Digital Commons Network^™

Potential Impact Of Artificial Intelligence On The Practice And Profession Of Speech-Language Pathology: A Working Paper, Manish Rami

Communication Sciences & Disorders Faculty Publications

This paper explores the potential impact of Artificial Intelligence (AI) on the profession of Speech-Language Pathology (SLP). AI is widely recognized as a transformative force, presenting opportunities across both service delivery and professional practice in SLP. This paper examines how AI may partially or fully automate and augment key tasks such as screening, assessment, and treatment. It also addresses associated challenges, including data bias and the “black box” problem while advocating for proactive engagement with AI technologies. Finally, the paper posits that AI will reshape the field, serving as a collaborative partner for SLPs, enhancing efficiency, and expanding access to …

Microplastics In The Mississippi, Jozey Goodall

Arts & Sciences Undergraduate Showcase

This poster explores the presence and impact of microplastics in the Mississippi River through the analysis of two research studies. The first study examined surface water samples to measure microplastic concentration and to assess how land use and geography influence their distribution along the river. The second study looks in on identifying microplastics in the digestive systems of fish collected from different locations along the river. Both studies have shown that microplastics are widespread throughout the river, with higher levels found downstream and in highly populated areas. The research highlights the ways in which microplastics enter freshwater environments, from urban …

Und Connect: A Preliminary Overview Of Courtroom Observations And Interviews With Gfdvc Professionals And Representatives, Adam K. Matz, Ashley Fansher, Roni Mayzer, Jackson Archbold, Kambrya Stephenson, Sierra Schartz

Criminal Justice Faculty Publications

This research brief summarizes about half a dozen courtroom observations and a dozen interviews conducted with practitioners and court representatives affiliated with the Grand Forks Domestic Violence Court (GFDVC). About 43% of women and 31% of men in the state of North Dakota have experienced some form of sexual, physical, or stalking violence in their lifetime (Smith et al., 2023). Rates of intimate partner violence (IPV) against women in the state generally matches that of the broader nation, though the state ranks as one of the lowest in terms of violence against men.

Explaining The Feedback Effect In Stuttering: A New Thesis, Manish Rami

Communication Sciences & Disorders Faculty Publications

Conditions such as choral reading, delayed or frequency altered auditory feedback, and masking with noise decrease the frequency of stuttering in people who stutter. This effect is known as the feedback effect. This paper proposes that the speech module mediates these effects. When speech stimuli -as feedback, actively engages the speech module in perceptual processes while the module is in the act of producing speech, the speech module enhances fluency in people who stutter. The characteristics of modules and their implications are considered and some suggestions for investigations are made.

In Vitro Analysis Of Abemaciclib Treatment On Epithelial Breast Cancer Cell Proliferation And Sequencing Of Cfdna Released, Paige Bonnet, Sakuntha Gunarathna, Motoki Takaku

Arts & Sciences Undergraduate Showcase

Cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors, such as abemaciclib, are approved for hormone receptor–positive (HR+) breast cancer, where they inhibit tumor cell cycle progression. While their antiproliferative effects are established, less is known about how they may reflect molecular changes and using cfDNA as a biomarker of treatment response. This study aimed to evaluate the effect of abemaciclib on breast cancer cell proliferation in vitro and characterize cfDNA released during treatment using next-generation sequencing. Abemaciclib treatment significantly reduced cell proliferation in a dose-dependent manner. cfDNA release correlated with treatment intensity, and sequencing revealed upregulation of a gene in p21 …

Development Of A Machine-Learning-Driven Digital Teaching Assistant That Utilises Student Engagement Data To Improve Access To And Success In K-12 Stem Education, Kelly Shreeve, Kathryn Jessen Eller, Michael Cassidy, Beth Price, Brandy Jackson, Anthony M. Perry, Leo Celi, Ismini Lourentzou, Luk Hendrik

Teaching, Leadership & Professional Practice Faculty Publications

Student engagement is a key predictor of academic achievement and is closely linked to career awareness, interest, and preparedness. Measuring student engagement during STEM learning is challenging for teachers, given the dynamic and ever-changing nature of these learning environments. Even when engagement data can be collected, leveraging this information to refine and personalise instruction requires significant experience and time. To address this, we are developing Scoutlier EngagEd, a digital teaching assistant that embeds in existing Learning Management Systems (LMS) to automatically and invisibly gather multidimensional data on student engagement and performance during STEM learning. These data are being leveraged to …

