Digital Commons Network^™

Summer Commencement: August 8, 2025, University Of North Dakota

UND Commencement Programs

UND Summer Commencement program from August 8, 2025.

Indigenous Gut Health, Tasha Vivier Morin

Indigenous Health Student Publications

Indigenous gut health is a critical but often overlooked determinant of overall well-being. Gut health encompasses digestion, nutrient absorption, immune function, and the balance of the microbiome. Indigenous communities face unique challenges related to geography, food access, and the legacy of colonization, all of which affect dietary diversity and microbiome health. Drawing from the Health Belief Model, this project proposes a culturally responsive, education-based intervention to increase awareness of fiber-rich diets and their role in preventing chronic disease. The intervention aims to address upstream factors such as food access and health literacy, particularly among Indigenous families. Traditional diets once supported …

Spring Commencement: May 17, 2025, University Of North Dakota

UND Commencement Programs

UND Spring Commencement program from May 17, 2025.

Glp-1 Vs Gastric Bypass In Treating Obesity And Type 2 Diabetes, Abir Oliver

Physician Assistant Scholarly Project Posters

Obesity and type 2 diabetes are interconnected global health challenges, contributing significantly to morbidity, mortality, and healthcare costs. This literature review compares the efficacy, safety, and applicability of glucagon-like peptide-1 (GLP-1) receptor agonists and bariatric surgery as treatment options. A literature search with defined inclusion and exclusion criteria was conducted using PubMed and EBSCOhost from May to July 2024, resulting in 14 randomized controlled trials for evaluation. This literature review supports the efficacy of both GLP-1 receptor agonists, particularly semaglutide, and bariatric surgery as effective interventions for weight loss and glycemic control in patients with obesity and type 2 diabetes. …

Effects Of Nsaids On Bone Healing Time In Orthopedic Patients, Alayne Brekke

Physician Assistant Scholarly Project Papers

Use of NSAIDs in adults recovering from orthopedic injury or surgery has been found to be largely inconclusive when it comes to determining significance in delay of bone healing. The purpose of this review is to determine whether use of NSAIDs is detrimental to bone healing after orthopedic injury or surgery. A literature review was performed using electronic databases PubMed and SportsDiscus from May to July of 2024. There were fifteen studies that met final inclusion criteria. Research overwhelmingly acknowledged that selective COX-2 inhibitors are not recommended in a post injury or post operative state. However, when it comes to …

Impact Of Altering Gut Microbiota With Multinutrient Supplementation On Neuropsychiatric Symptoms In Attention Deficit/Hyperactivity Disorder, Benjamin Hinkle

Physician Assistant Scholarly Project Papers

Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neuropsychiatric condition affecting children, often characterized by inattention, hyperactivity, and impulsivity. Recent evidence suggests a potential link between gut microbiota composition and neuropsychiatric disorders, including ADHD, through the gut-brain axis (GBA). A literature review of studies published between 2017 and 2024 explores the efficacy of multinutrient interventions on influencing gut microbiota to treat the core symptoms of ADHD in children ages 6-12 years old. Findings indicate that multinutrient supplementation may modulate gut microbiota and subsequently impact neuropsychiatric symptoms, offering a promising adjunctive treatment for ADHD. However, variability in study methodologies and small sample sizes …

Pharmacological Treatment Options For Nonalcoholic Steatohepatitis: Resmetirom Vs Glp- 1 Receptor Agonists, Debbie Zabel

Physician Assistant Scholarly Project Papers

The incidence of nonalcoholic steatohepatitis (NASH) is continually rising and has now emerged as one of the leading causes of cirrhosis requiring liver transplantation (Maurice et al., 2018). Until recently, the management of this disease has been limited to lifestyle modification and treatment of comorbid risk factors. In March 2024, the FDA approved resmetirom, the first and only medication for the treatment of this condition. The purpose of this literature review is to investigate the efficacy of GLP-1 and dual GLP/GIP or GLP/GCGR receptor agonist medications for the reduction of liver fat content in comparison to resmetirom. A literature review …

Safety And Efficacy Of Combined Glucosamine And Chondroitin Supplementation In Osteoarthritis, Klayton Johnson

Physician Assistant Scholarly Project Papers

According to the CDC, over 30 million adults in the United States have osteoarthritis, many of whom experience pain, stiffness, and swelling that hinder daily activities. Typical treatment consists of nonsteroidal anti-inflammatory drugs, which are associated with gastrointestinal, renal, and cardiovascular risks. This literature review examines key research on glucosamine and chondroitin supplementation to provide a comprehensive understanding of its impact on adults with osteoarthritis. A literature search was conducted using the electronic databases PubMed, Embase, and Google Scholar. Keywords and MeSH terms were used to identify studies discussing the combination of glucosamine and chondroitin as a potential alternative, effective, …

