Digital Commons Network^™

Comparison Of Oral Glucose Tolerance And Hemoglobin A1c As An Initial Indicator Of Type 2 Diabetes, Shelby L. Knox

Physician Assistant Scholarly Project Papers

The purpose of this literature review was to evaluate the diagnostic utility of hemoglobin A1c (HbA1c) compared to oral glucose tolerance testing (OGTT) for diagnosis of type 2 diabetes. Databases ClinicalKey, PubMed, Dynamed, and CINAHL withdrew a total of 17 peer-reviewed cross-sectional and retrospective studies, secondary data and pooled data analyses, and meta-analyses. Inclusion criteria included human studies, black, white, Hispanic, and Asian populations, studies < 10 years old, individuals > 15 years of age, fasting plasma glucose in conjunction with OGTT, and subjects without known type 2 diabetes. Exclusion criteria included alternative forms of diabetes, screening and diagnosis of prediabetes, comparisons in relation to specific …

Effects Of Phototherapy In Patients With Atopic Dermatitis, Stephanie Krogen

Physician Assistant Scholarly Project Papers

Atopic dermatitis (AD) is a chronic remitting problem faced by many people in our communities of all ages. Atopic dermatitis presents as an erythematous and pruritic rash. There is no cure, only treatments that help alleviate symptoms. The purpose of this literature review is to help determine the best course of action for treatment for patients who suffer from AD. Phototherapy has been growing in popularity and research as an alternate treatment to systemic and pharmacologic therapies. This review was done using PubMed, Clinical Key, DynaMed, and Cochrane. Studies were included that reviewed the side effects and efficacy of each …

P.M. Dosing Outcomes Of Ace Inhibitors Or Angiotensin Ii Receptor Blockers In Hypertension Versus P.M. Dosing In Hypertension With Comorbidities, Savanna Kramer

Physician Assistant Scholarly Project Papers

No abstract provided.

Treatment Of Male Obesity-Related Secondary Hypogonadism And The Effects On Fertility, Julie E'Lane Harmon

Physician Assistant Scholarly Project Papers

The link between obesity and testosterone deficiency has often been a topic of research. Male obesity-related secondary hypogonadism (MOSH) is often underdiagnosed in the young male population. The current standard of care for hypogonadism in the older male population typically includes testosterone replacement therapy (TRT). The purpose of this study is to highlight available treatment options for MOSH in the younger population and the various effects on fertility. The method utilized was a systematic review of the current literature that targeted obese males below the age of 65 treated for secondary hypogonadism. The review excluded articles published longer than ten …

Effectiveness Of Diet/Exercise In Prevention Of Gestational Diabetes Mellitus And Associated Cesarean Section Delivery, Jonathyn Andrew Marx

Physician Assistant Scholarly Project Papers

Gestational diabetes mellitus (GDM) is becoming a more common diagnosis during pregnancy. GDM is defined as glucose intolerance diagnosed during pregnancy. Women diagnosed with GDM during pregnancy are at an increased risk for emergent or planned cesarean section delivery and the development of overt diabetes mellitus post pregnancy. Complications related to GDM include eclampsia, macrosomia, shoulder dystocia, stillbirth, and cesarean section delivery. Initial treatment consists of diet and exercise and if glucose can not be controlled then pharmacotherapy is introduced. A literature review was performed utilizing scientific databases, mesh terms, and keywords to gather statistically relevant research to analyze the …

The Role Of The Gut Microbiome In Autoimmune Disorders, Sierra Baxter

Physician Assistant Scholarly Project Papers

According to the National Institute of Health (NIH), it is estimated that over 24 million Americans are diagnosed with autoimmune disorders, and the cases are increasing (2005). A significant risk factor that has been linked to the formation of these diseases is the gut microbiome. The gut microbiome of the adult plays a vital role in the efficacy of the immune system. The purpose of this research and systematic literature review is to determine how the gut microbiome can influence autoimmune disorders. In this review, five databases were searched including PubMed, DynaMed, Cochrane Library, Embase, and Clinical Key. A variety …

Effects Of The Covid-19 Pandemic On The Health Of American Indians, Heather Bates

