Digital Commons Network^™

Sublingual Immunotherapy: Is It A Viable Option To Subcutaneous Immunotherapy When Treating Allergic Rhinitis?, David Ryan Kesterson

Physician Assistant Scholarly Project Posters

• Background: Allergic rhinitis (AR) is a very common debilitating disease that can be detrimental to one’s lifestyle, work, and home life. Immunotherapy is the only treatment option that has disease modifying capabilities with a proper therapeutic regimen. Subcutaneous immunotherapy (SCIT) was developed over 100 years ago and has been the gold standard in immunotherapy for many years in the United States. During these years many adverse reactions have been reported with SCIT along with non-adherence to total treatment. The introduction of sublingual immunotherapy (SLIT) over 20 years ago gave providers a promising alternative to SCIT.

• Method: A review …

Chemotherapy Cancer Treatment And Cognitive Dysfunction, Caitlyn Cameron

Physician Assistant Scholarly Project Posters

The prominence of cognitive dysfunction because of cancer treatment, referred to as “chemo brain” is increasing due to the number of cancer survivors. Research on chemotherapy related cognitive dysfunction has been focused on breast cancer survivors. The purpose of this study was to establish if a connection between chemotherapy cancer treatment and cognitive dysfunction exists. This evaluation of literature explored PubMed, DynaMed, Psychiatry Online, and Cochrane which compared cognitive abilities before and after chemotherapy cancer treatment. This paper examined the research over the last 10 years, of women ages 18-70 and the connection between chemotherapy treatment and cognitive dysfunction. Jansen …

Vitamin D Supplementation And Systemic Lupus Erythematosus, Pamela Rangen

Physician Assistant Scholarly Project Posters

• Patients with systemic lupus erythematosus (SLE) are prone to hypovitaminosis D because of their photosensitivity.

• Vitamin D has beneficial effects not only on bone metabolism but also on the function of the immune system.

• Vitamin D levels depend on many variables, including sun exposure, age, ethnicity, body mass index, use of medications and supplements.

• Patients with SLE avoid the sun because of photosensitive rashes and potential for disease flare, so adequate oral supplementation is critical.

• In addition, to the traditional known metabolic activities, vitamin D has been shown to modulate the immune system, and its …

A Comparison Of Traditional Care And Cognitive Behavioral Therapy For Treating Depression Following Open Heart Surgery, Derryk Allen

Physician Assistant Scholarly Project Posters

Depression occurs shortly after open heart surgery in many patients. When depression is identified, traditional treatment consists of antidepressant medications along with cardiac rehabilitation and follow up care but these visits may not address depression. The purpose of this study compares traditional care with cognitive behavioral therapy. Does cognitive behavioral therapy more effectively manage depression than traditional care among male and female patients that have undergone open-heart surgery and acquired depressive symptoms? An article search of the following databases was conducted: PubMed and The Cochran Library. The review of literature explored studies that compare treatment between traditional care and CBT …

Safety And Efficacy Of Electronic Cigarette Use In Smoking Cessation, Matthew R. Coy

Physician Assistant Scholarly Project Posters

• Smoking is the most prevalent cause of avoidable mortality in the world

• Smoking cessation decreases likelihood of developing CV disease, stroke, cancer, and chronic lung diseases

• The purpose of this study is to assess if E-Cig’s are effective in smoking cessation and to evaluate the safety of their use

The Effectiveness Of Antibiotic Treatment In Lyme Neuroborreliosis, Lane Lindeman

Physician Assistant Scholarly Project Posters

• Lyme disease is caused by human infection with Borrelia burgdorferi, a spirochete transmitted by the Ixodes tick which is indigenous primarily to an increasingly large area of the Northeast and Midwest United States.

• Manifestations of Lyme disease vary greatly, and can result in significant neurologic symptoms associated with complications of neuroborreliosis or neurologic Lyme disease.

• Diagnosis and treatment of Lyme disease and its complications has been a source of debate and confusion for providers and patients alike.

