Digital Commons Network^™

Emergency Department Treatment Of Elevated Blood Pressure In The Headache Patient, Lauren Eberhardt, Michelle Jankowski, Brett Todd

Posters

• Headache is an extremely common emergency department (ED) chief complaint, accounting for 1-3% of emergency department (ED) visits per year globally.
• Headache is often associated with elevated blood pressure and the most frequent clinical manifestation of hypertensive urgency, occurring in 35.9% of patients.5
• First line treatments used for acute headache management in the ED include intravenous fluid (IVF), anti-dopaminergic agents, aspirin, nonsteroidal antiinflammatory drugs (NSAIDs), and ketorolac.6
• Rescue analgesia is needed for pain management in 16% to 18.1% of patients.8,9.
• Rescue analgesia includes: additional doses of first line analgesia or initiation of a second line medication1,6,10,11 such as magnesium sulfate, …

Characterizing The Effectiveness Of Prehospital Pediatric Pain Management In Children With Long Bone Fractures, Revelle Gappy, Ashima Goyal, John Frawley, Sariely Sandoval, Nai-Wei Chen, Remle Crowe, Robert Swor

Posters

Prehospital pediatric pain management has been poorly understood and sub-optimally treated.1-3 Pain scales for children differ from adult pain scales and it is unclear if pain assessments are well documented, particularly in infants and toddlers.4-6 Surveys of emergency medical services (EMS) personnel identify barriers to pain management including discomfort with emergency care of injured children, concern for allergic reactions, additional pain from intravenous catheter insertion, parental influence, as well as lack of knowledge and experience secondary to the relatively infrequent treatment of acutely injured children.7-9

The effectiveness of prehospital pain medication administration for children is unknown, as is the efficacy …

Vesicant Infusates Are Not Associated With Ultrasound-Guided Peripheral Intravenous Catheter Failure: A Secondary Analysis Of Existing Data, Mahmoud Hijazi, Amit Bahl, Nai-Wei Chen

Posters

With over 300 million used annually in the United States, peripheral intravenous catheters (PIVC) are the most commonly used invasive device in the acute care setting1,2. Unfortunately, PIVCs have high failure rates with up to 63% failing prematurely3,4.

Certain intravenous medications categorized as vesicants and irritants are known to cause vein and local tissue injury. The Infusion Nursing Society (INS) created this list based on infusate osmolarity thresholds that increase the likelihood of these complications5.

It is perceived the impact of these medications on larger proximal veins with higher flow rates and improved hemodilution diminishes the likelihood of these complications. …

Sound Marks, Deborah R. Gerhardt, Jon J. Lee

Minnesota Law Review Vols. 106:2 onward (2021-present)

A lion roars just before a film rolls. A doughboy giggles. A giant green man laughs a hearty, “Ho, Ho, Ho.” These iconic sounds are all federally registered as trademarks. They identify specific brands and distinguish their products and services from the competition. Human brains treat sounds like these as categorization tools and cognitive shortcuts--ideal trademark symbols. But what about the sounds your favorite toys or electronic devices make? Or those made by a fictional character in the latest blockbuster? This Article tackles these issues and others. We push back against the widely-held belief that all unconventional trademarks--product designs, colors, …

States’ Obligation To Provide For Trans Youth: How Medicaid Requires (Most) States To Provide Access To Puberty Blockers, Grace Worcester

Minnesota Law Review Vols. 106:2 onward (2021-present)

Over the last few years, many states have endeavored to strip minor access to gender-affirming healthcare, and these efforts have seen considerable success. By the end of 2023, twenty-two states had enacted legislation that limits youth access to genderaffirming healthcare. In line with these efforts, many states have created policies that exclude Medicaid coverage for gender-affirming puberty blockers--medications that delay the physical changes to one's body that occur with sexual maturity. These efforts contravene guidance from the medical community, which pronounces the importance of access to gender-affirming puberty blockers for transgender and gender-diverse youth, and often considers them medically necessary …

Quantifying The Importance Of Orthopaedic Surgeon Attributes By The Public, Rasheed Abdullah, James E. Feng, Phillip Vartanyan, Hassan Alosh, Drew Moore, Leonardo M. Cavinatto, Betina Hinckel

Posters

Evaluate what surgeon attributes are currently important to our patients, and what modalities may be most effective in finding orthopaedic surgeons, using online crowdsourcing.

