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University of North Dakota

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Mindfulness Through Biofeedback And Meditation Syllabus, Eric B. Miller Apr 2024

Mindfulness Through Biofeedback And Meditation Syllabus, Eric B. Miller

Open Educational Resources

No abstract provided.


Minimally Invasive Therapies In The Treatment Of Arthropathy, Steven Bateman Apr 2024

Minimally Invasive Therapies In The Treatment Of Arthropathy, Steven Bateman

Physician Assistant Scholarly Project Papers

It is estimated that 27% of adults over 45 years of age suffer from osteoarthritis of the hip secondary to articular cartilage damage over the lifespan. Joint pain diminishes life quality, limits range of motion and overall activity, and frequently impairs basic ambulation. These functional deficits worsen the progression of comorbidities that are often referred to as lifestylerelated chronic disease as physical activity subsequently declines. This literature review explores the efficacy of minimally invasive therapies that precede and delay surgical intervention in adult patients experiencing functional limitations and pain in major joints. The study examines the effectiveness of various interventions, …


Report: Evaluation Of Seal!Nd: School Year 2022-2023, Shawnda Schroeder, Jordan Jaeger Jan 2024

Report: Evaluation Of Seal!Nd: School Year 2022-2023, Shawnda Schroeder, Jordan Jaeger

Indigenous Health Faculty Publications

The North Dakota school-based sealant program (SEAL!ND) prioritizes providing preventive oral health care to underserved students by targeting schools with 45% or greater of their students enrolled in the free and reduced fee school lunch program (these are considered qualifying schools). Although schools with a larger proportion of youth who are from lower-income households are prioritized by federal funding, additional schools participate and receive care from local dental providers (these are referred to as non-qualifying). During the 2022-23 school year, 58 schools participated in SEAL!ND; 40 qualifying schools (Q) and 18 non-qualifying (NQ); 55 of the 58 schools had two …


Promoting Personal Agency In Nursing Students' Ability To Evaluate Evidence, Kaitlyn Kelly Sep 2023

Promoting Personal Agency In Nursing Students' Ability To Evaluate Evidence, Kaitlyn Kelly

AI Assignment Library

In NURS450: Transition to Practice Seminar, the senior capstone for graduating nursing students and an essential studies class focused on information literacy, we examine research studies with a CASP Programme checklist, which helps students understand the validity and applicability of published research to their patient populations. In this assignment AI, specifically ChatGPT, is used to generate a fictional randomized controlled trial. Students are guided through the checklist and a group discussion on whether that study meets the requirements to be considered valid and applicable to a local population (with the assumption that the study was real). The purpose is to …


Blood-Based Versus Stool-Based Biomarker Accuracy In Detection Of Colorectal Cancer And Impact Of Non-Invasive Tests On Patient Participation, Allison Obritsch Jul 2023

Blood-Based Versus Stool-Based Biomarker Accuracy In Detection Of Colorectal Cancer And Impact Of Non-Invasive Tests On Patient Participation, Allison Obritsch

Physician Assistant Scholarly Project Papers

Colorectal cancer is a very treatable cancer when detected early, therefore patient adherence and colorectal cancer screening is key to decrease mortality. The purpose of this research and systematic literature review was to determine how the accuracy of blood-based and stool-based biomarkers compared in the detection of colorectal cancer and how noninvasive testing modalities influence patient participation in colorectal cancer screening. Only articles published within the past 10 years were included. A combination of keywords and MeSH phrases to include but not limited to “adherence,” “SEPT9,” “colonoscopy,” “multitarget stool,” and “colorectal cancer” were used to find relevant articles for each …


Report: Evaluation Of Seal!Nd: School Year 2021-2022: North Dakota Department Of Health Oral Health Program’S School-Based Dental Sealant Program, Shawnda Schroeder, Tonya Connor May 2023

Report: Evaluation Of Seal!Nd: School Year 2021-2022: North Dakota Department Of Health Oral Health Program’S School-Based Dental Sealant Program, Shawnda Schroeder, Tonya Connor

