Recent Submissions

  • Improving Teledermatology Utilization in an Alaskan Health Care System

    Rowen, Mary Anne (University of Alaska Anchorage, 2019-05-01)
    The consistent demand for dermatology services, within an Alaskan health care network, warrants an organized, collaborative approach to acquiring a higher capacity of teledermatology consultations. The lack of uniformity among providers for using telemedicine technology in dermatology can hinder cost-saving care. Understanding the obstacles and utilization practices surrounding teledermatology adoption is a crucial objective for a project conducted in an integrated health care system. Devising a protocol with supporting education may reinforce expectations for primary care providers and community health aides and practitioners to be consistent with the utilization of dermatology consultations. A Teledermatology Utilization Project was conducted in an Alaska urban facility to affect change throughout an integrated system. Results indicated a significant increase in teledermatology cases since implementing a protocol and supportive education.
  • Anchorage Certification Center (AC2) feasibility study project

    Ming, Andrew R. (University of Alaska Anchorage, 2018-12-01)
    This project conducted a feasibility study in the City of Anchorage to determine the demand and need for an Information Technology (IT) boot-camp-style training and certification center. This business will be aimed at utilizing a small business concept to capitalize on the demands and needs of local businesses that employ IT-certified professionals. The feasibility study was conducted by analyzing past business data through the Alaska Small Business Development Center, along with conducting electronic surveys and subject-matter expert interviews, specifically targeting what employers are expecting from potential and current IT employees. Internet searches across different employment advertising agencies were also used in order to gather employment requirements of such professionals. Upon conclusion of the research, a detailed feasibility study was presented to the Project Sponsor which also included Return on Investment (ROI) estimates based upon approximate costs to start, establish and maintain such business. The Project Sponsor also received a simple business plan as a foundation to start the business. All deliverables were compiled using data collected during the research phase of the project and contained adequate information for an informed decision from the Project Sponsor on whether to pursue the investment opportunity.
  • Standard operating procedure for in-process welding on pipelines and facilities

    Loosli, Seth (University of Alaska Anchorage, 2018-12-01)
    In-process welding has become a commonly used approach when installing upgrades or making repairs to piping systems that are live. Pipeline incidents occur every year, and they are often deadly and expensive. The research of this project set out to find out what components a standard operating procedure should have that would lead to reaching a zero percent incident rate while utilizing in-process welding to make money. Not every contractor has the internal processes formalized to perform this work safely in a high-quality manner. Successful execution of this work can lead to opportunities for contractors to expand their scope of operation and expertise further.
  • PMIAK Chapter Volunteer Handbook

    Baatarbileg, Badam (University of Alaska Anchorage, 2018-12-01)
    Volunteers are the foundation and strength of Project Management Institute Alaska Chapter (PMIAK). To ensure continued growth and future success of the Chapter, proper guidance needed to be developed to recruit, retain, and recognize Chapter volunteers. Volunteering provides chapter members with an opportunity to influence and promote the project management profession, and to contribute to development of the Chapter. The purpose of this project was to create a PMIAK Chapter Volunteer Handbook with efficient processes to assist leadership engaging with volunteers. The Volunteer Handbook provides Chapter leadership with information related to recruitment, retention and recognition with step-by-step guidance for using a Volunteer Relationship Management System (VRMS). Research for development of the handbook included a literature review, best practices of Volunteer Handbooks from other Chapters, and surveys and interviews with PMIAK Chapter leadership and active volunteers.
  • Comparing methods for estimating Manning's roughness coefficient on a portion of the South Fork of Chester Creek

