• Perceptions of UAA Culinary Medicine Curriculum by Dietetics Students

      Hillen, Allison Michelle (University of Alaska Anchorage, 2020-05-01)
      Participation in culinary medicine courses has resulted in significant health benefits to both medical personnel and students taking part in these courses, as well as the patients they subsequently treat. As culinary medicine curriculums are implemented across the country, evaluating outcomes becomes necessary. The primary objective of this study was to evaluate and identify which components of the University of Alaska Anchorage culinary medicine curriculum were most and least beneficial in supporting the achievement of course student learning outcomes (SLOs) and a resulting sense of competency in culinary medicine among students. Determining qualitative outcomes of education and comparing these with expected SLOs helps to further develop the culinary medicine curriculum. Adding to the established literature strengthens the basis for culinary medicine’s expansion. Outcomes indicate that the courses’ major project, the Community Culinary Nutrition Intervention (CCNI), had the greatest impact on the student learning experience. Students’ culinary skills were strengthened as was their creativity. Students experienced what they referred to as an “eye-opening” look at their communities, seeing them in a new light after completing the CCNI. A small study size as well as limited diversity in demographics limit the generalizability of this study. The findings of this study help to inform faculty with making modifications to the existing course framework.
    • Physical Assessment of Children With FASD: Evidence Based Practice

      Waller, Tabitha (University of Alaska Anchorage, 2015-12-01)
      Fetal Alcohol Spectrum Disorder (FASD) is the leading preventable cause of developmental delay worldwide. Early diagnosis and intervention are vital to the prevention of secondary disabilities for those with FASD. Current diagnostic guidelines fail to identify the many physical malformations associated with prenatal alcohol exposure and recommendations for diagnostic differentials vary between guidelines. A critical appraisal of the literature and review of current guidelines was conducted to create an evidence-based physical anomaly checklist and differential diagnostic table. The critical appraisal consisted of 27 articles and resulted in 85 physical anomalies associated with prenatal alcohol exposure. The review of current guidelines resulted in five guidelines and four supportive articles that identified 20 different genetic disorder differentials and four exposure related differentials. A Plan-Do-Study-Act (PDSA) quality improvement model was used to implement education on the reference tools and encourage practice implementation in a North American FASD diagnostic team. All providers directly participating in the diagnosis of FASDs must be aware of the many physical anomalies associated with prenatal alcohol exposure and should have a working knowledge of potential differential diagnoses. The physical anomaly checklist and differential diagnoses tables help to provide this information in a clinically practical way.
    • Pilot Project: A Script About Health and the People of Juneau, Alaska

      Henderson, Audra (University of Alaska Anchorage, 2015-05-01)
      This paper contains a comprehensive report for the Masters of Public Health Project Practicum, Pilot Project: A Script about Health and the People of Juneau, Alaska. The goal of the project was to use health theory, health research methods, and television writing elements to explore how people living in Juneau, Alaska practice healthy behaviors. The aim of this project was to create a sample script of the first episode and a brief synopsis (i.e., treatment) of a show entitled Health Around the World. Using qualitative research methods of purposive sampling and key informant interviews, the expected outcomes were increased knowledge of the health behaviors of people living in Juneau, Alaska. Findings suggest that outdoor activity, a sense of community, access to nature and natural beauty are the top reasons why people live in Juneau; and involving one’s self within the community and taking advantage of the natural resources, such as engaging in outdoor activity, are factors directly related to the health and wellbeing of Juneau residents. The completed script and treatment will be sent to television networks and producers until purchase.
    • 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.
    • Polycystic Ovary Syndrome Metabolic Comorbidities: A Critical Appraisal of the Evidence With Practice Recommendations