Physician Assistant Scholarly Project Papers

COVID-19 has been most devastating to the elderly and those living in dense communities, which disproportionately affects American Indians as they are medically underserved. American Indians tend to live in multigenerational housing which puts them at higher risk for transmission of COVID-19. To determine other risk factors and the long-term physical and mental health impacts of COVID-19 on American Indians, a literature review was completed using metaanalyses and case studies. The results of this study confirm that age is the most substantial risk factor for severe COVID-19 illness, complication, and mortality, regardless of race or ethnicity. However, American Indians are …

Critically Appraised Topic Paper: What Is Motor Learning Theory? How Can It Be Implemented Into Occupational Therapy Interventions For Individuals With Cerebrovascular Accidents?, Allyson Bourque, Alison O'Sadnick, Alexis Skogen, Callie Vold

Critically Appraised Topics

Purpose Statement

The purpose of this critically appraised topic (CAT) paper was to determine if motor learning theory guides interventions that are considered to be best practice for individuals with CVAs. We want to determine what is best practice for this population to provide practitioners with synthesized research allowing practitioners to implement the most effective, client-centered, evidence-based interventions possible.

Prevention Of Falls In Adults Older Than 60 Years Through Therapeutic Riding: A Critically Appraised Topic, Isabella Johannes, Dominique Menard, Alicia Young

Critically Appraised Topics

This critically appraised topic paper will address the focus question relating to the intervention of therapeutic riding. A critically appraised topic (CAT) is an overview of scientific literature about an intervention or practical issue and how it relates to practice (Barends et al., 2017). The use of the Ecological Human Performance (EHP) model is to guide this CAT research with a theoretical basis. EHP was chosen for its emphasis on the person, environment, and tasks. The person is described in EHP as including their experiences, sensorimotor, cognition, and psychosocial abilities (Dunn et al., 1994). The use of EHP provides a …

Impact Of Stress Management Strategies And Intervention On The Mental Health Of Farmers: A Critically Appraised Topic, Logan Anderson, Zach Gascho, Nicole Gentry, Ashley Vannelli

Critically Appraised Topics

The dynamic transactions between the environment, person, and occupation play a role in the success of the farmer, their access to healthcare, and their willingness to seek support with their stressors or difficulties. Depression, stress, and other mental health conditions are highly prevalent within the farming community. This population is less likely to seek out and utilize available mental health resources and services, and in many cases, mental health resources are not available in rural areas (Gunn et al., 2021; Kennedy et al., 2020).

Backstories: The Kitchen Table Talk Cookbook, Cynthia Prescott, Maureen Sherrard Thompson

Digital Press Books

Sharing recipes is a form of intimate conversation that nourishes body and soul, family and community. Backstories: The Kitchen Table Talk Cookbook integrates formal scholarship with informal reflections, analyses of recipe books with heirloom recipes, and text with images to emphasize the ways that economics, politics, and personal meaning come together to shape our changing relationships with food. By embracing elements of history, rural studies, and women’s studies, this volume offers a unique perspective by relating food history with social dynamics. It is sure to inspire eclectic dining and conversations.

Cynthia C. Prescott is Professor of History at the University …

Winter 2021, University Of North Dakota Alumni Association

ALL: UND Alumni Review Master List

Winter 2021 issue of "The University of North Dakota Alumni Magazine." 52 pages

Volume 104, Number 4

Phylogeny And Systematics Of The Superfamily Diplostomoidea Poirier, 1886 (Platyhelminthes: Trematoda), Tyler Joseph Achatz

Theses and Dissertations

The Diplostomoidea is a large superfamily of digeneans which possess a unique holdfast organ. Members of the superfamily are distributed worldwide and are known to parasitize a wide variety of animals, both invertebrates and vertebrates. In some cases, diplostomoideans have been associated with diseases such as ocular diplostomiasis and ‘black spot’ disease in fishes. The taxonomic and systematic history of diplostomoideans is complex and includes numerous revisions based on morphology and host associations. Prior to this study, the Diplostomoidea included 6 families and 16 subfamilies. Recent molecular phylogenetic analyses have revealed the Diplostomidae and the Strigeidae to be non-monophyletic and …

