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Medicine and Health Sciences

University of North Dakota

2020

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Charge Nurse Orientation, Angela Zafke Dec 2020

Charge Nurse Orientation, Angela Zafke

Nursing Capstones

Traditional undergraduate training focuses heavily on clinical skills with minimal emphasis on leadership. In practice, a nurse with clinical prowess is often promoted to the charge nurse position. Taking on the leadership role of a charge nurse can be a stressful experience without proper training and preparation that leads to burnout and turnover. With more experienced nurses facing retirement, now is the time to prepare future nursing leaders. This starts with adequately preparing a nurse to lead within the unit in the charge nurse role. A comprehensive literature review was conducted regarding charge nurse orientation. Charge nurse competencies were not …


Temporal Trends In The Sit-Ups Performance Of 9,939,289 Children, Tori Kaster, Faith L. Dooley, John S. Fitzgerald, Tanis J. Walch, Madison Annandale, Katia Ferrar, Justin J. Lang, Jordan J. Smith, Grant R. Tomkinson Jun 2020

Temporal Trends In The Sit-Ups Performance Of 9,939,289 Children, Tori Kaster, Faith L. Dooley, John S. Fitzgerald, Tanis J. Walch, Madison Annandale, Katia Ferrar, Justin J. Lang, Jordan J. Smith, Grant R. Tomkinson

Education, Health & Behavior Studies Faculty Publications

No abstract provided.


Temporal Trends In 6-Minute Walking Distance For Older Japanese Adults Between 1998 And 2017, Grant R. Tomkinson, Tetsuhiro Kidokoro, Trevor Dufner, Shingo Noi, John S. Fitzgerald, Holly M. Brown-Borg Jun 2020

Temporal Trends In 6-Minute Walking Distance For Older Japanese Adults Between 1998 And 2017, Grant R. Tomkinson, Tetsuhiro Kidokoro, Trevor Dufner, Shingo Noi, John S. Fitzgerald, Holly M. Brown-Borg

Education, Health & Behavior Studies Faculty Publications

Background

The 6-minute walking distance (6MWD) is an excellent measure of both functional endurance and health. The primary aim of this study was to estimate temporal trends in 6MWD for older Japanese adults between 1998 and 2017; the secondary aim was to estimate concurrent trends in body size (i.e., height and mass) and self-reported participation in exercise/sport.

Methods

Adults aged 65–79 years were included. Annual nationally representative 6MWD data (n = 103,505) for the entire period were obtained from the Japanese Ministry of Education, Culture, Sports, Science and Technology. Temporal trends in means (and relative frequencies) were estimated at …


Effect Of Body Habitus On Mortality Risk In Septic Patients, Brita Bush May 2020

Effect Of Body Habitus On Mortality Risk In Septic Patients, Brita Bush

Nursing Capstones

No abstract provided.


A Comparison Of Dietary Changes Versus Elective Cholecystectomy In The Treatment Of Gallbladder Disease, Liza Ystaas May 2020

A Comparison Of Dietary Changes Versus Elective Cholecystectomy In The Treatment Of Gallbladder Disease, Liza Ystaas

Nursing Capstones

No abstract provided.


Preoperative Therapy To Improve Outcomes In Total Joint Arthroplasty Patients, Cassandra Ackerman May 2020

Preoperative Therapy To Improve Outcomes In Total Joint Arthroplasty Patients, Cassandra Ackerman

Nursing Capstones

No abstract provided.


Impact Of A1c Measurements On Elective Surgeries, Kimberly Naplin May 2020

Impact Of A1c Measurements On Elective Surgeries, Kimberly Naplin

Nursing Capstones

No abstract provided.


Is There An Ideal Preoperative Glycated Hemoglobin For A Patient With Type 2 Diabetes Mellitus For Prevention Of Postoperative Complications?, Tammy Branden May 2020

Is There An Ideal Preoperative Glycated Hemoglobin For A Patient With Type 2 Diabetes Mellitus For Prevention Of Postoperative Complications?, Tammy Branden

Nursing Capstones

No abstract provided.


Qtc Prolongation And Use Of Second-Generation Antipsychotics In The Geriatric Population, Maren Lysne May 2020

Qtc Prolongation And Use Of Second-Generation Antipsychotics In The Geriatric Population, Maren Lysne

Nursing Capstones

No abstract provided.