Outcomes Of Blood Flow Restriction Training In Comparison To Traditional Strength Training In Patients Undergoing Acl Reconstruction, Alex Lange

Physician Assistant Scholarly Project Papers

ACL injuries are common in athletes and active individuals, with a significant impact on knee stability, function and strength. The ACL is crucial in activities involving jumping, cutting, and pivoting which places the ligament under increased stress, increasing the risk of rupture. ACLR surgery is often necessary, especially in younger, active individuals, to restore knee stability, function and strength. The purpose of this literature review is to explore the effectiveness of BFR-RT as an alternative or adjuvant to traditional rehabilitation techniques following ACLR surgery. The electronic databases PubMed and Embase were searched, and the seven studies included for this review …

Comparing The Efficacy And Safety Of Glp-1 Receptor Agonists Versus Gastric Bypass Surgery In The Treatment Of Obesity And Type 2 Diabetes, Abir Oliver

Physician Assistant Scholarly Project Papers

Obesity and type 2 diabetes are interconnected global health challenges, contributing significantly to morbidity, mortality, and healthcare costs. This literature review compares the efficacy, safety, and applicability of glucagon-like peptide-1 (GLP-1) receptor agonists and bariatric surgery as treatment options. A literature search with defined inclusion and exclusion criteria was conducted using PubMed and EBSCOhost from May to July 2024, resulting in 14 randomized controlled trials for evaluation. This literature review supports the efficacy of both GLP-1 receptor agonists, particularly semaglutide, and bariatric surgery as effective interventions for weight loss and glycemic control in patients with obesity and type 2 diabetes. …

Moderate Exercise And Tirzepatide Versus Tirzepatide Alone For Long-Term Weight Loss Maintenance, Edward Amoah Acheampong

Nursing Capstones

Background: Glucagon-like peptide-1 (GLP-1) receptor agonist (RA) drugs have been transformative when managing obesity in the clinical setting. Though these medications are effective for weight loss, questions regarding their efficacy for long-term weight loss or maintenance remain unanswered.

Purpose: The purpose of this scoping review was to answer the following clinical question: Can overweight or obese patients (P) who use tirzepatide without exercise (I) as compared to those incorporating 150 minutes a week of moderate aerobic exercise (C) sustain a ≥5% weight loss (O) one-year post-treatment (T)?

Methods: Five electronic article databases were searched to locate articles …

Nature's Relief: Efficacy Of Plant-Based Therapies Vs. Placebo In Easing Vasomotor Menopausal Symptoms, Megan N. Schneider

Nursing Capstones

Background: Vasomotor symptoms (VMS) impact the lives of menopausal women. Plant-based therapies are frequently used as alternatives to hormonal therapy, warranting evaluation of their effectiveness.

Purpose: This literature review evaluates the efficacy of plant-based therapies in alleviating VMS during menopause and compares their effectiveness to placebo treatment.

Methods: A literature review was conducted utilizing PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL).

Results: The review includes a synthesis of 16 primary studies, highlighting five therapies: black cohosh, soy, red clover, evening primrose, and combination therapy in managing VMS. Soy consistently reduces VMS. Black cohosh, red clover, evening …

The Impact Of Sensory Sensitivity On Nutritional Outcomes In Children With Neurodevelopmental Disorders, Rachel M. Qualley

Theses and Dissertations

Background/Objective: Children with neurodevelopmental disorders (NDDs) are at increased risk of malnutrition due to restrictive dietary patterns and behavioral difficulties at mealtimes. Research suggests that heightened sensory sensitivity, a characteristic accompanying several of these disorders, may be a contributing factor. However, the effects of sensory sensitivity on nutritional outcomes across distinct NDDs have not been fully explored. This review aims to examine the relationship between sensory sensitivity and nutritional status, food preferences, and eating behaviors in children with NDDs, specifically investigating how atypical sensory processing might influence dietary intake.

Methods: A literature search was conducted using Google Scholar, PubMed, …

Dietary Patterns And Their Effects On C-Reactive Protein Regarding Female Reproductive Disorders, Mckenzie Moe

Theses and Dissertations

Objectives: Chronic inflammation, as indicated by elevated C-reactive protein (CRP), plays a critical role in women’s reproductive health disorders. CRP is one of the most common biomarkers of inflammation. Dietary components, lifestyle factors, and women’s reproductive health disorders are major components that influence the levels of CRP within the body. Other influential factors include injury, infection, and illness. The purpose of this review is to explore the findings of literature available on nutrition interventions for CRP levels in consideration of women's reproductive disorders.

