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

Oral History Posters

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 …

Treatment Options For Post Treatment Lyme Disease Syndrome, Barbara Bowman

Oral History Posters

With the high incidence of Lyme disease in the endemic areas of North America, it is important to appropriately diagnosis and treat this condition to prevent post treatment Lyme disease syndrome (PTLDS).

Background information regarding Lyme disease is given. The purpose of this research is to discuss the treatment options available for those patients that fit the case definition of PTLDS. A literature review was conducted using several different electronic databases finding peer reviewed research articles pertaining to the treatment options available for PTLDS. Extended antibiotic use is shown to be not beneficial in most cases. Alternative treatment options listed …

The Use Of Dehydroepiandrosterone For Treatment Of Depression, Bryan Tipton

Physician Assistant Scholarly Project Papers

Dehydroepiandrosterone (DHEA) and its sulfated ester (DHEA-S) are important pre-hormones that also have direct neurohormonal effects on the central nervous system. Over the last twenty years, data have revealed that serum DHEA peaks in a person’s mid-20s and steadily declines throughout their lifetime. In addition, women tend to have lower values than men. This is of note because lower serum values tend to be correlated with increased risk of depression, worse depressive symptoms, and increased risk of relapse into depression. A review of literature concerning DHEA’s age related values, its association with depression, and its use in the treatment of …

Treatment Options For Post Treatment Lyme Disease Syndrome, Barbara Bowman

Physician Assistant Scholarly Project Posters

With the high incidence of Lyme disease in the endemic areas of North America, it is important to appropriately diagnosis and treat this condition to prevent post treatment Lyme disease syndrome (PTLDS). Background information regarding Lyme disease is given. The purpose of this research is to discuss the treatment options available for those patients that fit the case definition of PTLDS. A literature review was conducted using several different electronic databases finding peer reviewed research articles pertaining to the treatment options available for PTLDS. Extended antibiotic use is shown to be not beneficial in most cases. Alternative treatment options listed …

Expedited Partner Therapy For Gonorrheal And Chlamydial Infections, Nicholas Coburn-Pierce

Physician Assistant Scholarly Project Posters

Sexually transmitted infections (STI) such as Neisseria Gonorrhoeae and Chlamydia Trachomatis pose a challenge to the healthcare system worldwide. Treating sexual partners is as crucial to controlling the spread of these infections as treating index patients. However, because of problems associated with stigma, reaching affected populations, and ensuring follow-up, unique solutions are require to ensure partners receive treatment. One solution is Expedited Partner Therapy (EPT). EPT refers to treating patients, and providing necessary medication for both patient and partner. Current recommendations are for oral doses one gram of azithromycin and 400 milligrams of cefixime. This literature review looked at thirteen …

Exercise Compared To Ssris In The Treatment Of Major Depressive Disorder, Tiffany Fletschock

Physician Assistant Scholarly Project Posters

Major Depressive Disorder (MDD) is a common disease seen every day by primary care providers across the United States. According to the Centers for Disease Control and Prevention (CDC, 2018), eight percent of all adults over the age of 20 suffer from depression, and a study by the American Psychological Association found depressive disorders to cost roughly $71 billion annually. Today, psychotherapy is the recommended first-line therapy for treating MDD, but pharmacotherapy is more commonly used. Alternative forms of therapy are also being researched in order to avoid the use of medication while adequately treating the symptoms of MDD. For …

The Impact Of Shift Work On Health And Wellbeing, Stephanie M. 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 meta- analyses 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), …

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

The Impact Of Medical Marijuana On The Opioid Crisis, Carl David Eastep

Physician Assistant Scholarly Project Posters

• The opioid crisis dictates the need for research into alternative treatments for acute and chronic pain.

• Comprehensive literature review was conducted to determine if medical marijuana might play a role in the treatment of acute and chronic pain.

• The addiction profiles of medical marijuana and prescription opiates were compared along with the adverse effects and quality of life.

• No use for medical marijuana for the treatment of acute pain.

• Likely some benefits from medical marijuana for chronic pain.