      Christopherson, Rhianne (University of Alaska Anchorage, 2016-05-01)
      Polycystic ovary syndrome (PCOS) is a complex metabolic and reproductive disorder that affects an extensive number of women of reproductive aged. The purpose of this project was to critically appraise current evidence regarding the metabolic comorbidities associated and their impacts on women with PCOS with goals of identifying what evidence based assessment, evaluation, and treatment options are available to health care providers treating women with PCOS. The results of this critical appraisal and consensus statements from The Endocrine Society and the American Society of Reproductive Medicine [ASRM] concluded that women with PCOS have an increased risk of developing type 2 diabetes, cardiovascular disease, and metabolic syndrome (Akbarzadeh et al., 2012; ASRM, 2012; Legro et al., 2013; Moran, Misso, Wild, & Norman, 2010; Tao, Shengxian, Zhao, Mao, & Liu, 2012; & Yilmaz, Isaoglu, Delibas, & Kadanali, 2011). An evidence based practice algorithm was developed from the results of this critical appraisal and consensus between both The Endocrine Society and ASRM on the diagnosis and treatment of PCOS. The results of this critical appraisal and evidencebased algorithm will assist Advanced Practice Nurses (ANPs) in continued health promotion and the prevention of the comorbidities associated with PCOS.
    • Postpartum Depression Screening of Women Veterans in Alaska Quality Improvement Project

      Brown, Elizabeth L. (University of Alaska Anchorage, 2017-05-01)
      Postpartum depression screening guidelines were updated by the American College of Obstetricians and Gynecologists and the United States Preventive Services Task Force in 2015 and 2016, respectively. Universal postpartum depression screening is recommended where previously it was not. Postpartum depression screening is relevant to the rapidly growing population of women Veterans served by the Veterans Health Administration (VA) as part of their comprehensive health care benefits. Little information was available on the postpartum depression screening practices within the Alaska VA Healthcare System. Using a quality improvement methodology, the author identified postpartum depression screening as a topic of interest. Current practice was assessed through a retrospective chart audit of all maternity consults placed during the fiscal year 2014. The chart audit revealed an 81% postpartum depression screening rate. Incomplete data limited a full statistical analysis; however, all women who returned to an Alaska VA clinic, received screening and treatment. An informational brochure was developed for women and their health care providers highlighting postpartum depression screening and treatment resources.
    • Practices of Nurse Practitioners in Screening for Hepatitis C

      Thompson, Jordin A. (University of Alaska Anchorage, 2015-05-05)
      The purpose of this project was to determine both hepatitis C virus (HCV) screening rates and the percentage of cases diagnosed among adults born between 1945 and 1965 in a general practice clinic staffed by nurse practitioners (NPs). A descriptive study was conducted using a chart review of all patients born between 1945 and 1965 seen by NPs in a primary care clinic during a three month period of time. Data was collected on the total number of patients in the target group, those born between 1945 and 1965, as well as each patient’s gender, birth date, if screened for HCV, result of screening, and the reason for screening. Findings revealed that screening rates were suboptimal, with only six out of 178 patients in the target group having been screened for HCV. Age and gender did not appear to be a factor in whether or not a patient was screened.
    • Preoperative Smoking Cessation Intervention: A Critical Appraisal of the Evidence With Practice Recommendations

      Townsley, Casta (University of Alaska Anchorage, 2015-12-04)
      Smoking is the single most important risk factor in the development of postoperative complications. Daily smoking increases the risk of postoperative complications by a factor of two to four. Smoking cessation preoperatively is beneficial in increasing rates of cessation and therefore reducing the incidence of complications postoperatively. As a result, smoking cessation should be recognized as a core element of care for the preoperative management of the surgical patient. Although the benefits of smoking cessation are well established, as is substantial evidence demonstrating that brief interventions are effective in increasing cessation rates among users, clinicians fail to consistently address the issue of tobacco use or provide smoking cessation interventions. Referral to elective surgical procedures provides an excellent opportunity for primary providers to promote smoking cessation interventions.
    • Program Evaluation of the Living Well With Diabetes Program of Prince William County, Virginia

      Fitzgerald, David C. (University of Alaska Anchorage, 2016-05-01)
      Approximately 25.8 million US residents are living with diabetes. Research has demonstrated that healthy lifestyles can significantly reduce the onset of diabetes. Various community-based programs have been implemented nationally to address diabetes through lifestyle changes. One such program is the Living Well with Diabetes (LWwD) program of Prince William County, Virginia. The goal of this project practicum was to conduct a process evaluation of the Living Well with Diabetes (LWwD) Program of Prince William County, Virginia. Semi-structured interviews were conducted with LWwD program educators. Qualitative data analysis on secondary, post-course evaluations was performed using a thematic method to coding on all short string responses. Results indicate that the intended delivery of the program curriculum resulted in positive changes in the knowledge, attitudes, and applied behaviors of the LWwD program participants. Overall, the continued support of the LWwD program goals would significantly improve the public health and safety of the community.
    • Project Delivery Method Study of Civil Projects in Alaska