Familiarity Moderates Education Level Of Stigma For Professional Efficacy Of Treating Mental Illness, Jason J. Burrow-Sanchez, Shawnda Schroeder, Thomasine Heitkamp, Brian Urlacher, Sharon Cook, Paula Bennett, Carolina Corrales

Indigenous Health Faculty Publications

Background: About one in five adults in the United States experience any mental illness (AMI) whereas 14.2 million experience serious mental illness (SMI). The perception of stigma among these individuals can be associated with care seeking behavior and treatment adherence.

Purpose: Two factors that mitigate stigma are familiarity with someone experiencing AMI/SMI and general level of education. Heretofore, these factors have not been tested together to determine if familiarity moderates the relation between level of education and stigma of professional efficacy for treating mental illness.

Methods: In fall 2020, an online survey in the state of Utah measured 1,300 adults’ …

Spring Commencement: May 17, 2025, University Of North Dakota

UND Commencement Programs

UND Spring Commencement program from May 17, 2025.

Why Bips Mattered In The Past & Will In The Future, Chase Steinbach

Undergraduate Theses and Senior Projects

No abstract provided.

Doctor Of Medicine Commencement: May 3, 2025, University Of North Dakota

UND Commencement Programs

UND Doctor of Medicine Commencement program from May 3, 2025.

Efficacy Of Glp-1 Receptor Agonists In Obese Women With Pcos, Ellie Fischer

Physician Assistant Scholarly Project Posters

• Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in reproductive aged women. • PCOS is characterized by irregular menstrual cycles, hyperandrogenism, and obesity. • This review looked at studies comparing GLP-1 receptor agonists to metformin on PCOS symptoms. • PubMed, Embase, and ScienceDirect were searched from April to July 2024 and ten articles made it past inclusion and exclusion criteria for review in this paper. • In this review, GLP-1 RAs effectively reduce weight and improve glucose metabolism in obese women with PCOS. • GLP-1 RAs in combination with metformin showed even more weight loss and improvement …

Angiotensin Receptor/Neprilysin Inhibitors As First-Line Medication To Increase Lifespan In Patients With Preserved Ejection Fraction Heart Failure, Josie Benzie

Physician Assistant Scholarly Project Papers

Heart failure (HF) impacts approximately 6.7 million adults in the United States, with over half classified as heart failure with preserved ejection fraction (HFpEF). As the condition progresses, it can significantly diminish the quality of life and substantially increase the risk of early mortality. This literature review evaluates the effectiveness of angiotensin receptorneprilysin inhibitors (ARNIs) compared to traditional renin-angiotensin system (RAAS) medications in reducing hospitalizations, cardiac deaths, and natriuretic peptide levels in HFpEF patients. A comprehensive search of PubMed and Embase identified 1,033 studies, with eight meeting criteria for final analysis. Sacubitril/valsartan did not significantly reduce hospitalizations or cardiac deaths …

Efficacy And Safety Of Angiopoietin-Like 3 Inhibitors In Decreasing Low-Density Lipoprotein Cholesterol, Paige Fritz

Physician Assistant Scholarly Project Posters

Hypercholesterolemia is estimated to effect 31.7% of the United States population according to the Center for Disease Control and Prevention. The mainstay of treatment for this condition is currently statin therapy. While these medications are often effective in decreasing low-density lipoprotein cholesterol (LDL-C) to patient’s goal range, there are populations in which they are not sufficient. These populations include those who have genetic predispositions, such as familial hypercholesterolemia, or those who experience refractory hypercholesterolemia to statin medications. To combat this issue, a class of medications named Angiopoietin-like 3 (ANGPTL3) inhibitors have been created to use as an adjunct to statin …