Methods: This narrative review examines the works of 15 articles, including 10 cross-sectional and five longitudinal designs. …

The Role Of Almonds In Exercise Recovery And Athletic Performance, Kathryn M. Trochman

Theses and Dissertations

Objectives: During exercise, many trained athletes and physically active adults experience symptoms of exercise-induced muscle damage (EIMD). The effects of EIMD can cause limitations in athletic performance and increased duration of exercise recovery. Nutritional interventions have shown results in improving the duration of recovery. However, there are few studies completed on common food items. This review aims to examine the role of almonds in exercise recovery and athletic performance. Methods: A literature search was conducted utilizing Google Scholar, PubMed, CINAHL Ultimate, and reference hand searching. The search parameters included the dietary intervention of almonds for trained athletes and physically active …

Examining Multiple Layers Of Course Materials Cost: Experiences Of Private College Students, Virginia Clinton-Lisell, Lindsey Gwozdz

Education, Health & Behavior Studies Faculty Publications

Students in private, nonprofit (independent) higher education institutions, particularly those who are economically disadvantaged, often struggle with the costs of course materials like textbooks. However, much less is known about these students and how to assist them with these cost barriers compared to their peers at public institutions. It is also not well known how students perceive institutional course marking in which filters are available to identify courses based on the cost of their materials during registration. To address this lack of knowledge, students at four independent, private colleges (N = 316) were surveyed about their experiences with the cost …

Spring 2025, University Of North Dakota Alumni Association

ALL: UND Alumni Review Master List

Spring 2025 issue of "The University of North Dakota Alumni Magazine." 60 pages

Volume 108, Number 2

Brief: Improving Health And Dental Care Access In North Dakota, Evaluation Of Medical Dental Integration 2023, Shawnda Schroeder, Tonya Connor

Indigenous Health Faculty Publications

This brief highlights the success of medical dental integration at one health center in North Dakota. The hygienists, within the healthcare clinic, provided dental screening, fluoride varnish application, and oral health education for patients and their families. In the 30-months of services, the hygienist completed 1,385 dental screenings for eligible patients.

Report: Evaluation Of Seal!Nd: School Year 2021-2022, Shawnda Schroeder, Tonya Connor

Indigenous Health Faculty Publications

This comprehensive report provides evaluation data on the reach and impact of the North Dakota Oral Health Program’s school-based sealant program through the 2021-2022 school year. Data are presented longitudinally and identify inequities in care provision by race, grade level, and self-reported gender.

Und Leads Panel Discussion Questions — February 25, 2025, University Of North Dakota

LEADS Implementation Documents

Questions prepared for a UND LEADS panel discussion held on February 25, 2025. The document supports LEADS storytelling and outreach by guiding discussion around campus experiences, strategic priorities, and implementation-related themes.

The Impacts Of Ssris In-Utero And Nicu Occupational Therapy Intervention, Kyara Crowley

Occupational Therapy Capstones

Purpose: The purpose of this product was to collaborate with the occupational therapy (OT) staff in a neonatal intensive care unit (NICU) to further knowledge and enhance role competence to provide better quality of care to the selective serotonin reuptake inhibitor (SSRI) exposed infant population. Mental health conditions are becoming more prevalent among women, therefore, more women are taking SSRIs throughout pregnancy to counteract the effects of those conditions (Cleveland Clinic, 2024). However, the effects of in-utero SSRI exposure are not fully understood. Researchers have found evidence of some short-term and long-term effects caused by the SSRI exposure as well …

Using Machine Learning To Investigate Weather Impacts On Crop Yield For Probabilistic, Climate-Informed Predictive Crop Breeding, Levi Newell

Theses and Dissertations

As the world’s population continues to grow, the importance of food security willonly continue to increase, with some estimates requiring a global increase in food production between 59 and 98% by 2050. The agriculture industry is also a crucial economic driver, with the industry supporting 20% of the state of North Dakota’s workforce, and with a total valuation of $41.3 billion. The economic importance of this industry and the challenges of future growth prompt a need for data driven decision making into the future, particularly with predictive crop breeding. This is the method by which crops are developed that are …

Integrating A Canine Comfort Program With Occupational Therapy Services For Emerging Adults With Mental Health Diagnoses, Emily Vieth

Occupational Therapy Capstones

Background: Mental health plays a critical role in the lives of emerging adults (ages 18-29) including how they identify, their coping strategies, and social skills (Matud et al., 2020). Occupational therapists (OTs) can play a vital role in the management of depressive and anxiety symptoms for the promotion of an individual’s well-being (American Occupational Therapy Association [AOTA], 2020). OT can address depressive and anxiety symptoms through the incorporation of animal-assisted therapy (AAT). AAT is a therapeutic approach that uses animals to improve overall health and well-being (Pandey et al., 2024). Though still limited in evidencebased research, emerging interventions like canine …

Enhancing Quality Of Life: Occupational Therapy’S Role In Managing Chronic Conditions, Aubrey Rude

