46033 research outputs found
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SBD Henderson Field
No full textA grounded SBD Dauntless fighter waits on Henderson Field. A truck off to the right. Title taken from photographer\u27s original album.https://commons.und.edu/infantry-photos/1087/thumbnail.jp
An Old Fijian
No full textAn unidentified man, smoking a cigar, and woman lean forward against a ledge. Title taken from photographer\u27s original album.https://commons.und.edu/infantry-photos/1167/thumbnail.jp
Mary and Vernon
No full textVernon Olson and Mary sit side-by-side in the grass under a tree. Title taken from photographer\u27s original album.https://commons.und.edu/infantry-photos/1147/thumbnail.jp
Investigation of Maleic Anhydride in Organic Synthesis
Get PDFThis research explores the synthetic utility of maleic anhydride; a versatile and reactive compound widely used in organic and industrial chemistry. The study focuses on the synthesis of N-allyl maleimide and 3-hexyl-1,2-cyclobutanedicarboxylic acid. N-allyl maleimide, confirmed via ^1H NMR spectroscopy, was synthesized in high yield and shows potential as a monomer or intermediate in organic synthesis. Additionally, the photochemical synthesis of a novel compound, 3-hexyl-1,2-cyclobutanedicarboxylic acid, was achieved and characterized. Its long aliphatic side chain contributes to decreased melting point and increased solubility. These findings demonstrate maleic anhydride’s utility in forming intermediates and bicyclic compounds under mild conditions, supporting its continued relevance in materials and synthetic chemistry.https://commons.und.edu/as-showcase/1023/thumbnail.jp
Teh Southern Fried Chicks
No full textThe Southern Fried Chicks - Etta May, Sonja White, Karen Millshttps://commons.und.edu/performing-arts-photos/1196/thumbnail.jp
Efficacy of Menstrual Cycle Awareness in the Identification of Premenstrual Dysphoric Disorder
Get PDFPremenstrual Dysphoric Disorder (PMDD) is characterized by identifiable psychological and physical symptoms that are present in the week before menses and is estimated to affect 3-8% of women of reproductive age globally. The identification of women who meet criteria for PMDD is important both clinically, to provide proper support and treatment, and for advancing research by identifying appropriate study participants. This literature review aims to investigate the efficacy of current and prospective tools to screen for symptoms of PMDD by comparing a common depression screening tool, the PHQ-9, to tools that enhance menstrual cycle awareness. A literature review was conducted using the electronic databases PubMed, Google Scholar, and PsychInfo. Keywords and MeSH terms used included PMDD, screening, diagnosis, PSST, DRSP, menstrual app, and patient health questionnaire. Ten studies met the inclusion criteria and were analyzed for this review. The findings of this literature review suggest that while the PHQ- 9 may be a sufficient screening tool for identifying severe symptoms of PMDD, it would need be administered both in the luteal phase and in the follicular phase to accurately identify cyclical patterns of mood changes. Menstrual cycle awareness through use of the PSST or other validated retrospective tools more specifically assesses for luteal phase symptoms and is thus more effective at identifying women who meet criteria for PMDD. With either the PHQ-9 or retrospective reporting of premenstrual symptoms, a daily record of symptoms kept for at least two menstrual cycles is a necessary next step for the final diagnosis of PMDD and this can be effectively supplemented with apps such as Flo to increase menstrual health literacy and improve communication with providers around identified symptoms and patterns
Treatment of Adult ADHD
Get PDFAttention-deficit/hyperactivity disorder (ADHD) is commonly considered a childhood disorder diagnosed and treated in adolescents. Options for management of adverse symptoms associated with ADHD are primarily pharmaceutical therapy, most commonly stimulant therapy. There has been significantly less research regarding the management of adult ADHD in contrast with children diagnosed with ADHD. The purpose of this systematic literature review is to determine in adults with ADHD if nonpharmaceutical therapies including cognitive behavioral therapy, psychoeducation, and mindfulness behavioral therapy are effective alternatives to pharmaceutical therapy. Current research provides significant data supporting the use of pharmaceutical therapy for the management of adult ADHD, as well as the use of nonpharmaceutical therapies in combination with pharmaceutical therapy. Future research could be conducted to isolate nonpharmaceutical therapy for the long-term management of symptoms of adult ADHD. This research could benefit a patient population in which the use of pharmaceutical treatment is contraindicated or not preferred
Soft Focus
No full textA non-representational, colorful piece that includes circular shapes in pink, green, and blue.https://commons.und.edu/native-art/1134/thumbnail.jp
Efficacy of Parent-Child Interaction Therapy for the Treatment of Children with Generalized Anxiety Disorder
Get PDFGeneralized Anxiety Disorder (GAD) is a prevalent mental health condition in children, characterized by persistent and excessive worry that interferes with daily functioning and overall quality of life. Anxiety disorders are considered the most common psychiatric disorders among children. The trajectory of untreated anxiety in early life can result in more resistant and chronic presentations in the future, complicating both therapeutic engagement and outcomes. Parent- Child Interaction Therapy (PCIT) has emerged as a potential alternative treatment for children displaying anxiety symptoms, particularly those diagnosed with GAD. This literature review endeavors to assess the effectiveness of Parent-Child Interaction Therapy as an alternative treatment for children diagnosed with Generalized Anxiety Disorder in comparison to the widely endorsed cognitive behavior therapy. A literature review was performed using electronic databases PsycINFO and PubMed. Mesh words included adolescent, anxiety disorders/therapy, child, cognitive behavioral therapy/methods, female, humans, implosive therapy/methods, male, parents, treatment outcomes. A total of 7 articles were included in for this study. Current research suggests that PCIT is as effective if not more effective than CBT. Applying this to clinical settings could help treat children with GAD and reduce the risk of complicating therapeutic engagement and outcomes if treatment were delayed. Addressing childhood anxiety, through evidence-based practices, remains a vital public health priority, and advancing our understanding of PCIT may play a crucial role in this endeavor
Disparities in Guideline-Directed Medical Therapies in Rural and Underserved Heart Failure Patients
Get PDFHeart failure with reduced ejection fraction (HFrEF) continues to be a substantial public health challenge, thus optimal management through guideline-directed medical therapy (GDMT) continues to be vital. Evolving GDMT has established four pillars of first-line optimal treatment with expeditious and maximized titration of established target dosing of pillar medications. GDMT has been shown to decrease mortality among HF patients. Although continuing advancements in treatment efficacy prevail, studies demonstrate that vulnerable populations, particularly rural, Black and Hispanic individuals, exhibit significantly lower rates of GDMT optimization, leading to increased hospitalization and mortality. This literature review evaluates disparities in GDMT implementation among urban, rural and underserved populations, and underlines how geographical isolation, socioeconomic factors, and demographics influences treatment outcomes. This literature review reveals that remote monitoring and telemedicine, particularly in rural settings, show the potential to mitigate these disparities through enhanced access to care. Searches were concluded using the electronic databases Pubmed and Embase yielding 13 articles of significance. The findings demonstrate a notable difference in the optimization of GDMT when comparing urban vs rural or underserved populations and includes statistically significant disparities with suboptimal GDMT in rural populations. This is compounded by higher HF hospitalizations in underserved populations regardless of geography, underscoring the necessity of a multidisciplinary model. Despite established GDMT, multifactorial disparities exists between urban, rural, and underserved populations with regards to HFrEF treatment. While additional research is needed, increased engagement and fluency amongst primary care providers as well as remote technologies may bridge the treatment gap