Digital Commons Network^™

Increasing Palliative Care Referrals In Terminal Lung Cancer Patients, John Edward Roll

Theses and Dissertations

Late referrals to palliative care services for patients suffering from terminal lung cancer is an ongoing problem that unnecessarily shortens patient survival time by inadequate and poorly timed symptom control that affects the remaining quality of life for both patient and family. The latest mortality figures available (2011) showed approximately 157,000 people died due to cancer of the lung, trachea, and bronchus (CDC, 2014a). The purpose of this independent study was to review and effectively analyze the literature and understand the reasons and barriers to early referral of palliative care services by health care providers for their clients diagnosed with …

Reduction Of Osteoporosis In Cancer Patients Who Are Receiving Aromatase Inhibitor Treatment, Amaka G. Onyeka

Theses and Dissertations

No abstract provided.

Volume 52, Number 36: April 22, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 52, Number 35: April 15, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Low Bone Mineral Density In Inflammatory Bowel Disease, Molly K. Torvik

Theses and Dissertations

Low bone mineral density is a common and detrimental extra-intestinal complication in inflammatory bowel disease (IBO). There are several factors known to contribute to low bone mineral density in this population. The case outlined reviews a postmenopausal female with osteoporosis. While low bone mineral density in postmenopausal women is well-studied and often applied to 180, the process of bone loss is different in IBD which makes treatment more difficult. The literature review discusses the increased 1isk for low bone mineral density in IBD, factors increasing its risk, current screening and preventive care recommendations, barriers to improved bone mineral density in …

Dietary Habits And Colorectal Cancer Risk, Stacie M. Frovarp,

Theses and Dissertations

According to the American Cancer Society (ACS) (2014), colorectal cancer (CRC) is the "3rd leading cause of cancer related deaths in the United States"(p. 3). Researches have hypothesized how dietary habits could increase an individual's risk of developing CRC. Diets high in red meat for example, have long been thought to produce carcinogens through cooking and digestive processes. These carcinogens damage colon DNA, leading to neoplastic changes (Raskov, Pommergaard, Burcharth, & Rosenberg, 2014). On the other hand, fiber has been suggested as having a protective nature to individuals with CRC risk. Throughout this literature review a case involving 65-year-old female …

The Impact Of Health Literacy On Effective Breastfeeding Education, Emmalee Schubring

Theses and Dissertations

Many studies have shown that any amount of breastfeeding decreases a child's risk of otitis media, gastroenteritis, inflammatory bowel disease, obesity, and type 2 diabetes . Breastfeeding for one month or more decreases the risk of SIDS; two months or more decreases the risk of celiac disease; and breastfeeding for more than three months decreases the risk of type 1 diabetes, atopic dermatitis, and asthma. The benefits continue to grow if a child is breastfed more than six months (American Academy of Pediatrics, 2012) .

Even though the benefits of breastfeeding are well documented, low-income women are still less likely …

Bisphosphonates And Hormone Receptor Positive Breast Cancer, Abby E. Peters

Theses and Dissertations

No abstract provided.

The Impact Of Weight Loss On Cardiovascular Outcomes In Hypertensive Patients, Melissa J. Hayes

Theses and Dissertations

No abstract provided.

March 25, 2015, The Dakota Student

The Dakota Student

No abstract provided.

Volume 52, Number 31: March 18, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 52, Number 29: March 04, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 52, Number 27: February 18, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 52, Number 26: February 11, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

February 5, 2015, University Of North Dakota

University Senate Meeting Minutes

Minutes from the February 5, 2015, meeting of the University Senate. 37 pages

Volume 52, Number 24: January 28, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 52, Number 22: January 14, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 52, Number 21: January 07, 2015, University Of North Dakota

University Letter Archive

No abstract provided.

Effects Of Saw Palmetto On Lower Urinary Tract Symptoms From Benign Prostatic Hyperplasia, Michael Trimble

Physician Assistant Scholarly Project Posters

• Benign prostatic hypertrophy (BPH) is common in older males and can cause lower urinary tract symptoms (LUTS).

• Saw Palmetto, an herbal supplement, is normally implemented as an alternative medication to treat lower urinary tract symptoms associated with BPH.

• The review of literature evaluated studies comparing the effects and outcomes of Saw Palmetto versus commonly prescribed medications such as antiadrenergic agents.

• There are conflicting studies indicating Saw Palmetto’s efficacy on lower urinary tract symptoms and reduction of BPH.

• Saw Palmetto has no side effects, and is available at a low cost when compared to prescribed medications …

Mobility Device For Injured Us Army Corp Engineer, Jessica Jones, Robert Whittaker

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain affects 70-85% of American adults at some point in their life. Back pain can have a negative impact on a person's quality of life. A group of three engineering students and two physical therapy students collaborated on designing a mobility device for a US Army veteran to aid him in transfers and pain management. The purpose of this research proposal would be to assess how our client would respond to an individualized mobility device.

Case Description: Our client suffered lumbar disc injuries as a result of lifting and twisting a heavy object resulting in …

Osteochondritis Dissecans (Ocd): A Case Report, Brady Meyer

Physical Therapy Scholarly Projects

Background and Purpose: Osteochondritis Diseccans, (OCD) is the separation of articular cartilage and its adjacent underlying subchondral bone from the articular surface of a joint. Multiple hypotheses have been put forward regarding the cause of OCD including inflammation, ossification abnormalities, ischemia, and repetitive microtrauma. At this time, there is no single cause regarding the etiology of OCD. The purpose of this case study is to describe the physical therapy interventions performed on a college athlete for non-operative treatment of OCD. To also look at the non-operative treatment that the patient underwent, and determine if treatment could delay or stop …

Maximizing Functional Outcomes In A Patient With A Complete Cervical Spinal Cord Injury, Samantha Braegelmann

Physical Therapy Scholarly Projects

Background and Purpose: Spinal cord injury is damage sustained to any nervous tissue in the spinal cord that results in loss or decreased motor function or sensation. Every year in the United States there is about 12,000 new cases of spinal cord injuries with young Caucasian males' most prevalent. The purpose of this scholarly article is to analyze various factors to maximize functional outcomes and determine the proper course of treatment following a spinal cord injury.

