• SARS-CoV-2 - Related Nonpharmaceutical Interventions in Atlantic Canada, Japan, Slovakia, and Sweeden

      Gemzická, Mária (University of Alaska Anchorage, 2022-05-01)
      At the end of 2019 a new pandemic of respiratory infection started and affected every continent (Centers for Disease Control and Prevention [CDC], 2021). Since the Chinese Ministry of Health announced a new pneumonia outbreak in Wuhan province caused by SARS- CoV-2 virus, countries around the world started preparations for their own epidemic response. Actions of Japan, Slovakia, Sweden, and four provinces of Atlantic Canada were analyzed for association of their adopted measures with morbidity and mortality of their population. While both nonpharmaceutical and pharmaceutical interventions were necessary for the best outcomes, nonpharmaceutical interventions aiming on decrease of population mobility and interpersonal contact, such as limitations of international and domestic travel, lockdowns or curfews, teleworking and telemedicine, banned visits to vulnerable populations, caps on gatherings, physical distancing, isolation of confirmed cases and their contacts, and covering nose and mouth, had significant effect on size of waves of infection and on mortality of infected.
    • SBIRT Screening in Primary Care of Women of Reproductive Age to Aid in the Identification of Alcohol Use Patterns Focusing On Prevention of Fetal Alcohol Exposure

      Vesely, Isabel (University of Alaska Anchorage, 2017-11-01)
      The over consumption of alcohol can directly correlate with negative effects on health and quality of life. When vulnerable subjects such as pregnant women and subsequently the fetus is alcohol exposed lifelong detrimental consequences can ensue such as Fetal Alcohol Spectrum Disorder (Jones, Smith, Ulleland, & Streissguth, 1973). Although most women reduce their alcohol intake during pregnancy, 45% of pregnancies in the United States are unplanned (Finer & Zolna, 2016). The combination of social patterns of alcohol use in women of childbearing age and the prevalence of unintended pregnancy set the stage for an alcohol exposed fetus. Late recognition of an unintended pregnancy exposed a fetus to levels of alcohol capable of teratogenic effects (Balachova et al., 2015). Research asserts that prevention of alcohol-exposed pregnancies should begin before conception by identifying unhealthy drinking patterns among women of reproductive age. Alcohol screening and brief interventions in medical settings can significantly reduce alcohol use and potentially decrease the prevalence of a 100 % preventable condition such as FASD.
    • 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.
    • School District Assessment for Sudden Cardiac Arrest Preparation

      Dahlen, Paula (University of Alaska Anchorage, 2014-06-25)
      A literature review on pediatric sudden cardiac arrest (SCA) suggests that school nurses nationwide are well supported in their responsibilities to manage SCA in school children, despite budget and equipment challenges. In this Masters project, school nurses in a district in the Pacific Northwest completed an online survey to assess their perceptions of personal and organizational preparedness to respond to SCA. As described by the AHA, best practices include: an effective and efficient communication system; coordination, practice, and evaluation of a response plan; risk reduction; training and equipment for CPR and first aid; and in some schools, establishment of an automated external defibrillator (AED) program. Forty-four percent of respondents reported that they have received an adequate amount of resources, support, training and preparation in their school to manage a sudden cardiac arrest event.
    • Screening and Referral in Those With Severe Mental Illness; The Role of the Psychiatric Mental Health Nurse Practitioner

      Crawford, Laura (University of Alaska Anchorage, 2017-08-01)
      Persons suffering from severe mental illness (SMI) have a life expectancy that is 28 years less than the general population (Suetani, Whiteford, & McGrath, 2015). The high mortality rates seen in those with SMI are caused by preventable diseases. Cardiovascular disease (CVD), Chronic Obstructive Pulmonary Disorder (COPD), and cancers are the three most prevalent causes of death in this vulnerable population (Suetani et al., 2015). The purpose of this quality improvement project was to develop an evidence based clinical tool that would provide Psychiatric Mental Health Nurse Practitioners (PMHNP) with a somatic screening tool that could be used in behavioral health. The most recent guidelines established by the U.S. Preventive Services Task Force (USPSTF) (2014), provided the foundation for the somatic screening tool. The tool addressed cardiovascular disease, COPD, diabetes, and oral hygiene. The somatic screening tool was distributed to 51 PMHNPs’ practicing in the state of Alaska. Survey Monkey was used to deliver a post-implementation survey that evaluated the usefulness of the screening tool. Fifteen PMHNPs’ responded and evaluated the tool. Of the respondents, 86% (13 of 15) indicated that the screening tool would be useful in their practice when assessing the physical health of those with SMI; particularly when screening for CVD, COPD, and diabetes.
    • Screening for Traumatic Brain Injury During Mental Health Evaluations