Operative Versus Non-Operative Treatment Of Z-Type Clavicle Shaft Fracture In Adolescents: A Retrospective Study, Sami Azeroual, Colin Van Wagoner, Jeffrey Leider, Ehab Saleh

Posters

• The clavicle is one of the most fractured bones in the human body.
• Traditional treatment involves conservative management with a sling or immobilization but recently the effectiveness of the approach has been questioned.
• Studies done on the adult population have found higher rates of mal or non-union than previously noted, especially in those with displaced or comminuted fractures.
• The noted malunion or non-union was noted to have effects on shoulder mechanics, pain with overhead activity, and loss of strength and endurance.
• Due to differences in physiology the findings in the adult studies do not necessarily translate to the pediatric population. …

Police-Made Law, Brenner M. Fissell

Minnesota Law Review Vols. 106:2 onward (2021-present)

This Article presents evidence that police are writing laws that they enforce. This newly discovered phenomenon compounds the existing understanding of police “making” law through the exercise of discretion. They make law in a far more direct way, functioning as quasi-legislators at the local level-- identifying a social problem, drafting an offense to address it, and directly proposing their offense for enactment. The conduct targeted, and the reasons for doing so, are diverse. For example, in one city a police chief successfully criminalized public intoxication so that intoxicated people would go to jails instead of hospitals; in another, a chief …

The Mississippi River Basin Compact: A New Governance Structure To Save The Mississippi River, John Stack

Minnesota Law Review Vols. 106:2 onward (2021-present)

The Mississippi River is one of the most significant and yet one of the most imperiled water bodies in the United States. It faces a myriad of problems, from rampant pollution, widespread flooding, wildlife habitat loss, and considerable droughts. Indeed, this is a critical time for the Mississippi River. Fall of 2023 saw River levels drop to extreme lows, with commercial barges grounded and cities deploying emergency measures to protect their municipal water intakes from saltwater intrusion. Meanwhile, polluted Mississippi River water created a dead zone in the Gulf of Mexico spanning hundreds of square miles, just as it has …

Echoes Of Pazuzu: The Influence Of A Mesopotamian Demon In World Music, Jonathan Jauregui

Student Scholar Symposium Abstracts and Posters

This project delves into the intersection of Mesopotamian mythology and world music through the lens of Pazuzu, a prominent demon from ancient Mesopotamia. Pazuzu's presence and malevolent attributes in Mesopotamian lore have sparked curiosity and fascination, transcending ancient civilizations to influence contemporary cultural expressions, including music. This research explores how Pazuzu's imagery, symbolism, and mythology have influenced various world music genres, ranging from metal to modern electronic compositions. This study will examine how Pazuzu's character is portrayed and interpreted within diverse musical traditions worldwide by analyzing musical compositions, lyrical themes, and cultural contexts. Through a comparative approach, it examines how …

Trauma-Informed Servant Leadership Training, Kathleen Raddatz

Instructional Design Capstones Collection

Due to the high rate of employee burnout and toxic workplace environments, organizations and managers are looking toward better leadership approaches to retain employees and promote engagement in the workplace. This training course was developed through surveys and scholarly research to train managers in a Trauma-Informed Servant Leadership approach to create psychologically safe work environments. Psychologically safe work environments have lower turnover rates, greater creativity and engagement, and higher employee satisfaction. The Trauma-Informed Servant Leadership approach reduces institutional betrayal and promotes psychological safety by adopting a transparent, results-driven framework. The training gives leaders a basic understanding of trauma, its impact …

Implementing A Two-Nurse Indwelling Urinary Catheter Insertion Process With A Checklist To Decrease Catheter-Associated Urinary Tract Infections In The Intensive Care Unit, Alexa Austin

Doctor of Nursing Practice Final Project Abstract

Implementing a Two-Nurse Indwelling Urinary Catheter Insertion Process with a Checklist to Decrease Catheter-Associated Urinary Tract Infections in the Intensive Care Unit

PURPOSE The purpose of this quality improvement project was to decrease CAUTI rates within the Intensive Care Unit (ICU) by implementing a two-nurse indwelling urinary catheter (IUC) insertion process utilizing the Agency for Healthcare Research and Quality (AHRQ) IUC evidence-based checklist.

