Digital Commons Network^™

Summer Commencement: August 6, 2021, University Of North Dakota

UND Commencement Programs

UND Summer Commencement program from August 6, 2021.

Telehealth Assessment In The Elderly Using The 4ms, Melissa Koehl

Nursing Capstones

The current 2019 novel coronavirus, or COVID-19, has presented new threats and challenges in healthcare, especially when attempting to conduct wellness exams amongst the most vulnerable. Older adults with underlying medical conditions are at great risk for exposure and infection of COVID-19. The Geriatric Workforce Enhancement Program (GWEP) grant was given to the University of North Dakota (UND) to create a geriatric telehealth team and implement a telehealth project, promoting the use of telehealth technologies amongst older adults utilizing the 4Ms (mentation, medication, mobility, and what matters). A modified wellness assessment tool was created and administered through telehealth technology to …

Interactive Features Of E-Texts’ Effects On Learning: A Systematic Review And Meta-Analysis, Virginia Clinton-Lisell, Ben Seipel, Staci Gilpin, Christine Litzinger

Education, Health & Behavior Studies Faculty Publications

E-texts afford interactive features that are not feasible with paper texts. Several studies have been conducted examining interactive features of E-texts, but it is uncertain what the overall effect is or what features may be most useful. The purpose of this study is to systematically review and meta-analysis of the findings comparing reading performance and/or reading times between E-texts with interactive features and control texts (paper or static E-texts). The systematic search of the literature identified 26 independent studies on reading performance. Based on the meta-analysis, interactive features benefited reading performance (g = .66, p < .001). Individual studies with positive effects involved multiple interactive features; however, potential contributions of three types of features (questions with feedback, digital glossaries, and collaborative tools) are discussed. Future directions for examining interactive features experimentally to better understand what features are most helpful for whom are described.

Autonomy In Nurse Education On Advance Health Care Directives, Rachel Wolden

Nursing Capstones

Advance Health Care Directives (AHCD) are important documents in place as a way for nurses to respect a patient's autonomy in all aspects of their care. When critical ailments or accidents happen, AHCDs can be an important tool to carry out patient wishes. An in-depth literary search was performed to determine the extent of nurse education received on advance directives. Analysis of a plethora of different scholarly articles from nursing students to veteran staff was reviewed. Beliefs, attitudes, and education were researched on AHCDs and comfortability in nursing. Discussion of the importance of advance directive education given to nurses will …

Spring Commencement: May 15, 2021, University Of North Dakota

UND Commencement Programs

UND Spring Commencement program from May 15, 2021.

The Current State Of Nursing Education In The Context Of Covid-19, Kaitlyn Kelly

Nursing Capstones

The field of nursing education has undergone massive changes in the context of COVID-19. Healthcare systems shifted to take care of an influx of patients, personal protective equipment shortages arose, and fear of transmission of the virus contributed to many nursing programs quickly transitioning to online instruction. These quick shifts leave many questions about the quality of education nursing students are currently experiencing. Although data may not yet be available to examine the effects of COVID-19 on nursing education, much can be learned by reviewing relevant literature published since the pandemic’s onset. This literature review describes changes to nursing education …

Treatment Of Trichotillomania, Kelsey Schwehr

Nursing Capstones

No abstract provided.

Childhood Obesity: Adding Metformin To Lifestyle Modification For Weight Reduction, Kelli Noelle Strege

Physician Assistant Scholarly Project Papers

One of the most challenging health conditions primary care providers face is combating the ever-rising incidence of obesity, especially among children. The objective of this literature review is to determine the effects of metformin implemented in addition to lifestyle modification for the treatment of childhood obesity. Efficacy, to include change in weight, BMI, insulin resistance, and overall safety of metformin was studied. The online databases searched in this review were PubMed, Cochrane Library, Embase, and CINAHL. Literature chosen for review included randomized control trials, meta-analysis, and systematic reviews published between 2015 and 2020. Much of the studied research indicates positive …

Hospital Acquired Deconditioning In A 78-Yeaar Old Individual: A Case Study, Brooke Rehm

Physical Therapy Scholarly Projects

Background and Purpose: Physical therapy management of older adults following hospitalization is common. Patients tend to show impairments such as generalized weakness, decreased endurance, impaired mobility and gait, and an increase in dependence on others to complete activities of daily living. The purpose of this case study is to examine the physical therapy implications of treating patients with hospital acquired disability. This paper outlines the management of a patient who was newly admitted to skilled nursing facility, following a proximal humeral fracture.