• Addictive profile

• Marijuana – marijuana withdrawal syndrome.
• Prescription Opiates – highly addictive

• Adverse …

Comparison Of Rivaroxaban And Warfarin In The Prevention Of Recurrent Venous Thromboembolism, Philip J. Heiden

Physician Assistant Scholarly Project Posters

The purpose of this systematic literature review is to determine the efficacy and safety of rivaroxaban (Xarelto) compared to warfarin (Coumadin), for the long term prophylaxis of recurrent venous thromboembolism (VTE). Rivaroxaban was chosen as the primary representative of factor Xa inhibitors because of its simplistic once a day dosing regimen. The PubMed database was extensively searched, using a variety of key terms, from September 10 to November 30, 2018. Works chosen include propensity-matched cohorts, retrospective studies, systematic reviews, and meta-analyses. All of which were published within the last 10 years; sources dated prior to 10 years were excluded. Studies …

Early Aggressive Insulin Therapy In Type 2 Diabetes, Bryan Johnson

Physician Assistant Scholarly Project Posters

Metformin has been proven beneficial for the first-line treatment of type 2 diabetic mellitus (T2DM) due to its efficacy and low adverse effect profile. Current US guidelines do not address the use of early intensive insulin use in T2DM. Treatment plans are slowly adjusted over the months until the A1C goal is met. Insulin is initiated several years after the time of T2DM diagnosis and utilized as second-line therapy. Dual therapy of insulin and metformin have shown regression of T2DM in certain patient populations. However, the linear relationship between diabetes and cardiovascular disease does not show greater improvement with dual …

Pharmacotherapy For Impulsivity-Hyperactivity Behaviors In Autism Spectrum Disorder, Jenna Katnis

Physician Assistant Scholarly Project Posters

Hyperactivity is a shared behavior with ASD and Attention Deficit Hyperactivity Disorder (ADHD). Medications such as Methylphenidate (MPH) and α 2-a adrenergic receptor agonists are used to modify hyperactivity behavior in ADHD and thus have been used as management in ASD. A review of literature was done to evaluate the use of medications typically used for ADHD in the use of ASD. The databases searched included PubMED, PsycINFO, Cochrane, and Clinical Key. After reviewing the literature, it was found that both MPH and 2-a adrenergic receptor agonist have a potential role in pharmacotherapy for ASD. MPH may be slightly more …

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 …

Managing Anxiety With Pharmacogenomic Testing, Ashley Pommer

Physician Assistant Scholarly Project Posters

Anxiety affects approximately three to seven percent of the United States population, and nearly 50% of the diagnosed patients fail to respond to first-line treatment regimens (Boland, Duffy, & Meyer 2018). Traditional first-line treatments include medication therapy, cognitive behavioral therapy (CBT), or the combination of both. With such a high initial failure rate, recent studies indicate promising results in managing anxiety with pharmacogenomic testing. Pharmacogenomic testing is allowing providers to prescribe medication based on individual genetic makeup, focusing on how each patient metabolizes certain medications. The purpose of this literature review was to determine if first-line methods or pharmacogenomic testing …

Accessibility And Perceived Value Of Pre-Admission Clinical Contact Hours: A Physical Therapy Academic Faculty Perspective, Andrew Nelson

Physical Therapy Scholarly Projects

Background and Purpose: This study determines the usefulness of pre-admission clinical contact hours obtained by potential physical therapy students as perceived by faculty of Doctor of Physical Therapy programs. Within the last ten years there is limited research regarding the effectiveness of pre-admission clinical contact hours in physical therapy. These results can be used to determine prerequisites for physical therapy programs in the future.

Methods: An electronic survey link was sent via e-mail to program chairpersons or Directors of Clinical Education (DCE) of all accredited Physical Therapy programs, asking them to distribute the survey to their academic faculty. Two reminder …

The Effect Of Barefoot Running On Navicular And Pelvic Drop: A Randomized Controlled Trial, Alyssa Sandry, Danielle Gamel, Ryan Cook

Physical Therapy Scholarly Projects

Background and Purpose: Gaining knowledge of the change in navicular drop of the foot and pelvic movement in response to barefoot running training may allow sports medicine professionals, coaches, athletes, and others in the healthcare field to decrease the amount of injuries that may be caused by these motions. Effects of a running training program with conversion from a rearfoot strike pattern (RFSP) to forefoot strike pattern (FFSP) to determine impact on navicular drop and pelvic movement is lacking in literature. Due to the increased correlation of hip movement and lower extremity injuries, the purpose of this study was to …