BACKGROUND The project was implemented in a 52-bed Medical-Surgical ICU of a large academic specialty hospital in the Southwestern United States of America (USA). At the project site, there was an increase in CAUTI rates above the …

Analysis Of Social Behavior Of The African Great Apes During Feeding And Non-Feeding Contexts, Jessica Hale

Master's Theses

The three African great apes, bonobos, chimpanzees and gorillas, despite similar habitats, differ considerably in their sociality and feeding ecology. There have been many studies that have investigated the feeding ecology and social behaviors of these species, but there is extremely limited literature available on how feeding ecology may have affected ape social evolution. Chimpanzees are frugivorous, which forces them into close proximity when foraging given the clumped nature of this resource. Bonobos and gorillas, however, are fallback food consumers, which allow them to spread out as they forage. This thesis project aims to test the hypothesis that differences in …

Faking Being Well: Evaluating The Everyday Experiences Of University Students With Chronic Pain, Hannah Ditzenberger

Master's Theses

The purpose of this project is to learn how University of Northern Colorado students with chronic pain understand their identity formation considering three intersecting factors: their transition to college, their experience of chronic pain, and their ability to engage in common practices associated with university life. Sociology is rich in literature surrounding the experiences of people with chronic illness and pain and their understanding of themselves, but the experiences of college students with chronic pain are limited. This phenomenological study relies on social psychology theories related to illness narratives, biographic disruptions, and, more broadly, self-narratives and self-presentation in its analysis. …

Clonal Growth And Trait Variation In The Colorado Front Range: The Influence Of Elevation And Ecosystem, Jordan Conley

Master's Theses

Amid global climate change, exploring adaptive strategies among alpine flora, particularly through clonal growth, becomes critical for biodiversity conservation. This study aims to explore the patterns of dominance and distributions among clonal species across environmental gradients in the Colorado Front Range, employing a trait-based comparative analysis to understand the adaptive strategies of alpine flora and their implications for conservation amid rapid climate change. We focused on two species, studying traits like lateral spread, bud count, and bulbil numbers. Advanced statistical methods such as Permutational Multivariate Analysis of Variance (PerMANOVA) and Multi-Response Permutation Procedures (MRPP) were used to evaluate community compositions …

A Geospatial Analysis Of Patterns In Neighborhood Characteristics And United States Professional Sports Stadium Relocations From 1922-2022, Kara Logan

Master's Theses

In the United States of America, 135 stadiums for new or relocating teams have been constructed between 1970 and 2020 (Bradbury et al., 2022, p. 3). Within those years, researchers, journalists, and community members have examined the impact of those new stadiums on local communities, including economic, environmental, and residential impacts. However, the current scope of literature consists of a considerable number of case studies that examine a single stadium or mega-event, such as the Olympics.

This study will determine what patterns, if any, exist between the demographic and housing characteristics between the stadiums that major league United States professional …

Athletic Identity Association And Prospective Basic Psychological Needs Satisfaction Predict Attitudes Of Collegiate Athletes Toward Seeking Help From The Athletic Department, Allie Zerr

Master's Theses

There is an epidemic of mental health issues that has begun to be more openly talked about in college athletics. In 2022, the National Collegiate Athletic Association has found that college student-athletes are now 1.5-2 times more likely to report struggling with mental health than ever before. Previous research has shown a significant association with basic psychological needs satisfaction and overall psychological well-being. Furthermore, the purpose of this study was to investigate the possible ways that reported of autonomy, competence, and relatedness need satisfaction predicted whether athletes would seek mental health services and identify how athletic identity plays into this …

An Analysis Of Resources For Developing Music Curriculum In Charter Schools With Proposals For Research Instruments Specific To The State Of Arizona, Emily Stanton

Master's Theses

A robust music curriculum is the foundation for a successful music program. With school choice becoming more prevalent, parents who prioritize musical education for their children need information about the quality of the music curriculum in all school models, including charter schools. Currently, little data is available about music programs in charter schools. This document seeks to address that lack of information with a focus on charter schools in Arizona. There were no participants involved in this research. All proposed questions have not been used for research purposes at this time and are used as examples of options for future …

The Experience Of Home-Based Music Therapists Working With Individuals With Intellectual And Developmental Disabilities: A Thematic Analysis, Sarah Mayr

