remains low. According to previous research, online ACP education …

Dermoscopy Education To Improve Provider Confidence In Skin Cancer Identification, Hayli Ova

Nursing

Skin cancer is the most common form of cancer in the United States and is becoming more prevalent each year. Patients often consult their primary care provider (PCP) for initial evaluation of skin lesions, and PCPs typically use naked-eye examination (NEE) to evaluate the lesion. Using NEE alone can yield varying results of accuracy and differential diagnosis. PCPs can utilize a dermatoscope to aid their visual inspection of suspicious lesions. Dermoscopy, a non-invasive technique for examining skin lesions, has been recognized as an invaluable tool in the early detection of skin cancer. While traditionally used by dermatologists, the need for …

Developing A Modified Diabetes Education Project In A Global Health Setting, Megan Harrington

Nursing

T2DM (type 2 diabetes mellitus) is a global health challenge, with Latinos, particularly Mexicans, facing a significantly higher risk. Mexico ranks among the top ten countries in terms of T2DM prevalence, with 12.8 million adults living with the condition. In rural Mexican communities, health disparities and challenges associated with social determinants of health often impede effective T2DM management. This highlights the need for targeted interventions and research initiatives. The project aimed to increase participants’ knowledge about T2DM management, assess their perceptions of their diagnosis and management, and distribute evidence-based dietary management information in a resource-constrained setting in Ensenada, Mexico. To …

Childhood Obesity Conversations: Motivational Interviewing In The Brief Primary Care Visit, Nora Mettler

Nursing

Childhood obesity is a global epidemic that sets a child up for future health complications into adulthood. There’s no current consensus on approaching weight-related conversations with patients and families. Nurse practitioners (NPs) are in a unique position to recognize obesity and initiate weight-related conversations with patients and families. Unfortunately, formative educational programs under-educate practitioners in the conduction of obesity conversations, so there is a decreased confidence and resulting avoidance of weight-related conversations. This practice improvement project (PIP) aimed to increase provider confidence and utilize motivational interviewing techniques to initiate and sustain weight-related conversations with children and families with overweight or …

Improving Caregiver Burden For Professional Caregivers Of Dementia Residents, Austin Anderson

Nursing

This practice improvement project examines the burden on professional caregivers of persons with dementia (PWD), aiming to enhance their well-being. With dementia significantly impacting cognitive functions, caregivers face heightened levels of stress, depressive symptoms, and physical health issues, more so than those caring for individuals with other conditions. Utilizing Roy's Adaptation Model (RAM) and the Theory of Caregiver Stress, the dissertation proposes comprehensive strategies to understand and alleviate the challenges faced by caregivers. The core of this practice improvement project aims to enhance the well-being of formal caregivers by implementing a comprehensive training session. This session was designed to equip …

Adolescent Obesity Pathway: Updating Clinical Practice Guidelines In Primary Care, Amanda Fechtner

Nursing

Obesity has become a public health crisis with the prevalence of pediatric obesity being one in five children in the United States. The effects of the COVID-19 pandemic and widening social disparities are driving obesity rates up. Preventing obesity in children should be priority but despite our society’s best efforts, children are crossing the BMI threshold and entering an obese BMI range. Advances in medication options are showing promising results for adolescents with obesity when combined with a healthy diet and exercise. Additionally, surgical options are proving to be safe and sustainable options for children 14 years and older. Clinicians …

An Accuracy-Shaping Mechanism For Competitive Distributed Learning, Chao Huang, Justin Dachille, Xin Liu

School of Computing Faculty Scholarship and Creative Works

In competitive distributed learning, organizations face the challenge of collaboratively training machine learning models without sharing sensitive raw data, while competing for the same customer base using model-based services. Federated learning is an extensively studied distributed learning approach, but it has been shown to discourage collaboration in a competitive environment. The reason is that the shared global model is a public good, which can lead to intense organization competition and hence small incentives for collaboration. To address this issue, this paper uses SplitFed learning (SFL) for model training and proposes an accuracy-shapring mechanism to incentivize inter-organizational collaboration. SFL divides the …

A Practical Framework For Component-Level Structural Health Monitoring Of The Gerald Desmond Bridge, Mehran Rahmani, Vesna Terzic, Andrea Calabrese, Brittany Cambell

Mineta Transportation Institute

Bridges serve as critical transportation infrastructure, but traditional maintenance inspection to ensure their safety is time-consuming, costly, and labor-intensive, especially for larger and more complex structures. This study presents a practical framework for the instrumentation, data acquisition, and remote condition assessment of the Gerald Desmond Bridge, California’s largest cable-stayed bridge. The framework aims to establish a foundation for real-time or near real-time remote health monitoring of the bridge’s critical elements. The study highlights the advantages of remote monitoring in terms of efficiency, cost-effectiveness, and early detection of damage.

