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The Safety And Efficacy Of Creatine Supplementation In The General Public, Cody Baxter

Physician Assistant Scholarly Project Posters

The purpose of this study was to determine whether supplementation with creatine monohydrate is efficacious beyond the realm of its most popular use, which is in athletics. This study investigated the safety of creatine supplementation in the general population. References were collected through a review of PubMed and Scopus databases. Initial keywords searched were creatine supplementation and creatine safety. Where possible, trials with human subjects were utilized. Studies focused on creatine’s effects in athletes or weightlifting parameters were eliminated. Topics were further narrowed down by conditions with the most amount of research and medical concerns recognized as common to primary …

Associations Among Acne Vulgaris And Western Diet, Kate Meredith Suda

Physician Assistant Scholarly Project Posters

Acne vulgaris is one of the most common dermatologic conditions, especially among the adolescent population.

The pathogenesis of acne is largely multifactorial, with heredity and hormones strongly contributing to one’s risk of developing the chronic inflammatory skin condition.

High prevalence rates of acne in the adolescent population cannot be attributed to heredity alone, but by the influence of Western diet (WD) that overstimulates insulin-like growth factors (IGFs).

The purpose of this scholarly project is to determine if there is an association between the presence of acne vulgaris and the consumption of WD, and if a physiological link between the high …

Comparing The Effectiveness Of A Low Carbohydrate Diet And Metformin On Glycosylated Hemoglobin Reduction In Type Two Diabetes Mellitus, Ashley Schultz

Physician Assistant Scholarly Project Posters

In this study, a low carbohydrate diet and metformin pharmacotherapy were compared to determine their effect on HbA1c in the type two diabetic patient. Several high quality studies were examined along with each treatment's effect on mainly HbA1c, but also other parameters such as body weight, cholesterol, and fasting and post prandial blood glucose levels. The study showed that both the low carbohydrate diet and metformin pharmacotherapy were effective at lowering HbA1c in the type two diabetic patient. The low carbohydrate diet showed a 0.2% increase in HbA1c all the way to a 2.2% decrease in baseline HbA1c in the …

Physical Therapy Intervention In A Patient With West Nile Meningitis: A Case Approach, Kelsie Gunnufson

Physical Therapy Scholarly Projects

Background and Purpose. West Nile Virus (WNV) is a neurotropic virus capable of causing damage of varying severity. WNV is commonly transmitted to humans from mosquitoes and is most prevalent in the months of August and September due to the method of transmission. The WNV can produce mild systemic symptoms classified as West Nile Fever (WNF). However, it can progress and infiltrate the nervous system, at which point the virus is categorized as neuroinvasive. One classification is West Nile Meningitis (WNM) that involves infection and inflammation of the meninges or coverings surrounding the brain and spinal cord. There is …

Effects Of Walking Poles On Posture And Gait, Kate Darnell, Tatum Hall, Sadie Hefta, Jessica Lynch, Jenna Sagedahl, Nicole Salfer

Physical Therapy Scholarly Projects

INTRODUCTION: Walking poles have become increasingly popular not only as a tool for exercising, but also as an assistive device. Physical Therapists use them to assist patients with balance during ambulation. PURPOSE: The purpose of this study is to look at the effects of walking poles on gait speed and posture. METHODS: This study included 60 community ambulators between 21-74 years old (19 males and 41 females), seen for a single session. Participants were fitted for walking poles and given a 3-minute warm-up period to become comfortable with them. A 10 Meter Walk Test (10 MWT) was …

Results From Australia’S 2018 Report Card On Physical Activity For Children And Youth, Natasha Schranz, Vanessa Glennon, John Evans, Sjaan Gomersall, Louise Hardy, Kylie D. Hesketh, David Lubans, Nicola D. Ridgers, Leon Straker, Michalis Stylianou, Grant R. Tomkinson, Stewart Vella, Jenny Ziviani, Tim Olds

Education, Health & Behavior Studies Faculty Publications

A decades worth of high quality surveillance sources have consistently shown that Australian kids are not meeting the physical activity (PA) guidelines of at least 60 min moderate-to-vigorous PA (MVPA) each day of the week. This is concerning because physical inactivity is assocaited with a myriad of unfavourable health outcomes. This paper will summarise the results from the 2018 Active Healthy Kids Australia (AHKA) PA Report Card, with the assigned grades based upon representative national and state/territory-based data sources (see Figure 1 for 2018 Report Card cover).