Theses & Dissertations

According to the Administration for Community Living (ACL), an estimated 7.38 million people in the United States live with an intellectual and/or developmental disability (2021). Many individuals with intellectual and developmental disabilities (I/DDs) reside in community-based settings, such as private residences, family members’ homes, or group homes (ACL, 2021). However, little research exists exploring home-based music therapy (HBMT) for people with I/DD, especially from the clinician’s perspective. Thus, this study examines the experiences of home-based music therapists working with individuals with I/DD to provide a foundational overview. Three music therapists working in home-based settings participated in semi-structured guided interviews, which …

The Experience Of An Autistic And Neurotypical Sibling Dyad In Improvisational Music Therapy, Gianna Derusso

Theses & Dissertations

The purpose of this study was to explore the sibling relationship within improvisational music therapy, specifically the relationship between an autistic sibling and a neurotypical sibling. The following research question was posed: How does the relationship between a neurotypical and autistic sibling dyad present in improvisational music therapy? Subquestions to the research questions included: How do a neurotypical and autistic sibling dyad interact with one another within an improvisational music therapy session?, and How do a neurotypical and autistic sibling dyad interact with the music therapist within an improvisational music therapy session? An autistic and neurotypical sibling dyad was recruited, …

Comparing The Impact Of Client-Led Music Therapy With Autistic Clients Enrolled In An Applied Behavior Analysis Program Versus Those In Standard Care, Annie Fitzgerald

Theses & Dissertations

This study investigates the efficacy of client-led music therapy as a complementary intervention for enhancing aspects of social and behavioral functioning in autistic children enrolled in applied behavior analysis (ABA) programs compared to those in standard care. Utilizing a quantitative approach with pre- and post-intervention assessments, the study evaluates changes across categories of Social Communication, Social Cognition, Social Awareness, Social Motivation, and Restricted Interests and Repetitive Behaviors using the Social Responsiveness Scale-2 (SRS-2). Findings reveal no statistically significant differences in pre- to postintervention scores for either group, yet promising trends emerge. In the study, child-led music therapy within ABA interventions …

Exploring Music Therapists' Experiences Of Utilizing A Family-Based Approach With Children Receiving Palliative Care, Faith Anne Agolia

Theses & Dissertations

This research study explored the experiences of three music therapists who employ a family-based approach with families whose children are receiving palliative care. Literature addressing the benefits of music therapy for people in palliative care exists, but little is known about the lived experience of music therapists who work in these settings. Music therapists were recruited through purposive sampling. Through phenomenological microanalysis, eight themes emerged: Family-based approach is natural, yet nuanced; the sacredness of the therapeutic relationship; positive memory making through legacy as a means to family connectedness; vicarious trauma; intentional self-care and coping; feeling siloed and experiencing challenges within …

Natural Language Processing Methods For Parks, Conservation, And Outdoor Recreation Research, Danielle Dagan

All Dissertations

Recent advances in technology have increased the ability to access and manipulate large textual datasets. Natural language processing (NLP), the category of machine learning related to analyzing text data, is often used to understand humans. As with any tool or technology, it is important to critically examine how NLP approaches can support scientific advancement. This dissertation critically evaluates the use of NLP and machine learning in the domain of parks, conservation, and outdoor recreation. The dissertation begins with a novel conceptual chapter, which includes a scoping review of big data methods in outdoor recreation and introduces methodological concepts, best practices, …

Improving Patient Safety By Reducing The Use Of Restraint And Seclusion Through De-Escalation In An Inpatient Psychiatric Unit, Ndidiamaka Okafor

Doctor of Nursing Practice Final Project Abstract

Improving Patient Safety by Reducing the Use of Restraint and Seclusion through De-escalation in an Inpatient Psychiatric Unit

PURPOSE:

The purpose of this quality improvement project is to improve safety among adolescent patients ages 13 – 17 on an inpatient psychiatric unit through improved staff de-escalation techniques as evidenced by a decrease in the use of restraint and seclusion combined by 23% from 65% to 50% within 3 months. A secondary aim is that staff will provide self-reported improvement in confidence.