Description: Following her stay at the hospital, the patient was discharged to the skilled nursing facility for …

Comparison Of Oral Glucose Tolerance And Hemoglobin A1c As An Initial Indicator Of Type 2 Diabetes, Shelby L. Knox

Physician Assistant Scholarly Project Papers

The purpose of this literature review was to evaluate the diagnostic utility of hemoglobin A1c (HbA1c) compared to oral glucose tolerance testing (OGTT) for diagnosis of type 2 diabetes. Databases ClinicalKey, PubMed, Dynamed, and CINAHL withdrew a total of 17 peer-reviewed cross-sectional and retrospective studies, secondary data and pooled data analyses, and meta-analyses. Inclusion criteria included human studies, black, white, Hispanic, and Asian populations, studies < 10 years old, individuals > 15 years of age, fasting plasma glucose in conjunction with OGTT, and subjects without known type 2 diabetes. Exclusion criteria included alternative forms of diabetes, screening and diagnosis of prediabetes, comparisons in relation to specific …

Treatment Of Male Obesity-Related Secondary Hypogonadism And The Effects On Fertility, Julie E'Lane Harmon

Physician Assistant Scholarly Project Papers

The link between obesity and testosterone deficiency has often been a topic of research. Male obesity-related secondary hypogonadism (MOSH) is often underdiagnosed in the young male population. The current standard of care for hypogonadism in the older male population typically includes testosterone replacement therapy (TRT). The purpose of this study is to highlight available treatment options for MOSH in the younger population and the various effects on fertility. The method utilized was a systematic review of the current literature that targeted obese males below the age of 65 treated for secondary hypogonadism. The review excluded articles published longer than ten …

Effectiveness Of Diet/Exercise In Prevention Of Gestational Diabetes Mellitus And Associated Cesarean Section Delivery, Jonathyn Andrew Marx

Physician Assistant Scholarly Project Papers

Gestational diabetes mellitus (GDM) is becoming a more common diagnosis during pregnancy. GDM is defined as glucose intolerance diagnosed during pregnancy. Women diagnosed with GDM during pregnancy are at an increased risk for emergent or planned cesarean section delivery and the development of overt diabetes mellitus post pregnancy. Complications related to GDM include eclampsia, macrosomia, shoulder dystocia, stillbirth, and cesarean section delivery. Initial treatment consists of diet and exercise and if glucose can not be controlled then pharmacotherapy is introduced. A literature review was performed utilizing scientific databases, mesh terms, and keywords to gather statistically relevant research to analyze the …

Effect Of A Ketogenic Diet On Glycemic Control In Type 2 Diabetics, Steven William Moore

Physician Assistant Scholarly Project Papers

With the increasing rate of patients diagnosed with type 2 diabetes mellitus (T2DM) and the serious complications associated with this disease, there continues to be controversy surrounding the most effective way to manage glycemic control in this population. The intention of this meta-analysis is to determine the effect of a ketogenic diet as a first-line treatment option on glycemic control in type 2 diabetic patients. Effectiveness was determined by comparing the ketogenic diet to other popular diets recommended to diabetics by practitioners following guidelines set forth by the American Diabetes Association. Several high-quality studies were selected utilizing PubMed, Dynamed plus, …

Anticholinergic Medications And Risk Of Developing Dementia, Heidi N. Artz Schmaltz

Physician Assistant Scholarly Project Papers

Abstract (to Come)

Comparison Of Conjunctive Probiotic Use Versus No Probiotic Use In Outcomes Of Antibiotic-Associated Diarrhea, Samantha L. Simley

Physician Assistant Scholarly Project Papers

Antibiotics are utilized in the medical community for the treatment of bacterial infections. Consequently, the use of antibiotics may result in certain gastrointestinal side effects. Antibiotic-associated diarrhea is one side effect that can be seen in patient populations that are on an antibiotic regimen. Due to this side effect profile, patient compliance on an antibiotic regimen may be compromised. This lack in patient compliance led to increased interest to determine if there are treatment options available to prevent or reduce instances of antibiotic-associated diarrhea. One treatment option of interest includes the use of probiotics. The purpose of this literature review …

The Role Of The Gut Microbiome In Autoimmune Disorders, Sierra Baxter

Physician Assistant Scholarly Project Papers

According to the National Institute of Health (NIH), it is estimated that over 24 million Americans are diagnosed with autoimmune disorders, and the cases are increasing (2005). A significant risk factor that has been linked to the formation of these diseases is the gut microbiome. The gut microbiome of the adult plays a vital role in the efficacy of the immune system. The purpose of this research and systematic literature review is to determine how the gut microbiome can influence autoimmune disorders. In this review, five databases were searched including PubMed, DynaMed, Cochrane Library, Embase, and Clinical Key. A variety …

