Digital Commons Network^™

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 …

Effects Of Phototherapy In Patients With Atopic Dermatitis, Stephanie Krogen

Physician Assistant Scholarly Project Posters

Atopic dermatitis is a chronic remitting problem faced by many people in our communities of all ages. Atopic dermatitis (AD) 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 …

Invasive Needling Therapy For Myofascial Pain Syndrome, Katelyn Krueger

Physician Assistant Scholarly Project Posters

Myofascial pain syndrome (MPS) is one of the most common musculoskeletal conditions characterized by tight bands of fascia and muscle fibers known as myofascial trigger points (MTrP’s). Empirical evidence suggests that deactivation of MTrP’s is best accomplished with invasive needling therapy such as dry needling, trigger point injections (TPI’s), and botulinum toxin (BTX-A) injections. The objective of this systemic review is to compare the efficacy of various needling therapies on pain intensity and additionally determine if ultrasound guidance and obtaining an LTR improves clinical outcomes. A comprehensive search of five databases including PubMed, Science Direct, Google Scholar, Cochran, and CINHAL …

Comparative Research Of Effective Treatment Measures For Postpartum Depression, Aunica Novacek

Physician Assistant Scholarly Project Posters

Postpartum depression is a mood disorder that includes depressive symptoms during the time period following childbirth. There are various possibilities for what may cause this disorder, but the drastic change in hormones after delivery can play a role. With the chance this disorder may be fatal to both the mother and child, an appropriate, effective, and safe treatment is necessary to control depressive symptoms. The standard, first line pharmacotherapeutic option is a selective serotonin reuptake inhibitor (SSRI) antidepressant. SSRI antidepressants are well understood, but these medications may take time to become effective. Knowing this, medical professionals can find a more …

Integration Of Palliative Care In Chronic Obstructive Pulmonary Disease Management, Christina Rasanen

Physician Assistant Scholarly Project Posters

The purpose of this scholarly project is to determine if the integration of palliative care (PC) into COPD management provides an improvement in symptom burden associated with quality of life and end of life care when compared to the standard of care. A review of the literature was performed using the following electronic databases, and the use of keywords and mesh terms were used to define the set of literature that would be critically analyzed. A total of 16 articles achieved the necessary criteria for review and critical assessment. The literature reviewed various aspects related to symptom burden and symptom …

Cholinergic Antagonist Use And The Risk Of Developing Dementia In Persons Aged 65 Years And Olders, Heidi N. Artz Schmaltz

Physician Assistant Scholarly Project Posters

Anticholinergic medications cause a therapeutic or negative effect in the human body by blocking neuronal cholinergic receptors, thereby inhibiting the binding of acetylcholine in the central nervous system and the peripheral nervous system. These medications have short-term side effects including dry mouth, constipation, visual impairments, or delirium; however, research regarding the long-term side effects is limited. The purpose of this systemic literature review is to determine the correlation between prolonged exposure to anticholinergic medications and the development of dementia. The literature databases PubMed, Cochrane Review, Science Direct (Elsevier), and DynaMed were utilized in this review. Journal articles published within the …

Childhood Obesity: Adding Metformin To Lifestyle Modification For Weight Reduction, Kelli Strege

Physician Assistant Scholarly Project Posters

One of the most challenging health conditions primary care providers face is combating the ever-rising incidence of obesity, especially among children. The objective of this literature review is to determine the effects of metformin implemented in addition to lifestyle modification for the treatment of childhood obesity. Efficacy, to include change in weight, BMI, insulin resistance, and overall safety of metformin was studied. The online databases searched in this review were PubMed, Cochrane Library, Embase, and CINAHL. Literature chosen for review included randomized control trials, meta-analysis, and systematic reviews published between 2015 and 2020. Much of the studied research indicates positive …

Traffic Mitigation And Congestion In Ibadan, Oyo State Nigeria: Causes And Solutions, Adetoye Olusanmi Adeniyi

Theses and Dissertations

This dissertation focuses on how technology has transformed road traffic congestion between road users by examining the relationship between government, businesses, and road users through the application of traffic management in many cities in four regions of the world. It analyzes the connections between political decisions of traffic management, how users are made knowledgeable and the new modes of transportation as they relate to the roles of public and private users. The dissertation examines current literatures of twenty two (23) different countries: North America (United States of America and Canada), Europe (Poland, United Kingdom, Italy, Netherlands and Sweden), Asia (Russia, …

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. …

North Dakota Administrators' And Teachers' Perception On School Calendars: Academic And Social-Emotional Learning, Jacqueline Gaye Bye

Theses and Dissertations

The goal of this qualitative flexible design research study was to discover if North Dakota should revise North Dakota PK-12 school calendar requirements for the academic and social-emotional development of students. Innovative reforms that might be beneficial in revising the North Dakota school calendar were researched. A literature review was completed which included relevant, and current (at the time of this study), research about school calendar revisions both nationally and internationally. This research may be a useful guideline of what would be an appropriate amount of time students should spend in school to benefit students both academically and socially-emotionally. Data …