BACKGROUND:

Aggression from adolescents admitted to the inpatient psychiatric unit is one challenge nursing staff face when providing care. …

Identification Of Rnai-Related Genes And Transcriptome Assembly Of Loblolly Pine (Pinus Taeda, L.) Seedlings Exposed To Insect-Specific Dsrna, Zachary Bragg, Lynne K. Rieske

Entomology Faculty Publications

Considerable research has focused on gene silencing in tree-feeding insects, but how trees recognize and process double-stranded RNA (dsRNA) engineered to target plant pests is unknown. We performed transcriptomic assembly, preliminary differential expression analysis, and in silico annotation on loblolly pine (Pinus taeda, L.) seedlings exposed to southern pine beetle-specific dsRNA. This pilot study sought to elucidate the baseline response of seedlings challenged with insect-specific dsRNA. Treated and untreated seedlings were sequenced and following transcriptome assembly 20 RNAi-related proteins (RRPs) were annotated. Differential gene expression analysis conducted using DESeq2 followed by pathway enrichment revealed 7131 differentially expressed transcripts, of which …

Analyzing The Relationship Between Cannabis Use And Hearing Loss, Ashley Howe

Doctoral Scholarly Projects & Capstones

The purpose of this study was to assess the cross-sectional relationship between cannabis use and hearing thresholds to determine if cannabis use is associated with poorer hearing sensitivity while controlling for covariates and other risk factors in a large population-based data set. To answer this question, we analyzed audiometric hearing threshold data, drug use data, and covariate data from the U.S. National Health and Nutrition Examination Survey (NHANES) cycles. A total of 5,140 participants from 2009–2012 and 2015–2016 aged 20–59 years were included in the analyses. Univariable and multivariable main effects logistic regression models were used to compare cannabis use …

Pediatric Ototoxic Monitoring, Destiny Victoria Padilla

Doctoral Scholarly Projects & Capstones

The prevalence of children living with cancer is estimated to be 129,221 in the United States (National Cancer Institute, 2022). The chemotherapy treatment that these children receive can cause ototoxicity, especially when platinum-based chemotherapy agents are used. Ototoxic monitoring is beneficial for patients undergoing chemotherapy treatment as it allows for treatment modification, dosage modification, early intervention, or auditory rehabilitation to take place based on the patient’s hearing status. This is especially important due to the effect hearing loss may have on children’s development and quality of life. There are several objective and behavioral auditory tests that can be used to …

Innovation In Targeted Violence And Terrorism Prevention: Final Closeout Report, Joel Elson, Erin M. Kearns

Reports, Projects, and Research

Effective terrorism and targeted violence (TTY) prevention and intervention relies upon members of the public to report concerning behavior they observe. Yet, there are multiple points during the process of identifying and sharing information about potential TTY threats where breakdowns can occur, hindering intervention efforts resulting in deadly consequences. This project's overarching aim was to improve the tips reporting process to minimize breakdowns in actions required to intervene and prevent TTY. Specifically, with this lVTP innovation grant, we developed and tested evidence-informed chatbot technologies to improve TTY tips reporting. In the IMP, we listed three project goals with objectives and …

Threat And Risk Assessment Measurement: A State Of The Science Review, Samuel Hunter, Katherine Parsons, Kelsey Ciagala, Sydney L. Reichin, Matt Allen, Erin M. Kearns, Austin C. Doctor, Joel Elson

Reports, Projects, and Research

Threat and risk assessment are the processes of identifying, assessing, and managing threats of targeted violence prompted by warning behaviors. Threat assessment differs from the traditional operations of law enforcement as it may provide predictive information rather than investigating threats after a violent offense has been committed. Threat and risk assessment examines the escalation of behavior over time and corroborates information from multiple sources to reach a level of concern. Initially developed as a way to prevent assassinations, the tools and approaches around threat assessment have emerged as a violence prevention measure in many settings, including workplaces, schools, universities, and …

Coal Cleat Network Stimulation Through A Combination Of Acidizing And Liquid Nitrogen Fracturing, Mohsen Farrokhrouz, Hamed Akhondzadeh, Yongfei Yang, Faisal U. R. Awan, Stefan Iglauer, Maxim Lebedev, Alireza Keshavarz

Research outputs 2022 to 2026

Gas extraction from Coal Bed Methane has proved challenging mainly due to the low permeability of coals. This study investigated a combination of 2 stimulation techniques, Liquid Nitrogen (LN2) fracturing and acidizing, to increase pore structure and cleat network connectivity in coals. Microcomputed Tomography ( -CT) scanning results suggested that a combination of those 2 applications, in either sequence of implementation, has substantial potential in recovering mineralized fractures and inducing new fractures; thus, leading to wide-open cleat networks. X-ray images show that if LN2 fracturing of coal is preceded by acidizing, the stimulation efficiency increases from more than double the …