The Effects Of Cultural Participation On Health Outcomes Among American Indian/Alaska Native Elders, Collette Adamsen

Theses and Dissertations

American Indian/Alaska Native (AI/AN) history represents a number of traumatic events inflicted upon each tribal generation that has yet to recover. These events have led to major consequences on the health of this population. AI/AN people experience the worst health disparities in the nation (Espey et al., 2014; Warne & Lajimodiere, 2015). Previous studies have shown that loss of land, cultural devastation, and inadequate health care access are associated with the high rates of health disparities endured by AI/AN people throughout North America (Walters, et al., 2011). AI/AN beliefs tell us that culture serves a fundamental role in managing good …

Removal Of Emerging Poly- And Per-Fluoroalkyl Substances By Water Treatment, Ryan Alexander Hanson

Theses and Dissertations

Per- and poly-fluoroalkyl substances (per- and poly-PFASs) are emerging contaminants that have raised great concern in recent years. Two anionic per-PFASs in particular, perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA), has received worldwide attention for their persistence in the natural environment, resistance to typical environmental degradation, bioaccumulation potential, and adverse health effects in humans. The stable chemical characteristics have enabled these chemicals to be used in many industrial and consumer products over the past 50 years. They have been detected all over the world in various environmental matrices.

The water treatment removal of per-PFASs has been well documented, but the full …

Temporal Trends In The Cardiorespiratory Fitness Of 2,525,827 Adults Representing Eight High- And Upper-Middle-Income Countries Between 1967 And 2016, Nicholas Rye Lamoureux

Theses and Dissertations

Objective: To estimate international and national temporal trends in the cardiorespiratory fitness (CRF) of adults, and examine relationships between CRF trends and trends in socioeconomic and health-related indicators.

Methods: Data were obtained from a systematic search of studies that explicitly reported temporal trends in the CRF of apparently healthy adults aged 18–59. Sample-weighted temporal trends were estimated using best-fitting regression models relating the year of testing to mean CRF. Post-stratified population-weighted mean changes in percent and standardized CRF were estimated. Pearson’s correlations were used to describe associations between linear trends in CRF and linear trends in socioeconomic and …

The Efficacy And Safety Of Creatine Supplementation In The General Population, Cody Baxter

Physician Assistant Scholarly Project Papers

The purpose of this study was to determine whether supplementation with creatine monohydrate is efficacious beyond the realm of its most popular use, which is in athletics. This study investigated the safety of creatine supplementation in the general population. References were collected through a review of PubMed and Scopus databases. Initial keywords searched were creatine supplementation and creatine safety. Where possible, trials with human subjects were utilized. Studies focused on creatine’s effects in athletes or weightlifting parameters were eliminated. Topics were further narrowed down by conditions with the most amount of research and medical concerns recognized as common to primary …

Limb Salvage For Diabetic Patients With Peripheral Arterial Disease, Jamie Jesse Johnson

Physician Assistant Scholarly Project Papers

Diabetes is rapidly increasing throughout the United States. According to the Center for Disease Control (CDC) (2017), the total number of patients diagnosed with diabetes is 23.1 million, patients with undiagnosed diabetes are 7.2 million, for a combined total number of patients with diabetes exceeding 30.2 million and growing.

According to the CDC (2016), approximately 8.5 million people in the United States have peripheral artery disease (PAD), which includes 12-20% of individuals who are older than age 60. According to a study performed by Swaminathan et al. (2014), 186,000 patients underwent lower extremity amputation (LEA). Data also shows that patients …

The Impact Of Circadian Misalignment On Cardiometabolic Health, Cynthia Marie Mills

Physician Assistant Scholarly Project Papers

The circadian system is important in all living organisms because it generates a 24-hour rhythm for physiological and behavioral processes enabling anticipation and adaptation to daily changes in the environment. The prevalence of cardiometabolic diseases, which are linked to lifestyle choices, has been rising at an alarming rate. Modernization and globalization are two of many factors to blame for lifestyle changes resulting in circadian disruption. The purpose of this literature review is to explore circadian misalignment with regards to its mechanism and impact on cardiometabolic health and to determine possible interventional measures. The primary focus is on lifestyle change, particularly …