Reflective And Dialogical Approaches In Engineering Ethics Education, Lavinia Marin, Yousef Jalali, Alexandra Morrison, Cristina Voinea

Michigan Tech Publications

This chapter addresses the challenges of implementing reflective thinking in engineering ethics education (EEE). It examines existing methods for teaching ethical reflection in EEE and argues that pedagogical activities aiming to foster ethical reflection need to be infused with dialogical interactions and, at a deeper level, informed by dialogism. Dialogism is understood as a relational approach to inquiry in which interactions between moral agents enable them to develop their own understandings through the process of finding shared meanings with the others in activities such as sharing reasons and deliberation. Drawing on pragmatism and phenomenology, the authors conceptualize reflection as a …

Health Disinformation-Gaining Strength, Becoming Infinite, Peter J Hotez

Faculty, Staff and Students Publications

No abstract provided.

Unfit: Eugenics On The Northern Great Plains, Levi Magnuson

History, Philosophy, and Religious Studies

The early twenty-first century saw the emergence of the eugenics movement in the United States, which culminated in the sterilization of people with mental or physical disabilities. State institutions across the country were weaponized against these citizens due to the perception that they were “unfit” to be parents. Recent scholarship on the topic has sought to uncover this history. This study seeks to uncover this past in both North and South Dakota as well as offer an alternative avenue for examining the topic with Canton Hiawatha Asylum for Insane Indians. Both states provide instances that confirm the current scholarship on …

Bmp Training Instructional Aid For Protection Of Edwards Aquifer Water Quality From Firefighting Runoff, Walter Den, Mark Black

Other Materials (Archived)

No abstract provided.

Developing A Pathway To Clinical Trials For Cacna1a-Related Epilepsies: A Patient Organization Perspective, Pangkong M Fox, Sunitha Malepati, Lisa Manaster, Elsa Rossignol, Jeffrey L Noebels

Faculty, Staff and Students Publications

CACNA1A-related disorders are rare neurodevelopmental disorders linked to variants in the CACNA1A gene. This gene encodes the α1 subunit of the P/Q-type calcium channel Cav2.1, which is globally expressed in the brain and crucial for fast synaptic neurotransmission. The broad spectrum of CACNA1A-related neurological disorders includes developmental and epileptic encephalopathies, familial hemiplegic migraine type 1, episodic ataxia type 2, spinocerebellar ataxia type 6, together with unclassified presentations with developmental delay, ataxia, intellectual disability, autism spectrum disorder, and language impairment. The severity of each disorder is also highly variable. The spectrum of CACNA1A-related seizures is broad across both loss-of-function and gain-of-function …

Relationship Between Clinical Measures Of Hearing And Clinical Measures Of Vestibular Function, Helen S Cohen, Haleh Sangi-Haghpeykar, J Connor Sullivan, Nathan Silver, Liam D Ferreira, Jen Li Dong, Alex D Sweeney, Angela S Peng

Faculty, Staff and Students Publications

PURPOSE: Patients often have basic audiometry (BA) but not objective diagnostic tests of the vestibular system (VNG) when complaining of symptoms of a vestibular disorder. The relationship of BA results to VNG results is unknown. This study sought to determine if BA scores are related to impaired VNG scores.

MATERIALS AND METHODS: We reviewed electronic medical records at a tertiary care center, for patients seen between 2015 and 2021 who had had both a BA and a VNG (n = 651). BA subtests were pure tone averages, word recognition, and tympanogram. VNG subtests were cervical vestibular evoked myogenic potentials, Dix-Hallpike …

Case Rounds Redefined: Multidisciplinary Perspectives In Reflective Practice, Nira Geevargis

Faculty Scholarship

This article describes the rounds process used in clinic and externship seminars and considers how adjustments to the structure can address different needs or goals. The authors draw on teaching methods found in similar professional education programs to identify options for faculty facilitating rounds. Ultimately, the authors use externship rounds to highlight lawyering skills, including developing curiosity, withholding judgment, and generating options. The authors posit that rounds facilitate deeper self-reflection and foster a sense of community by encouraging law students to work collaboratively to consider lessons learned in fieldwork. The rounds structure overview can be assigned to students before class …