Effect Of Cftr Modulators On Respiratory Function In Adults With Cystic Fibrosis, Melissa Severson

Physician Assistant Scholarly Project Papers

Cystic Fibrosis (CF) is an autosomal recessive disorder that shortens one’s life due to its effect on the cystic fibrosis transmembrane regulator (CFTR) gene. CFTR modulator medications can correct the CFTR gene and consist of a potentiator (ivacaftor), and corrector (lumacaftor, tezacaftor and elexacaftor). This research and literature review sought to evaluate if lung function improved in an individual with genetically confirmed CF after being started on CFTR modulator medications. To complete the review, six databases were searched which included: CINAHL, PubMed, Clinical Key, Cochrane Library, Embase and Dynamed Plus. Both keyword and mesh terms were used to define a …

Integration Of Palliative Care For Improving Quality Of Life In Patients With Chronic Obstructive Pulmonary Disease, Christina Davis Rasanen

Physician Assistant Scholarly Project Papers

The purpose of this scholarly project is to determine if the integration of palliative care into COPD management provides an improvement in symptom burden associated with quality of life and end of life care when compared to the standard of care. A review of the literature was performed using the following electronic databases, and the use of keywords and mesh terms were used to define the set of literature that would be critically analyzed. A total of 16 articles achieved the necessary criteria for review and critical assessment. The literature reviewed various aspects related to symptom burden and symptom management …

March 4, 2021: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the March 4, 2021, meeting of the University Senate. 50 pages

The Nutrition Care Process Related To Hypertension, Brooke L. Johnson

Nutrition & Dietetics Student Publications

This paper describes the nutrition care process related to hypertension using a case study patient to provide specific examples. Included is an introduction to hypertension, a brief description of the pathophysiology, etiology, epidemiology, signs and symptoms as well as a description and examples of the nutrition care process.

To view the presentation on this topic, please download the PowerPoint from the additional files.

Prevention Of Falls In Adults Older Than 60 Years Through Therapeutic Riding: A Critically Appraised Topic, Isabella Johannes, Dominique Menard, Alicia Young

Critically Appraised Topics

This critically appraised topic paper will address the focus question relating to the intervention of therapeutic riding. A critically appraised topic (CAT) is an overview of scientific literature about an intervention or practical issue and how it relates to practice (Barends et al., 2017). The use of the Ecological Human Performance (EHP) model is to guide this CAT research with a theoretical basis. EHP was chosen for its emphasis on the person, environment, and tasks. The person is described in EHP as including their experiences, sensorimotor, cognition, and psychosocial abilities (Dunn et al., 1994). The use of EHP provides a …

Impact Of Stress Management Strategies And Intervention On The Mental Health Of Farmers: A Critically Appraised Topic, Logan Anderson, Zach Gascho, Nicole Gentry, Ashley Vannelli

Critically Appraised Topics

The dynamic transactions between the environment, person, and occupation play a role in the success of the farmer, their access to healthcare, and their willingness to seek support with their stressors or difficulties. Depression, stress, and other mental health conditions are highly prevalent within the farming community. This population is less likely to seek out and utilize available mental health resources and services, and in many cases, mental health resources are not available in rural areas (Gunn et al., 2021; Kennedy et al., 2020).

Best Interventions For Working Adults Experiencing Chronic Musculoskeletal Pain, Hailey Koep, Samantha Larson, Michelle Mcnamee

Critically Appraised Topics

Chronic musculoskeletal pain is defined as ongoing pain felt in the bones, joints, and tissue of the body that persists for longer than three months (Booth et al., 2017; Joelsson et al., 2017). Worldwide, 30% of the population has experienced some form of chronic pain in their lifetime (Guy et al., 2020). When living with chronic pain, it can become difficult for working adults to engage in their everyday occupations such as activities of daily living (ADL), instrumental activities of daily living (IADL), health management, social participation, and leisure (American Occupational Therapy Association [AOTA], 2020). These troubles can affect an …

Interventions That Reduce Anxiety And Depression To Support Mediation Of Lifestyle Balance In Middle School Students, Briana M. Kent, Aleksander R. Kohn, Cammy C. Robertson