Indigenous Health Faculty Publications

The North Dakota Department of Health (DoH)a Oral Health Program (OHP)b has established a school-based dental sealant program, (SEAL!ND)c , which has been providing dental sealants, fluoride varnish applications, oral health education and dental screenings and referrals for students throughout North Dakota dating back to 2012. All services occur in the school during school hours. School-based sealant programs are a highly effective way to deliver preventive oral health services and dental sealants to children less likely to receive private dental care. The SEAL!ND program prioritizes providing preventive oral health care to low-income and underserved students by targeting schools with 45% …


The Role Of Rural And Urban Geography And Gender In Community Stigma Around Mental Illness, Shawnda Schroeder, Chih Ming Tan, Brian Urlacher, Thomasine Heitkamp May 2023

The Role Of Rural And Urban Geography And Gender In Community Stigma Around Mental Illness, Shawnda Schroeder, Chih Ming Tan, Brian Urlacher, Thomasine Heitkamp

Indigenous Health Faculty Publications

Empirical evidence describes the negative outcomes people with mental health disorders experience due to societal stigma. The aim of this study was to examine the role of gender and rural/urban living in perceptions about mental illness. Participants completed the Day’s Mental Illness Stigma Scale, a nationally validated instrument for measuring stigma. Directors of Chambers of Commerce in North Dakota distributed the electronic survey to their members. Additionally, distribution occurred through use of social media and other snowball sampling approaches. Analysis of data gathered from 749 participants occurred through examination of the difference in perceptions based on geography and gender. The …


Report: North Dakota Alzheimer’S And Dementia State Plan: Current Status Of, And Recommendations For, Meeting The Needs Of Individuals And Families With Alzheimer’S Disease And Other Dementias, Shawnda Schroeder, Rebecca Quinn, Laura Hand, Gretchen Dobervich May 2023

Report: North Dakota Alzheimer’S And Dementia State Plan: Current Status Of, And Recommendations For, Meeting The Needs Of Individuals And Families With Alzheimer’S Disease And Other Dementias, Shawnda Schroeder, Rebecca Quinn, Laura Hand, Gretchen Dobervich

Indigenous Health Faculty Publications

North Dakota reports the fourth highest mortality rate for Alzheimer’s disease in the United States (U.S.) at 52.9 per 100,000 North Dakota residents. The rate for the U.S. is 37 per 100,000 residents. Although leading in mortality, North Dakota is one of a few states with a State Plan for Alzheimer’s and Dementia over 12 years old. This plan was written in July of 2007 and is less than two pages. Although it does mention Alzheimer’s and other other dementias, it does not specifically outline a plan to address services for those living with, or supporting those living with, dementia …


Toolkit: Strengthening Resilience: Promoting Positive School Mental Health Among Indigenous Youth, Lavonne Fox, Sarah Nielsen, Thomasine Heitkamp, Shawnda Schroeder May 2023

Toolkit: Strengthening Resilience: Promoting Positive School Mental Health Among Indigenous Youth, Lavonne Fox, Sarah Nielsen, Thomasine Heitkamp, Shawnda Schroeder

Indigenous Health Faculty Publications

The purpose of this document is to provide tools for k-12 educators, administrators, and mental health treatment providers to better address the learning and behavioral health needs of Indigenous youth in a holistic manner. It is also a resource for faculty working in higher education to prepare future professionals, particularly those planning to work in tribal communities with children and youth. The focus of this document is on the resilience and well-being of Indigenous youth in a historical context. The historical review provides a greater understanding of the role of boarding schools, forced colonization, and assimilation resulting in cultural genocide …


Associations Between Screen Use And Depression In Youth, David Franta Apr 2023

Associations Between Screen Use And Depression In Youth, David Franta

Physician Assistant Scholarly Project Posters

the youth population have remained largely unclear  Depression is common in children and adolescents  Screen use is readily available and frequently used by children and adolescents  This literature review was conducted to evaluate current literature regarding depression in the youth population, to include differences between sexes, across ages, and amongst different types of screen use  Results demonstrate that an association between screen use and depression in the youth population does exist, particularly cross sectionally  A causative or reciprocal relationship may be present, however, if it is present, it is quite minor  Girls tend to …


Corticosteriod Injection Vs Therapy Vs Combination For Shoulder Rotator Cuff Injuries, Rodney Guy Palmer Jr. Apr 2023

Corticosteriod Injection Vs Therapy Vs Combination For Shoulder Rotator Cuff Injuries, Rodney Guy Palmer Jr.