Community Detection In Censored Hypergraph, Zhao Bin

Statistics

Network, or graph, represent relationships between entities in various applications, such as social networks, biological systems, and communication networks. A common feature in network data is the presence of community structures, where groups of nodes exhibit higher connectivity within themselves than with other groups. Identifying these community structures, a task known as community detection, is essential for gaining valuable insights in diverse applications, including uncovering hidden relationships in social networks, detecting functional modules in biological systems, and identifying vulnerabilities in communication networks. However, real-world network data may have missing values, significantly impacting the network’s structural properties. Existing community detection methods …

I Didn’T Write This For You! Using Translanguaging In Pages And In The Classroom, Elena Foulis

Spanish Faculty Publications (Archived)

A folklorist addresses the legacy of Spanish language loss and the devaluing of people’s language practices by asserting the value of bicultural and biliterate ways of knowing and being by presenting and analyzing the poetry of Eddie Vega.

Expert Review Of Child And Caregiver Critiques Of A Therapeutic Guided Imagery Therapy Mobile Application Targeting Disorders Of Gut-Brain Interaction In Children, John M Hollier, Tiantá A Strickland, C Michael Fordis, Robert J Shulman, Debbe Thompson

Faculty, Staff and Students Publications

BACKGROUND: A guided imagery therapy mobile application (GIT App) is a novel platform for treating children with disorders of gut-brain interaction (DGBI). Previous feedback from child/caregiver dyads suggested modifications for our App prototype. However, their feedback had the potential to affect the intervention's efficacy. Thus, we aimed to have their critiques vetted by relevant experts prior to further App refinement.

OBJECTIVE: Compare expert reviews of the GIT App with end-users' (i.e., child/caregiver dyads') feedback.

METHODS: This mixed-methods study with experts included a hands-on App evaluation, a survey assessing usability, and focus groups comparing their perspectives with those previously provided by …

Mental Health: Implementation Of The Smhat-1 Tool To Screen For Mental Health Concerns Among Collegiate Athletes Attending A Midwestern University, Chrisann Richter

Nursing

College athletes experience increased prevalence of anxiety, depression, sleep disorder, substance misuse, and eating disorders when compared to general college student population. When suffering from mental illness, signs and symptoms that elite, or professional athletes portray may mimic behaviors that are normative for dedicated athletes with demanding schedules and high-performance expectations. Early identification by athletic staff, coaches, and healthcare professionals is the key to facilitating early intervention. Routine screening for mental health has been proven effective in identifying athletes who are at risk for, or currently suffering from mental health disorders. Early identification, intervention and treatment offer athletes a better …

Indigenous Practice And Community-Led Climate Change Solutions: The Relevance Of Traditional Cosmic Knowledge Systems, Rani Muthukrishnan, Ranjan Datta

All Faculty Scholarship (Archived)

This book centers Indigenous knowledge and practice in community-led climate change solutions.

This book will be one of the first academic books to use the consciousness framework to examine and explain humans' situatedness and role in maintaining ecosystems' health. Drawing on teachings from the Indigenous Adi-Shaiva community, the authors present up-to-date research on meanings and implications of South Asian traditional cosmic knowledge, which focuses on relationality and spirituality connected to climate change. This knowledge can create innovative climate change solutions in areas including land, water, traditional management, sustainability goals and expectations, and state development projects. Overall, this book provides an …

Factors Affecting Users’ Satisfaction With Telehealth Apps: Analysis Of Users Reviews Using Bert, Abdullah Wahbeh, Tyler Howes, Omar El-Gayar, Raed Seetan, Mohammad A. Al-Ramahi, Ahmed Al-Omari

All Faculty Scholarship (Archived)

Telehealth mobile apps and telehealth services are increasingly used by patients, particularly, post-COVID-19. This study examines factors related to users’ satisfaction with these apps and services by analyzing reviews from actual telehealth app users. A total of 53,209 reviews were collected from nine telehealth apps on the Google Play store. Using BERT embeddings, UMAP, and HDBSCAN, topics were generated and labeled to identify these factors. Results showed that telehealth app users expressed several factors related to satisfaction with telehealth apps, which could impact the acceptability and adoption of such apps. These include usability (ease of use), usefulness, convenience and efficiency, …

The Visible Hand Of Lawyers: Attorneys’ Selection, White-Collar Fraud, And Criminal Sentences, Jesus R. Jimenez-Andrade

All Faculty Scholarship (Archived)

In the American white-collar fraud prosecution system, attorneys stand between fraudsters and criminal justice. Based on the theory of access literature, this manuscript explores whether attorneys’ selection moderates the relationship between severity of crime and criminal sentence. Collected data from 1,872 white-collar crimes between 2002 and 2020 prosecuted in San Antonio, Texas, test this hypothesis. Findings evidence that attorneys’ selection influences up to 10 percent of the criminal sentence (+,- 64 days). Socioeconomic control variables result in statistical significance, while demographics lack this condition. These findings suggest that fraudsters have incentives to maximize the defrauded amount to gain higher-quality legal …

Care In The Academic Research Enterprise: Reflections And A Call To Action From The Inaugural Convening Of Care, Convening Of Care Collective, Rani Muthukrishnan, Et Al.