Critically Appraised Topics

Mental health disorders are internationally known as a leading cause of disability throughout almost 20% of the adolescent population experiencing devastating mental health problems. Current statistics note that the prevalence of impaired mental health within this population has increased by 21% from 2001 to 2011, indicating a continuation of severe effects from poor mental health on this vulnerable population (Danielson et al., 2020). Allison et al. (2014) estimated that at the time the article was written, 14 million children in the United States had a mental health disorder that interfered with their daily life. Research from the Centers for Disease …

Comparison Of Conjunctive Probiotic Use Versus No Probiotic Use In Outcomes Of Antibiotic-Associated Diarrhea, Samantha Simley

Physician Assistant Scholarly Project Posters

Antibiotics are utilized in the medical community for the treatment of bacterial infections. Consequently, the use of antibiotics may result in certain gastrointestinal side effects. Antibiotic-associated diarrhea is one side effect that can be seen in patient populations that are on an antibiotic regimen. Due to this side effect profile, patient compliance on an antibiotic regimen may be compromised. This lack in patient compliance led to increased interest to determine if there are treatment options available to prevent or reduce instances of antibiotic-associated diarrhea. One treatment option of interest includes the use of probiotics. The purpose of this literature review …

Effect Of A Ketogenic Diet On Glycemic Control In Type 2 Diabetics, Steven Moore

Physician Assistant Scholarly Project Posters

With the increasing rate of patients diagnosed with type 2 diabetes mellitus (T2DM) and the serious complications associated with this disease, there continues to be controversy surrounding the most effective way to manage glycemic control in this population. The intention of this meta-analysis is to determine the effect of a ketogenic diet as a first-line treatment option on glycemic control in type 2 diabetic patients. Effectiveness was determined by comparing the ketogenic diet to other popular diets recommended to diabetics by practitioners following guidelines set forth by the American Diabetes Association. Several high-quality studies were selected utilizing PubMed, Dynamed plus, …

Backstories: The Kitchen Table Talk Cookbook, Cynthia Prescott, Maureen Sherrard Thompson

Digital Press Books

Sharing recipes is a form of intimate conversation that nourishes body and soul, family and community. Backstories: The Kitchen Table Talk Cookbook integrates formal scholarship with informal reflections, analyses of recipe books with heirloom recipes, and text with images to emphasize the ways that economics, politics, and personal meaning come together to shape our changing relationships with food. By embracing elements of history, rural studies, and women’s studies, this volume offers a unique perspective by relating food history with social dynamics. It is sure to inspire eclectic dining and conversations.

Cynthia C. Prescott is Professor of History at the University …

Structured Ambassador Program For Individuals With Intellectual And Developmental Disabilities In The Preschool Setting, Aspen Pitcher, Abby Wendel

Occupational Therapy Capstones

Adults with intellectual disabilities (ID) and developmental disabilities (DD) have multiple opportunities to participate in the community through a variety of programs. Most programs show significant benefits in immersing individuals with ID/DD in social and physical contexts. Ashley, Fossey, and Bigby (2019) explain that participation for individuals with ID/DD is influenced by motivation, abilities, and environmental conditions. The environment plays a key role in supporting or hindering occupational engagement for individuals with ID/DD (Ashley et al., 2019). The research supports the use of vocational programs, intergenerational programs, and peer mentorship to improve the quality of life for individuals with ID/DD …

Ot Is The Missing Link In Postoperative Cognitive Dysfunction, Hope Schuster, Michaela Mayhood

Occupational Therapy Capstones

PURPOSE: The purpose of this scholarly project was to examine research regarding postoperative cognitive dysfunction (POCD). As there is no current literature regarding POCD and occupational therapy, this project serves to be the first of its kind to address the role. Within this scholarly project, the literature reviewed served to generate an article for OT Practice, highlighting the role of occupational therapy and education about POCD.

Sensitization To A Milk Allergen Induces Differential Behavioral And Neurological Responses In Allergic C57bl/6j And Balb/Cj Mice, Nicholas Smith

Theses and Dissertations

Studies have highlighted an association between food allergies and neuropsychiatric disorders such as anxiety, depression, and attention deficit hyperactivity disorder. Though the precise mechanism behind this relationship is unknown, it marks a potential novel therapeutic strategy outside of traditional neuropharmacological intervention. Food allergy is a heterogeneous disorder of the immune system characterized by an immune response that occurs reproducibly to a given food. Chronic allergen exposure in patients with mild or non-anaphylactic food allergies may cause or exacerbate psychiatric conditions. However, the variability in food allergies due to factors like genetic background introduces selection bias for individuals with overt anaphylactic …