    Warnke, Grant A. (University of Alaska Anchorage, 2018-05-01)
    This report compares several different methods used for estimating the Manning roughness coefficient of a reach using observed conditions during spring runoff. A survey was taken of the South Fork of Chester Creek in the small valley between the Engineering and Computation Building and the North-West Parking Lot at UAA. The survey included 16 cross sections, a center line profile, water surface elevations (WSE’s), and flow velocity readings at each cross section. Based on observed conditions, a model was created in HEC-RAS to calculate the hydraulic characteristics at each cross section. These hydraulic characteristics, along with downstream cross section lengths and head losses, were used to calculate the composite roughness of the reach. This value was then compared to a visual method that accounts for flow-retarding factors, and an empirical method developed in a laboratory. The roughness values computed for the analytical, empirical, and visual methods were 0.071, 0.045, and 0.077 respectively. Additionally, the three computed coefficients were compared with two methods that involve matching table values. The two approximate table values were 0.11 and 0.10. Supplementary methods not used in the analysis are also discussed.
  • A "Risk Based Thinking" approach for tourism in Alaska

    Vallejo, Luisa F. (University of Alaska Anchorage, 2018-12-01)
    Tourism sector in Alaska and elsewhere needs to incorporate into everyday business operations a risk based thinking approach which becomes a tool to proactively manage risk and opportunities. Therefore this research has been focused in putting together a basic guide how tourism operators in general, specially from Alaska, could implement an integral risk management approach for an specific tour adventure, example that could be replicated to other type of risks found in Alaska tourism. Risk management is an invaluable tool for the tourism industry and the communities it supports as it provides the means by which risk can be identified and treated, preventing or minimizing the effects of crises and disasters upon this vital industry for the state of Alaska.
  • Comparison between physical and cloud infrastructure for a small business technology upgrade

    Horst, Patrick (University of Alaska Anchorage, 2018-08-01)
    Technology makes the business world go ‘round and it does not matter if it is a large corporation or small business, they are both affected equally. While It is true that large corporations have much more complex outcomes around technology decisions, they still must make the same general decisions as a smaller business. These decisions often boil down to a common choice, buy or rent. With the current trend in technology the question of rent versus buy comes down to whether a business wants to purchase and maintain its own infrastructure or rent those services from another company. This paper explores the difference and similarities between the two options and offers some data points to assist in the decision making. There is a comparison between the benefits of each choice as well as a discussion of potential pitfalls that might be encountered. A numerical analysis was performed to determine the cash flow for the two choices as well as an adjusted cash flow to correct for the time value of money. After all the analysis it was determined that while most businesses would find on-site infrastructure to be a competitive option and worth consideration the greater efficiency and safety with the cloud hosted option allows it to have the lower overall cost.
  • A study of wireless LTE infrastructure growth in the Matanuska-Susitna Bourough

    Chan, Byron S. (University of Alaska Anchorage, 2018-12-01)
    A wireless telecommunications company is targeting to have seamless coverage and minimum download speeds of 10Mbps for users connected to their LTE network over the span of the next 3 years in the Matanuska-Susitna area. The current network performance was explored and it was determined to have non-contiguous coverage with average download speeds of 5.876Mbps, not meeting the requirements. To meet the requirements, techniques for coverage and capacity improvement were explored. Coverage improvement techniques include new base stations, adding lower band spectrum, and using antenna-integrated RRH. Capacity improvement techniques include new base stations, adding additional spectrum, and LTE enhancement features. The wireless telecommunications company is licensed to operate in PCS A/B/E blocks, AWS B block, and 700MHz A block for a total of 51MHz bandwidth. Recommendations based on the requirements and techniques to improve both coverage and capacity are listed below. l. Add five new base stations with existing lOMHz bandwidth of AWS, SMHz bandwidth of 700MHz spectrum, 20MHz bandwidth of PCS spectrum, and antenna-integrated RRH 2. Add 5MHz bandwidth of 700MHz spectrum, 20MHz bandwidth of PCS spectrum, and antennaintegrated RRH to existing base stations 3. Enable LTE-Advanced features including carrier aggregation and 4x4 MIMO to improve data rates This solution will provide seamless coverage and expand data volume capacity from 155.751 TBytes to601.910 TBytes per month allowing data rates to be above 10Mbps until the end of December 2021, after the three year requirement. Implementing the recommendations will allow the wireless telecommunications company to meet and slightly exceed requirements of seamless coverage and minimum download speeds of lOMbps in the Matanuska-Susitna area.
  • Scenarios analysis of the geotourism business model in King Salmon, Alaska