Physician Assistant Scholarly Project Papers

Rotator cuff pathologies seen in a primary care setting ranks third for musculoskeletal complaints seen by primary care providers. Rotator cuff pathologies can cause significant dysfunction in activities of daily living (ADLs), work tasks, and daily life. Current treatment recommendations are intra-articular steroid injections, therapy only rehabilitation, or the combination of the two. This literature review researched articles comparing the effectiveness of steroid only treatments, therapy only treatments, and the combination of the two. There was conflicting evidence regarding which treatment was the most effective. Significant side effects for steroid injections were discovered which included rotator cuff rupture. Therapy demonstrated …


Alternative Treatment Modalities For Plantar Fasciitis, Chelsey Clark Apr 2023

Alternative Treatment Modalities For Plantar Fasciitis, Chelsey Clark

Physician Assistant Scholarly Project Papers

Plantar Fasciitis is a common and frequent condition in adult patients. The purpose of this literature review is to determine whether evidence exists for alternative treatments in the regimen of plantar fasciitis that has not been resolved with the standard treatment. The review was done using Pubmed, CINAHL and SportDiscus. Research was included on the following alternative treatments of PF: corticosteroid injections, extracorporeal shockwave, dry needling, Platelet-Rich Plasma (PRP), Autologous Blood Injection (ABI), cupping, custom insoles, and ultrasound therapy. A total of 12 research articles were included in this review. The alternative treatments considered within this literature review had some …


Pregnancy Planning: Hormonal Contraception Versus Natural Family Planning, Melanie Loehrer Apr 2023

Pregnancy Planning: Hormonal Contraception Versus Natural Family Planning, Melanie Loehrer

Physician Assistant Scholarly Project Papers

Statement of the problem: Natural family planning methods provide women with an opportunity to use natural methods to plan pregnancy. This is done through daily monitoring of symptoms and biomarker fluctuation in accordance with hormonal changes throughout the menstrual cycle to identify the fertile window. Through the identification of the fertile window and ovulation, one can determine appropriate days for sexual intercourse. This format allows participants to develop a greater understanding and in-depth knowledge of reproductive health to avoid or achieve pregnancy. The use of natural family planning has greatly increased over the last two decades, growing the demand for …


Safety And Efficacy Of Apixaban Vs Rivaroxaban: In Nonvalvular Atrial Fibrillation, Cody Dewitt Apr 2023

Safety And Efficacy Of Apixaban Vs Rivaroxaban: In Nonvalvular Atrial Fibrillation, Cody Dewitt

Physician Assistant Scholarly Project Papers

Nonvalvular atrial fibrillation, the most common cardiac arrhythmia in developed countries, warrants anticoagulation for stroke prevention. Updated guidelines recommend direct oral anticoagulants (DOACs) over historically used warfarin. The purpose of this review is to compare clinical safety and efficacy outcomes between apixaban and rivaroxaban. In patients with nonvalvular atrial fibrillation on a direct oral anticoagulant, is there a significant difference in safety and efficacy between apixaban and rivaroxaban? Does decreased kidney function change safety and efficacy? Does varying BMI such as low weight or obesity change safety and efficacy? A retrospective literature review was conducted utilizing PubMed databases. Articles included …


Associations Between Screen Use And Depression In The Youth Population, David Franta Apr 2023

Associations Between Screen Use And Depression In The Youth Population, David Franta

Physician Assistant Scholarly Project Papers

The association between depression in the youth population and screen use has remained largely unclear. Depression is a common finding in children and adolescents, and as mobile phones, computers, and television are becoming more readily available to young populations, evaluation of the relationship between the two could likely be very important. Unfortunately, little concrete evidence has been established regarding the direct effects of screen time and the presence or development of depression. A literature review comprised of both cross-sectional and longitudinal studies was performed to evaluate the current literature regarding screen use and depression in the youth population, including differences …