Systemic Veterinary Parasitcides For Residual Malaria Vector Control In Central America, Staci Michele Dreyer

Theses and Dissertations

Malaria continues to be one of the most severe public health concerns worldwide. The malaria parasite, Plasmodium, is transmitted from person to person through the mosquito vector Anopheles. Vector control is a crucial element of anti-malarial campaigns and works best when there is thorough knowledge about an Anopheles vector’s biology and behavior in a given region. To fully eradicate malaria, new vector control strategies must be developed that exploit the behaviors of different vector species. One promising strategy to target vectors that primarily bite outdoors and display generalist feeding behaviors (zoophagic) is the use of veterinary systemic parasiticides. Veterinary parasiticides …

Maximum Carbon Dioxide Capture, Sequestration And Maximum Carbon Dioxide Beneficial Reuse At The Optimal Cost Efficiency For The Power Generation Sector To Address Global Temperature Rise, Michael Dean Garcia

Theses and Dissertations

Global Climate Change is arguably one of the most important global crises of our times. Global Climate Change is the result of increasing global ambient temperatures around the world. These increased temperature changes have been impacting all aspects of human life and activity as wells as impacting all biological and physical systems of Earth. The primary cause of Global Climate Change are anthropogenic emissions of carbon dioxide and other Greenhouse Gases. Fossil fuel combustion is a primary source of these emissions. The initiation of anthropogenic Global Climate Change has been scientifically traced back to the Industrial Revolution. From the Industrial …

Vnir Spectral Properties Of Five G-Class Asteroids: Implications For Mineralogy And Geologic Evolution, Justin Todd Germann

Theses and Dissertations

This study investigates the visible and near-infrared (VNIR) spectral properties (0.4-2.5-μm) of five Tholen G-class asteroids. Spectral features relating to hydrated Fe- or Mg-rich minerals have been identified at 0.7-μm, 0.95-μm, 1.4-μm, 1.9-μm, and 2.3-μm, while spectral features that may be related to CH or NH compounds were identified at 1.14-μm and 1.25-μm. (1) Ceres lacks features related to hydrated minerals and is spectrally disparate from the other four investigated asteroids. (13) Egeria, (19) Fortuna, (84) Klio, and (130) Elektra all exhibit at least two measurable features that may be related to hydrated minerals. (19) Fortuna, (84) Klio, and (130) …

Sensitization To A Milk Allergen Induces Differential Behavioral And Neurological Responses In Allergic C57bl/6j And Balb/Cj Mice, Nicholas Smith

Theses and Dissertations

Studies have highlighted an association between food allergies and neuropsychiatric disorders such as anxiety, depression, and attention deficit hyperactivity disorder. Though the precise mechanism behind this relationship is unknown, it marks a potential novel therapeutic strategy outside of traditional neuropharmacological intervention. Food allergy is a heterogeneous disorder of the immune system characterized by an immune response that occurs reproducibly to a given food. Chronic allergen exposure in patients with mild or non-anaphylactic food allergies may cause or exacerbate psychiatric conditions. However, the variability in food allergies due to factors like genetic background introduces selection bias for individuals with overt anaphylactic …

Closing The Loop In Life Support Systems For Spaceflight And Habitation: Reutilization Of Human Excrement Through Recovery Of Potable Water And Reclamation Of Waste Materials For In-Space Additive Manufacturing, Brittany Zimmerman

Theses and Dissertations

The National Aeronautics and Space Administration (NASA) solicited a need for a simplified, low-temperature, and robust method for recovery of water from human solid metabolic waste. A solution is investigated, and benchtop testing is performed to prove developmental feasibility utilizing an ionomer-membrane based dehydration approach for potable water recovery. Testing is implemented with synthetic fecal matter, wet wipes, dry wipes, and nitrite gloves to inform system design. The benchtop, closed-system, dehydration testing pulls together a trade space of materials to compare efficacy of designs.