      May, Julene D. (University of Alaska Anchorage, 2014-04-01)
      Government agencies across Alaska use primarily one project delivery method (PDM), design-bid-build, to complete civil construction projects (roads, landfills, airports, etc.). The problem many agencies encounter is that the method does not appear to provide on-time, within budget projects that encounter complex issues. The purpose of this study was to provide insight into whether an alternative PDM might have provided a more successful outcome for projects undertaken by the Northern Region Alaska Department of Transportation. Evidence of success can be measured in different ways, including on-time completion, staying within budget, and/or the final product meeting requirements. This study assessed only completion timeliness and budget compliance if a different acquisition PDM type had been used. The study used engineers’ estimates, initial bid prices, initial schedule completion dates, final cost, final completion dates, and change orders to assess how a different PDM might have resulted in a more successful project. Proposed Objective Relationships: • assessed whether a PDM selection guide could be created to help select the best PDM to use for different levels of project complexity • used the guide developed for this study to determine which PDM might have provided a more budget compliant project completion • analyzed whether PDM success varied across civil construction projects based on project complexity To specifically help the ADOT Northern Region and provide for consideration of use by other agencies within the state, this study developed a PDM selection process and then used that process to do a case study on three projects, two already complete projects finished under the DBB process, and one project having completed its design and about to go into construction using the PDM process.
    • Project Gate Self-Assurance Review Framework for Major Alaskan Oil and Gas Projects

      Bertus, Anca (University of Alaska Anchorage, 2015-12-01)
      Major Alaska oil and gas capital projects can fail or have poor outcomes, including significant cost and schedule overruns if the projects are not ready to proceed into subsequent project stages. A comprehensive project gate assurance review ensures their readiness for the next project gate. Internal Subject Matter Experts (SMEs) should be leveraged in the review process to determine whether all design, construction, commissioning, and operational issues have been formally and properly addressed by the project team. A new project gate Self-Assurance Review Framework (SARF) applicable to major Alaskan oil and gas companies to improve project delivery is proposed in this product-related paper. Given the current economic climate, there is a merit in using internal project gate self-assurance, which is premised to be more time and cost efficient. This can be accomplished by using an Alaskan local internal assurance review team rather than a corporate external travel team of reviewers. The assurance protocol is a “cold eyes” review with SMEs at the main approval gates to ensure the project team has considered all aspects of project readiness. This is to assure the project will be successfully and safely executed on budget, on schedule, and within scope. While external consultants are available to conduct such reviews, this process is designed as an internal local assurance review process in order to generate a beneficial improvement cycle employing internal local SMEs who are accustomed and familiar with the execution of Arctic projects. They are familiar with prior project successes and failures. There are both cost and quality efficiencies to be realized with this approach by leveraging local expertise rather than external reviewers. This paper includes a literature review of assurance review practices, followed by a summary and analysis of interviews conducted with local Alaskan project professionals. These professionals are experienced with major projects delivery and were personally interviewed using guidelines written for this project.
    • Project Management Estimating Tool

      Swanson, Brian Kent (University of Alaska Anchorage, 2017-05-01)
      This project developed a user-friendly spreadsheet cost estimating tool for Public Buildings Service (PBS) project manager use in small construction and leasing projects. It helps users provide their own conceptual and budgetary level estimates for over 50 common tenant improvement tasks in federally owned and leased buildings in Alaska, Washington, Oregon and Idaho. The Project Management Estimating Tool (PMET) will enable project managers to provide many simple estimates in minutes that currently require multiple days using cost estimator resources. PBS leaders consistently receive complaints from customer agencies regarding the long time PBS takes to provide estimates, and often regarding estimate inaccuracy. The PMET addresses both timeliness and accuracy of small, recurring project estimates, freeing cost estimators to focus on timeliness and accuracy of more complex estimates. The PMET incorporates a statistical risk methodology to increase estimate accuracy. Each estimating item contains a dataset combination of commercial estimating guide values and actual bid values from recent federal contracts. Based on user-provided answers to seven risk factor questions, the tool tailors estimates to the risks. The improved accuracy of PBS estimates from this tool will also build the estimating skills and confidence of project managers, another PBS goal toward project management maturity.
    • A Project Management Handbook For Army Officers and NCOS