The Effectiveness Of Oral Non-Steroidal Anti-Inflammatories Versus Steroid Injections In Patients With Shoulder Pain, Darren Scott Pledger

Physician Assistant Scholarly Project Papers

Shoulder pain is the third most common musculoskeletal complaint in primary care. Therefore, it is important that we have quality evidenced based treatments to guide clinicians in treating shoulder pain. I examined in this review whether corticosteroid injection into the glenohumeral joint or oral NSAIDs was more effective in reducing shoulder pain as well as the side effects associated with each treatment modality. Search methods included the PubMed and Cochrane databases. Only studies comparing corticosteroid injection and oral NSAIDs were included and not each treatment individually. In conclusion, corticosteroid injections into the glenohumeral joint accelerate pain relief but have equal …

Associations Among Acne Vulgaris And Western Diet, Kate Meredith Suda

Physician Assistant Scholarly Project Papers

Acne vulgaris is one of the most common dermatologic conditions, especially among the adolescent population. The pathogenesis of acne is largely multifactorial, with heredity and hormones strongly contributing to one’s risk of developing the chronic inflammatory skin condition; it is related to excess sebum production by sebaceous glands, inflammation within comedones, and hyperproliferation of Propionibacterium acnes. High prevalence rates of acne in the adolescent population cannot be attributed to heredity alone, but by the influence of Western diet that overstimulates a key conductor of metabolism, the growth factor-sensitive kinase known as mTORC1. Many investigations show associations between acne and Western …

Comparing The Effectiveness Of A Low Carbohydrate Diet And Metformin On Glycosylated Hemoglobin Reduction In Type Two Diabetes Mellitus, Ashley Schultz

Physician Assistant Scholarly Project Papers

In this study, a low carbohydrate diet and metformin pharmacotherapy were compared to determine their effect on HbA1c in the type two diabetic patient. Several high quality studies were examined along with each treatment's effect on mainly HbA1c, but also other parameters such as body weight, cholesterol, and fasting and post prandial blood glucose levels. The study showed that both the low carbohydrate diet and metformin pharmacotherapy were effective at lowering HbA1c in the type two diabetic patient. The low carbohydrate diet showed a 0.2% increase in HbA1c all the way to a 2.2% decrease in baseline HbA1c in the …

Decreased Mortality Of Pulmonary Arterial Hypertension In Duchenne Muscular Dystrophy And Down Syndrome, Mitchell Volin

Physician Assistant Scholarly Project Papers

The genetic cause of significant disorders like Down syndrome (DS) and Duchenne muscular dystrophy (DMD) is well documented. Pulmonary arterial hypertension (PAH), a co-morbid condition, is tied to mortality among these groups. If undetected or untreated, in DS, this condition can lead to complications with coronary and lung disease later in life. If undetected or untreated in DMD it can hasten the inevitable prognosis of the disease. Individuals with the ability to communicate their symptoms and actively participate in treatment are at an advantage with subsequent benefit. DS and DMD significantly decrease physical ability and communication capacity.

Genetic research has …

Quantifying Extravehicular Activity Performance Degradation Due To Sustenance Deprivation, Eryn Beisner

Theses and Dissertations

Modern EVAs (spacewalks) performed onboard the International Space Station require astronauts to endure up to twelve hours of intense mental and physical exertion without food, as they do not stop to eat nor do they currently have the capabilities to consume sustenance in their spacesuits. With the future of space exploration taking aim at the Moon, Mars, and beyond, EVAs are expected to become more demanding than ever. This is a pilot study to attempt to quantify astronaut performance during an EVA to determine if there is significant performance degradation because of acute starvation. Astronauts conducting EVA training at NASA’s …

Trpc1-Mediated Ca2+ Entry Regulates Metabolism By Modulating Adipose Differentiation, Autophagy, And Adiponectin Secretion, Anne Schaar

