Digital Commons Network^™

Evolution Of Occupational Therapy Practice: Life History Of Yvonne Randall, Edd, Mha, Otr/L, Faota., Alycia Peacock, Brianna Peterman

Oral History Student Papers

Objective: This qualitative life history study was completed through a semi-structured interview with Dr. Yvonne Randall. This paper reflects a piece of a larger study gathering information and insights about occupational therapy throughout history and how it has evolved. 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 …

Evolution Of Occupational Therapy Practice: Life History Of Dr. Thomas Fisher, Ph.D., Otr, Ccm, Faota, Hailey Axtell, Ty Berg

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: The life history of Dr. Thomas Fisher was a qualitative study using the life history approach. Purposive sampling was used by the project directors to obtain the participants for …

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

Oral History Student Papers

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 Paula Kramer, Phd, Otr/L, Faota, Shelby Wittenberg, Lexie Coalwell

Oral History Student Papers

Objective: 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. It is anticipated that the life history process will be a powerful way to gather this information.

Method: A life history qualitative approach was used by conducting two, 60-minutes semi-structured interviews at the University of North Dakota’s School of Medicine and Health Sciences. The interviews …

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 the topic has …

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).

Delaying Diabetes In The Native American Population, Seth Tramm

Physician Assistant Scholarly Project Posters

Diabetes is a debilitating disease process caused by the body’s inability to control blood glucose levels. With over 30 million diabetics in the United States and another 85 million prediabetics, the effects of this disease are wide-spread and far-reaching. Native American/Alaska Native populations have a nearly two-fold increase in prevalence of diabetes when compared to non-native populations. Risk factors for diabetes in all populations include modifiable risks such as obesity, diet, and physical inactivity as well as non-modifiable factors such as age, family history, and ethnicity. Studies have shown that early identification of symptoms, coupled with proper and intentional treatment …

Benefits Of 3d Breast Tomosynthesis Combined With 2d Digital Mammography In Screening Women For Breast Cancer, Danielle M. Swanson

Physician Assistant Scholarly Project Posters

• Breast cancer screening imaging options have progressed greatly over • the years in sensitivity, specificity, and image quality. According to DynaMed Plus, in 2012 there were 522,000 deaths by breast cancer and 1,677,000 total cases of breast cancer documented (Dynamed, 2018). For years, traditional screening for breast cancer involved 2D digital mammography which obtains two views of each breast. With advances in technology, the use of 3D breast tomosynthesis has become an advantageous addition to routine breast cancer screening protocols at many health care facilities.

• My literature review of articles was found in PubMed, DynaMed Plus, Cochrane Library, …

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 …

Pelvic Examinations For Ovarian Cancer Screening In Asymptomatic Adult Women, Riann Collar

Physician Assistant Scholarly Project Posters

There is discrepancy amongst organizations and the medical community whether bimanual pelvic examinations should be performed in asymptomatic women for routine screening. The purpose of this literature review was to determine whether bimanual pelvic examinations are beneficial for screening for ovarian cancer in comparison to no screening. In addition, research was conducted to see if healthcare providers’ professional beliefs align with the evidence and national recommendations, to determine women’s thoughts and beliefs regarding pelvic examinations, and identify other screening methods if bimanual pelvic exams are determined to be an invalid screening tool. Throughout reviewing peer reviewed articles and high quality …

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 …

Intermittent Fasting In Weight Management, Alse Engen

Physician Assistant Scholarly Project Posters

Obesity is associated with a variety of medical conditions that adversely affect metabolic and cardiovascular health. In order for health care providers to adequately educate and promote weight management, they need to be aware of the various dietary regimens and the efficacy and adverse effects associated with each. This literature review assesses the efficacy, metabolic benefits, and cardiovascular benefits of both intermittent energy restriction and continuous energy restriction from ten articles found on various databases within the past five years. The findings indicate that although not proven superior or inferior, intermittent energy restriction provides statistically similar results to continuous energy …

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 Effects …

Comparison Of Rivaroxaban And Warfarin In The Prevention Of Recurrent Venous Thromboembolism, Phillip 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 …

Parenteral Ascorbic Acid For Treatment Of Sepsis, Lindsey Hiatt

Physician Assistant Scholarly Project Posters

Sepsis kills nearly 1 million people each year in the United States and sepsis-related hospitalizations cost approximately $24 billion annually (Paoli, Reynolds, Sinha, Gitlin, & Crouser, 2018). Current treatment guidelines are limited to targeted antibiotics and hemodynamic support. While antibiotics are the definitive treatment to eradicate the infectious pathogen, there are currently no standard-of-care treatments that consistently and successfully attenuate the damage sustained to the body by its own inflammatory response to infection. Many different treatments have been trialed and failed to show improved outcomes. Vitamin C, or ascorbic acid, has long been associated with supporting immune function, and has …

Outcomes In Treatment Of Major Depressive Disorder: Pharmacogenomic Testing Vs. Treatment As Usual, Zachary Horoshak

Physician Assistant Scholarly Project Posters

The goal of this scholarly project was to evaluate the efficacy of pharmacogenomic testing (PGx) versus treatment as usual (TAU) in the treatment of major depressive disorder (MDD). According to Huang & Lin (2015), MDD is characterized by multiple signs and symptoms consisting of mood, vegetative, cognitive, and even psychotic behaviors that may cause substantial impairment in the functioning and quality of life in an affected individual. This literature review consisted of articles found in PubMed, Cochrane, and PsychINFO which were extensively reviewed. Articles prior to 2008 were excluded due to the ever-changing landscape of PGx testing. In this review, …

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 …

Glucagon-Like Peptide-1s Compared To Sulfonylureas In The Treatment Of Adults Diagnosed With Type Ii Diabetes Mellitus In Primary Care, Tracy Kirchner

Physician Assistant Scholarly Project Posters

Type II diabetes mellitus (T2DM) is a prevalent disease in our country. Bullard et al. (2018) report approximately 21 million adults have T2DM in the United States. “The total estimated cost of diagnosed diabetes in 2017 is $327 billion, in-cluding $237 billion in direct medical costs and $90 billion in reduced productivi-ty” (Yang et al., 2018). Treatment of T2DM is individualized to each patient based on their co-morbidities, fiscal responsibility, and route of administration options. Sulfonylureas and Glucagon-like Peptide-1s (GLP-1) are two classes of antidiabetic drugs that are available for use as second line treatment options after metformin. This review …

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 treatment …

Benefits Of 3d Breast Tomosynthesis Combined With 2d Digital Mammography In Screening Women For Breast Cancer, Danielle M. Swanson

Physician Assistant Scholarly Project Posters

Breast cancer screening imaging options have progressed greatly over the years in sensitivity, specificity, and image quality. According to DynaMed Plus, in 2012 there were 522,000 deaths by breast cancer and 1,677,000 total cases of breast cancer documented (Dynamed, 2018). For years, traditional screening for breast cancer involved 2D digital mammography which obtains two views of each breast. With advances in technology, the use of 3D breast tomosynthesis has become an advantageous addition to routine breast cancer screening protocols at many health care facilities.

• My literature review of articles was found in PubMed, DynaMed Plus, Cochrane Library, and Clinical …

Benefits Of Hpv Vaccination In Adolescent Males, Budd Theriot

Physician Assistant Scholarly Project Posters

HPV is the most common sexually transmitted infection in the United States, affecting approximately 75-80% of young adults at some point in their lives, and it is also known to be directly related to several forms of cancer including cervical, vaginal, penile, anal, oral, and oropharyngeal cancer. Vaccination against several high-risk strains of HPV first became available in the U.S. in June of 2006 and has been proven to be effective in creating antibodies against several strains of high-risk HPV, potentially decreasing and preventing more than 30,000 new cases of HPV related cancers each year. Despite this fact, HPV vaccination …

Delaying Diabetes In The Native American Population, Seth Tramm

Physician Assistant Scholarly Project Posters

Diabetes is a debilitating disease process caused by the body’s inability to control blood glucose levels. With over 30 million diabetics in the United States and another 85 million prediabetics, the effects of this disease are wide-spread and farreaching. Native American/Alaska Native populations have a nearly two-fold increase in prevalence of diabetes when compared to non-native populations. Risk factors for diabetes in all populations include modifiable risks such as obesity, diet, and physical inactivity as well as non-modifiable factors such as age, family history, and ethnicity. Studies have shown that early identification of symptoms, coupled with proper and intentional treatment …

Factors And Experiences That Influence Physical Therapy Students' Considerations To Practice Pediatric Physical Therapy, Amy Joleen Elbert

Theses and Dissertations

The purpose of this quantitative non-experimental research study was to explore the difference that life experiences, educational experiences, and clinical experiences made on physical therapy students’ considerations to practice pediatrics. There has been a lack of research regarding how different experiences with children integrated into the curriculum in pediatric physical therapy education positively influences students’ interests and considerations to practice pediatrics. This research study investigated the problem using the framework of adult learning theory and experiential learning. Physical therapy students from three Upper Midwestern physical therapy programs (Years 1 through 3) voluntarily participated in this survey research. A survey was …

The Relationship Between Cell Phone Use And Motivation To Exercise In College Students, Ryan Eric Doree

Theses and Dissertations

Past research suggests that high cell phone usage is related to sedentary behavior, poor physical fitness, and poor mental health. College students cell phone usage has increased over previous years while physical activity levels have declined, but due to little research, this relationship is still unclear. The purpose of this study was to examine the relationship between college student's smartphone usage, exercise motivation, and physical activity. College students completed an electronic survey (n=157; female = 135; age = 20.01±1.49; BMI = 24.39) that assessed exercise motivation, physical activity, smartphone usage, height and weight (to calculate BMI), depression, anxiety, stress and …

Per- And Polyfluoroalkyl Substances In The Soil Environment: Sorption, Bioaccumulation And Biotransformation, Bosen Jin

Theses and Dissertations

Per- and polyfluoroalkyl substances (PFASs) are man-made chemicals, widely used in both industries and daily lives, such as in non-stick cookware, waterproof clothing, and painting materials. Researchers have investigated PFASs for about two decades, but most of the studies focus on perfluoroalkyl substances with very limited information available on polyfluoroalkyl substances. In this research, we investigated the sorption/desorption mechanisms perfluorooctanoic acid (PFOA) and its two cationic and zwitterionic precursor compounds, perfluorooctanesulfonamido ammonium salt (PFOSAmS) and perfluorooctaneamido betaine (PFOAB) in a group of soil. We also studied the bioaccumulation and bioconcentration of these chemicals along with perfluorooctane sulfonate (PFOS) and its …

Decision Analytics Using Permissioned Blockchain “Commledger”, Atif Farid Mohammad

Theses and Dissertations

The advent of Blockchain has introduced a paradigm shift in the area of Scientific Computing. The decision analytics embodiment in current technology fabric has introduced a need of incorporating Blockchain with industrial technology ecosystem. The utilization of Blockchain has introduced gaps in terms of standard business processes, while the data is being processed using the concept of traditional RDBMS and NoSQL data formats. The lag of permissioned and permissionless Blockchain is the problem area which is dealt with in this doctoral dissertation to provide a Proof of Permission (PoP) protocol for any organization or entity to tailor according to their …

Principals' Perspectives Regarding Grades 9-12 Black, Asian, And Latino Males In North Dakota Public Schools, Maggie Harrison Lowery

Theses and Dissertations

The purpose of this study was to review school policy documents and seek secondary principals’ perspectives regarding Black, Asian, and Latino males grades 9-12 in North Dakota public schools. Qualitative data was collected to investigate practices, policies, and routines that contributes to their graduation rates. Interviews were conducted to four secondary principals within two North Dakota school districts.

For the purpose of this study, participants included secondary principals from selected North Dakota public school districts where Black, Asian, and Latino students have the highest enrollment. School district data include public documents posted on districts’ websites for the term 2017-2018, and …

Measuring Friendship Maintenance In Gay Men, Eliah Reding

Theses and Dissertations

This dissertation examines the existing friendship maintenance literature to develop a psychometrically sound scale for the measurement of friendship maintenance among gay men. Existing friendship maintenance research does not adequately capture the uniqueness of gay male friendship. Utilizing DeVellis’s (2016) steps of scale development, this dissertation constructs a new scale, the GayFABS, to assess the unique aspects of friendship maintenance in gay men. Unique in this dissertation is the use of a focus group to establish content validity rather than the traditional approach of expert review. An exploratory factor analysis is conducted to structure the scale and its component subscales. …

Narrative Portraiture Of American Indian Men Who Persist To Completion Of Doctoral Degrees, Shawn F. Holz

Theses and Dissertations

This qualitative study examines the lived experiences of American Indian men who have completed their doctoral degrees through the positive exploration of portraiture methodology. Semi-structured interviews are conducted with subject-actors being asked to share stories from their earliest childhood memories and educational experiences through high school and through to completion of their doctoral degrees. Using narrative analysis and transculturation theory as the framework, subject-actors stories are examined to identify emergent themes of common experiences and characteristics. These create a composite portrait of a male American Indian student who persists to completion of their doctoral degree.