Digital Commons Network^™

Curcumin And Fish Oil: Potential Alternative Or Adjunctive Treatments To Nsaids And Immune Modulating Medications For The Treatment Of Chronic Inflammation, Vicki Andvik

Physician Assistant Scholarly Project Posters

The aim of the present review is to evaluate the efficacy and safety of curcumin and fish oil as alternative or adjuvant treatments to NSAIDs and immune modulating medications for the treatment of chronic inflammation.

An online search of CINAHL, PubMed, Cochrane and Alt Healthwatchdatabases was conducted. It was limited to peer-reviewed articles and clinical trials in academic journals within the last ten years.

Current research suggests that curcumin may be efficacious in the treatment of chronic inflammation. It is generally regarded as safe up to 12 gm/day with mild gastrointestinal effects but poor bioavailability has limited its clinical application. …

Introduction Of Peanuts To The Pediatric Patient, Leslee Graff

Physician Assistant Scholarly Project Posters

Peanut allergies have been diagnosed exponentially over the last ten-years and are more severe now than ever before. (DuToit et al. 2106) Some of the latest statistics are citing more than double the amount of peanut allergies diagnosed in the last few years. Guidelines set forth in 2010, by the American Academy of Allergy, Asthma, and Immunology stated that peanut, milk, soy, wheat, egg, and other tree nuts were to be avoided until three years of age, unless these patients have other chronic illnesses such as asthma or other atopic conditions. If so, the patient is to abstain from these …

Anticoagulation Therapy For The Elderly With Atrial Fibrillation, Rebecca Hoistad

Physician Assistant Scholarly Project Posters

• Atrial fibrillation increases in occurrence as we age with about 9% of patients developing it by age 90. When a patient is diagnosed with atrial fibrillation, one of the drugs that they are prescribed is an anticoagulant. The purpose of this drug is to prevent thrombus formation in addition to preventing an ischemic stroke. Today, there are many options available for anticoagulation therapy. The options include aspirin, vitamin K antagonists like warfarin, factor Xa inhibitors like rivaroxaban and apixaban, direct thrombin inhibitors like dabigatran, and antiplatelet agents such as clopidogrel.

• A review of the literature was done of …

Effectiveness And Safety Of The Bronchial Thermoplasty Procedure, Kathy Mohammadi

Physician Assistant Scholarly Project Posters

• Asthma: a heterogeneous disease characterized by chronic airway inflammation resulting in respiratory difficulty.

• Bronchial Thermoplasty (BT): a bronchoscopy procedure that delivers radiofrequency energy to the tissues of airway walls thus heating the tissue, causing ablation to reduce the mass of the airway smooth muscle (ASM), hence attenuating bronchoconstriction.

• BT was designed to decrease, de-bulk or partially eliminate excess smooth muscle tissue in the distal airways, with a subsequent decrease in the number of severe asthma attacks.

• BT is an alternative treatment for patients with severe, uncontrolled asthma in which the airway smooth muscle is eliminated using …

Early Antibiotic Exposure And Childhood Obesity, Agatha J. Ottem

Physician Assistant Scholarly Project Posters

Obesity is becoming a growing concern in today’s population. Over the last thirty years, obesity rates have doubled in adults and quadrupled in adolescents. One of the more recent theories is that childhood obesity is influenced by early exposure to antibiotics. The purpose of this project is to discuss how antibiotics alter the human gut microbiota and how this affects nutrient consumption, which can lead to childhood obesity. There is a focus on the current research studies that address if, indeed, there is a link between childhood obesity and early antibiotic exposure. Through a review of several electronic databases and …

Brugada Syndrome; Preventive Screening Measures To Decrease Associated Cardiac Deaths, Matthew Ryba

Physician Assistant Scholarly Project Posters

• Brugada syndrome is a sodium channel deficiency in the myocardium that can cause arrhythmias and sudden cardiac death. The myocardium deficient sodium channels can be inherited or affected by environment factors such as fever or medications.