      Fitzgerald, James (University of Alaska Anchorage, 2015-05-01)
      While the US Army Engineer Regiment is encouraging leaders to obtain Project Management Professional (PMP) certifications, accepted Project Management tools, techniques, and procedures (TTPs) are not widely practiced, and therefore do not effectively benefit the Engineer Regiment or the Army. There are vast amounts of academic information available on project management concepts; however, there is very little with regards to Army doctrine that addresses this subject. The Project Management Handbook for Officer and NCOs guides Army Leaders in the use of these concepts and TTPs when planning and executing projects. The use of these proven project management processes will enhance the skill set of Army Leaders and planners, resulting in more efficient and successful completion of projects. Army Officers are well trained to plan and execute combat operations using current Army doctrine. However, these models are not always the best framework to use for non-combat missions or “administrative'’ projects. This Project Management Handbook does not replace any current doctrine, but by building on those skills currently trained and used, it provides a framework that in many cases is better suited for the challenges of administrative projects. Use of this handbook will also provide Army leaders and planners a reference that will enhance their operational planning skills through the understanding of industry proven techniques.
    • 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.
    • Project Management Methodology Applied to Dall's Sheep Herd Heath Assessments

      Johnson, Jeffrey (University of Alaska Anchorage, 2015-12-01)
      Assessing Dali's sheep herd health is the first step to monitoring and management. Currently Alaska does not have a baseline disease presence and prevalence data set; therefore, the Alaska Department of Fish and Game will conduct health testing to develop a baseline of wildlife diseases within south-central Alaska. This project consists of three to seven years of work where 30-40 sheep are sampled annually. These samples will be analyzed to determine what types of disease, bacterial and viral, currently exist in the population. This knowledge base will build a foundation for study of Alaska's Dali’s sheep population. If there is an all-age die off, the Alaska Department of Fish and Game will refer to the samples previously collected and determine if the disease previously existed or if there was an external introduction. Though the Alaska Department of Fish and Game conducts projects regularly, project management methodologies are not explicitly applied to their plans. An execution plan was produced for the Project Management Methodology Applied to Dali's Sheep Herd Health Project, incorporating project management methodologies that can be used to conduct their study. This execution plan documents current best practices, allowing a project manager to execute this plan or use it as a template to build a customized plan. This tool will effectively allow biologists to focus their time on research by optimizing their project plan, allowing for more robust and effective project documentation.
    • Project Manager Personal Improvement Plan

      Hogarth, Madeline (University of Alaska Anchorage, 2021-05-01)
      The development of soft skills associated with the Project Management Body of Knowledge (PMBOK) area of communication management is essential to effective project management and is difficult to completely develop and assess in an academic environment, such as The University of Alaska Anchorage (UAA) Master of Science in Project Management (MSPM) program. This is especially important as project management trends towards Agile, which identifies project managers as “servant leaders,” requiring an emphasis on such interpersonal leadership. Research and analysis of program and non-program stakeholders supported the project and hypothesis. This project resulted in a Project Manager Personal Improvement Plan, which provides a systematic approach for developing a measurable plan catered to individual project manger’s maturing communication soft skill areas. Phase one of this project included three project status briefs, a complete project management plan, and final out-brief before execution of phase two, which included three project status briefs, delivery of the Project Manager Personal Improvement Plan to the client, final project report, and final out-brief following project closure. In conclusion, it is recommended that UAA MSPM students use this plan to develop these often immature but highly important skills which do not receive a targeted focus in the program.
    • Project Risk Identification for Government Projects in Anchorage and Palmer

