- Indigenous Health, Education, and Rights
- Child and Adolescent Psychosocial and Emotional Development
- Community Health and Development
- Neurological disorders and treatments
- Suicide and Self-Harm Studies
- Elder Abuse and Neglect
- Mental Health Treatment and Access
- Musculoskeletal pain and rehabilitation
- Indigenous Studies and Ecology
- Health Policy Implementation Science
- Genetic Neurodegenerative Diseases
- Resilience and Mental Health
- Service-Learning and Community Engagement
- Injury Epidemiology and Prevention
- Counseling Practices and Supervision
- Racial and Ethnic Identity Research
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Indigenous and Place-Based Education
- Alcohol Consumption and Health Effects
- Cardiovascular and Diving-Related Complications
- High Altitude and Hypoxia
- Food Security and Health in Diverse Populations
- Maternal Mental Health During Pregnancy and Postpartum
- Mitochondrial Function and Pathology
- Chronic Disease Management Strategies
University of North Dakota
2010-2023
Research Center for Rural Economy
2021
University Hospital Southampton NHS Foundation Trust
2020
Cankdeska Cikana Community College
2002-2012
Indiana University – Purdue University Indianapolis
1999-2009
Indiana University School of Medicine
2007-2009
Gateshead Health NHS Foundation Trust
2007
Indiana University
2007
Keele University
2006
University of Indianapolis
2006
<h3>OBJECTIVES</h3> Data from a sample of 2494 patients affected with Huntington's disease (HD), collected as part the National Research Roster for Huntington Disease Patients and Families, were examined to determine if there was relation between age at onset duration illness. <h3>METHODS</h3> Sufficient data inclusion in analysis available 2068 patients, whom 828 deceased 1240 living. The median 21.4 years range 1.2 40.8 years. categorised into one four groups based on their onset....
Summary Age of onset for Huntington's disease (HD) varies inversely with the length disease‐causing CAG repeat expansion in HD gene. A simple exponential regression model yielded adjusted R‐squared values 0.728 a large set Venezuelan kindreds and 0.642 North American, European, Australian sample (the MAPS cohort). We present evidence that two‐segment curve provides significantly better fit than regression. plot natural log‐transformed age against reveals this segmental relationship. This on...
Despite the need for significant clinical intervention owing to psychiatric manifestations of Huntington disease (HD), there has been a paucity studies specifically designed evaluate these symptoms prior diagnosis.To investigate whether Symptom Checklist 90-Revised (SCL-90-R) and Center Epidemiological Studies Depression Scale can be used detect among preclinical mutation carriers with absent or minimal motor signs HD.Individuals at risk recently diagnosed HD were recruited then evaluated...
College student suicide prevention efforts are important to campus administrators and mental health professionals due increasing concerns about managing suicidal students. This article describes the development preliminary effectiveness of a program designed for American Indian (AI) students who at higher risk compared with general population. Using medicine wheel as guiding framework, current model integrates communication links between AI tribes staff, educational cultural programming,...
Because of the paucity research on evidence‐based treatments with American Indian/Alaska Native (AI/AN) clients, this article addresses barriers to that and how adapt treatment make it more culturally appropriate acceptable AI/AN clients so they might benefit from remain in treatment. Debido a la escasez de investigación sobre tratamientos basados en evidencia con clientes Indoamericanos/Nativos Alaska (AI/AN, por sus siglas inglés), este artículo trata las barreras para ese tipo y cómo...
Disturbances of visual perception frequently accompany neurodegenerative disorders but have been little studied in Huntington's disease (HD) gene carriers. We used psychophysical tests to assess among individuals the prediagnostic and early stages HD. The sample comprised four groups, which included 201 nongene carriers (NG), 32 with minimal neurological abnormalities (PD1); 20 moderate (PD2), 36 diagnosed Contrast sensitivity for stationary moving sinusoidal gratings, form motion...
Suicide continues to be an epidemic in Indian Country, especially among young American Indians and Alaska Native (AI/AN) individuals. In suicide must seen within the context of how historical ongoing present-day trauma has impacted communities. The disparities health, education, employment opportunities, coupled with high prevalence violence substance abuse, serve both exacerbate mental health problems disconnect youth from their community culture. combination these stressors contributes...