• Screening for this syndrome can be challenging because many times the first symptom of Brugada syndrome is cardiac arrest. Though incidents of sudden cardiac deaths are low, sudden cardiac death can impact families and communities.

• In Italy, screening ECG’s is claimed to have reduced sudden cardiac events by 85% (Maron, 2014). Preventing sudden cardiac death in these patients through sensible, reasonable …

Use Of Mesenchymal Stem Cells For The Treatment Of Osteoarthritis, Dennis W. Stewart

Physician Assistant Scholarly Project Posters

• Healthy articular cartilage protects and provides smooth functioning of the joint. The deterioration of the articular cartilage leads to the crippling disease known as osteoarthritis (OA).

• OA is a leading cause of disability in the United States. Although some of the current treatment modalities, along with pharmacological treatment, may offer short term improvement with pain and function, they do not offer long term relief, and are ineffective in preventing the progression of OA.

• In advanced stages, surgery in the form of total knee arthroplasty (TKA), is sometimes needed. This is an invasive procedure and typically requires hospitalization. …

Effectiveness Of Different Styles Of Diabetic Education On Outcomes Of The Type Ii Diabetic Patient, Emil Trutwin

Physician Assistant Scholarly Project Posters

•The purpose of this project is to determine if there is a significant advantage to certain diabetic education strategies that yield better outcomes in regards to control of diabetes.

Prenatal Screening For Aneuploidy: Should Cfdna Replace Traditional Methods?, Rachel Watson

Physician Assistant Scholarly Project Posters

In 2011, advances in research in medical genetics led to the advent of prenatal cell-free DNA (cfDNA) or also known simply as non-invasive prenatal screening or testing (NIPS). This screen consists of analyzation of placental DNA circulating in maternal blood. NIPS has had a major impact on prenatal screening for aneuploidy. Mixed opinions and data exist as to whom this test is most appropriate for. The sensitivity and specificity of this screen in detecting common fetal aneuploidies has been well documented as superior to other screens in high-risk populations, but less so in low-risk obstetric populations. This paper will compare …

Air Ambulance Service Providers: A Lifesaving Industry And A Financial Catastrophe, Tanner Holten

North Dakota Law Review

No abstract provided.

History Of Applied Science & Technology: An Open Access Textbook, Danielle Mead Skjelver, David Arnold, Hans Peter Broedel, Sharon Bailey Glasco, Bonnie Kim, Sheryl Dahm Broedel

Open Educational Resources

This textbook is designed to to meet the needs of History of Applied Science and Technology courses at colleges and universities around the world. Chapters will be organized around the theme of the transformative impact of technological and epistemological changes on worldview and human behavior as they relate to everyday life and global choices. We believe this textbook is the first History of Applied Science and Technology textbook to take a global approach, addressing persistent gaps in coverage in Africa, Asia, and the Americas. This is a collaborative, open access project. If you are interested in participating, please let us …

Meniscectomy Of A College Athlete, Aaron Bakker

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case study is to describe the case of an athlete who sustained a meniscus injury and his subsequent course of physical therapy.

Case Description: The patient in the study is a 20 year old college football player seen by physical therapy following a left knee arthroscopic lateral meniscectomy. He injured his knee while cutting to change direction during football practice.

Intervention: Initial treatment for the patient started off as basic body weight resistance along with modalities and ice to reduce inflammation. Each week he progressed from bodyweight to weighted resistance activities and …

Physical Therapy Interventions Following Acute Traumatic Brain Injury: Early Mobility In The Acute Care Setting, Ashley Hickox

Physical Therapy Scholarly Projects

Background: Approximately 2.5 million individuals suffered from a TBI in the year of 2010. Many individuals who suffer a TBI are hospitalized for extended periods of time. Studies have shown that extended intensive care can result in deleterious and long-lasting side effects. Early mobility has been utilized to combat effects and has been shown to be safe and effective.

