Digital Commons Network^™

The Impact Of Shift Work On Health And Wellbeing, Stephanie Gagelin

Physician Assistant Scholarly Project Posters

Many of today’s industries require workers to perform shift work (typically during 1600-0700). If workers are awake during this time period, circadian misalignment occurs. This scholarly project uses research studies and metaanalyses to provide information about increased health risks associated with circadian misalignment, focusing on the categories of glucose metabolism, cardiovascular system, carcinogenesis, and mental health and acuity.

• Shift work has been found to increase BMI and waist circumference of employees, as well as increase blood glucose levels to “prediabetic” levels in previously euglycemic individuals.

• Shift work has been proven to increase high-sensitivity C-reactive protein (hs-CRP), an acute …

Is A Varicocelectomy Beneficial In The Era Of Assisted Reproductive Technologies?, Chukwuka Oscar Nnoli

Physician Assistant Scholarly Project Posters

Clinical varicoceles are the most frequent physical finding associated with infertile men and impaired semen parameters. There is evidence that suggests varicocele repair improves semen parameter and increases the chances of natural pregnancy. Today, varicocele repair is often combined with assisted reproductive techniques (ART) such as intrauterine insemination (IUI), in Vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). In this literature review, data examining whether varicocelectomy before ART leads to improved pregnancy outcomes is reviewed. Current data suggest that there is a significant clinical benefit when correcting a varicocele in oligospermic men before IVF/ICSI. Similarly, men with non-obstructive azoospermia also …

Platelets To The Rescue? A Literature Review Of The Safety And Efficacy Of Platelet Rich Plasma For Symptomatic Osteoarthritis Of The Knee, Timothy Simonich

Physician Assistant Scholarly Project Posters

Osteoarthritis of the knee is one of the most common joint disorders in the United States with rising prevalence due to obesity and an aging population. Regarding non surgical approaches to management, there has been growing interest in the use of intra articular injections with Platelet Rich Plasma (PRP).

Evolution Of Occupational Therapy Practice: Life History Of Patricia Scott Phd, Mph, Ot, Faota, Bethany Easthouse, Samantha Plutko

Oral History Student Papers

Purpose: The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information.

Methods: Data was collected from one semi-structured interview with Dr. Scott. The interview was conducted via teleconference through the program Zoom and lasted approximately two hours. The questions asked during …

Evolution Of Occupational Therapy Practice: Life History Of Joan Rogers, Phd, Otr/L, Faota, Michelle Arnhalt, Ivy Steiger

Oral History Posters

Objective: This qualitative study was to examine the evolution of occupational therapy practice throughout the life history and career of Joan Rogers. The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond.

Method: The Kawa Model guided Semi-structured interview questions. Throughout the interview process, the researchers gained information regarding Joan Roger’s experiences related to gaining her occupational therapy …

Aspirin Use Following Preeclampsia To Prevent Future Adverse Cardiovascular Outcomes, Kristi Bohlig

Physician Assistant Scholarly Project Posters

• Introduction: Preeclampsia during pregnancy warrants therapy with low dose aspirin. The purpose of this review is to investigate if these women are at increased future risk for cardiovascular morbidity and mortality, and if aspirin therapy prevents future cardiovascular events.

• Research Questions: Do women who had preeclampsia during pregnancy have increased future cardiovascular morbidity and mortality? • Does continued aspirin use in postpartum women, who had preeclampsia during pregnancy; decrease future cardiovascular morbidity and mortality?

• Research Methods: Literature review was conducted utilizing CINAHL, Dynamed plus and PubMed databases.

• Discussion: Many studies have found that preeclampsia does increase …

Embolus Prevention: Anticoagulant Therapy In Comparison To Watchman's Procedure In Patients With Atrial Fibrillation, Erik Fladmo

Physician Assistant Scholarly Project Posters

• Atrial fibrillation or A-fib is a common cardiac disease that occurs as individuals get older.

• A risk factor of atrial fibrillation is blood clot formation and dislodgement or ‘embolus’ in the left atrium.

• Current treatment methods to prevent clot formation include anticoagulants, as well as a left atrial appendage closure device, The Watchman’s device is the only FDA approved left atrial appendage closure device.