All Faculty Scholarship (Archived)

No abstract provided.

Associations Between Human Papillomavirus Vaccine Hesitancy And Resistance And Social Media Engagement, Katherine O'Keefe

Nursing

Human Papillomavirus (HPV) is one of the most common sexually transmitted infections worldwide. More than 13 million Americans are infected each year. Typically, HPV infections will resolve without treatment, and many infected individuals are asymptomatic. However, in some cases, these infections can lead to penile, oral, vaginal, cervical, and/or anal cancer. With the rise in HPV infection rates, the need for vaccination is crucial in prevention of HPV-related infections and cancers. The CDC recently changed HPV vaccine guidelines to include individuals ages 27-45. Regardless of guideline changes, HPV vaccination rates are lower than other recommended vaccines, which may be due …

Initiation Of An Adolescent School-Based Electronic Nicotine Delivery System Prevention Program, Morgan Schneider

Nursing

The leading cause of preventable disease, disability, and death in the United States is tobacco product use. The 2022 National Youth Tobacco Survey, which was completed in 2022, showed that the e-cigarette epidemic among youth continues to remain a public health threat. The survey revealed that over 2.5 million middle and high school students currently use e-cigarettes. The purpose of this project was to provide youth with evidence-based education in a classroom setting. The education was designed to increase participant knowledge about health-related concerns of ENDS products, decrease participant intent to use ENDS products, and foster sustainability through training a …

A Practice Improvement Project Improving Tobacco And Nicotine Dependence Treatment Education In A Doctor Of Nursing Practice Program, Kanchan Bhattarai

Nursing

Tobacco use is a global epidemic and the leading cause of preventable mortality and morbidity in the United States (Centers for Disease Control and Prevention [CDC], 2022h). Approximately 5.4 million people die annually due to tobacco-related illnesses. About 70% of tobacco users visit primary care clinics annually and even brief advice from clinicians can improve cessation rates ( United States Department of Health and Human Services [USDHHS], 2020). However, four out of nine adult smokers who visited healthcare providers did not receive any advice or counseling on quitting smoking. Lack of training and confidence were identified as a barrier among …

Implementation Of Interprofessional Education: Respiratory Management In Amyotrophic Lateral Sclerosis, Brooke Campbell

Nursing

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects nerve cells, leading to muscle weakness, including weakness of respiratory muscles. Respiratory issues significantly contribute to the morbidity and mortality of persons with ALS. Therefore, respiratory management is a critical aspect of care. There is a concerning lack of awareness and knowledge among rural and urban healthcare professionals regarding the respiratory management of persons with ALS. Healthcare professionals need to understand the differences between oxygenation and ventilation and the importance of following evidence-based guidelines. Nurse practitioners play a crucial role in the care of a person with ALS, overseeing …

Assessing Burnout And Resiliency In Doctor Of Nursing Practice Students, Mary Habib

Nursing

This project aims to further assess the issue of burnout among Doctor of Nursing Practice (DNP) students, a population that remains understudied in the context of burnout research. DNP students, who concurrently function as registered nurses, graduate students, and novice nurse practitioners (NPs), can face many challenges in their academic journey. The rigorous demands of didactic and clinical coursework have been shown to impact academic success and overall well-being. Existing literature highlights high levels of burnout among DNP students, which affect various aspects of their lives, including personal time, sleep, and relationships. Resilience has been identified as a potential strategy …

Improving Care Of Pregnant Women Through Provider Education Of Group Prenatal Care, Morgan Kautzmann

Nursing

Prenatal care has been associated with improved pregnancy outcomes for both a mother and her unborn child. However, there are still many disparities that exist in healthcare today, resulting in inadequate access to prenatal care for many groups of women. Women face many barriers to prenatal care that can lead to poor maternal and neonatal outcomes such as lack of transportation, scheduling difficulties, inability to pay for services, and other social factors (Abshire et al. 2019; Akamune, 2018; Crocket et al., 2019). Since the early 1900’s, the focus has been on individualized care models, but the benefits of group prenatal …