Efficacy Of Turmeric In The Treatment Of Osteoarthritis, Mckenna Taylor

Physician Assistant Scholarly Project Papers

Osteoarthritis is one of the most common types of arthritis that affects millions of people worldwide and can lead to debilitating pain and some forms of immobilization. It is a progressive disease, one that comes from persistent use of joints. Factors that may increase the risk for osteoarthritis include age, female gender, joint injury, obesity, and genetics. Additionally, these factors can increase the rate of degeneration of the cartilage and joint space between bones, causing constant bone on bone contact. Currently, treatment or management of this disease has included oral NSAIDs, acetaminophen, corticosteroids, corticosteroid injections, oral and topical analgesics. However, …

Oral Nsaids Vs. Topical Anesthetics For Pain Management During Iud Insertion: A More Effective Standard Of Care, Hannah Ulven

Physician Assistant Scholarly Project Posters

An intrauterine device (IUD) is a highly effective, long-acting reversible contraceptive (LARC) option for patients from menarche until menopause. Pain associated with IUD insertion remains a significant barrier to IUD insertion use. Unrelieved pain during the procedure may lead to serious complications, such as vasovagal shock and cardiac arrhythmias, which may negatively impact patient experience and adherence to contraceptive methods. Oral nonsteroidal anti-inflammatory drugs (NSAIDs) are the most recommended medication for pain management; however, IUD insertional pain is unrelated to prostaglandin synthesis which is the primary target of NSAIDs. This literature review is to compare the efficacy of oral NSAIDs …

A Joint Endeavor: Methotrexate Vs. Jak Inhibitors For Joint Inflammation Reduction In Rheumatoid Arthritis, Madeleine Kennedy

Physician Assistant Scholarly Project Posters

This paper investigates the comparative efficacy of Janus kinase (JAK) inhibitors versus methotrexate (MTX) in reducing joint inflammation in adult patients with rheumatoid arthritis (RA). The study addresses the critical research question: In adult patients with RA, does treatment with JAK inhibitors or methotrexate demonstrate superior efficacy in reducing joint inflammation? A literature review was conducted analyzing various clinical trials, including phase II and III studies, that evaluated the effectiveness of JAK inhibitors, both as monotherapy and in combination with MTX. The findings indicate that JAK inhibitors, particularly tofacitinib and baricitinib, consistently show superior or equivalent efficacy in achieving American …

A Joint Endeavor: Methotrexate Vs. Jak Inhibitors For Joint Inflammation Reduction In Rheumatoid Arthritis, Madeleine Kennedy

Physician Assistant Scholarly Project Papers

Rheumatoid arthritis (RA) is a chronic autoimmune disorder that causes joint inflammation and damage. This paper investigates the comparative efficacy of Janus kinase (JAK) inhibitors versus methotrexate (MTX) in reducing joint inflammation in adult patients with rheumatoid arthritis (RA). The study addresses the critical research question: In adult patients with RA, does treatment with JAK inhibitors or methotrexate demonstrate superior efficacy in reducing joint inflammation? A literature review was conducted analyzing various clinical trials, including phase II and III studies, that evaluated the effectiveness of JAK inhibitors, both as monotherapy and in combination with MTX. The findings indicate that JAK …

Efficacy Of Pcit In Treating Children With Gad, Sarah Herman

Physician Assistant Scholarly Project Posters

Generalized Anxiety Disorder (GAD) is a common mental health condition in children that leads to excessive worry, impacting daily functioning and quality of life. As anxiety disorders pose a risk for chronic and resistant presentations if untreated, early and effective interventions are crucial. This literature review evaluates the effectiveness of Parent-Child Interaction Therapy (PCIT) as an alternative treatment for GAD, comparing it with established Cognitive Behavioral Therapy (CBT). A review of seven articles suggests that PCIT may be equally or more effective than CBT in treating childhood anxiety, highlighting the importance of employing evidence-based practices in clinical settings

Angiotensin Receptor/Neprilysin Inhibitors As First-Line Medication To Increase Lifespan In Patients With Preserved Ejection Fraction Heart Failure, Josie Benzie