Theses and Dissertations

A multitude of organs play a critical role in managing metabolism including the liver, pancreas, gut, brain, muscle, and adipose tissue. Abnormal function in any one of these can offset the metabolic balance and negatively affect whole body function thereby contributing to the development of metabolic complications and obesity. Although no single metabolic abnormality is responsible for obesity, understanding how normal cellular processes are regulated provides us with knowledge to reverse them during times of dysfunction. The main focus of this dissertation is on the regulation of adipose tissue due to its dual role of storing excess lipids and endocrine …

Secondary Stroke Prevention And Support: An Occupational Therapy Program, Kaitlyn Bosch, Jamie St. Germain

Occupational Therapy Capstones

Many individuals in the United States experience a recurrent stroke and evidence suggests that strokes, primary and secondary, could be prevented through lifestyle modifications. The objective of the scholarly project was to develop an occupational therapy (OT) led secondary stroke prevention program to address modifiable risk factors for stroke. A literature review was conducted to identify research to support development of this program. Based on the review of literature and through the use of the Model of Human Occupation, The Secondary Stroke Prevention and Support: An Occupational Therapy Program was designed to address competence in the occupational role of managing …

Promotion Of The Village Model In Rural Areas: An Educational Guide, Caitlin Herdrick, Samantha Kraus

Occupational Therapy Capstones

Background: The Centers for Disease Control (CDC) reports that the adult population will double the population of Americans aged 65 years or older during the next 25 years to 72 million (2013). The increasing age of baby boomers will have a significant impact on healthcare resources and available housing options. This will have a drastic effect on rural dwelling elderly individuals and their access to the healthcare and other resources. Many aging individuals want to remain in their homes, communities, and social circles. Remaining in one's home is more cost effective, compared to skilled nursing and assisted living facilities …

Occupational Deprivation In Adolescents From Low-Income And Food Insecure Homes: A Screening Tool And After School Program, Claire Eidenschink

Occupational Therapy Capstones

Adolescents who experience food insecurity are exposed to an increased risk of health disparities related to cognitive, psychosocial, and physical functioning (Cook & Frank, 2007). Each of these domains of functioning impacts occupational performance in all roles that an adolescent assumes. Of note, the role of a student is drastically impacted. Therefore, a program to address strategies for meeting basic needs within a familiar setting, such as a school, is relevant and necessary for this population. Such a program would offer an opportunity to close the gap in disparities and increase health outcomes of adolescents who experience food insecurity as …

Generationactive: Creating Healthier Communities Two Generations At A Time, Jerrica Thiel, Mallory Manecke

Occupational Therapy Capstones

Obesity has become an epidemic across all ages, as the prevalence of obesity has nearly tripled over the last 40 years (World Health Organization, 2017-a). Obesity can have a detrimental impact on the health and future of Americans, as many diseases are correlated with obesity. Diabetes, which often occurs secondary to obesity and is the 7th leading cause of death in America, is similarly on the rise (CDC, 2012). To combat these issues, there is a great need for a health promotion initiative that provides individuals of all ages an opportunity to learn about health and wellness, to take steps …

Yoga As An Intervention Among College Students: Measuring Changes In Body Dissatisfaction, Disordered Eating, Self-Compassion, Mindfulness, And Experiential Avoidance, Rachel A. Kramer

Theses and Dissertations

The purpose of this dissertation was to elaborate and expand research examining the incorporation of yoga in the prevention and treatment of eating disorders in addition to the amelioration of body image and related factors through a two-study design. Study One recruited participants from a Midwestern psychology subject pool. One-hundred fifty women completed Study One. Results indicated that self-compassion, mindfulness, and body appreciation were negatively related to eating disorder pathology, body mass index (BMI), and experiential avoidance. BMI, eating disorder pathology, and experiential avoidance were all positively correlated with one another. Mediational analyses indicated the self-compassion was a significant mediator …

Assessment Of Blood Pressure Regulatory Controls To Detect Hypovolemia And Orthostatic Intolerance, Ajay Kumar Verma