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 …

Scaling Near-Surface Remote Sensing To Calibrate And Validate Satellite Monitoring Of Grassland Phenology, Morgen W.V. Burke

Theses and Dissertations

Phenology across the U.S. Great Plains has been modeled at a variety of field sites and spatial scales. However, combining these spatial scales has never been accomplished before, and has never been done across multiple field locations. We modeled phenocam Vegetation Indices (VIs) across the Great Plains Region. We used coupled satellite imagery that has been aligned spectrally, for each imagery band to align with one another across the phenocam locations. With this we predicted the phenocam VIs for each year over the six locations.Using our method of coupling the phenocam VIs and the meteorological data we predicted 38 years …

Seismic Response Of Liquid-Filled Thin-Walled Steel Cylindrical Tanks, Wiriyachai Roopkumdee

Theses and Dissertations

Seismic response plays an important role in the design of liquid-filled thin-walled steel cylindrical tanks because of the small thicknesses of the walls as compared to their diameter. The liquid-filled thin-walled cylindrical tanks are vulnerable when they are subjected to earthquake accelerations. This dissertation aims to estimate and improve the seismic buckling strength of the liquid-filled thin-walled steel cylindrical tanks under earthquake excitation. The structural response to the base excitation is modeled using the concept of effective earthquake forces. The time steps in numerical analysis are divided to be small enough to accurately capture the periods of oscillations. The finite …

Assessment Of Goes-16 Satellite And High-Resolution Rapid Refresh Model Data For Blowing Snow Impact-Based Decision Support Services, Elizabeth Sims

Theses and Dissertations

Regions of the globe, including the Northern Great Plains, are subject to adverse conditions during the wintertime. Among these conditions is blowing snow, which can cause significant societal and economic impacts by reducing visibility. The lack of this process in numerical weather prediction models creates a forecasting challenge for the region. In recent years, however, forecasters have gained access to a variety of National Oceanic Atmospheric Administration (NOAA) modeling and satellite tools such as the High-Resolution Rapid Refresh (HRRR) model and Geostationary Operational Environmental Satellites (GOES) that may improve Impact-Based Decision Support Services (IDSS) goals for blowing snow. This project …

K-3 Teacher And Administrator Knowledge Of Dyslexia And Foundational Reading Skills, Pam Jean Krueger

Theses and Dissertations

In recent years, the scientific community has provided a great deal of knowledge about the brain and how we learn. Included in this research is a clear explanation of how people learn to read and also what happens in the brain of a person with dyslexia. Because of the great strides that have been made through research, most students can become successful readers, including those with dyslexia. A very large part of this success is the result of knowledgeable teachers using research-based reading instruction beginning in kindergarten. Dyslexia is a common language-based learning disability that affects students’ reading, writing, and …

An Evaluation Of Ci Asteroid Regolith As A Plant Growth Medium For Space Crop Production, Steven Jon Russell

Theses and Dissertations

Asteroids are small, undifferentiated bodies that materialized during the formation epoch of the solar system. With a concerted effort to establish a long-term presence in space, crewed missions to asteroids should not be ignored. A critical aspect of human missions is self-sustainability, primarily growing crops via in-situ resource utilization. CI carbonaceous asteroids are a primitive type of asteroid that retain elements found during that early solar system formation. More importantly, the regolith on these asteroids contains soluble elemental nutrients, such as phosphorous and potassium, that crops can use for growth and development. This thesis focuses on the ability of CI …

Airframe And Power Plant Certificate Continued Education Requirements And Renewals, Robert Teal

Theses and Dissertations

The aviation industry is growing and estimated to continue to grow over the next ten years, to a point where passenger travel will almost double. With industry growth new aircraft will be introduced employing rapidly advancing technology, and larger commercial fleets will demand a growth in the aircraft maintenance workforce. As the baby boomer generation approaches retirement there is a greater need for aviation maintenance technicians. An intern approach to fewer mechanics and major changes in technology is to implement requirements for continued education and certification renewals for Airframe and power plant mechanics. This policy would mirror that of other …

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 …

“Sometimes Education Will Help You Lead The Life That You Really Want To Lead”: Factors Influencing Undergraduate Women’S Motivation To Pursue A Bachelor’S Degree, Debra Lynne Radi

Theses and Dissertations

As a collective, women’s experience in higher education has been disparate and differential to some men’s experience over the last two centuries, fundamentally based on the societal influences of the time. In the formative years of higher education women attended higher education institutions for social stratification reasons or for marital choice opportunities and to a lesser degree for college outcomes. This study’s purpose was to explore the current motivations of freshmen individuals who identified as female undergraduate students in their first year of pursuing a bachelor’s degree in higher education. This study used a qualitative research design with semi-structured interviews …

Criterion-Referenced Cut-Points For Handgrip Strength To Detect Metabolic Syndrome In U.S. Adults, Wyatt Wutz