• The purpose of this study was to investigate the effectiveness and efficacy of antibiotic therapy in patients with symptoms …

Should The Pharmacologic Management For Chronic Hepatitis C Encompass A Response Guided Therapy Treatment Plan?, Sarah Viscarra

Physician Assistant Scholarly Project Posters

Pharmacologic advances have been made with the development of new drug therapies that essentially cure the hepatitis C virus, such as sofosbuvir. The purpose of this study is to determine whether sofosbuvir should encompass a response guided therapy treatment plan versus a standard treatment protocol, in efforts to limit the risk of adverse effects and to minimize the cost of treatment. The systematic review of literature retrieved from Pub Med and Cochrane, explored studies that compared a standard treatment protocol of 12 weeks, in male and female adults ages 18-90 years, to response guided therapy treatment plans based on each …

Bilateral Hip Apophysitis In Young Athlete: A Case Report, Brooke Vandenbergh

Physical Therapy Scholarly Projects

Background and Purpose: Today, children are beginning to partake organized sports at a younger age. With this increased demand on their young bodies, the medical field is seeing an increase in acute and overuse injuries. Muscle imbalance and weakness have been linked to overuse injuries in athletes. The purpose of this case study is to examine the benefit and treatment effect of physical therapy guided exercise focusing on the individuals' muscle imbalances and correcting movement patterns to relieve stress on the iliac crest.

Case Description: Patient was a 16-year-old female who was seen at Physical Therapy for bilateral …

Chronic Low Back And Pelvic Girdle Pain 10 Months Post-Partum: A Case Study, Heidi Hansen

Physical Therapy Scholarly Projects

Background and Purpose

Due to the increase in relaxin hormone during pregnancy women often experience increases in joint and ligament laxity. The result of this increase in laxity during or after pregnancy can lead to problems with postural and/or gait abnormalities, diastasis recti (separation between left and right side of rectus abdominus muscle) and pain, specifically, low back and pelvic girdle pain. Activities of daily living are often impacted because of these problems. The purpose of this case study is to highlight some of the principal issues and therapeutic options for postpartum women as presented through the case of one …

A Case Report: Cerebrovascular Accident, Kayla Andreasen

Physical Therapy Scholarly Projects

Background: Cerebrovascular accidents (CVAs) are one of the leading disabilities in America resulting in mild to severe functional limitations. These functional limitations can be addressed in physical therapy (PT).

Purpose: The purpose of this case report is to review background, treatments, physical therapy interventions and outcomes of a patient with a sub-acute stroke, treated in an inpatient setting.

Case Description: The patient was a 70 year old male with a severe ischemic CVA following surgery to repair an abdominal aortic aneurysm. The patient was transferred to a nursing home to recover and returned to the hospital 5 …

Timed Up And Go (Tug) Test And Its Effectiveness In Fall Risk Screening And Assessing The Success Of The Stepping On Program In Fall Prevention, Eric Estes

Physical Therapy Scholarly Projects

Background: The Timed Up and Go (TUG) test is a functional assessment that has been proven effective at identifying individuals at a risk for falls. The Stepping On program aims toward fall prevention through education, exercise, and shared experiences among participants. With previous evidence displaying positive, significant results for Stepping On and the TUG, a utilization of this assessment to track participants' progress in the course is indicated.

Objective: The purpose of this study was 1) to determine if the Stepping On program displays a decrease in fall risk through the application of the TUG and 2) if …

An Athlete And Patellar Tendinosis: A Case Study, Lisa Monson

Physical Therapy Scholarly Projects

Background and Purpose: Patellar tendinosis is a pathology among young athletes with research being conducted about it every year. This single patient case study goes through the examination and evaluation leading to a diagnosis along with the treatment, outcomes, and discussion of this patient and patients recorded in other research studies.

Case Description: This case report was conducted on a 15 year old male presenting with left patellar tendinosis. Treatment lasted eight weeks with emphasis on eccentric quadriceps exercises and return to sport activities.