The system aims to recover upwards of 80% of the water content in the human excrement. …

The Role Of The Gut Microbiome In Autoimmune Disorders, Sierra Baxter

Physician Assistant Scholarly Project Posters

According to the National Institute of Health (NIH), it is estimated that over 24 million Americans are diagnosed with autoimmune disorders, and the cases are increasing (2005). A significant risk factor that has been linked to the formation of these diseases is the gut microbiome. The gut microbiome of the adult plays a vital role in the efficacy of the immune system. The purpose of this research and systematic literature review is to determine how the gut microbiome can influence autoimmune disorders. In this review, five databases were searched including PubMed, DynaMed, Cochrane Library, Embase, and Clinical Key. A variety …

P.M. Dosing Outcomes Of Ace Inhibitors Or Angiotensin Ii Receptor Blockers In Hypertension Versus P.M. Dosing In Hypertension With Comorbidities, Savana Kramer

Physician Assistant Scholarly Project Posters

• Introduction: The purpose of this research is to compare P.M. dosing outcomes of angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) in those with hypertension and hypertension plus chronic kidney disease or diabetes.

• Research Methods: Three databases were searched including PubMed, ClinicalKey, and DynaMed with a time frame of 15 years. Studies chosen for review were peer reviewed, and included randomized control trials, systematic reviews, meta-analyses, and a preclinical animal trial.

• Discussion: The research shows evidence of reduced blood pressures throughout the night and into the next day, decreased proteinuria, and decreased cardiovascular events when …

Transcriptomic Analysis Of Young Regenerating Magnocellular Neurons (Mcns) Vs Mature Non- Regenerating Mcns, Malak Alzidaneen

Theses and Dissertations

Mature mammalian CNS neurons do not regenerate or recover following injuries. Different transcription factors have been linked to axonal growth and survival, and regulation changes in these transcription factors will affect the expression levels of genes involved in axonal regeneration. A robust collateral sprouting response within the distant terminal field of magnocellular neurons, the neurohypophysis, arising from the contralateral non-injured supraoptic neurons have been shown in response to unilateral denervation of MCNs tracts. This response peaked at age 35 days then it was followed by a complete loss of the regenerative capacity between 35 days and 125 days of age. …

The Effect Of Fatty Acid-Binding Protein 1 Gene Ablation On Brain And Liver Lipid Metabolism, Regan Clarice Lawrence

Theses and Dissertations

Although studies in animal and cell culture systems have demonstrated the importance of liver fatty acid-binding protein (FABP1) in liver lipid metabolism, the impact of Fabp1 gene ablation on brain fatty acid uptake and lipid metabolism in intact animals is unknown. To address this, we assessed the effect of Fabp1 gene ablation on uptake and esterification of [1-14C]20:4n-6 into liver and brain lipids in vivo using a steady-state kinetic model. Plasma radioactivity was increased in Fabp1 gene-ablated mice, suggesting that loss of FABP1 impairs hepatic uptake of 20:4n-6. Indeed, liver uptake of [1-14C]20:4n-6 into aqueous and organic fractions was reduced. …

Enzymatic Approach To Improve Tensile, Freeness And Brightness, Yao Ntifafa

Theses and Dissertations

Weak tensile strength is usually source of web breaks on paper machines and converting machines. Web break, in general, is due to poor hydrogen bonding between the fibers. Web break which is ultimately a downtime and a waste can be reduced through enzymatic approach. In order to increase the tensile strength of the paper, it necessary to determine the amount and the conditions in which the enzymes yield a better sheet strength.A central composite design approach, using dosage, time and temperature as factors, was used to study the effects of the enzymes on the sheet strength; the pulp used is …

An Exploratory Factor Analysis Of The Collectivist Coping Styles Inventory Using An Adult American Indian Sample, Micah Louis Prairie Chicken

Theses and Dissertations

The present study examined the factors that emerged from the Collectivist Coping Styles (CCS) inventory using an exploratory factor analysis with an adult American Indian sample. The CCS inventory was originally developed using a sample of Taiwanese college students by an American-led research team and published in 2006. The CCS consists of 30 collectivist culture-specific coping items, among other indices (e.g., trauma resolution index). Coping has largely been theorized, and subsequently measured, from a White American individualist perspective. In response, a number of researchers with interests in non-White ways of being have begun broadening this area by examining coping from …