Theses and Dissertations

Purpose: To establish gender- and age-group specific criterion-referenced cut-points for handgrip strength (HGS) associated with metabolic syndrome (MetS) in United States (U.S.) adults. Methods: A secondary analysis of data from the 2011–12 and 2013–14 cycles of the National Health and Nutrition Examination Survey was performed on U.S. adults aged 20 years and older. HGS was measured using handheld dynamometry. MetS was measured as the presence of three or more cardiometabolic risk factors according to the American Heart Association criteria. Crude and fully adjusted receiver operating characteristic (ROC) curves were used to identify gender- and age group-specific cut-points for HGS associated …

Flight Training For Commercial Remote Pilots, Michael Walach

Theses and Dissertations

A remote pilot training program, part of an sUAS course, were studied to determine the effectiveness and portability of the training curriculum. Students in a university unmanned aircraft systems course were the subjects, and multiple data points were collected over the 15 week program. No differences were found in student performance on the metrics used to assess the students regardless of who the students had as a flight instructor. Males scored higher than females on prior flight experience upon entering the course; however, neither gender nor prior aviation experience were significant contributing factors in student success either academically (written tests) …

Broadening The Role Of Occupational Therapists Within The Icu Setting: An Occupation-Based Toolkit, Roxana Chirinos, Carly Derouin

Occupational Therapy Capstones

Purpose: The purpose of this project was to create a quick intervention toolkit for occupational therapists treating clients in the intensive care unit (ICU) in order to increase occupation-based services, quality of care, and improve client outcomes. Additionally, this project hopes to enlighten occupational therapists who may experience burnout while providing services within such an intensive setting.

Recovering From The Loss Of A Loved One: A Group Protocol For Remaining Active In Valued Occupations While Coping With The Loss Of A Loved One, Hailey Axtell, Ty Berg

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to develop a manualized intervention program utilizing the CMOP-E to better understand grief and coping while promoting occupational engagement for older adults who have recently lost a partner. A group protocol was created to address spirituality, the survivor, participation in desired occupations, and the environment to help with the process of grieving and promote occupational performance.

Occupational Therapy For Pregnant Women: An Ergonomics Program For First-Time Mothers, Kaitlyn Berglund, Brianna Peterman

Occupational Therapy Capstones

This scholarly project, Occupational Therapy for Pregnant Women: An Ergonomics Program for First-Time Mothers, provides occupational therapy practitioners with a 3-session group protocol to address ergonomic concerns of pregnancy and new motherhood with pregnant women who are becoming mothers for the first time. These ergonomic concerns are addressed as they specifically relate to the occupations of the clients. Through an extensive literature review, it was found that there is limited research and programming specific to occupational therapy’s role in providing services to pregnant women and new mothers. Ergonomic programming for pregnant women that was previously available did not address occupations …

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 …

Prevention Of Work-Related Musculoskeletal Disorders Among Individuals Utilizing A Home Computer Workstation, Dalton Fetsch, Jonah Kratochvil

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop a comprehensive educational guide for office workers and students who utilize a home computer workstation for a majority of their day utilizing current evidence. This guide is intended to help prevent the onset of MSDs that often occur due to improper ergonomic positioning and limited resources when utilizing home computer workstations

Addressing Sexual Intimacy Post-Spinal Cord Injury With Clients And Their Significant Other, Michelle Arnhalt, Taylor Beatty

Occupational Therapy Capstones

Discussing sexual participation with a client who has experienced a spinal cord injury (SCI) can be a critical component to addressing their overall occupational needs during the rehabilitation process. Literature has shown that education on sexual intimacy following their injury is often neglected during therapy due to the sensitive nature of the topic (Federici, Artegianai, Pigliautile, Antonelli, Diotallevi, Ritacco, & Maschke, 2019; Hess & Hough, 2012; Walker, Otte, LeMond, Hess, Kaizer, Faulkner, & Christy, 2020). Overlooking the topic of sexual intimacy during the client’s rehabilitation process can impact the client psychologically by decreasing their self-esteem and confidence, their desire to …

Creating Sense Of It: An In-Service To Address Military Students Experiencing Sensory Deficits, Danielle Cox, Katelyn Jennings

Occupational Therapy Capstones

Purpose: Life for military children is challenging as they are exposed to various experiences that may have adverse effects. There is an unprecedented need for additional resources regarding sensory deficits in military children to provide more insight into the challenges faced by this population as well as to increase awareness and support for the demands placed upon children in military families. The purpose of this project is to provide information to educators regarding added sensory challenges faced by military students as well as to increase awareness and support for the demands placed upon these children.

Increasing Quality Of Life And Occupational Performance: A Treatment Protocol For Military Burn Patients And Their Families, Emma Chafin, Jessica Lambert

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop a treatment protocol to address the challenges that can affect quality of life and occupational performance of military burn patients and their families. Occupational therapy can offer skilled treatment to help facilitate a successful transition back into civilian life after sustaining a lifealtering combat wound.