Using Rexulti As An Adjunct Treatment Option For Major Depressive Disorder, Linda Mongare May 2020

Using Rexulti As An Adjunct Treatment Option For Major Depressive Disorder, Linda Mongare

Nursing Capstones

No abstract provided.


Mental Healthcare For Youth With Type 1 Diabetes: A Call For Integrated Screening, Prevention And Intervention, Kirsten Nelson May 2020

Mental Healthcare For Youth With Type 1 Diabetes: A Call For Integrated Screening, Prevention And Intervention, Kirsten Nelson

Nursing Capstones

Adverse mental health outcomes comprise the leading complication of type 1 diabetes(TID)in children and adolescents(Cameron & Northam, 2012). Comorbid mental health conditions lead to decreased adherence, worsening glycemic control, increased family conflict, poor self-image, and decreased quality of life(QOL). Evidence shows20-50% of youth with TID sought mental healthcare over a five year period yet less than 4% received any form of care during that time(Cameron & Northam, 2012; Jaser, 2010). This literature review was based on review of a case involvinga10 year old male “Benji” whose mother brought him to clinic requesting a second opinion after seeking mental healthcare for …


Electromyographic Activity Of Hip Abductor Muscle During Jumping And Landing: Pilot Study, Chloe Coleman, Jairica Christjohn, Ryan Keller, Carly Jo Schroer May 2020

Electromyographic Activity Of Hip Abductor Muscle During Jumping And Landing: Pilot Study, Chloe Coleman, Jairica Christjohn, Ryan Keller, Carly Jo Schroer

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study was to see if there is a difference in the electromyographic (EMG) activity in the hip abductor muscles (right gluteus medius) with regard to knee valgus in free standing vertical jump and landing. Both male and female participants were analyzed.

Methods: Six subjects (2 male, 4 female) in good physical condition with no previous knee pathologies participated in the experiment. EMG activity was recorded using a Noraxon TeleMyo DTS telemetry unit with a sampling rate of 1 kHz. The EMG data for the gluteus medius muscle activity and knee valgus was recorded …


The Epidemiology Of Pediatric Sports And Recreational Injuries Reporting To The Emergency Department In Grand Forks, Nd, Erin Larson, Kameron Mcnary May 2020

The Epidemiology Of Pediatric Sports And Recreational Injuries Reporting To The Emergency Department In Grand Forks, Nd, Erin Larson, Kameron Mcnary

Physical Therapy Scholarly Projects

Introduction: Sports and recreation injuries are common despite efforts to make sports and recreational activities safe through rules of play and the use of safety equipment. Analyzing the injuries that result and the associated mediating factors can help to assess whether more effective preventive measures can be instituted.

Methodology: Medical records from an upper Midwest regional medical center were examined for sports and recreational injuries in youth (0-19 years of age) who reported to the emergency room during the years mid 2010 to mid 2015. Data from 2011 to 2014 was evaluated to have a complete number of years for …


Electromyographic (Emg) Activity Of The Hip Abductors During Various Hip Exercises, Heather Harrower, Natalie Murphy, Trista Saulter, Katelyn Voll May 2020

Electromyographic (Emg) Activity Of The Hip Abductors During Various Hip Exercises, Heather Harrower, Natalie Murphy, Trista Saulter, Katelyn Voll

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of the study was to record, compare, and analyze muscle recruitment patterns during different hip abduction exercises. This was done by examining the patterns for gluteus maximus, gluteus medius, and tensor fascia latae when performing the following exercises: Standing hip abduction with a blue resistance band around bilateral ankles, sidelying hip abduction utilizing constant effort to move a small, medium, or large ball up and down the wall, and basic sidelying hip abduction with no ball. All exercises were done with participants' dominant lower extremity.

Case Description: Fifteen, healthy, University of North Dakota Physical Therapy …


Physical Therapy And Music Therapy Collaboration For The Treatment Of Chronic Stroke: A Case Study, Jamie Ronning, Kayla Smith May 2020

Physical Therapy And Music Therapy Collaboration For The Treatment Of Chronic Stroke: A Case Study, Jamie Ronning, Kayla Smith

Physical Therapy Scholarly Projects

Background and purpose: Stroke is one of the leading causes of death and disability in the United States. Following a stroke, individuals may suffer from a number of severe and lasting adverse effects. Although there is current research to support the use of physical therapy (PT) and music therapy (MT) individually during stroke rehabilitation, few studies have examined collaboration of these two disciplines. The purpose of this case study was to evaluate the effectiveness of combined PT and MT interventions for strength, balance, gait, and functional activity in an adult with chronic stroke.