    Alfaro, Daisy (University of Alaska Anchorage, 2018-12-01)
    Alaska’s tourist industry is currently involved in an evolution to make it more responsive to the “international” tourist. To address this opportunity, this project introduces a novel approach to apply for the first time in Alaska the “Geotourism business model” in King Salmon Alaska, by an international tour operator business. The insights gained will give us the chance to relate academic approaches as a practical application, and then analyze the results prior to undertaking the actual investment of real dollars and limited time and when such an endeavor might be feasible. The resulting research shows that King Salmon, Alaska could become in 10 years a viable Geotourism destination in Alaska. Opening a Geotourism tour operator agency, following this step-by-step approach has the potential for both profit and community growth of King Salmon. Alternatively, if no efforts are made to increase the economic base of King Salmon, the area population will continue to decline.
  • Elementary Stem Program project management plan

    Swann, Michael (University of Alaska Anchorage, 2018-12-01)
    This project produced a science, technology, engineering, and math (STEM) summer program. A multi-phased process was used to determine the appropriate course of action for data collection and a summer program curriculum creation. The summer program and curriculum will be used as a blueprint for improving the current elementary school program. Phase one included assessment of educator’s and students’ utilization of the existing STEM program, through surveys, observation, and interviews. Phase two analyzed data obtained through phase one, providing an outline of the STEM program status. Phase three used data obtained from phases one and two, creating a single, week-long summer STEM program curriculum. Standardized STEM lesson specifications along with benchmarking were utilized for curriculum creation. The summer program consists of three rotational lab stations: an outdoor exploration and discovery lab, an outdoor hands-on engineering lab, and an indoor technology-based lab. The school has committed to use the lessons learned and curriculum as a foundation for future summer camps. Lessons learned from this project were provided to the elementary school to implement and improve the current STEM program and it was successful.
  • Construction productivity and cost reporting

    Champion, Robert Steven (University of Alaska Anchorage, 2018-12-01)
    This research report improves the likelihood of meeting construction project and business objectives by implementing self-perform labor productivity and cost reporting process. The overall approach includes a literature review of construction productivity reporting, evaluating existing reporting processes of an operating construction company, evaluating reporting process improvements on a model project, interviewing subject matter experts in cost control, and evaluating model project survey responses. The research approach involves evaluating a construction organization’s existing processes for estimating in standard units of measure, reviewing existing procedures for establishing cost control budgets, researching methods for developing a process for tracking installed material quantities, researching methods for preparing weekly productivity reports, and labor unit rate benchmarking. Additionally, this report includes examining methods for reducing operational rework for projects executed in the construction industry by implementing a proactive corrective action based on verified actual cost and productivity rates. The results of this research demonstrate that utilizing project management methodology as an approach to researching construction cost and productivity reports improves the success of implementing company standardized reporting processes and provides an opportunity to meet business objectives.
  • Developing a process for International Articulation Agreements in UAA

    Baye, Douglas (University of Alaska Anchorage, 2018-12-01)
    Institutions of higher education find themselves in the forefront of addressing the challenges of college affordability, access and completion. Articulation agreement is an important, cost-effective tool to help students transfer credits successfully and also a marketing vehicle to aid institutions in recruiting students. The UAA is interested in progressively increasing the number of international students through articulation agreements with foreign higher education institutions, however there is no documented process in place. Through a survey, interviews and literature review, the project carries out a research on the articulation agreements process in use in UAA and at various US institutions, gain insights into problems of creating agreements in UAA, identifies stakeholders and gathers requirements for an international articulation agreement process for UAA. Findings indicate that there is no clearly defined process. To address this, an international articulation agreement process is developed using project management techniques and principles. Project management tools are also recommended for use in the process. The project also highlights best practices in international articulation agreements and develops a ranking tool for evaluating international articulation agreement processes in use at various US institutions.
  • Outpatient education and medication adherence

    Sherwood, Veronica (University of Alaska Anchorage, 2018-02-01)
  • Cognitive behavioral therapy in primary care

