• 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.
    • Thermal modeling of Anchorage driveway culvert with addition of insulation to prevent frost heaving

      Banzhaf, Clinton J. (University of Alaska Anchorage, 2017-05-01)
      A predominate problem in cold regions, and specifically in Anchorage, Alaska, is frost heaving pavement above culverts in residential driveways. The culvert increases heat loss in the subgrade materials during winter months and allows the soils below the culvert to freeze, which is not an issue if the underlying soils are non-frost susceptible material. However, there are numerous locations in Anchorage and other parts of Alaska where the underlying soils are frost susceptible which result in frost heaving culverts under driveways that cause damaged pavement and culvert inverts that are too high. The seasonal heave and settlement of culverts under driveways accelerates pavement deterioration. A model of this scenario was developed and several insulation configurations were considered to determine a suitable alternative for preventing pavement damage from heaving culverts. The model used material properties for typical Anchorage area silty sand. The model showed that insulation could be used below culverts to prevent differential frost heave at the culvert. In addition, this technique uses typical construction materials and is reasonable for a typical residential dwelling contractor to complete during the construction of the home.
    • Tidal Estuary Morphodynamics of the Knik Arm

      Lewis, Steven E. (University of Alaska Anchorage, 2015-05-01)
      A three-dimensional unsteady flow numerical model was developed to study sediment transport due to tidal circulation within Knik Arm, a dynamic well mixed macro-tidal sub-estuary of Cook Inlet in Alaska. The model was developed to gain a better understanding of the mechanisms that are creating the Point MacKenzie Shoal, located approximately 4 kilometers south of Port MacKenzie. Hydrodynamic conditions within the estuary are very complex in that ebb-and-flood tides, freshwater mixing, and wetting/drying of tidal mud flats significantly effects sediment transport within the estuary. A Mike 3 numerical model was applied to simulate the sediment transport within the estuary under the action of tidal currents in the vicinity of the shoal. The computational domain of this simulation includes four sediment laden freshwater sources; Matanuska, Knik, Susitna, and Twenty-Mile Rivers as well as an open ocean boundary. The spatial resolution of the triangulated flexible mesh model is 0.00045 degrees2 with a coupled fine resolution model of 0.000045 degrees2. The results of the numerical model are in agreement with previously collected field data. Simulation results indicate the shoal formation is the result of turbid tidal flows and deposition is occurring naturally.
    • To be or not to be Smoke Free: An Analysis of the University of Alaska Anchorage Peer Institutions Smoking and Tobacco Policies

      Britt, Joy D. (University of Alaska Anchorage, 2014-05)
      More colleges and universities are adopting smoke-and tobacco-free policies, yet no literature exists on how types of enforcement protocols aide in policy success. The goal of this study was to assess the comprehensive smoke- and tobacco-free policies of the University of Alaska Anchorage’s peer and neighboring postsecondary institutions to determine what enforcement type may benefit the university in moving towards a comprehensive smoke-free campus policy. Both quantitative and qualitative methods were used. In particular, content analysis was used to determine each peer institution’s campus tobacco policy and enforcement strategy, while case study analysis was used to assess the effectiveness of different enforcement types. Results show that approximately 52% of UAA peer institutions have either comprehensive tobacco- and smoke-free campus policies. Of the institutions with comprehensive smoke- or tobacco-free campus policies, 57% have hard/strict enforcement protocols. The case study analyses of two smoke/tobacco-free campuses suggested that hard enforcement with set guidelines and a punitive offense system would promote more policy success over soft enforcement, which only provided verbal reprimand. Study findings suggested that a hard enforcement type was the preferred enforcement method of the sample and that a hard enforcement type supported overall policy success. The study recommends adoption of comprehensive smoke- or tobacco-free campus policies, utilization of a pre-implementation preparatory period before adoption of comprehensive smoke-or tobacco-free policy, and inclusion of hard enforcement protocols to the comprehensive smoke- or tobacco-free policy.
    • United Caribou Association of the Nunamiut

      Tooyak, Andrew Jr (University of Alaska Anchorage, 2016-08-01)
      Caribou is one food source that the people in Anaktuvuk Pass, Alaska rely on as a dependable and traditional source of food. United Caribou Association of the Nunamiut (UCAN) hopes to emulate the Alaska Eskimo Whaling Commission in a way that secures a first right of refusal over sport hunters and others. What UCAN proposes by its presence are negotiated restrictions to ensure subsistence taking of caribou by residents of Anaktuvuk Pass. Because the caribou of three Arctic herds are unrestrained and transient, and a shared resource of the State of Alaska, the State Board of Game views the caribou as a shared resource to be used by all citizens of the State of Alaska. The framers of UCAN want to ensure that the State Board of Game, sport hunters, and others know that the people of Anaktuvuk Pass are concerned about their food security. The study discovered that the local community of Anaktuvuk Pass wants outside agencies to know how and why caribou are important to them. Local governing bodies such as the Nagragmiut Tribal Council can and should be taught to develop PowerPoint presentations using their own images, and local storytellers provided avenues to express their concerns. The residents of Anaktuvuk Pass want to be the first to use the caribou as a food resource to protect their food security, and they want to be able to successfully articulate that concern.
    • Using Multimedia Instruction as a Training Enhancement for Aircraft Maintenance Technicians