Physician Assistant Scholarly Project Posters

the United States, with over half classified as heart failure with preserved ejection fraction (HFpEF). As the condition progresses, it can significantly diminish the quality of life and substantially increase the risk of early mortality. This literature review evaluates the effectiveness of angiotensin receptorneprilysin inhibitors (ARNIs) compared to traditional reninangiotensin system (RAAS) medications in reducing hospitalizations, cardiac deaths, and natriuretic peptide levels in HFpEF patients. A comprehensive search of PubMed and Embase identified 1,033 studies, with eight meeting criteria for final analysis. Sacubitril/valsartan did not significantly reduce hospitalizations or cardiac deaths compared to RAAS therapy but did lower serum biomarkers …

Comparative Efficacy And Preference Of Estrogen Cream Or Gel Vs. Vaginal Ring Estrogen For Hormone Replacement Therapy In Menopausal Individuals, Clara Burkman

Physician Assistant Scholarly Project Posters

• Menopause is a natural, nonpathological event that occurs due to decreasing estrogen levels. • One of the most reported symptom of menopause is urogenital atrophy, also known as vaginal atrophy. • Symptoms include vaginal pruritus, dyspareunia, dryness, dysuria, postcoital bleeding, and tightness due to the thinning and reduced elasticity of the vaginal mucosa. • Local estrogen therapy is the preferred treatment option due to its minimal systemic absorption, potentially safe option for menopausal patients with hormone-sensitive conditions, and it is easily adjustable to symptom severity. • The purpose of this literature review is to compare two common delivery methods, …

Effectiveness Of Epinephrine In Cardiac Arrest On Survivability With A Favorable Neurologic Outcome, Nathan Young

Physician Assistant Scholarly Project Posters

Cardiac arrest represents a critical medical emergency characterized by the cessation of effective cardiac function resulting in loss of blood flow to vital organs. The management of cardiac arrest often involves pharmacological interventions, primarily the administration of epinephrine. Historically, epinephrine has been the first-line agent in resuscitation protocols due to its sympathomimetic properties that can enhance cardiac contractility and blood circulation. However, the efficacy of epinephrine in yielding favorable long-term survival outcomes with maintained neurological function remains in question. This literature review examines the effectiveness of epinephrine in adult cardiac arrest, comparing outcomes to scenarios of no drug use and …

Telemedicine Vs. Clinic Monitoring: Adherence In Hypertension Management, Kimberly Hinkle

Physician Assistant Scholarly Project Posters

Hypertension affects over a billion adults worldwide and remains a major contributor to cardiovascular disease and mortality. Effective management requires consistent medication adherence and lifestyle changes, but barriers such as limited healthcare access often hinder follow-up. This literature review evaluates the efficacy of home blood pressure (BP) monitoring combined with telemedicine follow-up in improving medication adherence among adults with hypertension compared to traditional clinic-based follow-ups. A literature review was conducted, resulting in the inclusion of six studies that examined interventions such as telepharmacy, remote BP monitoring, bidirectional text support, and mobile health applications. Results demonstrated that telemedicine significantly enhances BP …

P2y12 Inhibitor Monotherapy Vs. Dual Antiplatelet Therapy: Medication Management After Suffering From Acute Coronary Syndrome, Jordan Saxerud

Physician Assistant Scholarly Project Posters

According to the American Heart Association, there are approximately 1.4 million people who are hospitalized and 700,000 deaths attributed to acute coronary syndrome on a yearly basis in the United States. It is standard therapy for patients to receive a drug eluting stent and dual antiplatelet therapy to prevent occlusion of the stent and other coronary arteries. Dual antiplatelet therapy typically consists of aspirin and a P2Y12 inhibitor. Dual antiplatelet leads to an increased risk of bleeding. This literature review aims to investigate if earlier initiation of P2Y12 inhibitor monotherapy decreases the risk of bleeding while maintaining adequate protection against …

High Dose Intravenous Vitamin C In Breast Cancer Therapy, Brianna Solis

Physician Assistant Scholarly Project Papers

Breast cancer remains one of the most prevalent malignancies globally, emphasizing the need for adjunct therapies to enhance treatment outcomes and improve patient care. Current breast cancer treatments, including radiation, chemotherapy, and surgery, are often effective but are frequently associated with significant side effects that can impact treatment tolerance and quality of life. This review examines the effectiveness of high-dose intravenous (IV) vitamin C as an adjunct therapy in breast cancer treatment, specifically its potential to reduce tumor size and alleviate chemotherapy-associated side effects. A literature review was performed using electronic databases PubMed and Google Scholar from April to June …