Food Intolerance In Patients With Depression, Victoria Gingrey Apr 2023

Food Intolerance In Patients With Depression, Victoria Gingrey

Physician Assistant Scholarly Project Papers

Depression is a multifactorial condition affecting people worldwide. Medication is commonly prescribed for the treatment of depression, but some patients have difficulty finding a medication that is both effective and tolerable while others prefer to avoid medications all together. It has been suggested that dietary modification may reduce the depressive symptoms. As lifestyle changes may be difficult to maintain long term, determining specific foods to avoid for individual patients may improve adherence. A meta-analysis of 10 articles was performed. Articles were found using the electronic search databases PubMed and PsychInfo. Serology differences were appreciated between patients with depression and healthy …


Active Toxoplasmosis Infection: Efficacy And Safety Of Treatment Options, Daniele Krouse Apr 2023

Active Toxoplasmosis Infection: Efficacy And Safety Of Treatment Options, Daniele Krouse

Physician Assistant Scholarly Project Papers

This literature review intends to investigate the safety and efficacy of two different drug treatment regimens, pyrimethamine versus trimethoprim-sulfamethoxazole, for active toxoplasmosis infections. Affecting nearly 11% of the United States population and up to 80% of the populations of tropical countries, Toxoplasmosis infection is the second leading cause of death from food borne illness. Current classic management of active infection with pyrimethamine is correlated with numerous undesirable side effects, high cost and need for complex use of adjunctive medications. It is necessary to identify alternative treatment options with fewer side effects, less complex regimens, lower cost, and easier access for …


Efficacy Of Transcutaneous Electrical Nerve Stimulation Vs. Calcitonin Gene Related Peptides In The Application Of Migraine Prophylaxis, Matthew Davis Apr 2023

Efficacy Of Transcutaneous Electrical Nerve Stimulation Vs. Calcitonin Gene Related Peptides In The Application Of Migraine Prophylaxis, Matthew Davis

Physician Assistant Scholarly Project Papers

Worldwide migraines affect millions of people everyday causing significant impact on patient’s lives. Oftentimes, these patients have failed several first-line therapies for migraine prophylaxis causing pharmaceutical companies to develop newer therapies. The purpose of this systematic literature review is to evaluate the effectiveness and tolerability of transcutaneous electrical nerve stimulator (TENS) devices versus calcitonin gene related peptide (CGRP) antagonists in the application of migraine prophylaxis. PubMed and ClinicalKey were searched with key terms, 17 sources were selected that were published after 2016. Sources included meta-analysis, literature review, and randomized control trials. The data showed that TENS devices as well as …


Gabapentin As An Effective Treatment Option For Alcohol Use Disorder, Monica Hurst Apr 2023

Gabapentin As An Effective Treatment Option For Alcohol Use Disorder, Monica Hurst

Physician Assistant Scholarly Project Papers

The purpose of this literature review is to determine whether gabapentin is an effective treatment option for alcohol use disorder (AUD). Utilizing data sourced primarily from published clinical trials, gabapentin’s effect on heavy drinking, abstinence, withdrawal symptoms and alcohol cravings will be explored. This review will also compare gabapentin’s efficacy against currently approved AUD treatment options, along with what dosages are most efficacious while contributing the fewest adverse effects. The data presented in this literature review undeniably demonstrates a positive effect of gabapentin on alcohol use disorder; Specifically, the data shows that gabapentin at multiple dosages helps to decrease heavy …


Proning Versus Respiratory Pharmacotherapeutics In Hospitalized Covid-19 Patients, Sasha Marie Hopfauf Apr 2023

Proning Versus Respiratory Pharmacotherapeutics In Hospitalized Covid-19 Patients, Sasha Marie Hopfauf

Physician Assistant Scholarly Project Papers

The purpose of this research and literature review is to compare the use of prone positioning and respiratory pharmacotherapeutics within hospitalized COVID-19 patients and the outcomes associated with each. A literature review was performed using the databases PubMed, Clinical Key, DynaMed, and CINAHL. A variety of key terms were used when searching. Studies chosen were retrospective reviews, a cross sectional study, an interventional study, and a pilot study. Articles within the last three years were utilized after exclusion criteria was applied. A total of thirteen articles were included within this project. The research shows that pulmonary vasodilators such as inhaled …