Objective To characterize neurocognitive signs of disease progression in prediagnosis and early Huntington (HD) compare the sensitivity 2 staging classification schemes for detecting these signs. Methods Three hundred six individuals at-risk or recently diagnosed with HD completed Unified Huntington's Disease Rating Scale, genetic testing, a battery. Two were used to estimate latency onset disease. One was based on information (CAG repeat length) other extent motor Effect sizes compared...
Musculoskeletal conditions represent a common reason for consulting general practice yet with the exception of low back pain, relatively little is known about prognosis these disorders. Recent evidence suggests that 'generic' factors may be value when assessing prognosis, irrespective location pain. This study will test generic assessment tool used as part consultation to determine musculoskeletal complaints. Older adults (aged 50 years and over) presenting six practices complaints assessed...
This article presents a case description of an American Indian female at high risk for suicide in effort to document the potential effectiveness college student prevention program designed Northern Plains students. The is integrative and culturally grounded within Medicine Wheel, stressing continuity care through programming ongoing communication across support systems. composite presented illustrates secondary aspects model, how utilizing model framework continuous was helpful suicidal...
Numerous psychometric measurements are used to assess for mental health problems in Native American and Alaskan (AI/AN) populations; however, few studies have been carried out their validity reliability within these populations. This study was designed the of numerous measures among Northern Plains Indians. article is a partial report, focused on directed at detecting depression, namely Beck Depression Inventory (BDI) II, Center Epidemiologic Studies (CES-D) Scale, Tri-Ethnic Scale (TEDS),...
Over the past four decades, Society of Indian Psychologists (SIP) has grown from a small network indigenous psychologists and students to well-established among ethnic minority psychology organizations. SIP embraces both Western values cooperation, group harmony, respect, generosity, careful listening, observation—values shared by field counseling psychology. This article examines interrelationship between psychology, given their beliefs in social justice culturally competent research,...
Firefighters represent a group at elevated suicide risk. Identifying segments of the fire service increased risk may facilitate targeted provision prevention initiatives. Among general population, American Indian/Alaska Native (AI/AN) individuals report higher rates attempts. This study sought to examine attempt among AI/AN firefighters and determine if greater exposure painful provocative events and/or fearlessness about death explains relationship between identity suicidal behaviors. A...
Abstract In 2006, American Indian/Alaska Natives (AI/AN) made up less than 1% of the science, engineering and health doctorates in U.S. Early introduction AI/AN students to research continued opportunities are necessary develop successful researchers who can better serve their communities. This team was developed form a cohort Indian students, staff faculty interested becoming researchers. Since implementation, program grew from one student over 20 AI ranging freshmen just entering college...
Diet quality has been shown to be inversely associated with depression, but this not studied in American Indians (AIs). We examined the prospective association of diet and probable depression a family-based cohort rural AIs. Using data from Strong Heart Family Study, we included 1,100 AIs ≥14 years old who were free at baseline. defined as presence moderate or severe depressive symptoms on Center for Epidemiologic Studies Depression Scale current use antidepressant medications. calculated...
This study is an examination of the reliability and validity Beck Anxiety Inventory (BAI; Beck, Epstein, Brown, & Steer, 1988) in a sample NPIs (N = 529). Validity was assessed by comparing BAI scores among 3 different diagnostic categories clinical (anxiety disorder, mood comorbid anxiety/mood disorder groups) community participants with no self-reported mental health diagnoses. The also compared depression, quality life, anxiety measures to assess validity. Support toward demonstrated...
Antimicrobial resistance (AMR) is being recognized as a priority by healthcare organizations across the world. However, many children are managed on IV antimicrobials in hospital with very little consideration of antimicrobial stewardship issues.A nurse-led paediatric ambulatory outpatient parenteral therapy (OPAT) service, managing common infections ambulated short courses antimicrobials, was introduced within Southampton Children's Hospital January 2018. We evaluated impact this service...
This research was conducted through the U.S. Department of Agriculture, Agricultural Research Services,Grand Forks Human Nutrition Center with approval tribes where data collected.The own and we use it in aggregate form their permission. We thank contributions ofthe summer interns who worked on this project: Patty Stensland, Ellen Wilson, R.J. Smith. With thisresearch stand shoulders all tribal members participated project, elders whoreferred people to us, those involved making project...