• Study results confirm the rising efficacy and cost effectiveness of Watchman’s device versus long term anticoagulant therapy as well as their adverse effects regarding placement and post procedure; however further randomized control …

Can Early Intervention With Group Therapy Or Individual Therapy Improve The Family Dynamic In Ptsd Patients?, Killian Norton

Physician Assistant Scholarly Project Posters

Post Traumatic Stress Disorder (PTSD) is a mental health disorder that affects an individual directly, while also affecting their family members around them. While PTSD is not directly correlated to the development of Secondary Stress Disorder (STS), PTSD has been shown to lead to increased rates of divorce and mood disorders in children whose parents are diagnosed with PTSD. Children who have grown up with divorced parents, or parents with PTSD, have been shown to have an increased chances of developing mood disorders and risky lifestyle behaviors. The combination of having a parent with PTSD and being divorced would likely …

Comparing Screening And Treatment Of Bacterial Vaginosis And Pregnancy Outcomes, Stephanie Severson

Physician Assistant Scholarly Project Posters

• Evidence shows that bacterial vaginosis (BV) can lead to poor perinatal outcomes.

• The goal of this project is to answer the question of which pregnant patients should be screened for BV and does identification and treatment of BV during pregnancy improve perinatal outcomes.

• Due to variability in a multitude of factors, a generalized recommendation is difficult to make. Lack of recommendations are largely due to harm of treatment in those who were misdiagnosed.

• The development of polymerase chain reaction (PCR) has the capability to reduce misdiagnosis.

• Newer studies have shown benefit of early screening and …

Comparison Of Pharmacologic Treatments For Postmenopausal Osteoporosis, Kaitlyn Wirtz

Physician Assistant Scholarly Project Posters

• The prevalence of osteoporosis in the United States in adults > 50 years of age is “more than 10 million people overall and 33 million have low bone mineral density (BMD) at the hip” (DynaMed Plus, 2018).

• To combat postmenopausal osteoporosis, two treatment options include bisphosphonates and the anti-receptor activator of nuclear factor kappa β ligand (RANKL) agent (denosumab).

• The purpose of this scholarly project is to determine if there is a statistical significance regarding safety, efficacy, and preference between bisphosphonates and denosumab.

• Three databases were searched: PubMed, CINAHL, and Cochrane Database of Systematic Reviews. Topics researched …

A Comparison Of Pharmacologic Interventions In Pregnant Women With Opioid Use Disorder, Catherine K. Bopp

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine which pharmacotherapeutic agent, methadone or buprenorphine, leads to better outcomes in cases of pregnant mothers with opioid use disorder (OUD).

Outcomes considered are maternal compliance, neonatal abstinence syndrome severity, and neonatal length of hospital stay. In the review, PubMed, Clinical Key, Cochrane Database of Systematic Reviews, and DynaMed Plus were searched. Key terms searched were “methadone, buprenorphine, pregnancy”, “opioids, pregnancy”, “neonatal abstinence syndrome” and “medication assisted treatment, pregnancy”. Several studies were excluded, as their study population was not specified to have diagnosed OUD in pregnancy. The drawbacks to …

Reducing The Health Care Burden Caused By Undocumented Immigrants, Juan Carlos Ramirez

Physician Assistant Scholarly Project Posters

Uncompensated health care and Emergency Department (ED) overcrowding are a national crisis in the United States, and uninsured patients are a major contributor. Undocumented Immigrants (UIs) are a large component of the uninsured patient population.

 The purpose of this study is to evaluate for efficacy and taxpayer value two large-scale potential solutions: Federally Qualified Health Centers (FQHCs), and expanded Medicaid.

 The method of research included a variety of key terms in electronic search databases such as CINAHL Complete, PubMed, and Google Scholar, and only articles published between 2014 and 2018 by peer reviewed journals or gray literature (.gov) …

Provider Suicide, Amy Quinn

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine the risks factors for, the identification of and repercussions of provider suicide. In this review, databases searched included Pubmed , Cochran Database of Systematic Reviews, PsycInfo , National Institute of Health, Medscape and Google Scholar from September 8, 2018 to January 13, 2019. A variety of key terms were used when searching include suicide, provider suicide, suicide, costs of suicide, physician burnout, physician assistant burnout, nurse burnout, doctor suicide, physician assistant suicide, and nurse practitioner suicide . Works chosen for review were published between 1979 and 2018, as …

Use Of Beta Antagonists Or Hmg Coa Reductase Inhibitors For Cardio Protection During Chemotherapy In Oncology Patients, Nichole Streich

Physician Assistant Scholarly Project Posters

Over the years, oncologists are better able to fight cancer and have increased cancer survival, but we are also finding that these lifesaving therapies can affect the heart and other parts of the body in a negative way. Chemotherapy is excellent at destroying cancer cells, but it also causes collateral damage to other healthy cells. There are certain chemotherapeutic agents that are known to cause cardiotoxicity. Currently we are monitoring the heart function of the patients who are receiving these cardiotoxic drugs prior to starting the chemotherapy as well as during and after treatment. However, there are currently no recommendations …

Comparison Of Pharmacologic Treatments For Postmenopausal Osteoporosis, Kaitlyn Wirtz

Physician Assistant Scholarly Project Posters

The prevalence of osteoporosis in the United States in adults > 50 years of age is “more than 10 million people overall and 33 million have low bone mineral density (BMD) at the hip” (DynaMed Plus, 2018).