Case description: The client is a 51-year-old …


The Effectiveness Of A 7-Week Fall Prevention Program For Community Dwelling Older Adults, Karlee Mccloud, Kayla Sendelbach May 2020

The Effectiveness Of A 7-Week Fall Prevention Program For Community Dwelling Older Adults, Karlee Mccloud, Kayla Sendelbach

Physical Therapy Scholarly Projects

Background: Every year millions of adults over the age of 65 experience a fall. Falls cost healthcare and individuals financial distress, decrease self-confidence, and can cause injuries. Balance and strength deficits contribute to increasing an individual's fall risk. Studies have shown the efficiency of community-based exercise and education programs on reducing the risk of falling. The Stepping On Program utilizes a group setting to educate on falls and risks, strength and balance exercises, home safety, vision, coping after a fall, and community mobility. Stepping On is an evidence-based fall prevention program that has been proven to reduce falls by 31 …


Review Of The Status Of Oncologic Physical Therapy In North Dakota: A Definitive Study, Sarah Biberstine, Arianna Larson May 2020

Review Of The Status Of Oncologic Physical Therapy In North Dakota: A Definitive Study, Sarah Biberstine, Arianna Larson

Physical Therapy Scholarly Projects

Background and Purpose. Physical therapy is often reported as an under-utilized resource in oncology care. When utilized, physical therapy intervention addresses multi-dimensional symptoms experienced by individuals with a cancer diagnosis. This study examines the following questions: What is the status of physical therapy in North Dakota’s oncology team? What is the working knowledge of the physical therapist on oncologic rehabilitation? Do professional programs provide adequate knowledge to evaluate and treat oncologic patients and their symptoms? The purpose of the study is to determine if the physical therapy intervention received by individuals in North Dakota with a current of previous diagnosis …


Grit And Perceived Stressors As Predictors Of Academic Success In First And Second Year Doctor Of Physical Therapy Students, Abigail Thomas, Jamal Ibnelhaj May 2020

Grit And Perceived Stressors As Predictors Of Academic Success In First And Second Year Doctor Of Physical Therapy Students, Abigail Thomas, Jamal Ibnelhaj

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this longitudinal study was to identify any correlations between grit scores, perceived stress levels, academic success (GPA), and demographics (age) among doctor of physical therapy (DPT) students at the University of North Dakota (UND). Grit was assessed using the 12 item Grit scale (Grit-O) from Angela Duckworth. Perceived stress was assessed using the IO item perceived stress scale (PSS).

Methods: The Grit-O and PSS scales were distributed to first year DPT students at UND by the primary investigator. 154 students consented to participate in the study, 102 first year students and 52 second year …


Association Of Generalized Joint Hypermobility And Occurrence Of Musculoskeletal Injury In Physical Therapy And Occupational Therapy Students, Allie Erdmann, Amber Klein May 2020

Association Of Generalized Joint Hypermobility And Occurrence Of Musculoskeletal Injury In Physical Therapy And Occupational Therapy Students, Allie Erdmann, Amber Klein

Physical Therapy Scholarly Projects

Background: Prior research has shown that physical and occupational therapy students have a higher prevalence of hypermobility than that which is seen within the general population. Throughout the literature, the rates of injury are greater in those with hypermobile joints. It has also been found that females have higher rates of hypermobility than males. Given this information, a secondary question arose regarding whether or not hypermobility and injury (initial or recurrence) are directly related to one another.

Purpose: The intent of conducting this study was to evaluate physical therapy and occupational therapy students for hypermobility while concurrently assessing for their …


Electromyographic Activity Of Hamstrings And Quadriceps Muscle During Jumping And Landing: Pilot Study, Shawn Danielson, Logan Flegel, Nathan Mertens May 2020

Electromyographic Activity Of Hamstrings And Quadriceps Muscle During Jumping And Landing: Pilot Study, Shawn Danielson, Logan Flegel, Nathan Mertens

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of this pilot study was to see if there was a difference in the amount of electromyographic (EMG) activity in the quadriceps (vastus medialis and vastus lateralis) compared to the amount of EMG activity in the hamstrings (biceps femoris and semitendinosus) muscles in active male and female subjects during vertical jumping and landing. In addition, we looked at the amount of knee flexion that occurred shortly after landing from a vertical jump.