Outcomes: The results of conservative treatment for this young athlete were successful. The …

The Trials Of Transverse Myelitis: A Case Study, Catherine Heggie

Physical Therapy Scholarly Projects

Background and Purpose: Idiopathic acute transverse myelitis (ATM) is an inflammation in the spinal cord that develops suddenly. In the span of a day, an individual can lose all motor control. Most of the time the motor impairment is not permanent and strength can return as the inflammation dies down. However the physical rehabilitation component of recovery is remarkably unstudied.

Case Description: This case report details the hospital stay of a young man with ATM from the perspective of his physical therapists. When evaluated, the patient had only trace (1/5) muscle strength in some of his extremities.

Intervention …

A Case Report: Paraplegia Secondary To A Failed Lumbar Fusion, Nicole Jefferson

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain is one of the most common symptoms that individuals experience around the world. The total cost for low back pain in the United States are over a billion dollars per year. Although an ample amount of research has been done looking into the epidemiology and treatment of back pain, many people are still suffering from lack of effective treatments.

Case Description: The purpose of this case report was to describe a patient who was post lumbar surgery to evaluate and examine the benefits of physical therapy. The patient in this case report was …

Evaluating The Effectiveness Of Therapy Interventions On A Patient Who Underwent A Spinal Thoracic Abscess Removal: A Case Report, Natalie Gleason

Physical Therapy Scholarly Projects

Background and Purpose: An epidural abscess comes from an infection of the central nervous system. In this patient's case he had a spinal thoracic abscess removed that was pushing against his spinal cord. The purpose of this case report is to assess the patient's outcome after therapy implementation. The goal was to see how effective the interventions were for the patient.

Case Description: The patient was a 63-year-old male who underwent surgery to remove a thoracic epidural abscess that was causing paraplegia. He was coming to outpatient physical therapy 2 months before I started my clinical treating him. …

The Activities-Specific Balance Confidence Scale And Its Use In Assessing Confidence In Elderly Community-Dwellers Attending The Stepping On Program, Sierra Heeren

Physical Therapy Scholarly Projects

Introduction: Stepping On is a 7-week comprehensive fall program aimed at reducing falls for the community-dwelling elderly. Participants are educated on balance and strengthening exercises, and the influence medications, visions, inclement weather, etc. has on safety and falls.

Purpose: The main purpose of this study is to utilize the Activities-specific Balance Confidence scale (ABC) and survey results to determine if attendance of Stepping On improves balance confidence. Secondly, this research sought out to discover if increased balance confidence relates to decreased fall risk.

Methods: Participants of this were included 13 individuals initially (with one participant joining the …

Effectiveness Of Cognitive Timed Up And Go Test In Assessing Fall Risk In The Older Adult, Cory Sailer

Physical Therapy Scholarly Projects

Introduction: Falls are a common and devastating injury for the older adult. Fall programs, such as the Stepping On program, are used to educate, strengthen, and sequentially reduce the number of falls its participant's endure. The Stepping On program is a multifactorial fall prevention program that addresses: balance and strength exercises, visual impairments, home modifications, pharmacologic effects, and even assistive devices. One aspect that has been found to be influential on fall risk is cognition, in particular executive functioning during ambulation.

Purpose: The purpose of this study was to screen participants of the Stepping On program for unknown …

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, Gabrielle Dahl, Elizabeth Hermanson, Laura Nelson, Kayla Selinger

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Falls are evident in the older population and are a common and disabling feature of Parkinson Disease (PO). The benefits of activity are well known to decrease balance deficits and increase overall quality of life in the older adult population. In addition highly challenging exercises have been suggested to increase neuroplasticity in individuals with PD. The effect of challenging exercises on clinical outcomes in a structured Physical Therapy setting is documented in literature; however, the effect of a community based program is not well documented. Our pilot study examined the effect of a community exercise program on improving …

Effectiveness Of The 30 Second Chair Stand Test In Reducing The Fall Risk Of Community Dwelling Older Adults Participating In The Stepping On Program, Corissa Kruse