      Okurume, Onome (University of Alaska Anchorage, 2017-08-01)
      Traumatic brain injuries (TBIs) are a major cause of mortality and long-term functional impairment (Gould, Ponsford, Johnston, & Schonberger, 2011; Whelan-Goodinson, Ponsford, Johnston, & Grant, 2009) and are associated with new-onset or worsening of many psychiatric disorders (Gould et al., 2011; Juengst, Whyte, & Skidmore, 2014; Masel & DeWitt, 2010; Whelan-Goodinson et al., 2009) including depression, anxiety, and post-traumatic stress (PTSD). Affected patients may also experience personality changes and problems with aggressive behavior, which can negatively influence personal relationships, ability to work and overall quality of life. This screening can help identify a past TBI, which may influence current mental health status and level of psychosocial function as well as leading to more patient referrals for further evaluation such as neuropsychological testing. Current psychiatric mental health nurse practitioner (PMHNP) and other mental health provider TBI screening practices during mental health evaluations are widely varied with many screening questions being limited only to asking about history of concussions, loss of consciousness or motor vehicle accidents resulting in head injury. This information though important may be insufficient in determining TBI history and symptoms. This project used a pretest posttest design and an educational webinar to provide an overview of TBI and to introduce a brief brain injury screening tool which could be used by providers during mental health evaluations. Overall the educational offering was positively received with the all participants (n = 11, 100%) reporting improved knowledge of TBI and intent to use the screening tool in clinical practice.
    • 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.
    • Snow Covered Pedestrian Crosswalk Enhancement Via Projected Light Demarcation

      Keogh, Hugh (University of Alaska Anchorage, 2015-05-01)
      Snow coverage of streets in Anchorage, Alaska, can visually block pedestrians and drivers from viewing painted crosswalk demarcations. This study investigates the potential of utilizing light projected onto the snow’s surface to mimic the intended demarcation of the painted demarcation during snow coverage. This is investigated via hypothetically fitting an existing crosswalk location with available-for-purchase manufactured light projectors. The configuration is then evaluated for angle of light projection, discomfort glare, and contrast. The proposed installation is found to be theoretically acceptable. However, further analysis could be performed regarding effective visual detection of contrast during driving conditions and regarding acceptable levels of disability glare.
    • Social Determinants of Pneumococcal and Influenza Immunzation Rates of Nursing Home and Homes for the Aged Residents in Kalamazoo and Calhoun Counties, Michigan: Role of Race and Segragation

      Schauer, Cynthia (University of Alaska Anchorage, 2015-05-01)
      The disparity in health outcomes between African Americans and Caucasians continues to exist (US ACMH, 2009) despite public policy that promotes equity (US DHHS, 2012). Data suggests African Americans over age 65 living in institutions are less likely to receive flu and pneumonia vaccinations (US DHHS, 2013; US DHHS, 2012) and more likely to live in segregated housing (Smith, Feng, Fennel, Zinn, & Mor, 2007). This project collected data on the local level to determine the degree of impact of low vaccination rates and segregated housing on African Americans in Southwest Michigan. Data regarding flu and pneumonia immunization status was collected from 816 residents in 13 nursing homes (NH) and homes for the aged (HFA) in two southwest Michigan counties. The populations of African Americans in the NH and HFA was much less dense than the population of African Americans in the counties where the nursing homes were found suggesting no potential increase risk on the basis of segregated housing for the erosion of community immunity at this local level. A disparity in immunization rates persisted on the local level: Caucasians were 4.7 times (odds ratio = 4.7; p>0.001) more likely than African Americans to be immunized against flu and 1.7 times (odds ratio =1.7; p = 0.002) more likely to be immunized against pneumonia. While the presence of African Americans in a facility did not influence the immunization status of the health care worker, all facility residents spent the majority of their time with nursing assistants, a group of health care workers that was least likely to have received the annual seasonal flu vaccine. Fifty seven percent of nursing assistants in the study NH and 80% of nursing assistants in HFA had received the vaccine compared to 74% and 100% of registered nurses in NH and HFA, respectively.
    • 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.
    • Standard Operating Procedures for Community Emergency Response Teams (CERT)