Theses and Dissertations

Regulation of blood pressure is vital for maintaining organ perfusion and homeostasis. A significant decline in arterial blood pressure could lead to fainting and hypovolemic shock. In contrast to young and healthy, people with impaired autonomic control due to aging or disease find regulating blood pressure rather demanding during orthostatic challenge. This thesis performed an assessment of blood pressure regulatory controls during orthostatic challenge via traditional as well as novel approaches with two distinct applications 1) to design a robust automated system for early identification of hypovolemia and 2) to assess orthostatic tolerance in humans. In chapter 3, moderate intensity …

Modeling Threats To Honey Bees In North Dakota From Land-Use Change And Pesticide Applications, Daniel Dixon

Theses and Dissertations

North Dakota supports the highest number of honey bee colonies in the US due to its abundance of floral resources, but threats from land-use change and pesticide applications have altered the quantity and quality of those resources in recent years. This thesis explored landscape scale pesticide use trends from both spray applied and seed treated insecticides on lands within 1.6km of ~13,000 registered apiaries North Dakota from 2001 to 2015. The regional application of five spray applied insecticides was collectively modeled using InVEST’s Habitat Quality Model during years of heightened land-use change. In these models, regional application rates were converted …

The Involvement Of Polyol Pathway In Hypgerglycemia And Cadmium Toxicity In The Establishment Of Diabetic Neprhopathy, Bethany Anne Davis

Theses and Dissertations

Diabetic nephropathy (DN) is a major cause of end-stage renal disease (ESRD), where prolonged exposure to hyperglycemia induces damage to proximal tubule cells of the kidney. Since progression to ESRD correlates to pathological changes in the tubular segments of the kidney, the effects of hyperglycemia in the PT portion of the nephron may be particularly relevant to the progression of DN. Development of this disease also is likely to occur in the context of exposure to other renal toxins, and the heavy metal cadmium (Cd2+) may be the most relevant due to the accumulation of this metal in the major …

No Additional Benefit Of Foam Rolling Or Dynamic Stretching To Vertical Jump Performance Beyond A General Aerobic Warm-Up In Collegiate Athletes, Benjamin Saaribovre

Theses and Dissertations

This study aimed to examine the effectiveness of four warm-up protocols on explosive strength in a vertical jump performance in collegiate athletes. Fifty-two NCAA Division 1 athletes (aged 20.3 ± 1.53 years, range: 18-23 years, Height 183.83 cm. ± 11.49 cm., Weight 81.85 kg. ± 17.56 kg., BMI 24.18 ± 3.64) performed each of the four randomly ordered warm-up protocols prior to performing both the squat jump (SJ) and countermovement jump (CMJ) tests, with each warm-up and subsequent jump tests performed at the same time of day spaced 1-week apart. The four warm-up protocols were: (a) general aerobic (run/walk) (AERO); …

Examining Determinants Of Patient Activation In Chronic Obstructive Pulmonary Disease: A Cross-Sectional Survey Study, Marnie M. Wetzstein

Theses and Dissertations

Introduction: Self-management plays a central role in the treatment chronic obstructive pulmonary disease (COPD). However, the patient characteristics necessary for effective self-management are not understood. The skills, confidence, and knowledge to engage in chronic disease self-care, known as patient activation, may play a key role in the capacity of people to self-manage COPD. How the complex, systemic nature of COPD influences patient activation has not been explored. Therefore, the purpose of this study was to examine the relationships among patient characteristics and health outcomes as determinants of patient activation among community-dwelling adults in the U.S. with COPD. The Revised Wilson …

Reliability Of The Styku 3d Whole Body Scanner For The Assessment Of Body Size In College Athletes, Joseph Daniel Derouchey

Theses and Dissertations

3-dimensional (3D) anthropometrics, such as volumes and surface area, have been shown to be important in predicting sport performance, and assessing health status, but most commercially available whole-body scanners are cost prohibitive. The main purpose of this study was to determine the test-retest reliability of a commercially available single camera 3D body scanning system to assess whole body and segmental circumferences, surface areas, and volumes of healthy collegiate athletes and students. Forty-nine male and female student-athletes active in various sports from a division I institute were scanned and measurements were analyzed. The single camera system demonstrated good within- and between-session …

Winter Commencement: December 14-15, 2017, University Of North Dakota

UND Commencement Programs

UND Winter Commencement program from December 14 and 15, 2017.