Evaluating And Comparing The Safety And Efficacy Of Rimegepant Versus Lasmiditan In Aborting Acute Migraine Headaches In The Adult Migraineur, Anthony Douthit Apr 2023

Evaluating And Comparing The Safety And Efficacy Of Rimegepant Versus Lasmiditan In Aborting Acute Migraine Headaches In The Adult Migraineur, Anthony Douthit

Physician Assistant Scholarly Project Papers

Migraine headaches are one of the most common causes of primary headaches. Worldwide, migraines are one of the leading causes of disability and while the mechanism of migraines are not entirely understood, they result in significant disability for those who experience them. Dihydroergotamine was introduced for migraine treatment in the 1920s and in the 1990s triptans were introduced and have been the mainstay of acute migraine treatment since their introduction. In recent years, there have been several developments in the acute treatment and prophylaxis of migraine headaches. Some of the more widely studied and recently developed interventions include calcitonin gene …


Platelet-Rich Plasma Vs Corticosteroid: Osteoarthritis Symptoms, Joshua Zetocha Apr 2023

Platelet-Rich Plasma Vs Corticosteroid: Osteoarthritis Symptoms, Joshua Zetocha

Physician Assistant Scholarly Project Papers

Osteoarthritis (OA) is a disease that hundreds of millions of people suffer from across the world (Palazzo et al., 2016). Currently, corticosteroid intra-articular injections are frequently administered to help with pain and inflammation related to OA (Pereira et al, 2015). A relatively new treatment option is Platelet-Rich Plasma (PRP) intra-articular injections. PRP injections use the patient’s own plasma, injected into the affected joint space, to reduce inflammation and potentially improve both pain and functionality. This literature review will investigate whether the newer PRP injections relieve pain and improve functionality of OA patients better than corticosteroid injections. The literature review was …


Benzimidazole Adjuvant Therapy: A Review Of Efficacy And Safety In Patients With Cancer, Jared Mouw Apr 2023

Benzimidazole Adjuvant Therapy: A Review Of Efficacy And Safety In Patients With Cancer, Jared Mouw

Physician Assistant Scholarly Project Papers

This literature review aims to compile previous studies’ data and explore the effects of benzimidazoles as an adjuvant therapy and its relationship to a patient’s cancer biomarkers, tumor progression, and quality of life. In addition to the aforementioned, we will attempt to review data to identify the safety and toxicity profile of benzimidazoles within a population of patients currently diagnosed with cancer to determine if this class of medications could be implemented along with current cancer treatment regimens to increase efficacy and tolerance. To determine this, the databases of CINAHL, ClinicalKey, and PubMed were searched with the keywords mentioned below. …


Effectiveness Of Knee Joint Injury Treatments In The Prevention Of Post-Traumatic Osteoarthritis, Jenna Zaeske Apr 2023

Effectiveness Of Knee Joint Injury Treatments In The Prevention Of Post-Traumatic Osteoarthritis, Jenna Zaeske

Physician Assistant Scholarly Project Papers

The purpose of this research and systematic literature review is to determine the effectiveness of rest, physical therapy, and/or surgical intervention following either anterior cruciate ligament (ACL) or meniscus injuries in short- and long- term osteoarthritis outcomes. The short- and longterm outcomes were evaluated to compare the prevalence and progression of osteoarthritis after joint injury. In this literature review, the electronic database PubMed was used to find relevant research. Many keywords were used when searching for articles. Sources included for review had research on ACL or meniscus injuries specifically. Other knee injuries, non-knee injuries and non-human subjects were excluded. Articles …


The Effects Of Food On Mood: Implications Of Mediterranean And Plant-Based Diets On Depression Symptom Prevalence And Severity, Kaitlyn Prochnow Apr 2023

The Effects Of Food On Mood: Implications Of Mediterranean And Plant-Based Diets On Depression Symptom Prevalence And Severity, Kaitlyn Prochnow