      Hubbard, Carrollea (University of Alaska Anchorage, 2014-04)
      This research conducted an evaluation of new and different modalities of aircraft maintenance training for flight line technicians. The primary types of instruction analyzed were instructor based training (IBT), aircraft simulator (SIM) training, on-the-job training (OJT), virtual reality (VR), and video-based training (VBT). The focus was the analysis of training effectiveness for the various instructional platforms. The two aircraft types for training program consideration were the McDonnell Douglas MD-11 (MD-11) and the Boeing B-777 (B-777). Aircraft manufacturers and the Federal Aviation Administration (FAA) set the training standards for all aircraft mechanics in the airline industry. This study examined the development of effective training for aircraft mechanics. Twenty Anchorage flight line technicians completed two anonymous surveys, and three members from the training department participated in an unstructured interview. The research analyzed the results of the surveys and the interviews to determine what types of multimedia instruction are the most effective for enhancing flight line technician training. The goal was to maximize the educational platform and increase launch reliability numbers efficiently. The best practice to achieve these goals is to have effectively trained technicians.
    • Using Project Management Techniques to Design a PMP Mathematics Study App for the Windows Universal Platform

      Freeman, Jen (University of Alaska Anchorage, 2017-05-01)
      Background As a late comer to the smartphone market, Microsoft has fallen behind the Apple and Google app ecosystems in the quantity and quality of apps offered. To attract developer talent, Microsoft released the Universal Windows Platform which enables apps to run across Windows devices with few additional modifications. Although the Windows app ecosystem has realized an increased number of available apps, few apps related to project management are currently available. About the project This project will design a PMP Certification Mathematics Study App for the Universal Windows Platform which will serve as a reference and study aid for the PMP certification exam. The app will be available to mobile and PC users who are utilizing the Microsoft Windows 10 and Windows 8 operating systems. Features of the app will include project management formula lookup, formula flashcards, and practice problems. At the completion of the project, the app will be submitted to the Windows Store for review and publishing to the Windows 10 application ecosystem. Approach The project scope will include the design of the app from requirements gathering to completion. Project deliverables will be aligned with Windows store applications evaluation criteria for responsiveness, reliability, and style. This project will conclude with submission of a completed application design to the project sponsor.
    • Using Project Management to Align External Stakeholders During Exploratory Well Permitting in State Leases on the North Slope

      Stribling, Owen (University of Alaska Anchorage, 2015-05-01)
      Natural resource extraction projects can have a polarizing effect on stakeholders. Oil and gas projects that take place on the North Slope of Alaska are no exception. Not taking the time to build long term relationships with important stakeholders, and collaborate with them, throughout the project can amplify this problem and create many more. This project was designed to research if, and if so how, alignment of external stakeholders is planned for. Past project plans were examined to extract lessons learned and best practices. A literature review was conducted to find other improvement ideas. Project management tools and techniques were gleaned and recommendations have been made on ways to align external stakeholders during the exploratory well permitting process.
    • The Utilization of Close Observation in Acute Psychiatric Inpatients

      Farley, Sean (University of Alaska Anchorage, 2020-12-01)
      Close observation is a psychiatric interventional method implemented for individuals who are displaying self-injurious or aggressive behaviors. This is a widely used intervention within the field of mental health Close observation is also regulated by The Joint Commission and the Centers of Medicare and Medicaid Services for accreditation purposes. A review of the current literature was conducted and revealed that frequently psychiatric patients are placed on inappropriate levels of close observation, that revisions to the close observation policy/practice improve both psychiatric patients and staff safety outcomes, and can overall decrease hospital costs associated with observation intervention. The purpose of this project was to examine the utilization of close observation at an adult psychiatric in-patient facility in Anchorage, Alaska. The Plan Do Study Act model was used as an organizational framework to guide this project. The methodology of the project involved reviewing inpatient psychiatric records, to generate the project’s data for analysis under a process that was monitored by Alaska Psychiatric Institute’s risk management department. Subsequently, the principal investigator organized and statistically analyzed the collected data using the Chi Square method of statistical analysis. The Chi Square statistical method analyzed the differences between the various levels of close observation, self- injurious and aggressive behaviors. The results of the statistical analysis support recommendations to revise the current close observation protocol and practice at Alaska Psychiatric Institute. The evidence generated was used as a forerunner to revise policy that was aimed at improving the utilization of close observation. The project results were disseminated to API via presentation to key stakeholders. The project was catalogued at the University of Alaska Anchorage per protocol.
    • Vaccination Hesitation: Investigation Why Parents Decline Pediatric Influenza Vaccines in Juneau, Alaska