Methods. EMG activity was recorded using a Noraxont TeleMyo DTS telemetry unit with a sampling rate of 1 kHz. EMG data was recorded …


Effects Of Pole Walking On Adults With Parkinson's Disease Following 6 Weeks Of Training, Kathleen Dennison, Taylor Jamison May 2020

Effects Of Pole Walking On Adults With Parkinson's Disease Following 6 Weeks Of Training, Kathleen Dennison, Taylor Jamison

Physical Therapy Scholarly Projects

Introduction: Parkinson's Disease is a progressive neurodegenerative disorder that predominantly affects motor planning and motor function. Symptoms associated with this disease include bradykinesia, rigidity, tremor, and postural instability. These symptoms are often accompanied by gait disturbances including decreased step length, arm swing, and gait velocity, as well as diminished trunk rotation and postural instability all which make functional mobility increasingly difficult. Conventional walking has been shown to be an effective physical activity to maintain mobility and improve function and overall fitness. Specifically, walking speed has been identified as a crucial predictor for fall risk which is why clinicians have …


Implementation Of Mental Health Resources To Decrease Depression And Suicide In Healthcare Professional Students, Matthew Knealing May 2020

Implementation Of Mental Health Resources To Decrease Depression And Suicide In Healthcare Professional Students, Matthew Knealing

Physician Assistant Scholarly Project Papers

The intent of this review of literature is to determine if implementing mental health resources in graduate healthcare programs decreases the rate of depression and suicidal ideations. In this review of literature, five databases were searched. Databases included: PubMed, PsycInfo, CINAHL Complete, Clinical Key, and the Cochrane Library from September 15 to January 3, 2020. Due to the topic being dynamic and receiving more acknowledgment in recent years, articles reviewed were restricted to the last six years within the United States. Works chosen were peer-reviewed, which included meta-analysis, cross-sectional, systemic reviews, longitudinal and, survey method studies. Sources excluded included opinion-based …


Hpv Vaccine In Adolescents: How To Increase Uptake, Natasha Richesin May 2020

Hpv Vaccine In Adolescents: How To Increase Uptake, Natasha Richesin

Physician Assistant Scholarly Project Papers

The human papillomavirus (HPV) is a sexually transmitted virus that affects both males and females of all ages. An HPV vaccine was developed to help protect against harmful infections caused by the virus. This literature review focuses on the relationship between the HPV vaccine and its low uptake from untoward events, misinformation surrounding the vaccine, and different education methods. PubMed, Clinical Key, and Cochrane electronic databases are used for the literature review. A comprehensive literature review was conducted, and articles utilized were based on the age of the population being 11 to 29 years old, the HPV vaccine’s involvement in …


Cannabis Effectiveness On The Motor Symptoms Of Parkinson’S Disease, Austin Fridrich May 2020

Cannabis Effectiveness On The Motor Symptoms Of Parkinson’S Disease, Austin Fridrich

Physician Assistant Scholarly Project Papers

Fueled by news media reports, cannabis use has been ever growing in popularity for the treatment of both motor and non-motor symptoms of Parkinson’s disease (PD). The purpose of this literature review is to evaluate the safety and efficacy of using cannabis to treat the motor symptoms and levodopa-induced dyskinesia of PD. In this literature review electronic databases were searched and included PubMed, CINAHL, Embase, DynaMed Plus, Cochrane Library, Academic Search Premier, and Clinical Key. A variety of keywords and MeSH terms, as listed below, were used to define a set of literature. There were 16 studies chosen for review …


Efficacy Of Bariatric Surgery Compared To Non-Surgical Treatments For Morbid Obesity, Erica L. Donovan May 2020

Efficacy Of Bariatric Surgery Compared To Non-Surgical Treatments For Morbid Obesity, Erica L. Donovan

Physician Assistant Scholarly Project Papers

The purpose of this research is to show the efficacy of Roux-en-Y gastric bypass and sleeve gastrectomy as compared to traditional diet and exercise models. Morbid obesity is related to increased blood pressure, incidence of diabetes, high cholesterol, and incidence of obstructive sleep apnea, all of which contribute to increased incidence of myocardial infarction, stroke, and vascular compromise. Finding ways to combat morbid obesity has resulted in invasive surgical techniques because traditional diets and exercise work infrequently and often fail. Systematic reviews, meta-analysis, randomized controlled trials, and retrospective studies were found using the database of CINAHL, SportsDiscus, PsycInfo, Embase, and …