A Group-Protocol: Returning To Life Post Breast Cancer Treatment, Janice Finley, Ashley Timm

Occupational Therapy Capstones

The purpose of this project was to design a group protocol to assist breast cancer survivors living in the community to address unmet physical, cognitive, and psychosocial needs. There are more than 3.5 million breast cancer survivors within the United States today (American Cancer Society, n.d.). A cancer survivor's performance in meaningful occupations and roles need to be addressed as they learn to live with the long-term physical and psychosocial effects of treatments such as self-confidence and pain management (Burg et al., 2015; Kim, Kim, & Han, 2020). There is a lack of occupational therapy services for individuals diagnosed with …

A Practitioner's Guide: Using The Cognitive Performance Test To Increase Independent Living Skills For Individuals With Intellectual Disabilities, Alycia Peacock, Grace Spanos

Occupational Therapy Capstones

Problem: Individuals with intellectual disabilities (ID) have the desire to live as independently as possible (Gragoudas, 2014). There are a number of barriers that impact living independently including the ability to complete self-care tasks, money management, home management, and health management (Bond & Hurst, 2010). Other barriers reported for individuals with ID include relationships with caregivers, living alone, and vulnerability (Bond & Hurst, 2010). Research identifies that it is difficult to determine the amount of support needed to promote independence in individuals with ID (Francis & Reed, 2019). Occupational therapists (OTs) possess a unique skillset to assist clients with ID …

Empowering Grand-Families Through Occupation: An Occupational Therapy Intervention Program For Grandchildren And Custodial Grandparents, Macie Romsdal, Gabrielle Wavra

Occupational Therapy Capstones

The purpose of this scholarly project was to create a program for occupational therapists to use with custodial grandparents and their grandchildren. The number of grandparents becoming primary caregivers to grandchildren continues to increase, and more than 5.7 million grandchildren in the United States were living with and being provided for by grandparents in 2014 (U.S. Census Bureau, 2014). Although there are benefits to being placed in grandparent care, there are also challenges. Some of the challenges custodial grandparents face are health concerns, financial resources, and changes in social supports and occupational roles (Marken & Howard, 2014). Grandchildren may have …

Riparian Vegetation Changes Along The Red River Of The North: 1997-2018, Laura Akindo

Theses and Dissertations

Riparian zones are areas along waterways that are typically covered by woody vegetation, herbaceous plants, and grasses. Flooding is an important process in riparian habitats as it continuously causes net gains and losses of substrates in riparian communities that determine the productivity of the riparian area. Most notably by providing new areas on the floodplain to be colonized by riparian plant species. Sometimes extreme flooding events can temporarily devastate riparian communities, as in most cases the area recovers quickly. This study evaluated the effects of the 1997 Red River flood on the woody cover in the riparian area cover along …

Virginal Apprehensions Within The Liminal Monastic Space Of The Nun Of Watton, Aimee Alicia Melicher

Theses and Dissertations

The Nun of Watton is a treatise by Ælred of Rievaulx focusing on the scandalous affair of a nun becoming pregnant by a lay brother, and through a series of events is miraculously transformed back into a virgin like state. In my thesis, I will be examining the properties of the space that the nuns of Watton inhabit and how the functions of the space affected the events that occurred by applying Henri Lefebvre’s spatial theory. Additionally, I will be arguing that the Nun received a miraculous abortive churching. Those actions protected the purity of the monastery and the people …

Military Combat Veterans, Sentencing Reform, And Problem-Solving Courts, Andrea Sivanich

Theses and Dissertations

Military veterans involved with the criminal justice system may have unique behavioral health and physical needs, including post-traumatic stress disorder (PTSD) or traumatic brain injury (TBI), and could benefit from sentence mitigation that emphasizes rehabilitation. This research is related to sentencing reform and how it may support problem-solving court sentencing, as a subset of community-based treatment options within the criminal justice system. This research is important in that it attempts to determine whether the law distinguishes veteran offenders, as a specific population, from other offenders with treatment needs. To do that, this dissertation examines the role of legal texts in …