The Epidemiology Of Pediatric Sports And Recreational Injuries Reporting To The Emergency Department In Grand Forks, Nd, Erin Arndt, Sterling Hubbard

Physical Therapy Scholarly Projects

PROBLEM: Sports and recreational injuries among youth is constantly being reviewed, and ways to prevent or decrease their incidence is an ongoing goal. The purpose of this study was to examine and provide information regarding the epidemiology of sports and recreation-related injuries in the pediatric population (ages 0-19) in the Grand Forks, ND area. This study is a continuation of a previous 10-year study; adding data retrieved within this current study would combine for 15 years of epidemiological data of those that presented to the Altru Emergency Department in Grand Forks, ND.

METHODS: This retrospective study involved examining Altru Department …

Effects Of Pole Walking On Older Adults Following Six Weeks Of Training, Samantha Forsch, Raevyn Haugland

Physical Therapy Scholarly Projects

Introduction: Age-related changes in adults over 60 include reduced mobility and function as well as an increase in frailty. Conventional walking has been shown to be an effective physical activity to maintain mobility and improve function and overall health and fitness. Specifically, walking speed has been identified as a crucial predicting factor for fall risk and decreased functional mobility. For this reason, clinicians considered the element of walking speed as the sixth vital sign. Pole walking has gained popularity over the years and may provide additional benefits, when compared to conventional walking, such as improved stride and step length, faster …

Barefoot Training: Effects On Emg Activity Of Gluteus Medius And Tensor Fascia Latae In Habitually Shod Runners, Tom Linner, Casey Murphy, Jeremy O'Keefe

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Running has been a common practice in humans since the species’ dawn. Due to its relative ease and low cost, running continues to be one of the most popular forms of exercise today. Although running provides many benefits such as disease prevention, injury prevalence in running is high. The trend of minimalist shoes and barefoot training has gained popularity over the decade as a return to a more natural form of running. Some researcher hypothesize that barefoot running can reduce injury rate by changing the biomechanics of the runner. In this study we propose a different hypothesis: barefoot running …

Unpacking Childhood Sexual Abuse And Eating Psychopathology Over Time: Impulsive Mechanisms And Deleterious Outcomes, Nicole M. Della Longa

Theses and Dissertations

The present investigation incorporated two independent studies to examine childhood sexual abuse (CSA) as a risk factor for eating psychopathology and to identify a potential conceptual model illustrating these constructs. Study 1 sought to investigate the associations between CSA, binge eating, and other variables over time. In a cross-sectional design, Study 2 aimed to examine these associations and additional risk-taking behaviors within a larger sample of young adults. Study 1 participants included adolescent girls, half of whom reported a history of CSA, and Study 2 participants were young adult men and women from a nationally representative community sample. In the …

Fast Charging Technique For Lithium-Ion Cell, Shabaz Khan

Theses and Dissertations

Climate change is a big concern among the people. Day by day people are trying to increase the use of the sustainable energy in every sector of their life. Like other sectors, transportation sector manufacturers are beginning to shifting from fossil fuels based models to electric models. Manufacturers are trying to introduce electrified models from bicycles to cars. For energy storage, these electrified models are highly dependent on the battery. Lithium-ion cells have a high energy density, no memory effect, long cycle life and low self discharge quality, and are therefor highly used from portable electronics to electric vehicles everywhere. …

Potentials Of Physiological Signals To Implement A Wearable Drowsiness Detection And Warning System For Pilots, Shubha Majumder

Theses and Dissertations

Drowsiness is a transitional psychophysiological state from alertness towards sleep, which decreases concentration and increases response time. Drowsiness during duty hours is common for in-flight pilots due to frequent travel across different time zones, extended duty hours as well as circadian rhythm disruption. Hence, drowsy flying is one of the leading reasons for increased risk of accidents, especially in commercial aviation. Mainly three approaches (i.e., vehicle-based, behavioral, and physiological signal based) are used for onboard drowsiness detection. Among them, physiological signal-based approach is advantageous for early detection of drowsiness with reasonable accuracy due to the strong relationship among some of …