Physician Assistant Scholarly Project Papers

The purpose of this research and systematic literature review is to determine whether adherence to a Mediterranean diet or a plant-based diet has better effects on decreasing depression prevalence and/or symptom severity. A variety of keywords were used to search the online database, PubMed. Clinical trials and randomized controlled trials conducted within the last 20 years were included in the initial search. Exclusions were made if studies were not specific to Mediterranean or plant-based diets, or if they were focused on other psychiatric illnesses besides depression. For the final review, ten articles were selected. After thorough analyses and comparisons of …


Long-Term Control Of Type Ii Diabetes Mellitus And Weight Through Roux-En-Y Gastric Bypass Surgery Versus Weight Loss Medication, Alexandra Laber Apr 2023

Long-Term Control Of Type Ii Diabetes Mellitus And Weight Through Roux-En-Y Gastric Bypass Surgery Versus Weight Loss Medication, Alexandra Laber

Physician Assistant Scholarly Project Papers

Type II diabetes mellitus (T2DM) affects hundreds of millions of individuals in the United States and is only becoming more common. The disease can damage organs all throughout the body and even lead to death. The goal of treatment is to lower blood glucose, but since T2DM tends to be associated with obesity, another common goal in treatment is weight loss. However, this is difficult for many people to achieve, and intense medical treatment is sometimes needed. Since T2DM is a lifelong disease, interventions must be considered in the long term. The purpose of this project is to compare long-term …


Cognitive Behavior Therapy Versus Internet Cognitive Behavior Therapy In Adults With Anxiety Or Depression, Heather Greenwood Apr 2023

Cognitive Behavior Therapy Versus Internet Cognitive Behavior Therapy In Adults With Anxiety Or Depression, Heather Greenwood

Physician Assistant Scholarly Project Papers

According to the American Psychiatric Association, the prevalence of anxiety and depression in adults in their lifetime are nearly 30% and 16.6% respectively. The combination of pharmacotherapy and psychotherapy interventions (including talk therapy or cognitive behavior therapy (CBT)) are considered best practice, but in recent years there has been an increase in the popularity of applications and web-based services categorized as “internet cognitive behavior therapy”, or ICBT. The question proposed is, are these services as good for patient outcomes as traditional in-person CBT? A literature review was performed using electronic medical database PubMed with key word searches for cognitive behavior …


Urban Land-Based Healing: A Northern Intervention Strategy, Nicole Redvers, Melanie Nadeau, Donald Prince Jan 2023

Urban Land-Based Healing: A Northern Intervention Strategy, Nicole Redvers, Melanie Nadeau, Donald Prince

Indigenous Health Faculty Publications

Urban Indigenous populations face significant health and social disparities across Canada. With high rates of homelessness and substance abuse, there are often few options for urban Indigenous Peoples to access land-based healing programs despite the increasingly known and appreciated benefits. In May 2018, the first urban land-based healing camp opened in Yellowknife, Northwest Territories, Canada, one of the first to our knowledge in Canada or the United States. This camp may serve as a potential model for an Indigenous-led and Indigenous-based healing camp in an urban setting. We seek to present preliminary outcome data from the healing camp in a …


Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard Jan 2023

Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard

Occupational Therapy Capstones

Children with disabilities face limited opportunities to participate in the occupation of dance when compared to opportunities available for their non-disabled peers. Barriers to their participation include lack of class opportunities, cost, and knowledge about programs (Carrion et al., 2018). Many dance studios offer integrated or non-specialized classes, but participation by a child with a disability in this type of class is sometimes limited by parental or child fears, or other barriers such as lack of accommodations (Lucas, 2017).


Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis Jan 2023

Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis

Occupational Therapy Capstones

Roughly 1,100 per 100,000 persons experience an upper-extremity injury per year including burns, fractures, or amputations (Ootes et al., 2012). These upper-extremity injuries can impact a person’s physical function, activities of daily living (ADL), social, psychological, and financial aspects in life (Che Daud et al., 2016b). These statistics warrant the need for occupational therapy practitioners specializing in hand therapy, and other hand therapists to address these areas of client’s lives that have been affected by their upper extremity injury.