      Torres, Michelle (University of Alaska Anchorage, 2014-04)
      The Community Emergency Response Team (CERT) Program educates people about disaster preparedness for hazards that may impact their area and trains them in basic disaster response skills. Using the training that they learn in the classroom and during the exercises, CERT members can assist others in their neighborhood or workplace following an event when professional responders are not immediately available to help. CERT members also are encouraged to support emergency response agencies by taking a more active role in emergency preparedness projects in their community. People who go through CERT training have a better understanding of the potential threats to their home, workplace and community and can take the right steps to lessen the effects of these hazards on themselves, their homes or workplace.
    • State of Alaska Department of Health and Social Services (DHSS) Project Management Process Improvement

      Hale, Elena (University of Alaska Anchorage, 2022-05-01)
      State of Alaska DHSS provides support to Alaska’s healthcare industry and a wide variety of services to the residents of Alaska. Much of this support is borne out of Information Technology (IT) initiatives that would turn into projects. At the time this research was conducted, there was no consistent project management methodology applied across the department. The role of a project manager would be typically assigned to a department employee with no formal project management education and experience, who still had their regular role to fill. According to the leadership, projects were rarely completed on time and often shelved indefinitely. This project was initiated to add value to the DHSS Project Management Office (PMO) through analysis and improvement recommendations for its project management process. The intended outcomes were to 1) deliver a process that would aid in completing projects in a timelier manner with the current resources and 2) provide the necessary project status clarity to the department leadership. The original project scope could not be completed due to lack of support at the governance level and employees’ unwillingness to participate in the research. Instead, a report was produced on the observed challenges of project management in the public sector.
    • Stephanie Myers PM686A Spring 2014

      Boedigheimer, Stephanie (University of Alaska Anchorage, 2014-04-10)
    • Student Perceptions of the Clinical Education Environment

      Flores, George E. (University of Alaska Anchorage, 2014-07)
      This Masters Project surveyed nursing clinical students at a University School of Nursing in the Pacific Northwest using a recently developed tool, the Student Evaluation of Clinical Education Environment (SECEE, version 3). Use of the SECEE (version 3) helped identify differences in student perceptions of various clinical learning environments. Results of nonparametric statistics were non-significant due to the small sample size; however there appeared to be consistent preference by students for clinicals at Magnet designated facilities. Additionally, higher instructor facilitation scores were also noted among students assigned to the university main campus (n = 31, M = 45.19, SD = 9.39) compared to students assigned to the distance campus (n = 9, M = 36.89, SD = 20.63). The findings have implications for nursing education, specifically the potential benefit of student learning at Magnet designated facilities and the importance of adequate support and engagement between university faculty and students in distance learning environments.
    • Studies Into Synergetic Efficiency of Driven Vertical Axis Propellers

      Penrod, Tanner Blackledge (University of Alaska Anchorage, 2020-08-01)
      In the quickly expanding field of Industrial Multirotor Drones, one of the main limitations is flight time of current multirotor systems. A method of increasing the flight time is to improve the efficiency of the aircraft design. One possibility for increasing efficiency is synergetic design. Synergetic design is a principal where two or more systems are designed to interact to increase the efficiency of the complete system. In the wind turbine industry, synergetic spacing has been used for increasing the efficiency of vertical axis wind turbines by utilizing staggering. Staggered horizontal axis wind farms have been shown to increase the efficiency by as much as 5% over aligned. These methods even more effective for vertical axis wind turbines due to their specific wake pattern. This project reports the results of synergetic efficiencies of driven propellers in various configurations utilizing a test stand. The design requirements for this stand included minimizing outside interference, the ability to test a wide variety of propellers, and have a built-in measurement system for the required calculations. The measurements that were required included the power consumption, rotational speed, thrust output, and spacing of the motors. The test stand also features a custom electronic system for running the systems. The objectives that were completed by the electrical system included driving the motors, setting the desired speed, and measuring the rotations per minute. Data collection methods and raw data gathered are described, discussed, and compared to theoretical maximum efficiency of the propulsion system.
    • A Study of Training Programs for Older Dogs