Purpose: To examine early mobility use as applied with respect to this case, a patient with a severe, acute TBI.

Case Description: The patient was a 26 year old male who sustained a TBI following a boat accident. …

Physical Therapist Professional Appearance: From The Patients' Perspective, Brock Clements, Kelsey Decamp

Physical Therapy Scholarly Projects

No abstract provided.

The Activities-Specific Balance Confidence Scale And Its Use In The Stepping On Program To Determine The Relationship Between Balance Confidence And Fall Risk, Erin Yankovec

Physical Therapy Scholarly Projects

Introduction: Due to the high incidence of falls in the elderly population, there is a continued need to develop intervention strategies and prevention programs to help reduce the risk of fall related injuries. Stepping On is a 7 week program designed to reduce falls and build confidence in older adults. Participants are educated on balance and strengthening exercises along with information on home hazards, community mobility, safe footwear and equipment, coping, and many other topics to help reduce falls.

Purpose: To determine if group education and exercise classes, like Stepping On, improve balance confidence levels, if balance confidence …

Effectiveness Of The Stepping On Program In Fall Prevention Measured By The Four Stage Balance Test (Fsbt), Jenna Goecke

Physical Therapy Scholarly Projects

Introduction: Falls are a leading cause of injury for older adults. Stepping On is one of many fall prevention programs in which individuals who have a fear of falling can participate. Stepping On is a 7 week multifactorial fall prevention program for community-dwelling adults age 65 and older. The program implements an exercise program and addresses education on mobility safety in the community and home. The program addresses how different fall risk factors impact function including diet, medication, vision, balance, and strength.

Purpose: The purpose of this study is to measure pre- and post-program fall risk with the …

A Case Study: Adhesive Capsulitis After Breast Cancer Surgery, Kelsey Kratzke

Physical Therapy Scholarly Projects

Purpose: The purpose of this case report was to outline the physical therapy interventions and factors affecting rehabilitation of a patient with adhesive capsulitis following breast cancer surgery.

Case Description: A 65 year-old female, with limited range of motion in the right shoulder and right anterior chest pain, was seen at an outpatient physical therapy clinic. Past medical history included unilateral right mastectomy, right lymph node dissection, and chemotherapy. The physical therapy examination and patient history led to the diagnosis of adhesive capsulitis of the right shoulder and fibrosis of the anterior chest wall musculature.

Plan of Care …

Physical Therapy Treatment Of Upper Back, Neck, And Shoulder Pain: A Case Report, Lauren A. Graham

Physical Therapy Scholarly Projects

Background and Purpose. Neck, shoulder, and upper back pain may be caused by a number of different pathologies and can decrease a patient's functional ability and participation in their daily life. The purpose of this case study is to describe the use of strengthening, stretching, manual therapy, and neuroscience of pain education for decreasing pain in a patient with chronic neck, thoracic, and shoulder pain.

Case Description. The patient was a 69 year old female who had been experiencing neck, shoulder, and upper back pain for 8 months with an insidious onset. She was functionally limited and experienced …

Evaluation Of Fall Risk, Functional Mobility, And Quality Of Life Changes Of Community-Dwelling Older Adults With Parkinson's Disease Participating In A Community Exercise Program: Part Ii, Lauren Trudel, Courtney Mcdonald, Brittany Bleichner

Physical Therapy Scholarly Projects

Purpose/Hypothesis: As a person ages, the risk of a fall increases. Parkinson Disease (PD) is most commonly seen in the elderly population, which presents with symptoms such as bradykinesia, decreased balance, tremors, postural instability, and muscle weakness. These symptoms are associated with an increase in falls; therefore, a person with PD is more susceptible to falls than the average elderly individual. Exercise has been shown to combat those symptoms affecting people with PD. This study is an extension of a previous study, which examined the effect of a community based exercise program, for people with PD, on quality of …

Evaluation And Treatment Of Temporomandibular Joint Disorder: A Case Report, Melanie Fuller

Physical Therapy Scholarly Projects

Background and Purpose: Temporomandibular joint disorder (TMD) affects 40 to 60% of the US population and is primarily prevalent in 35 to 45 year old females. It involves a multitude of anatomical structures including bilateral temporomandibular joint (TMJ) and numerous muscles affecting the TMJ. Examination and treatment of TMD generally requires a whole person approach due to the complexity of involved structures. The purpose of this case study was to educate physical therapists in TMD and pro vide intervention options.