Physical Therapy Scholarly Projects

Stepping On is a seven week fall prevention program that utilizes education and exercise. The purpose of this study is to see if the participants of Stepping On can show a decrease in fall risk through the use of the 30 Second Chair Stand Test (30sCST), a functional assessment tool used to assess fall risk. This study looked at a group of 14 females (M=87 y/o) at an assisted living facility, who met the program's qualifications (community dwelling individuals and ≥ 65 y/o) and attended the Stepping On program. Only eight participants were tested using the 30sCST at Week 1 …

The Role Of Occupational Therapy In Primary Care With Older Adults, Kate Gearman, Tessa Richards

Occupational Therapy Capstones

The older adult population in the United States (U.S.) is projected to increase over the next 30 years (United States Census Bureau, 2014). With that, nearly two-thirds of older adults in the U.S. are diagnosed with at least one chronic health condition (Center for Disease Control and Prevention [CDC], 2016b). These findings highlight a need for more specialized services for this population. Primary care is one sector of healthcare service delivery operating within the U.S. healthcare system. Presently, occupational therapy services are limited in primary care settings as defined in this scholarly project. Occupational therapy services have demonstrated efficacy in …

Student Organization For Accessibility And Resources (Soar) Program: A Policies And Procedures Manual, Molly Hofmeister, Kelsey Schiller

Occupational Therapy Capstones

Students with disabilities who attend college face many challenges with little support; and therefore are at a higher risk of preemptively dropping out of college (Mamiseishvili & Koch, 2011). Some of these challenges and barriers include but are not limited to roles and responsibilities of support staff and a greater demand for students’ self-reliance (Garrison-Wade, 2012). The Student Organization for Accessibility and Resources (SOAR) Program is a current peer mentorship program missioned to provide guidance and mentorship for college students with disabilities as they negotiate the complexities of transitioning and attending college (Morrison, personal communication, September 13, 2016). Peer mentorship …

Parent Guide For Therapeutic Play, Amber Brown, Corey Lof

Occupational Therapy Capstones

The purpose of this project was to create a guide for parents of children ages three through six who have transitioned from early intervention services and did not qualify for early special education services. Delays may be present in many areas including cognitive, fine motor, gross motor, social-emotional, and adaptive development (North Dakota Department of Human Services, 2013), creating difficulty for the child to engage in everyday occupations including play.

An extensive literature review was conducted in order to obtain up to date information on the importance of play in development and facilitation of parent led play sessions. Research articles, …

Happy Hearts: A Caregiver's Guide To Assisting Patients With Heart Failure, Stephanie Carlson, Ashley Waller

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a holistic guide that could be provided by occupational therapists (OTs) to caregivers of individuals with heart failure (HF). A thorough literature review was completed on the impact that caregiving for individuals with HF has on mental, physical and environmental aspects of the caregiver and their role as a caregiver. The literature revealed that there is a significant number of individuals with HF and the role of caregiving is on the rise. As the need for caregivers’ increases, the demands associated with caregiving responsibilities increases accordingly. Activities that caregivers assist HF …

Interdisciplinary Mental Health Approach To Equine Assisted Therapy For Veterans, Elizabeth Large, Brier Van Valin

Occupational Therapy Capstones

Purpose: The purpose of this program plan, Veteran Equine Therapy Services: An Interdisciplinary approach (VETS), is to provide an interdisciplinary, theory-driven structure to increase veterans’ occupational performance in the community using equines as a therapeutic medium.

Methods: A thorough literature review was completed focusing on current PTSD treatment options for veterans, beneficial effects of using animals and equines in treatment, and interdisciplinary team effectiveness. Scholarly articles were retrieved through databases found on the Harley E. French Library website located at the University Of North Dakota School Of Medicine and Health Sciences including PubMed, Google Scholar, Sociological Abstracts, CINAHL, and PsycInfo. …

Resource Guide For Secondary Complications Of Individuals Aging With A Spinal Cord Injury, Allison Laska, Emily Proctor

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop an easy to use resource guide to aid occupational therapists in working with those aging with a spinal cord injury (SCI) that have endured a secondary complication and advocating to other healthcare professionals the usefulness of occupational therapy in treatment of these individuals.