      Banks, August R. (2014-12-08)
      This study reflects the research and analysis associated with identification of risk classifications and potential risks (both positive and negative) for use in project risk analyses in government projects managed via contract. Relying on literature reviews and surveys, a risk breakdown structure (RBS) and risk register with mitigation strategies are developed for use as a checklist by the organizations participating in the project; the General Services Administration (GSA) and the Plant Materials Center of the Alaska Department of Natural Resources (DNR/PMC). The survey findings support the original objective of establishing a common core of risks among the participating organizations. The 50 percent commonality among the top risks identified by both organizations was quite an unexpected result. These results, along with the substantial pool of risks and risk response strategies can serve as a foundation for the development of a risk management process for the participating agencies.
    • Prospective Development of a Mobile Farmers Market in Mountain View, Anchorage, Alaska

      Seidner, Shaina (University of Alaska Anchorage, 2014-08)
      The goal of this project practicum was to provide information to help improve food security in Mountain View, a neighborhood located in Anchorage, Alaska, by facilitating increased access to fresh, healthy, and affordable food for low income populations. A mobile farmers market in Anchorage could help achieve this goal. Mobile markets are effectively farmers markets on wheels, allowing food to meet consumers where they live. Such markets are gaining popularity in the Lower 48 and data documenting their successes have been emerging. This project aimed to compile information for a mobile farmers market that could: 1) increase access to, and utiliza-tion of, fresh, healthy, and affordable food for Mountain View, and 2) create positive relation-ships between local food and disadvantaged populations. Data from key informant interviews, surveys and existing research on local foods, financial and business considerations were utilized to characterize how to best serve the identified populations through a mobile market. Key in-formant interviews stressed the importance of consistency, convenience and reliability in any new business as the Mountain View community has a history of businesses not following through on promises. Surveys from potential market customers showed strong interest in the market selling locally grown foods such as root vegetables, greens, corn and berries. Grants from federal and state sources could provide funding needed for the market, including grants which cover EBT machines, which are essential when providing access to customers on federal assistance programs. It was found a successful mobile farmers market in Mountain View could improve food security by increasing community access to food, much locally grown. Increased purchasing of local foods could help develop local food systems, allowing consumers’ money to stay in state, supporting local economies and link local markets.
    • A Prototype Construction of Adjustable Bicycle Handlebars

      Bryant, W. Anthony (University of Alaska Anchorage, 2016-12-01)
      The riding position of a bicycle is determined by the type of handlebars used. The higher the relationship of the handlebars are to the saddle, the more the rider sits erect and has less stress on the neck, arms and hands. Conversely, the lower the handlebars the more stress forces are felt on those same areas. To manage discomfort and fatigue, the cyclist may stop to rest or sit erect without holding onto the handlebars while still riding. By not holding the handlebars, the rider has little control over steering and no control over braking or changing gears. A solution is to adjust the handlebars from the lower to higher position and still allow access to the hand controls. This project designed and produced a prototype for compound or adjustable bicycle handlebars. The handlebar assembly provides the rider with the ability to change from a mountain bike posture to that of the more comfortable city and classic bike positions while still retaining complete control of steering, braking, and changing gears. Pending positive results from structural testing, the expectation is that the availability of these handlebars will add to the enjoyment of cycling for a larger audience with diverse cycling needs.
    • Quality Improvement for Well Child Care

      Davis, Jessica L. (University of Alaska Anchorage, 2016-05-01)
      The American Academy of Pediatrics (AAP) Bright Futures (BF) guidelines for well child care were designed to provide quality pediatric care. Adherence to AAP-BF guidelines improves: screenings, identification of developmental delay, immunization rates, and early identification of children with special healthcare needs. The current guideline set is comprehensive and includes thirty one well child exams, thirty three universal screening exams and one hundred seventeen selective screening exams. Many providers have difficulty meeting all guideline requirements and are at risk of committing Medicaid fraud if a well exam is coded and requirements are not met. The goal of this quality improvement project was to design open source and adaptable templates for each pediatric age group to improve provider adherence to the BF guidelines. A Plan-Do-Study-Act (PDSA) quality improvement model was used to implement the project. Templates were created for ages twelve months to eighteen years and disseminated to a pilot clinic in Anchorage, Alaska. The providers were given pre-implementation and postimplementation surveys to determine the efficacy and usefulness of the templates. Templates were determined to be useful and efficient means in providing Bright Futures focused well child care. The templates are in the process of being disseminated on a large scale to assist other providers in meeting BF guideline requirements.