Case Description: The patient was a 36-year-old female referred to physical therapy by her oral surgeon. She presented …

Extension-Based Exercises In Conjunction With Manual Therapy And Strengtheing For Acute Low Back Pain With Associated Lumbar Radiculopathy: A Case Report, Marcé Schultz

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case report is to describe a case in which extension-based exercises derived from the method of mechanical diagnosis and treatment (MDT) in correlation with manual therapy and strengthening were applied to a patient with acute low back pain and lumbar radiculopathy.

Case Description: I present the case of a female patient who worked as a certified nursing assistant and injured her back while attempting to transfer a patient. Workmen's compensation was filed and the patient was referred to physical therapy. Through an extensive historical intake and examination procedure, we determined that …

Effectiveness Of The Timed Up And Go (Tug) Test In Assessing Fall Risk In Community-Dwelling Elders Participating In The Stepping On Program, Megan Shanahan

Physical Therapy Scholarly Projects

Background: The Timed Up and Go (TUG) is intended to predict fall risk through assessment of balance, functional mobility, and gait in community-dwelling adults age 65 and older. The Stepping On program aims toward fall prevention through education, exercise, and shared experiences among participants. Previous evidence has displayed positive, significant results for Stepping On and the TUG, indicating use of the assessment to track participants' progress in the program.

Objective: The purpose of this study was: 1) to determine if the Stepping On program decreases fall risk in community-dwelling elderly individuals as measured by the TUG test, 2) …

Pulmonary Recovery Positions Increase Emg Activity In Accessory Respiratory Muscles, Shelby Carlson, William Hunt, Joshua Johnson

Physical Therapy Scholarly Projects

Chronic obstructive pulmonary disease (COPD) is the third leading cause of death in the United States and is predicted to be the third leading cause of death worldwide between 2020 and 2030. Smoking continues to be the primary cause of this disease, which is associated with about 80% of all COPD deaths. Signs and symptoms of COPD can be debilitating; however pulmonary recovery positions may be taught to improve breathing capabilities in impaired individuals. Literature suggests techniques for pulmonary recovery may involve supporting the upper extremities, supporting the head, and leaning forward. The purpose of the current study was to …

Conservative Treatment Following Acl Rupture In An Older Individual, Wes Anderson

Physical Therapy Scholarly Projects

Background and Purpose. The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments in the knee. It is thought that reconstructive surgery of the ruptured ACL is the best way to return to functional activities, but not every patient wishes to have this surgery with the lengthy recovery. The purpose of this case report is to investigate the outcomes of conservative physical therapy treatment for an ACL rupture over the traditional reconstructive surgery.

Case Description. The patient fell off her bike on a gravel road and suffered a primary diagnosis of a ruptured ACL. She …

Electromyographic Activity Of Hamstrings And Quadriceps Muscles During Jumping And Landing: Pilot Study, Joseph Burckhard, Tyler Kemnitz, Mikaela Dick, Alexandria Sweeney

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of this pilot study was to find if there was a difference in the activation and firing time of the quadriceps (vastus medialis and vastus lateralis) compared to activation times of the hamstrings (biceps femoris and semitendinosus) in active males and females.