Method: An extensive literature review was conducted using Cinahl, OT Search, PubMed, PsycInfo, various medical journals, OT course textbooks, and documents obtained from the American Occupational Therapy Association (AOTA) website. Information was gathered about aging with SCI, common secondary complications in SCI, OT’s role in SCI, OT’s …

Coronary Artery Calcium Scoring Vs. Exercise Tolerance Testing: Diagnoses And Risk Stratification Of Ascvd, Brittany Anundson

Physician Assistant Scholarly Project Posters

• Atherosclerotic cardiovascular disease (ASCVD) is highly prevalent in today’s society and contributes to high rates of mortality involved with heart disease.

• The initial assessment of ASCVD and risk stratification concerning the development of an acute coronary event can be performed in a number of ways.

• Current American Heart Association (AHA) guidelines recommend exercise stress testing (ETT) as the initial, noninvasive evaluation of choice.

• However, the accuracy of this test is highly dependent on the patient’s endurance, body mass index, and artifact, making analyzation difficult.

• Non-contrast cardiac computed tomography (CT) with coronary artery calcium (CAC) scoring …

Preventing Cia In Women With Breast Cancer Improves Psychological Well-Being, Allison Barnett

Physician Assistant Scholarly Project Posters

In adult women with breast cancer, alopecia that often accompanies the use of chemotherapy can be devastating when added to the emotional distress of receiving treatment. According to the Up to Date database, cryotherapy is successful at reducing or preventing alopecia during breast cancer chemotherapy treatment. In addition, several recent studies have shown that chemotherapy-induced alopecia has a negative effect on the body image and psychological well-being of women with breast cancer. The review of literature from Cochrane and PubMed database, from the last ten years, explored studies of women ages 18-80with breast cancer that evaluated the impact of chemotherapy-induced …

Does The Hygiene Hypothesis Contribute To Autoimmune And Allergic Disease In Children With Focus On Type 1 Diabetes Mellitus And Asthma, Chad Briley

Physician Assistant Scholarly Project Posters

The Hygiene Hypothesis first introduced in 1989 by an epidemiologist, Dr Strachan, as he observed an increased prevalence of allergic diseases in society. Further clinical studies and research have included autoimmunity and inflammatory disease under the umbrella of the Hygiene Hypothesis. Article searches were done in the electronic medical database, Pubmed, for articles related to the Hygiene Hypothesis and autoimmunity related to Type 1 Diabetes Mellitus (T1DM) and hygiene hypothesis and childhood asthma. Articles written in the last five years were utilized for the project. The subject group is male and female children ages birth to 18 years old with …

Acute Retinal Necrosis: Early Diagnosis Is Key To Outcome, Kevin Davis

Physician Assistant Scholarly Project Posters

• Acute Retinal Necrosis (ARN) can have extremely devastating effects on the vision of both healthy and immunocompromised individuals. Many times the exact pathogen of ARN can remain a mystery due to its silent and sometimes sudden onset along with the loss of vision prior to vitreal biopsy. One of the known pathogens is the Herpes Zoster Virus (HZV).

• When Herpes Zoster Virus attack the retina, there are very devastating effects due to ARN including long term complications and blindness. A review of literature looked at the retrospective studies related to the incidence and prevalence of ARN caused by …

Comparing Scit With Slit: For Treatment Of Ige Mediated Grass-Pollen Induced Rhinoconjunctivitis, Cory Heiser

Physician Assistant Scholarly Project Posters

• The peer review literature compared the effectiveness of treating allergic rhinitis (AR) with subcutaneous immunotherapy (SCIT) versus sublingual immunotherapy (SLIT) for allergen-induced rhinoconjunctivitis.

• The findings showed that there is no clear evidence of effectiveness between SCIT and SLIT for reducing AR symptoms. SLIT has been associated with cost savings with comparison to SCIT.

• The findings indicated that SLIT may be the preferred route for immunotherapy because of its convenience, comparable efficacy, safety and cost.