Efficacy Of Probiotic Use In Allergic Rhinitis And Asthma In Children And Adolescents, Mary Janke

Physician Assistant Scholarly Project Papers

Allergic rhinitis and asthma are chronic conditions affecting children and adults, often impairing quality of life. Conventional treatments, including allergen avoidance, antihistamines, corticosteroids, and bronchodilators, manage symptoms but may also have limitations and side effects. Recent studies have explored the efficacy of probiotics as a potential adjunct therapy to alleviate AR symptoms, decrease asthma severity, and reduce the dependence on these conventional treatments. This literature review aims to determine the efficacy of probiotics in treating asthma and allergic rhinitis. It includes studies using probiotics to treat asthma and/or allergic rhinitis, as found using Embase and PubMed. Only studies involving pediatric …

The Comparison Of Once Daily Insulin And Once Weekly Insulin In Patients With Diabetes Mellitus, Carly Gilbertson

Physician Assistant Scholarly Project Papers

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or a combination of both. The purpose of this literature review is to determine if patients with diabetes mellitus taking once weekly insulin injections compared to once daily insulin injections offer the same, or better, effectiveness at lowering their HbA1c. This is critical in the management and progression of the disease. The electronic databases PubMed, Clinical Key and Embase were searched and there were 92 articles found. Inclusion criteria included articles published within the past 5 years, randomized clinical trials and meta-analysis. …

Treatment Of Adult Adhd, Megan Bryn

Physician Assistant Scholarly Project Posters

Pharmaceutical therapy, particularly stimulants, is the mainstay treatment for ADHD • The systematic literature review focuses on nonpharmaceutical therapies (cognitive behavioral therapy, psychoeducation, mindfulness behavioral therapy) as potential alternatives for the management of adult ADHD • Nonpharmaceutical treatments could be beneficial for patients where pharmaceutical therapy is not preferred or contraindicated • Research supports the use of pharmaceutical therapy for adult ADHD in combination with nonpharmaceutical therapies • Future research could explore nonpharmaceutical therapies along as a long-term management option for adult ADHD

Monoclonal Antibody Therapy Versus Oral Immunotherapy In Food Allergies, Kendra Bohm

Physician Assistant Scholarly Project Posters

Food allergies are classified as an immune hyperreaction that leads to various symptoms that can range from mild to severe and even result in death. Often, management of food allergies includes avoidance of triggering substances or rescue treatment after exposure has occurred. This literature review aims to examine preventative management options for food allergies, including oral immunotherapy, and recent medications, including monoclonal antibodies. The databases searched for this literature review include PubMed, Embase, and Google Scholar. Additional references were also selected from reference lists in those studies as they pertained. This review explores the success in reaching desensitization following treatment …

Impact Of Altering Gut Microbiota With Multinutrient Supplementation On Neuropsychiatric Symptoms In Attention Deficit/Hyperactivity Disorder, Benjamin Hinkle

Physician Assistant Scholarly Project Posters

§ Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neuropsychiatric condition, often characterized by inattention, hyperactivity, and impulsivity. § Recent evidence suggests a potential link between gut microbiota composition and various neuropsychiatric disorders, including ADHD, through the gut-brain axis (GBA). § Literature review of studies published between 2017 and 2024 explores the influence of multinutrients on gut microbiota and its efficacy of treating the core symptoms of ADHD in children ages 6-12 years old. § Findings indicate that multinutrients alter gut microbiota and subsequently impact neuropsychiatric symptoms.

Monoclonal Antibody Therapy Versus Oral Immunotherapy In Food Allergies, Kendra Bohm

Physician Assistant Scholarly Project Papers

Food allergies are classified as an immune hyperreaction that leads to various symptoms that can range from mild to severe and even result in death. Often, management of food allergies includes avoidance of triggering substances or rescue treatment after exposure has occurred. This literature review aims to examine preventative management options for food allergies, including oral immunotherapy, and recent medications, including monoclonal antibodies. The databases searched for this literature review include PubMed, Embase, and Google Scholar. Additional references were also selected from reference lists in those studies as they pertained. This review explores the success in reaching desensitization following treatment …