Detection Of Shelterbelt Density Change Using Historic Apfo And Naip Aerial Imagery, Morgen Walter Victor Burke, Bradley Rundquist, Haochi Zheng

Geography & Geographic Information Science Faculty Publications

Grand Forks County, North Dakota, boasts the highest concentration of shelterbelts in the World. As trees age and reach their lifespan limits, renovations should have taken place with new trees being planted. However, in recent years, the rate of tree removal is thought to exceed the rate of replanting, which can result in a net loss of shelterbelts. Through manual digitization and geographic object-based image analysis (GEOBIA), we mapped shelterbelt densities in the Grand Forks County using historical and contemporary aerial photography, and estimated actual changes in density over 54 years. Our results showed a doubling in shelterbelt densities from …

Characterizing The 2015 Indonesia Fire Event Using Modified Modis Aerosol Retrievals, Yingxi R. Shi, Robert C. Levy, Thomas F. Eck, Brad Fisher, Shana Mattoo, Lorraine A. Remer, Ilya Slutsker, Jianglong Zhang

Atmospheric Sciences Faculty Publications

The Indonesian fire and smoke event of 2015 was an extreme episode that affected public health and caused severe economic and environmental damage. The MODIS Dark Target (DT) aerosol algorithm, developed for global applications, significantly underestimated regional aerosol optical depth (AOD) during this episode. The larger-than-global-averaged uncertainties in the DT product over this event were due to both an overly zealous set of masks that mistook heavy smoke plumes for clouds and/or inland water, and also an aerosol model developed for generic global aerosol conditions. Using Aerosol Robotic Network (AERONET) Version 3 sky inversions of local AERONET stations, we created …

Evolution Of Occupational Therapy Practice: Life History Of Elizabeth Skidmore, Phd, Otr/L, Faota, Facrm, Emily Annen, Seira Goddard

Oral History Student Papers

Objective: 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.

Method: A detailed, semi-structured interview was conducted at the University of North Dakota School of Medicine and Health Sciences. The interview took approximately 120 minutes to complete, followed …

Evolution Of Occupational Therapy Practice: Life History Of Elizabeth Crepeau, Phd, Otr/L, Faota, Nathina Crabtree, Sara Gregoire

Oral History Student Papers

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. The life history is part of a larger study consisting of 30 occupational therapists. The larger study is Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at …

Evolution Of Occupational Therapy Practice: Life History Of Julie D Bass, Phd, Otr/L, Faota, Taylor Beatty, Michaela Zins

Oral History Student Papers

Objective: The purpose of the life history of Julie Bass, PhD, OTR/L, FAOTA, is to gain an insight into her life, her leadership experiences, and her years of work in the occupational therapy (OT) profession to provide current and future generations of occupational therapists a view of how occupational therapy practice has evolved over time.

Method: An in-depth, semi-structured interview was guided by an interview schedule prepared by the project directors. The interview took place via Zoom conference at the University of North Dakota and lasted two hours. The interview was transcribed verbatim and coded with 22 codes. The codes …

Evolution Of Occupational Therapy: A Life History Of Dr. Michael Iwama, Phd, Msc, Bscot, Bschp, Sarah Lovelace, Annabelle Tarnowski

Oral History Student Papers

A life history interview with a qualitative approach was conducted with Michael Iwama, PhD, MSc, BScOT, BScHP by two student researchers and an advisor from the University of North Dakota Department of Occupational Therapy. The purpose of this study is to provide occupational therapists with a view of history and how occupational therapy practice has evolved from inception to current practice through the life history of Michael Iwama. The research was guided by the Kawa model to shape the interview schedule, and the view of the individual and their context (Iwama, Thomson, & Macdonald, 2009). The two-hour interview was recorded, …

Evolution Of Occupational Therapy Practice: Life History Of John White Jr. Phd, Otr/L, Faota, Malea Peters, Brandon Steffen

Oral History Student Papers

Objective: 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.

Method: The participant was assigned to the project directors through purposive sampling. Two, 60-minute, semi-structured interviews, guided by the Kawa model, were conducted with Dr. White through a …

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

Oral History Student Papers

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 …