Occupational Therapy Capstones

Introduction: Chronic conditions are among the most common health concerns, and often cause disruption to daily routines, roles, self-identity, and quality of life (Fields & Smallfield, 2022). In fact, they are the leading cause of disability in the United States (Centers for Disease Control, 2019). It is estimated that 129 million adults are living with at least one chronic condition as defined by the US Department of Health and Human Services (Centers for Disease Control and Prevention, 2020). Trying to manage a chronic condition is extremely time consuming, with people spending at least two hours every day on health-related activities …

Chronic Pain Management In Adults In Rural Areas And Its Effect On Health And Well-Being: An Occupational Therapist’S Guide For Clients, Kinley Jo Nordin

Occupational Therapy Capstones

Background: Chronic pain is a common problem among individuals in the United States (Cleveland Clinic, 2021). It can affect any area of occupation including activities of daily living (ADLs), instrumental activities of daily living (IADLs), health management, rest and sleep, education, work, play, leisure, and social participation (American Occupational Therapy Association, 2020). It can also negatively influence an individual’s overall health, well-being, and quality of life (Cleveland Clinic, 2021).

Purpose: The purpose of this scholarly project was to address the need for additional resources for individuals living in rural areas who experience chronic pain to help manage their health and …

Pelvic Health Rehabilitation: A Guide For Postpartum Women In Rural Areas To Enhance Occupational Engagement, Joslynn Kay Parks

Occupational Therapy Capstones

Background: Of the over 3 million births in the US each year, 570,000 women experience a birth related injury, leading to pelvic health issues during the postpartum period (DeLancey et al., 2024). Pelvic floor dysfunction (PFD) affects 25% of American women, directly impacting quality of life (QoL), psychosocial factors, and the ability to successfully engage in meaningful occupation (Baker et al., 2017; Burkhart et al., 2021; Khan, 2023; Nygaard et al., 2008; Peinado Molina et al., 2023; Synder et al., 2022b). Although PFD has a neuromuscular etiology, the physiological effects can lead to psychosocial impacts, including, but not limited, to …

Nature-Based Practices In Early Childhood Through An Occupational Therapy Lens, Angela Mossman

Occupational Therapy Capstones

Background: Early childhood experiences are the building blocks for all future behavior and health (Warmbold,2015). These experiences, whether positive or negative, build the foundation of the brain's architecture (Center on the Developing Child at Harvard University, 2016). The developing brain comprises neural connections that develop through an ongoing process that begins before birth and continues into adulthood (Center on the Developing Child at Harvard University, 2016). This capstone project aims to demonstrate the therapeutic benefits of naturebased practices through the lens of occupational therapy. Ginsburg et al. (2007) stated that play is essential for optimal child development. The benefits of …

Acquired Brain Injury And The Impact On Functional Cognition, Jocelyn Rae Kirk

Occupational Therapy Capstones

Introduction: Occupational therapy practitioners often work with individuals with deficits in cognition due to an acquired brain injury (ABI). Individuals who experience an ABI may have deficits in functional cognition, making it difficult to complete everyday complex tasks, resulting in decreased independence, safety, engagement, health, and wellness (Engel et al., 2019; Erez & Katz, 2018; Klepo et al., 2022; O’Donoghue et al., 2022; Scharaga & Holtzer, 2015). Implementing current evidence-based functional cognition evaluations is difficult for occupational therapy practitioners due to the 17-year lag between evidence and implementation into clinical practice; therefore, practitioners need support in these efforts (Rubin, 2023). …

Incorporating A Facility Dog Into Practice: A Guide For Occupational Therapists In Mental Health Settings, Anneka Harris

Occupational Therapy Capstones

Introduction: The field of animal assisted therapy (AAT) is growing as the evidence on the effectiveness of incorporating animals into the rehabilitation process evolves; however, there is currently a lack of guidance for occupational therapy (OT) practitioners working with facility dogs in an adult mental health population. In a setting where clients have traumatic brain injuries (TBI), substance use disorders (SUD), and serious mental illness (SMI), it is important to combine best practice for both OT and AAT approaches. The objective of this project was to understand current resources available, conceptualize appropriate interventions, and provide a guide for practitioners using …

Occupational Therapy Best Practices In Maternal Health, Abby Eken

Occupational Therapy Capstones

Background: Maternal mortality and morbidity rates have been steadily increasing in the United States due to health disparities, inadequate care, and lack of recognition of maternal health service gaps. Additionally, interdisciplinary care provided after birth often emphasizes the infant shifting focus away from the mother which impacts health and recovery during the postpartum period. Despite a wide range of maternal health services provided in the acute care setting, inclusion and referrals to occupational therapy are often lacking. Further, occupational therapists play an emerging role in maternal health that is frequently misunderstood and insufficiently recognized.

Purpose: The goal of this project …