Methods. Subjects consisted of two male and two female athletes in good physical condition with no previous knee pathologies. During each of the trials, the muscle activity of each muscle was recorded. The EMG activity recorded using a Noraxon TeleMy02400 G2 telemetry unit with a sampling rate of 1 kHz which …

Emg Of Serratus Anterior, Upper, Middle, And Lower Trapezius During Glenohumeral Abduction In A Patient With Scapular Dyskinesia: A Case Study, Tyler Bentrup, Byron Flett, Joshua Sorvig

Physical Therapy Scholarly Projects

Introduction. The purpose of this case study was to examine the differences in muscle activation between the right and left sided upper trapezius, middle trapezius, lower trapezius and serratus anterior in a participant with scapular dyskinesis.

Methods. EMG activity was recorded using a Noraxon TeleMyo2400 G2 telemetry unit with a sampling rate of 1 kHz on the aforementioned muscles.

Results. In comparing UE ratios of EMG activity, it appears that the left lower trapezius exerts a significant amount more of energy than the right lower trapezius.

Conclusion. This study may demonstrate the importance of bilateral lower …

Subacute Normobaric Oxygen And Hyperbaric Oxygen Therapy In Drowning, Reversal Of Brain Volume Loss: A Case Report, Paul G. Harch, Edward F. Fogarty

Radiology Faculty Publications

A 2-year-old girl experienced cardiac arrest after cold water drowning. Magnetic resonance imaging (MRI) showed deep gray matter injury on day 4 and cerebral atrophy with gray and white matter loss on day 32. Patient had no speech, gait, or responsiveness to commands on day 48 at hospital discharge. She received normobaric 100% oxygen treatment (2 L/minute for 45 minutes by nasal cannula, twice/day) since day 56 and then hyperbaric oxygen treatment (HBOT) at 1.3 atmosphere absolute (131.7 kPa) air/45 minutes, 5 days/week for 40 sessions since day 79; visually apparent and/or physical examination-documented neurological improvement occurred upon initiating each …

The Influence Of Mentoring Relationship Quality And Satisfaction On Novice Teachers’ Self-Efficacy, Matar Ahmed Alessa

Theses and Dissertations

This study examined the influence of mentoring relationship quality, mentoring satisfaction, and mentor matches on novice teachers’ self-efficacy. Additionally, the study continued to explore a Midwestern State’s mentoring program features, novice teachers’ needs, and challenges of working conditions. The study surveyed 340 novice teachers, with a returning rate of 43.5% (N =148), including 10 participants who provided partial responses. Participants were assigned from different grade levels and school demographics. The study found statistical correlation between mentoring relationship quality and novice teachers’ self-efficacy. Also, mentor matches by school, content, and grade levels did not show a statistical influence on mentoring relationship …

The Molecular Mechanisms Of Sex Determination In Vertebrates, Lei Guo

Theses and Dissertations

Many reptiles display temperature-dependent sex determination (TSD), in which the primary sex is determined by incubation temperatures rather than sex chromosomes. However, temperature is not the only factor that play critical roles in sex determination in the species with TSD. Previous studies in the snapping turtle, a species with TSD, showed that dihydrotestosterone (DHT) induces ovary development at temperatures that normally produce males or mixed sex ratios. In addition, the feminizing effect of DHT was found to be associated with increased expression of the ovary-determining gene Foxl2, suggesting a potential androgen-Foxl2 regulatory mechanism. This dissertation aims to clarify the molecular …

Presentation Effects On Matrix Reasoning Scores, Katharine Elizabeth Lindberg

Theses and Dissertations

Matrix reasoning tasks are popular measures of fluid and inductive reasoning ability. The impact of rule type, number of rules, grouping, overlapping elements, and unfamiliar shapes on matrix reasoning performance has been shown to make matrix tasks more difficult to solve. Alternatively, the relationship of features (the physical and visual dimensions of individual elements within a matrix) to matrix reasoning performance in an adult population has not been established. The current study aimed to test the impact of features (i.e., height, shape, width) on matrix reasoning performance in an undergraduate sample (N = 196) by systematically varying rules and features …