      Leder, Lindsey (University of Alaska Anchorage, 2015-04-14)
      The influenza virus is responsible for hundreds of childhood deaths and costs the health care system millions of dollars each year (Hassan, Lewis, Davis, Gebremariam, and Dombkowski, 2009). The influenza vaccine is the most effective intervention for prevention of pediatric influenza, yet many parents decline this vaccine for their children. Studies completed in various geographic locations cite different factors influencing parents who decline pediatric vaccinations. Alaska has the second lowest rate of influenza vaccination in the country (Center for Disease Control [CDC], 2012). The purpose of this project was to understand the factors that influence parental decision to refuse influenza vaccination in Juneau, Alaska. A modified version of the Childhood Influenza Immunization Questionnaire, an instrument based on the Health Belief Model, was utilized to collect data from a convenience sample of parents at a private pediatric practice in Juneau, AK. Statistical analysis revealed the only significant influencing factor on parents’ decisions on whether to vaccinate against influenza was their perception of vaccine risk (p < .001). Information obtained from this study will be used to educate local providers in the community with the goal of enabling said providers to overcome resistance to vaccination hesitancy based on parent perceptions.
    • Vaccine implementation: Alaska 2017

      Hulstine, Amanda (University of Alaska Anchorage, 2017-05-01)
      Bacterial meningitis is a serious disease that causes permanent dysfunction or death; adolescents and young adults carry the greatest risk. The national Advisory Committee on Immunization Practices (ACIP) has released vaccine recommendations that include incorporation of meningitis vaccine in to the mandatory school vaccine schedule. Throughout the nation, much of legislative policy has made meningitis vaccination a requirement for public school attendance. Alaska does not have such policy; the purpose of the project was to address this policy need. A secondary project goal was to increase community awareness of bacterial meningitis. Project actions were divided into policy advocacy and community awareness. Policy advocacy included the development of a Policy Brief to Persuade designed for the Alaska legislative health care committee members. A legislative survey to assess willingness to incorporate a required meningitis vaccine schedule into existing Alaska vaccine policy was sent electronically with the policy brief. Community awareness interventions included the development of a Meningitis Education Bundle for healthcare professionals and a Protect Alaska’s Future campaign. The education bundle was distributed to local health establishments on Prince of Wales Island and the campaign information was distributed at the 2017 Prince of Wales Community Health Fair. Project outcomes demonstrated a lack of response to the policy survey. Efforts must continue over time with a deliberate plan to gain legislative support for the incorporation of a meningitis vaccination schedule into existing Alaska vaccine policy, as recommended by the ACIP. Community awareness activities at the health fair were successful and should continue.
    • Why do Women Choose to Bed-Share With Their Infants?

      Miller, Victoria (University of Alaska Anchorage, 2014-09-02)
      In the early 1990s, the American Academy of Pediatrics (AAP) initiated Back to Sleep to decrease infant mortality from Sudden Infant Death Syndrome (SIDS). A decline in SIDS followed; however, accidental deaths from asphyxiation, overlaying, falls, and suffocation increased. Classified as Sudden Unexplained Infant Deaths (SUID), these deaths occurred more frequently in infants who bed-shared. To minimize the risk of SUID, the AAP released guidelines in 2011 advising against bed-sharing. However, despite the new guidelines, bedsharing rates remain near 50%. The purpose of this systematic literature review is to examine why women bed-share. The author found better sleep, breastfeeding, closeness, convenience, and safety as frequent reasons for bed-sharing. Less commonly found were culture and financial limitations. A greater understanding of the reasons women bed-share can help providers discuss this issue with parents, guide interventions to reduce bed-sharing, and improve compliance with AAP guidelines.
    • Wind Farm Feasibility and Cost Analysis Kobuk River Valley, Noorvik and Kiana

      Smith, Cory (University of Alaska Anchorage, 2016-05-01)
      Western Alaska villages have incredibly high energy costs due to being off the road system. They rely upon the delivery of fuel by air cargo or barge cargo services for their diesel power plants. This is a particularly costly operation, and fuel prices delivered by this method are typically double, or even triple, the national average. In turn, this results in monthly electricity bills of $500/month or more for a typical household in the winter, which most families in this impoverished region can’t afford. The Northwest Arctic Borough (NWAB) has some of the highest cost averages of Western Alaska, due to its extreme remoteness and very limited barging capabilities. This Capstone project will involve researching the high energy costs in Western Alaska, with special attention to the NWAB, compared to both Alaskan and national averages; and, will research the costs of planning, construction, and operations of wind farms in Western Alaska. The project will enlist various research methods, including literary research, interviews, estimating, and cost analysis tools. It will present a cost analysis of designing, constructing, and maintaining a wind farms vs. traditional diesel generated costs. Lastly, it will provide a recommendation to whether a wind farm in the Kobuk River Valley is a worthwhile endeavor. The final project deliverable will be a research paper and recommendation intended to be used by stakeholders in the energy industry. It will take into consideration initial investment costs, operations and maintenance costs, current subsidies, and any potential long term cost savings.