Case Description: Patient was a right handed Caucasian female who was involved in a minor motor vehicle accident and sustained a C7-Tl …

Infusing An Occupational Perspective Into Chronic Disease Management: A Manual For Occupational Therapists, Katelyn Mari, Abby Wicklund

Occupational Therapy Capstones

Problem: In 2014, the National Council on Aging reported that almost 92% of older adults were affected by a chronic condition and 77% of these individuals had at least two chronic conditions. In addition, chronic disease is responsible for 75% of United States health care spending. Ironically, only 1% of health care dollars are spent on public education and other efforts to reduce the incidence of chronic disease.

Purpose: The purpose of this scholarly project was to provide a framework for occupational therapists to deliver effective treatment for individuals with chronic disease. Due to the longevity of chronic disease, encouraging …

Alpha Lipoic Acid: A Potential Therapeutic Option For Painful Peripheral Neuropathies, Jessica Curcio

Physician Assistant Scholarly Project Posters

• Peripheral neuropathy (PN) is a major public health concern.

• There are many etiologies for PN including injury, infection, toxicity, genetics, metabolic disease and nutritional deficiencies.

• Alpha lipoic acid (ALA), also known as thioctic acid, is a potent antioxidant and cofactor in many cellular metabolic processes.

• Oxidative damage plays a significant role in the pathogenesis of both diabetic peripheral neuropathy (DPN) and chemotherapy induced peripheral neuropathy (CIPN).

• Because of the antioxidant capability ALA has been studied for its potential benefit in preventing and treating PN

The Effects Of Income Inequality On Society, Jessica Lee Clark

Theses and Dissertations

This study is an examination of the relationship between income inequality and numerous indicators that capture the physical health of the citizens, additionally controlling for numerous other confounding factors. The analysis contributes to the literature by examining this relationship at a more disaggregated level within the Unites States than previous studies. This approach may help us to explore any impacts of income inequality on health that are lost in aggregation. The analysis also includes the most recent recession and adds to the literature the impact of inequality on health during a period of economic crisis. Results suggest that there is …

Disaggregating Tree And Grass Phenology In Tropical Savannas, Qiang Zhou

Theses and Dissertations

Savannas are mixed tree-grass systems and as one of the world’s largest biomes represent an important component of the Earth system affecting water and energy balances, carbon sequestration and biodiversity as well as supporting large human populations. Savanna vegetation structure and its distribution, however, may change because of major anthropogenic disturbances from climate change, wildfire, agriculture, and livestock production. The overstory and understory may have different water use strategies, different nutrient requirements and have different responses to fire and climate variation. The accurate measurement of the spatial distribution and structure of the overstory and understory are essential for understanding the …

The Relationship Between A Series Of Vitamin D Levels And A Blood Glucose Level In Pregnant Women In The Upper Midwest, Jeanine Louise Senti

Theses and Dissertations

Hyperglycemia during pregnancy is associated with adverse outcomes for both mother and offspring. In order to facilitate glucose delivery to the fetus, insulin resistance increases as gestation progresses which results in hyperglycemia if the mother’s body is unable to compensate by producing adequate insulin in response to these changes in glucose metabolism. Evidence suggests that calcidiol (vitamin D) influences insulin sensitivity and glucose metabolism in the non-pregnant population yet there are inconsistent findings on the effects of calcidiol on maternal glucose levels during pregnancy. A secondary analysis was completed on a de-identified data set. The original prospective study included a …

Vol. 40, No. 4: Holiday 2015, School Of Medicine & Health Sciences

North Dakota Medicine Archive

No abstract provided.

The Effects Of An Active Study Break Intervention In College Students: An Observational Study, Kathryn Joann Southard

Theses and Dissertations

Background: Sedentary lifestyles are a major public health concern. Research has shown that frequent active breaks are beneficial to productivity, mental and physical health, and may prevent obesity.

Purpose: This study examined the effectiveness of a signage intervention in a university library to promote the use of physically active (AB) compared to inactive (IB) study breaks.

Methods: College students were observed over three weeks: pre-intervention (PRE); signage intervention (SIGN); and post-intervention (POST). Each week of observation consisted of 12 hours, (6, 2-hour segments) on Sunday, Monday, and Tuesday (36 hours total). SIGN consisted of table tents and signs posted in …

The Impact Of Multicultural Education Course On Therapist Cultural Competence, Gemma Cosky Saxon

Occupational Therapy Capstones

"The need for culturally skilled occupational therapists (OTs) has been documented for years" (Wittman & Velde, 2002). In 2009, Cherry, Kitchens, Nicholson, Soden, Tomkiewicz, Kedia & Shah found that 32.8% of their respondents did not know about the demand for culturally competent occupational therapy (OT) services and cultural factors that could influence a client's occupational performance. Of this group 55-85% rated themselves as having limited awareness.

The purpose of this proposed study was to assess the effectiveness of the University of North Dakota (UND) OT multicultural course in preparing graduates toward cultural competence. The assessment was then compared to the …