 To combat postmenopausal osteoporosis, two treatment options include bisphosphonates and the anti-receptor activator of nuclear factor kappa β ligand (RANKL) agent (denosumab).

 The purpose of this scholarly project is to determine if there is a statistical significance regarding safety, efficacy, and preference between bisphosphonates and denosumab.

 Three databases were searched: PubMed, CINAHL, and Cochrane Database of Systematic Reviews. Topics researched included: …

The Treatment Of Shoulder Dysfunction By The Correction Of Shouler Girdle Muscle Imbalances: A Case Study, Zachary Peterson

Physical Therapy Scholarly Projects

Background and Purpose: Shoulder dysfunction is a broad expression that encompasses the shoulder girdle not being able to perform fluently, without pain, or within normal ranges of motion. Current literature elaborates on potential causes of dysfunction such as: osteoarthritis, impingement syndrome, and cervical myelopathy. From a clinical standpoint, it is crucial to differentiate between possible diagnoses to ensure the proper treatment is utilized.

Case Description: The patient was a 66‐year‐old female who was referred with the initial diagnosis of shoulder osteoarthritis. She presented with headache pain that was debilitating and followed a pattern consistent with muscle guarding, limited L shoulder …

A Comparison Of Pharmacologic Interventions In Pregnant Women With Opioid Use Disorder, Catherine M. Bopp

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine which pharmacotherapeutic agent, methadone or buprenorphine, leads to better outcomes in cases of pregnant mothers with opioid use disorder (OUD). Outcomes considered are maternal compliance, neonatal abstinence syndrome severity, and neonatal length of hospital stay. In the review, PubMed, Clinical Key, Cochrane Database of Systematic Reviews, and DynaMed Plus were searched. Key terms searched were “methadone, buprenorphine, pregnancy”, “opioids, pregnancy”, “neonatal abstinence syndrome” and “medication assisted treatment, pregnancy”. Several studies were excluded, as their study population was not specified to have diagnosed OUD in pregnancy. The drawbacks to …

Evolution Of Occupational Therapy Practice: Life History Of Margo B. Holm , Phd, Otr/L, Faota, Abda, Emma Chafin, Jessica Lambert

Oral History Student Papers

The purpose of this qualitative research study using a life history interview approach was to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. The methodology included one semi-structured interview with Dr. Margo B. Holm, PhD, OTR/L, FAOTA, ABDA that was conducted by two student researchers. Data was analyzed through coding of the transcribed interview. Three categories with corresponding themes emerged from this process: …

Evolution Of Occupational Therapy Practice: Life History Of Kuzhilethu “Shep” Kshepakaran, M. Ed., Otr/S, Caps, Faota, Roxana Chirinos, Carly Derouin

Oral History Student Papers

The purpose of study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information. An in-depth interview with the selected participant, Kuzhilethu “Shep” Kshepakaran, as well as his resume and the internet were used to gather information. The categories created symbolized Shep’s life history which included …

Evolution Of Occupational Therapy Practice: Life History Of Jaime Munoz, Ph.D., Otr/L, Faota, Kaitlyn Berglund

Oral History Student Papers

The purpose of this study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. This particular study reflects the life history of Dr. Jaime Munoz, a leader in occupational therapy education and advocate for marginalized populations. The study design used for this project was qualitative research using a life history approach, which allowed the focus to be on the participant’s involvement in …

The Evolution Of Occupational Therapy: Life History Of Shirley A. Wells, Drph, Otr, Faota, Hope Schuster, Hailey Johnson

Oral History Student Papers

Objective: The purpose of the life history of Dr. Shirley Wells is to gain an insight about her life experiences and leadership throughout her years of work in the profession of occupational therapy.

Method: An in-depth, semi-structured, hour and a half interview was conducted via the telecommunication app, Zoom. The interview was later transcribed verbatim and coded for the emergent categories and corresponding themes.