      Fisher, Joseph P. (University of Alaska Anchorage, 2022-05-01)
      The importance of a good training program for dogs especially older dogs is that the program consists of both verbal and physical communication with the dog. With many older dogs being deaf or hard of hearing physical communication must be done. Also, dogs communicate through both body signals and movements as well as verbal. Incorporating hand signals with the verbal commands are essential to a good training program for older dogs. This will help the dog and the trainer to communicate with accuracy and precision. The use of the distinct aspects and methodologies of project management enabled this project to successfully accomplish its goals in the short amount of time. Training a dog may take years depending on the level of training and the type of training done with the dog. In this study the focus was on the beginner stage of dog training and how it can be done.
    • 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.
    • Supporting Community Gardening in Alaska Through Development of a Community Garden Practice Guide

      McWilliams, Ryan (University of Alaska Anchorage, 2016-08-01)
      Anchorage is home to an increasing number of community gardens. The body of literature on the health benefits and potential health risks related to gardening in an urban setting has been steadily expanding as the popularity of urban gardening flourishes in cities across the nation. With Alaska Community Action on Toxics’ (ACAT) interest in community health, the precautionary principle, and healthy gardening practices, a partnership was developed with ACAT for a project and practicum designed to support these values through environmental testing and analysis, key informant interviews, and a practicum experience culminating in the creation of a guide for Alaska gardeners. The final product of the project was a user-friendly guide entitled Understanding Urban Soils: A Guide for Better Understanding the Need and Practice of Testing for Garden Soil Contaminants, in which safe gardening practices and interpretation of soil test results are addressed.
    • Teaching Food Systems in Alaska

      Beam, Jessika (University of Alaska Anchorage, 2016-08-01)
      The health of Alaska’s food systems relies on the maintenance of food availability, food access, and food utilization overtime to ensure that food security exists. The Teaching Food Systems in Alaska educational modules were created to offer an opportunity to provide expert information and education to Alaska youth on the importance of food systems literacy in Alaska. The educational modules were created to engage youth in the food system. The goal is to inform and educate Alaska youth about food systems in Alaska through the development of a series of educational learning modules organized to address the three primary components of the food system: food availability, food access and food utilization. The modules created could potentially serve as a foundation for the development of future modules, the creation of a formal food systems literacy course or certification program, and/or to seek future funding to support the creation of a future program.
    • A Telemedicine Follow Up Program to Improve Glycemic Outcomes For Patients With Uncontrolled Type 2 Diabetes

      Beatty, Jonathan R. (University of Alaska Anchorage, 2020-12-01)
      Type 2 Diabetes is responsible for a global public health burden and affects an estimated 30 million people in the United States, many of whom have difficulty reaching glycemic targets. Approximately 15 percent of the diabetic patients in the Family Health Clinic have an A1C above 8.0. Telemedicine shows promise in improving glycemic control and enhancing access to care. Current literature supports the use of telemedicine to improve glycemic outcomes. The purpose of this project was to assess the acceptability and effectiveness of a provider implemented intense telephonic follow-up program on glycemic outcomes and self-management of patients with uncontrolled Type 2 Diabetes. This quality improvement project used a pre-test post-test design using laboratory and survey data collection methods to measure hemoglobin A1C, diabetes self-care, and a post-test provider satisfaction survey. Over a 3-month period, patients meeting criteria for the intervention were provided with telephonic provider follow-up visits at 2-3 week intervals including education on lifestyle changes, medication management and self-care. The mean change in A1C was statistically and clinically significant. The mean change in total self-care survey score was also significant. The data indicated that utilization of telemedicine follow-up improved clinical outcomes for Type 2 Diabetics.