Comparison Of Anterior Cruciate Ligament Graft Materials And Risk Of Rupture/Reinjury In Young Athletes, Matthew Hockert May 2020

Comparison Of Anterior Cruciate Ligament Graft Materials And Risk Of Rupture/Reinjury In Young Athletes, Matthew Hockert

Physician Assistant Scholarly Project Papers

The anterior cruciate ligament tear is a standard surgical injury seen with young athletes competing at elite, amateur, and recreational capacities. The purpose of this literature review is to determine the rehabilitation guidelines and risks associated with anterior cruciate ligament reconstruction, as well as determining the role of rehabilitation in graft rupture. This literature review also serves to determine if graft choice for surgical repair plays a role in an increased risk of rupture or reinjury. This literature review used various online databases, including Dynamed, Cochran, and Pubmed, with the utilization of MeSH terms listed below in “keywords” in order …


The Gut-Brain Axis: Treating Depression Through Microbiome Alterations, Alexandra Bachman-Williams May 2020

The Gut-Brain Axis: Treating Depression Through Microbiome Alterations, Alexandra Bachman-Williams

Physician Assistant Scholarly Project Papers

The purpose of this research and literature review is to explore the possible role that gut microbiome alterations have in the treatment of neurobehavioral diseases; specifically, anxiety and depression. This literature review searched PubMed, CINAHL, and Clinical Key. A variety of key terms were used during the search. Due to the field of research being relatively new and limited, studies from the last ten years and animal models were included in the study. Studies were excluded due to poor design or if the studies did not include anxiety or depression in the research. The research shows that there are the …


Cyp2d6 Enzyme Polymorphisms And Their Effect On Opiate Metabolism, Blair Camille Runde May 2020

Cyp2d6 Enzyme Polymorphisms And Their Effect On Opiate Metabolism, Blair Camille Runde

Physician Assistant Scholarly Project Papers

The purpose of this research and systematic literature review is to determine if pharmacogenetic testing for the CYP2D6 enzyme responsible for the metabolism of several opiates leads to differences in serum levels, side effects, and treatment outcomes for patients with acute or chronic pain. In this review, the Pubmed and Embase databases were searched from January 1, 2014, to November 1, 2019. Exclusion criteria included studies published before 2014 and those not peerreviewed. For this review, 11 studies were included with designs such as prospective and retrospective cohorts, randomized control trials, systematic reviews, and meta-analyses. Much of the presented research …


Comparison In The Effectiveness Of Mat In Patients With Oxycodone Vs Heroin Opioid Use Disorders, Casey Myklebust May 2020

Comparison In The Effectiveness Of Mat In Patients With Oxycodone Vs Heroin Opioid Use Disorders, Casey Myklebust

Physician Assistant Scholarly Project Papers

The purpose of this research and systematic literature review is to determine if there is a measurable difference of effectiveness in medication assisted treatment (MAT) in patients with oxycodone and heroin use disorders, retention in treatment, and sustained sobriety. In this review, the databases searched included CINAHL, Clinical Key, and Embase. A variety of key terms and MeSH terms were used to define a set of literature discussing the topic. The works chosen for review were published between 2015 and 2019 were peer reviewed, and included randomized control trials, pilot studies, and systematic reviews. Sources that were excluded, included those …


Methamphetamine: A Potential Risk Factor For Neurodegenerative Conditions, Katelyn Sarlette May 2020

Methamphetamine: A Potential Risk Factor For Neurodegenerative Conditions, Katelyn Sarlette

Physician Assistant Scholarly Project Papers

Methamphetamine (METH) is a highly addictive substance that persists to be a major drug of abuse within the United States, particularly the Midwest regions. While some of the major health ramifications are well documented, its neurological impact is not fully understood. Neurodegenerative conditions like multiple sclerosis (MS), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS) continue to increase in frequency, particularly in the Midwest, yet there is no identifiable cause. The purpose of the study was to determine if METH use can contribute to the development of neurological conditions such as MS, PD, and ALS. A literature review was conducted …