Results: The predominant categories representing the major elements of her life history were overcoming challenges, providing a seat at the table, and developing practice. The findings indicate that she made a significant impact for …

Evolution Of Occupational Therapy Practice: Life History Of Beth Cada Edd., Otr/L, Faota, Janice Finley, Emily Utech

Oral History Student Papers

The purpose of this life history study was to gain an understanding and provide current and future generations of occupational therapists a view of the evolutionary history from its inception to current practice through the life history story of Beth Cada, EdD., OTR/L, FAOTA within the profession of occupational therapy. The occupational therapy students completed one 2-hour online interview using a semi-structured interview to learn about her personal and professional goals, education, leadership skills, and her role at a national level. Data was analyzed through coding of the transcribed interview. Four categories emerged from the interview process: professional roles, occupational …

Evolution Of Occupational Therapy Practice: Life History Of Fred Sammons, Phd (Hon), Ot, Faota, Dalton Fetsch, Jonah Kratochvil

Oral History Student Papers

Objective: The purpose of the life history study of Fred Sammons, OT, is to provide current and future generations of occupational therapists a view of the history and how occupational therapy (OT) practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information.

Method: An in depth, semi-structured, 70-minute interview was conducted at the Goodstein Foundation Library on the campus of Casper College via …

Evolution Of Occupational Therapy Practice: Life History Of Karen Jacobs Edd, Otr/L, Cpe, Faota, Katelyn Jennings, Abby Wendel

Oral History Posters

This life history is one of 30 life history interviews which are part of a larger project,Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at the National Level and Beyond. The purpose of study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather …

The Evolution Of Occupational Therapy Practice: Life History Of Susan Haiman, Mps, Ot/L, Faota, Jacey Savage, Meaghan Wolfgram

Oral History Posters

Objective: This life history is one of 30 life history interviews, which are part of a larger project, Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at the National Level and Beyond. The purpose of this qualitative study is to provide current and future generations of occupational therapists a view of the history of occupational therapy and how the practice has evolved from the beginning to its current practice through the life history stories of accomplished occupational therapists.

Method: An in-depth, semi-structured, 120-minute interview was conducted with Susan Haiman via telephone from the University of North …

Evolution Of Occupational Therapy Practice: Life History Of Patricia Scott Phd, Mph, Ot, Faota, Bethany Easthouse, Samantha Plutko

Oral History Posters

Purpose: The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information.

Methods: Data was collected from one semi-structured interview with Dr. Scott. The interview was conducted via teleconference through the program Zoom and lasted approximately two hours. The questions asked during …

Evolution Of Occupational Therapy Practice: Life History Of Mary Hager, Allison Moran, Grace Spanos

Oral History Posters

Objective: The purpose of this qualitative study using a life history approach is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond.

Method: A semi-structured phone interview was conducted between the student researchers and Mary Hager, a retired occupational therapist. The interview was audio-recorded and transcribed verbatim prior to data analysis. Codes, categories, and themes were synthesized from the interview to comprehend a …

Evolution Of Occupational Therapy Practice: Life History Of Suzanne Peloquin, Phd, Otr, Faota, Alexandra Grosser, Kelsey Knutson

Oral History Student Papers

Objective: This life history of Dr. Suzanne Peloquin is one of 30 life history interviews, which are part of a larger project. The purpose of study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond.

Method: A two-hour, semi-structured interview was conducted via Zoom video conferencing technology. The interview was video and audio recorded and later transcribed. The transcription was analyzed …

Evolution Of Occupational Therapy Practice: Life History Of Lela Llorens, Ph.D., Otr/Ret, Faota., Rylee Skyberg, Rachel Grubb

Oral History Posters

Objective: The objective of the overall study was to gain insight into Dr. Lela Llorens’s life experiences and leadership throughout her time of work in the profession of occupational therapy.

Method: This was a qualitative study done using a life history approach. The participant was selected from a list compiled through purposive sampling by the project directors. Data was gathered through a two-hour, semi-structured interview with Dr. Llorens via Zoom, and through her curriculum vitae. The two-hour interview was audio-recorded and transcribed verbatim. Member checking was not used for the triangulation of the data. The data collapsed into …

Evolution Of Occupational Therapy Practice: Life History Of Ivelisse Lazzarini, Otd, Ashley Timm, Aspen Pitcher

Oral History Posters

This life history is one of 30 life history interviews which are part of a larger project,Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at the National Level and Beyond. The purpose of study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather …