Digital Commons Network^™

Hotspot Analysis Of Nitrate And Arsenic Concentrations In Minnesota Well Water, Jadyn Keeler

Arts & Sciences Undergraduate Showcase

Water contamination is one of the biggest threats to water supply and can have long term human health consequences. It is key to identify vulnerable regions to develop better management strategies. This project utilizes hotspot and outlier geospatial analysis to locate areas across Minnesota with elevated levels of nitrate and arsenic in well water and better understand potential factors that might be influencing this. Statistically significant hotspots and cold spots were identified with up to 99% confidence. Hotspots of nitrate were located mainly in the south-central region while hotspots of arsenic were located primarily in the western and south-central portions …

Doctor Of Medicine Commencement: May 2, 2026, University Of North Dakota

UND Commencement Programs

UND Doctor of Medicine Commencement program from May 2, 2026.

Establishing The Inter-Rater Reliability Of The Titleist Performance Institute (Tpi) Movement Screen, Ian Henry Dahners, Matthew Fetner, Carlan Haugrud, Hunter Johnson, Braeden Lee Knutson, Erica Jo Peters, Dana Jayde Zarn

Physical Therapy Scholarly Projects

Background: The Titleist Performance Institute (TPI) Movement Screen is a golf-specific physical assessment widely used by professionals to identify physical limitations that may influence swing mechanics and injury risk. Despite its popularity, there is limited peer-reviewed evidence regarding the screen’s inter-rater reliability. Without established reliability, clinical and performance decisions based on TPI scores may be questionable. Prior research on similar tools, such as the Functional Movement Screen (FMS) and Selective Functional Movement Assessment (SFMA), shows that reliability varies based on evaluator experience, scoring objectivity, and standardization—all relevant concerns for the TPI Movement Screen.

Purpose: To determine the inter-rater reliability of …

The Effects Of Dynamic Blood Flow Restriction On Transmembrane Fluid Shifts, Parker Bradley Carroll, Caden John Heinert, Isaiah John Kludt, Lucas Robert Simon

Physical Therapy Scholarly Projects

The benefits of blood flow restriction (BFR) training, particularly its ability to induce muscle hypertrophy, are well established. However, the physiological mechanisms underlying this hypertrophy remain unclear. This study hypothesized that fluid shifts within the skeletal muscle, specifically changes in intracellular fluid (ICF) and extracellular fluid (ECF) composition, contribute to hypertrophic responses following BFR exercise. The purpose of this study was to investigate ICF and ECF dynamics in the lower extremity skeletal muscle using bioelectrical impedance spectroscopy (BIS) following BFR in combination with submaximal resistance exercise. Additionally, the researchers aimed to determine the duration of fluid shifts by assessing ICF/ECF …

Prognostic Predictors Of Developmental And Functional Outcomes In Children With Global Developmental Delay: A Retrospecive Chart Review, Rachel Lynne Kuechle, Sadie Elizabeth Olson, Eliana Hazel Parks, Hailee Lynn Schauer, Mara Marie Vannyhuis, Audrey Elizabeth Whitman

Physical Therapy Scholarly Projects

Background and Purpose: Global developmental delay (GDD) is a broad, global disorder in which children do not reach the appropriate gross and fine motor milestones as expected for their age. GDD’s impact can extend beyond motor skills to include speech and language development, cognitive abilities, social and personal skills, and ADL’s. This study aims to investigate the prognostic predictors of developmental and functional improvement of children with GDD. Our study also examines how the prognosis of children diagnosed with GDD will be affected based on therapeutic intervention in order to offer evidence-based recommendations to support children with GDD and their …

Normative Data Analysis For The Modified Clinical Test Of Sensory Integration And Balance Protocol With The Biodex Balance System, Crystal Rose Koglin, Ellie Rose Tillma, Tyler Edward Schmit, Madison Faith Bowers, Hannah Janice Ust, Logan Aaron Petznick, Quincie Naomi Floden

Physical Therapy Scholarly Projects

This study was designed to assess postural stability in standing on a Biodex Balance System to gather consistent, accurate data on individuals between the ages of 18-30 years old. This tested the participants' sensory integration (vestibular, visual, somatosensory) and balance which can be examined and treated within physical therapy. This study excluded NCAA athletes as more research has been obtained that includes NCAA athletes. Most of the human population has not been NCAA athletes, so we gathered more data for this greater population of individuals. The data provided gained an understanding of what normative data will look like to other …

Assessing The Preparedness Of New Graduate Physical Therapists For Primary Care Physical Therapy Roles, Hannah Ellen Snobeck, Olivia Mavis Manuel, Rachel Jean Dukart, Samantha Marie Krogfoss, Logan Nicole Redding, Haley Paige Hase, Reese Paige Richards

Physical Therapy Scholarly Projects

Background and Purpose: The growing shortage of primary care providers in the United States has led to increased discussion about expanding the role of physical therapists (PTs) in primary care. Physical therapists have advanced diagnostic and musculoskeletal expertise that helps them succeed in these roles. This study aimed to assess how new graduates perceive their readiness to practice as primary care providers and to identify the education and experiential factors that shape this.

Methods: Using a qualitative research design guided by self-perception theory, semi-structured interviews were conducted with three physical therapists who graduated between 2022 and 2024. Participants were asked …

Electromyography (Emg) Of Lower Extremity Muscles During The Spanish Squat In Varied Foot Positions, Matthew Feddema, Jake Graf, Jenna Hildebrant, Allison Jepson, Jake Marciniak, Benjamin Oie

Physical Therapy Scholarly Projects

Background: Knee injuries are among the most common sports-related injuries, often linked to weakness or imbalance in the quadriceps and gluteal muscles. Squat variations are frequently prescribed in rehabilitation to strengthen these muscle groups and enhance knee and hip stability. The Spanish squat (SS) has shown to be effective for increasing quadriceps activation while reducing joint stress. However, limited research has examined how different stance widths during Spanish squats may effect lower extremity muscle activation.

Purpose: This study aimed to compare surface electromyography (EMG) activity of selected lower extremity muscles during Spanish squat variations (narrow, shoulder-width, and wide stances) and …

Pedagogical Strategies In Medical Laboratory Science Student Learning Outcomes: A Comparative Study Of Learner-Centered And Lecture-Based Instruction, Kasey Kuker

Medical Laboratory Science Independent Study Projects

Learner centered teaching (LCT) has gained prominence across the health sciences, yet its specific impact on Medical Laboratory Science (MLS) education remains underexamined. This comparative literature review synthesizes findings from various empirical studies to evaluate how active, learner centered pedagogies - such as flipped classrooms, blended learning, team based learning, simulation, gamification, and structured feedback - perform relative to traditional lecture based instruction. Across diverse MLS and allied health contexts, LCT consistently improved cognitive outcomes including examination performance, laboratory skill proficiency, and long term retention. Equally significant were gains in affective outcomes: heightened self efficacy, motivation, engagement, teamwork, and professional …

Beyond The Court: Pickleball's Impact On Balance And Gait In Older Adults, Riley Scott Ahrndt, Abby Nicole Bertsch, Emma Florence Boris, Gabrielle Elizabeth Rheay, Isabella Cason Whiston

Physical Therapy Scholarly Projects

Background and Purpose: Older adults are at a greater risk for falls due to many variables that may include decreased balance, lower extremity strength, slower agility, and impaired gait mechanics. Daily physical activity has been shown to help combat age-related deficits. The popularity of pickleball is growing fast and may provide an option for exercise that incorporates strength, agility, balance, and aerobic effort. The goal of this study was to examine the effects of pickleball on the balance and agility of older adults participating in the National Senior Games organization.

Methods: The modified version of the Senior Athlete Fitness Exam …

Cardiovascular Health Outcomes In Senior Athletes: A Comparative Study Of Pickleball And Other Recreational Sports, Breana Alise Tretter, Lynsay Leilani Benson, John Thomas Polejewski, Jeremiah Sanders Talley

Physical Therapy Scholarly Projects

Background and Purpose: Pickleball has grown rapidly in popularity among older adults and is often promoted as a beneficial form of exercise for cardiovascular health. The purpose of this study was to evaluate whether senior athletes who participate in pickleball exhibit significantly better cardiovascular fitness compared to peers participating in other sports at the North Dakota Senior Games.

Methods: The data was collected through the Sustained Athlete Fitness Exam (SAFE), a multi-component fitness screening conducted by the University of North Dakota’s Physical Therapy Department. The screening included assessments of vital signs, body mass index (BMI), and mobility. Participants voluntarily enrolled …

Building Dental Workforce Pathways In A Rural State Without A Dental School, Rashid Ahmad, Shawnda Schroeder

Indigenous Health Posters and Presentations

In North Dakota, workforce shortages are shaped by geography, training pathways, and weak return incentives.

• Statewide Dental Health Professional Shortage Area designation
• No in-state dental school
• Workforce shortages function as a structural driver of inequity • Oral health disparities among children, low-income populations, and Indigenous communities

Utilizing The Indian Self Determination Act To Enhance And Improve Health Outcomes In A Tribal Communities, Adriann Ricker, Shawnda Schroeder

Indigenous Health Faculty Publications

The Indian Self-Determination and Education Assistance Act (PL 93-638) serves as a critical policy mechanism enabling Tribes to exercise sovereignty and self-determination in health care delivery. American Indian and Alaska Native (AI/AN) communities face significant disparities in oral health outcomes, driven by systemic and structural racism, geographic isolation, and inadequate access to health care professionals. This policy paper examines the historical context and implementation of PL 93-638 and explores how the law empowers Tribes to address health inequities on their own terms. Drawing on case studies and insights from the Fort Peck Assiniboine and Sioux Tribes, this paper highlights how …

The Proximal Effects Of Blood Flow Restriction On The Infraspinatus Muscle Cross-Sectional Area And External Rotation Strength, Adam James Zavalney, Noah Matthew Gaffy, Tyler Grensteiner

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Blood flow restriction (BFR) is a method of training that utilizes a tourniquet style cuff to limit the amount of blood flow to a working muscle during exercise. This method of training allows an individual to train at lower intensities while still gaining similar results to more traditional types of training. It has been shown in research that low intensity BFR has several benefits to structures distal to the level of the tourniquet, but minimal research has been conducted to investigate the benefits to proximal structures. This study is aimed at examining the proximal effects of BFR training on …

The Economic Impact Of Grand Forks Airbase On North Dakota Using Input – Output Analysis & Va Mortgage Loan Evaluation, Jack S. Weikum

Undergraduate Theses and Senior Projects

In this paper, I examine the economic contributions of the Grand Forks Air Force Base to our community. This paper and research seek to find out what the total economic impact of the base truly is compared to its public reports. The base’s own impact statements do not consider the indirect effects associated with its operations. To fully examine its true economic impact, we must consider two important aspects that affect the local economy and other industry sectors. Specifically, I will first examine the economic impact that base operations directly have on expenditures, employment, and labor income. This information will …

Is It Altruism Or Codependency? A Dive Into Our Relationships With Others, Livia Dietrich

Psychology Student Publications

Codependency is characterized by the tendency to put others’ needs ahead of your own. It can affect anyone; but is typically most common in mothers. This paper explores many reasons someone may fall into these patterns, such as low self-esteem or an abusive partner. Trends of relationships in one’s past, like their relationship with their parents, could also affect the likelihood of codependent tendencies. These examinations can help to identify what codependency looks like in order to repair relationships moving forward

The Effects Anorexia Nervosa Has On Cognitive Function, Gracie Jensen

Psychology Student Publications

This paper examines the effects of anorexia nervosa on cognitive function and how it impacts children and adolescents' everyday lives. It highlights the importance of increased awareness and support for the individuals affected by the disorder.

Helping Others To Help Yourself: Effects Of Prosocial Behavior On Anxiety And Depression, Matheus Muniz Pereira Vargas

Psychology Student Publications

Helping others is a good way to help prevent psychological disorders. The literature reviewed here points towards a protective and mitigating effect on symptoms of anxiety and depression brought upon by prosocial behaviors. Prosocial behavior is associated with higher positive moods in participants with depression (Schacter & Margolin, 2019), it is negatively correlated with feelings of reported rates of depression, anxiety and isolation (Naclerio et al., 2026), and seems to have a protective effect against development and exacerbation of anxiety (Okuyucu et al., 2024). All of that indicates that encouraging these behaviors lead to more positive mental health outcomes without …

The Extent To Which Online Symptom Searching Predicts Health Anxiety Among Adults, Lakelyn Jonell

Psychology Student Publications

The internet has the potential to provide inaccurate, misleading and alarming information. Individuals may begin to hyper fixate on their symptoms and overall health when being provided with worse-case scenario answers. This experience can lead an individual to develop health anxiety, a condition characterized by excessive fear and worry due to a perceived threat to individuals health.

Roundtable: Issue 5, Brody Rohrich, Jonathan Blessing, Kysten Keever, Mona Kuylee, Makenna Maples-Janisch, Gavin Mitzel, Victoria Voss

Roundtable: Journal of the UND Honors Program

No abstract provided.

Evaluation Of Seal!Nd: School Year 2024-2025, Shawnda Schroeder, Rashid Ahmad

Indigenous Health Faculty Publications

Dr. Schroeder and Rashid worked with the team at the Oral Health Program to collect data on the clinical reach of the School-based Sealant program (SEAL!ND), the referral practices, dental sealant cost savings, and perceptions of school personnel regarding their experiences with the program. SEAL!ND continues to make a measurable difference in improving children’s oral health by increasing access to preventive care, reducing barriers for families, and supporting schools in meeting the needs of their students. The program’s impact is reflected not only in the thousands of services provided each year, but also in the strong satisfaction and gratitude expressed …

The Benefits Of Glucagon-Like Peptide 1 Agonists In Adult Women With Polycystic Ovary Syndrome, Bethany A. Johnson

Nursing Capstones

Background: PCOS is the most common endocrinopathy in women of reproductive age, affecting 5-6 million women in the United States. Symptoms include hirsutism, acne, hormone imbalances, menstrual irregularity, obesity, infertility, hypertension, and hyperlipidemia. GLP-1s are being studied for their benefits in women with PCOS.

Purpose: To review the current evidence on the efficacy of GLP-1 receptor agonists in improving symptoms and complications of PCOS.

Methods: This scoping literature review used three databases, including CINAHL Ultimate, PubMed, and ClinicalKey. Inclusion criteria were women 18 and older diagnosed with PCOS and studies that evaluated any type of GLP-1 and their effect on …

Und Leads Event Stories: Discovery, University Of North Dakota

LEADS Implementation Documents

Storytelling presentation for the DISCOVERY core value of UND LEADS, prepared for the March 2026 outreach event. The slides highlight UND stories connected to research, creative activity, scholarship, Grand Challenges, artificial intelligence, space operations, industry partnerships, Indigenous research ethics, and innovation.

Und Leads Event Stories: Affinity, University Of North Dakota

LEADS Implementation Documents

Storytelling presentation for the AFFINITY core value of UND LEADS, prepared for the March 2026 outreach event. The slides highlight UND stories connected to belonging, campus culture, campus environments, workforce recognition, first-year experience, athletics, global engagement, cultural connection, and military-affiliated students.

Und Leads Outreach Event Posters, University Of North Dakota

LEADS Implementation Documents

Poster materials prepared for the March 2026 UND LEADS outreach event. The presentation supports LEADS storytelling and campus engagement by presenting visual materials connected to UND LEADS implementation and the plan’s core values.

Und Leads Event Stories: Service, University Of North Dakota

LEADS Implementation Documents

No abstract provided.

Effectiveness Of Beta Blockers Versus Calcium Channel Blockers In Supraventricular Tachycardia, Traelyn Zimmerman

Physician Assistant Scholarly Project Papers

Supraventricular tachycardia is the most common cardiac arrythmia characterized by a rapid heart rate originating at or above the atrioventricular node. The current guidelines recommend using beta blockers or calcium channel blockers as first line pharmacologic rate control in hemodynamically stable patients. The purpose of this literature review is to evaluate and compare the efficacy and safety of beta blockers versus calcium channel blockers in patients presenting with or at risk of developing supraventricular tachycardia. A literature search with defined inclusion and exclusion criteria was conducted using the electronic databases PubMed and Embase, resulting in eight studies for review. The …

The Role Of Emotional Dysregulation In Anorexia, Grace Larson

Psychology Student Publications

An examination of the role of emotional dysregulation in the development and maintenance of Anorexia Nervosa. Discusses the overlapping factors including emotional awareness and regulation, social threat attention biases, perfectionistic personality traits, and childhood trauma.

Beyond Words: Photovoice As A Tool For Inclusive Research, Lauren Stone

Psychology Student Publications

No abstract provided.

Experiential Avoidance And Acceptance-Based Therapy (Abbt), Addison Jo Quern

Psychology Student Publications

Anxiety is an incredibly common mental health concern that impacts individuals globally. Avoidance is a main feature that maintains the symptoms of anxiety but does not allow the individual to experience the distressing scenario, thus reaffirming that discomfort. This attempt to control or avoid anxiety can make the symptoms worse. Research demonstrates that avoidance can perpetuate anxiety, and stress can increase avoidance. Acceptance-based therapy (ABBT) is used to target avoidance behaviors to lessen the overall symptoms of anxiety. ABBT is a third wave of therapy that helps clients focus on the relationship they have with their thoughts and feelings, instead …