    Zimmerman, Lisa (University of Alaska Anchorage, 2018-05-01)
    Background: Chronic pain is prevalent, costly and commonly treated in primary care. Current evidence supports the use of integrated therapies that address the physiological and psychosocial factors in the pain experience. Cognitive behavioral therapy (CBT) has proven efficacy in the treatment of chronic pain conditions. However, psychological therapies, like CBT, are underutilized in chronic pain management. This may be the result of lack of mental health providers and typical delivery methods of individual therapy in private practice behavioral health settings. Objective: To review the evidence for the use of CBT techniques by health care professionals other than specialist in psychiatrics or psychology, for the management of chronic pain in primary care and community settings. Methods: The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, PsycInfo, PubMed, Web of Science and Google Scholar databases were searched to identify qualitative and quantitative research involving CBT techniques used by non-mental health professionals in outpatient settings for adults with chronic non-cancer pain. Results: The search yielded 253 relevant records, and 11 met final selection criteria. CBT-based interventions delivered by non-mental health professionals were effective in reducing physical disability and pain severity in individuals with chronic non-cancer pain. Conclusions: Access to CBT-based interventions should be expanded to include delivery through health care professionals other than specialists in psychiatrics or psychology for the management of chronic pain in primary care.
  • Internet addiction: implications and assessment education for providers

    See, Marie Nicole (University of Alaska Anchorage, 2017-12-01)
    The proliferation of internet accessibility and electronic devices has allowed problematic internet use or internet addiction (IA) to explode worldwide in the past two decades. Popular Applications such as gaming, pornography, gambling, and social media are wildly popular internet pastimes with resulting high abuse potential. Social, occupational, fiscal, and interpersonal problems have been reported, as have high levels of co-morbid mental illnesses. In 2013, the American Psychiatric Association (APA) added Gambling Disorder to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the first behavioral addiction recognized by the APA. In light of the mounting evidence supporting IA as a serious threat to mental health, an IA educational webinar was developed for providers (nurse practitioners and physicians) to increase knowledge and screening for IA in the clinical setting.
  • Male Urinary Incontinence: A Critical Appraisal of the Literature With Practice Recommendations

    Forcht, Deborah J. (University of Alaska Anchorage, 2017-05-01)
    Urinary Incontinence (UI) is a debilitating medical condition that affects individuals’ quality of life. People with this condition describe decreased enjoyment of sexual activity, as well as increased risk of experiencing depression, and anxiety. Data show that incontinence is less prevalent in men than women, which may explain the dearth of studies focusing specifically on men. As men age, their rate of suffering from UI increases from 4.8% at ages 19 to 44 to over 21% by the age of 65 years. Additionally, men who suffer from permanent UI are more likely to be institutionalized compared to those without UI and have increased risk for suicide, infections, falls, social isolation, loss of independence and may suffer from life-altering fractures. For many patients, UI may be reversible with medical intervention. A critical appraisal of UI literature found many non-surgical male UI treatments that were effective. The evidence-based information was utilized to provide primary care providers with up to date male-specific interventions for UI.
  • Reducing Recidivism in Alaska Throough Access to Extended-Release Injectable Naltrexone

    Green, Jyll K. (University of Alaska Anchorage, 2016-12-01)
    The goal of this evidence-based project was to provide access to extended-release injectable naltrexone (XR-NTX) upon release from incarceration for individuals who had a self-identified substance or alcohol abuse history, and evaluate whether or not XR-NTX reduced recidivism in comparison with those who declined to use XR-NTX. This project was completed in collaboration with Partners Reentry Center, located in Anchorage, Alaska, who collected and offered retrospective de-identified data for this project. A total of 98 individuals with a self-identified history of substance or alcohol abuse were offered XR-NTX through Partners Reentry Center from September 15, 2015 to September 15, 2016. Of these, 52 were offered XR-NTX in the first six months of this evidenced-based quality improvement project. Of those who accepted XR-NTX (n = 32), 62% remained in the community at the end of 12 months from project initiation. Of those who declined XR-NTX (n = 20), 95% recidivated. The results of this project demonstrate the benefit of using XR-NTX in released prisoners to reduce recidivism. Implications for use the of XR-NTX in Alaska Department of Corrections inmates and the general population who meet criteria for use should be evaluated.
  • Acute Kidney Injury: Continuous Quality Improvement for Systems Change

    Bassett, Robin (University of Alaska Anchorage, 2016-12-01)
    Acute Kidney Injury (AKI) is reduced kidney function over hours to days which can be reversible but can lead to renal failure and death. AKI is diagnosed using serum creatinine and urine output but these factors are not sensitive or specific, and no biomarker has been found for more accurate diagnosis. International guidelines for AKI diagnosis and treatment were released in 2012 by the Kidney Disease: Improving Global Outcomes (KDIGO) group. Many providers are not aware of AKI and guidelines for treatment have not been implemented in practice. The purpose of this continuous quality improvement (CQI) project was to improve healthcare team member knowledge of AKI Guidelines and to develop electronic health records (EHR) tools to improve AKI recognition and diagnosis. EHR tools were developed for implementation during a two-month CQI practice initiative. An Excel spreadsheet for AKI diagnosis and EHR renal protection protocols were created and tested. Updates were made to the tools to allow ease of use based on interprofessional feedback. A trifold AKI educational pamphlet was developed following implementation to fill gaps in knowledge. The interprofessional critical care team survey reported the tools were helpful in facilitating AKI recognition and management according to published guidelines. More work is needed to find sustainable and significant improvements in AKI recognition, diagnosis, and treatment. AKI guidelines should be disseminated to non- nephrology professionals after revision to allow for increased diagnosis and management of this critical and common problem.
  • Small Community Oil Spill Preparedness Research Project

    Covert, Christopher (University of Alaska Anchorage, 2016-12-01)
    As transportation through the Arctic becomes more prevalent with tourism and oil exploration, small communities within the Arctic are susceptible to oil spills from fuel barges, passing ships, tank farms, and oily discharges. Oil spills threaten both humans and animals that co-habitat these Arctic regions. Little has been done to prepare these small communities in preparation for an oil spill and as a result they are not well protected. As the notion of globalization is incorporated into the Arctic it will be imperative to protect these small communities. To better understand this topic, the researcher took an analytical approach to identify and benchmark best practices, define the elements of preparedness, and then build the foundation for the overall project. An integral component of this research project was to build and deploy a self-assessing questionnaire to provide small communities the ability to self-assess their oil spill preparedness level. The results of the questionnaire will be used to derive a preparedness index value. The preparedness index value will be overlaid an interactive map to provide Arctic governments a better view of the level of preparedness of their small communities.
  • Project Management Methodology Applied to a Research and Recommendations Study: Understanding Workplace Accidents Involving Equipment "Blind Spots"

    Delaney, Blake (University of Alaska Anchorage, 2016-12-01)
    Nearly 25 percent of work vehicle-related deaths take place while the vehicle is moving in reverse. The total cost to employers in 2000 was $60 billion, with two-thirds of the accidents taking place on-the-job. Due to the high number of vehicle blind spot accidents that take place each year, it is critical to ensure current technology is being utilized to prevent future accidents. (“Guidelines for employers to reduce motor vehicle crashes,” 2006) While the Occupational Safety and Health Administration (OSHA) investigates industrial fatalities, too little information is gathered into general categories to effectively understand the overall effectiveness of U.S. regulations, and if current technology may reduce blind spot incident and accident rates in the workplace. To improve safety performance in the workplace, it is essential to understand the underlying causes of accidents. Researching white papers and gaining an understanding of patterns and contributing factors, recommendations can be made to help improve workplace safety. Data collected from a custom-made questionnaire deployed within the Municipality of Anchorage and Matanuska-Susitna Borough provided insight to many jobsites within the area, in addition to thoughts and considerations of working-class individuals regarding company policy, laws, regulations, technology use and potential, and equipment blind spots.

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