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Breast Conserving Therapy Vs Mastectomy In Treatment Of Early Breast Cancer Patients. Does Brca1/Brca2 Status Change Treatment Recommendations?, Kylie Engebretson

Physician Assistant Scholarly Project Papers

In the United States, breast cancer is the second most common cancer, represents 30% of total cancer cases and 14% of deaths in the United States in 2019. BRCA1 and BRCA2 are genetic mutations that increase the likelihood of developing breast cancer by 57% and 49%, respectfully. Several surgical options are available for those with newly diagnosed early-stage breast cancer. The purpose of this systemic literature review is to evaluation the safety and efficacy of breast conserving therapy versus mastectomy for surgical intervention of early-stage breast cancer patients and evaluate if possessing a BRCA positive mutation changes the recommendation for …

Is Mdma A Safe And Effective Adjunct For Treatment Of Posttraumatic Stress Disorder, Angela Emerson

Physician Assistant Scholarly Project Papers

Background: Post-traumatic stress disorder (PTSD) is a common mental health disorder that affects many Americans and leads to considerable morbidity and mortality. While there are a range of therapies to treat PTSD, treatment resistance is high, leading to a chronic condition in many patients. In recent years, attention has been turned to the use of novel drugs, such as 3,4,- methylenedioxymethamphetamine (MDMA) as a treatment for PTSD.

Aim: The purpose of this literature review was to assess the safety and efficacy of MDMA use in the treatment of PTSD.

Results: MDMA is a schedule I drug, therefore research into its …

In Adults With Gastroesophageal Reflux Disease, What Is The Efficacy Of Surgical Versus Pharmacotherapy In Reducing Symptoms?, Travis Cook

Physician Assistant Scholarly Project Papers

The purpose of this systematic review is to explore the efficacy of pharmacotherapeutics and surgical interventions for the treatment of gastroesophageal reflux disease (GERD). In this systematic review, five electronic databases were used including AccessMedicine, PubMed, Cochrane library, Dynamed, and Clinical Key. Research criteria included work after 2010, peer reviewed, and only randomized control trials, systematic reviews, and meta-analyses were considered. Studies that were excluded included any that were before 2010, poor study design, and those that looked at other conditions or treatments outside of the research question in study. A total of 9 studies were selected for this systematic …

Hepatitis C Treatment For Substance Users In North Dakota, Janae Arnold

Physician Assistant Scholarly Project Papers

In the 1960’s, the hepatitis C virus (HCV) epidemic began mainly through the transmission of blood transfusions. By the time screening was implemented, millions had already become infected worldwide. After a decade of declining infection rates, a second wave started in the midst of the opioid epidemic in 2010. Prior to 2014 and the application of curative direct-acting antivirals, treatment was expensive, had low efficacy, many side effects, and long treatment durations. Advances in medicine have allowed for HCV elimination with shorter treatment durations, less side effects, and higher treatment rates. Unfortunately, treatment is not offered to all HCV patients …

Real Memories For False Events: An Examination Of Individual Characteristics That Predict Flashbulb Memories For Real And Fictitious Mass Shootings, Richard Belz

Theses and Dissertations

Multiple studies have examined flashbulb memories (FBM) for various events, but few studies have evaluated these memories within the context of mass shootings. The current investigation examined adult participants’ FBMs for both real and fictitious mass shootings collected in an online survey of 607 participants in the United States. ANOVA, Chi-Square, and regression analyses were used to analyze survey data to examine participant characteristics associated with FBMs for these events. More than 40% of participants had one or more FBMs for real mass shootings. Of note, more than 20% of participants had one or more FBMs for shootings that never …

May 5, 2022: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the May 5, 2022, meeting of the University Senate. 20 pages

April 7, 2022, University Of North Dakota

University Senate Meeting Minutes

Minutes from the April 7, 2022, meeting of the University Senate. 6 pages

Roundtable: Issue 1, Gracyn Cole, Jacey Johnson, Aubrea Lommen, Jade May, Alexia Parisien, Charisse Vetsch

Roundtable: Journal of the UND Honors Program

No abstract provided.

April 7, 2022: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the April 7, 2022, meeting of the University Senate. 23 pages

Interventions Pertinent To Children Of Incarcerated Parents, Adam K. Matz, Roni Mayzer, Mandy Herberholz

Criminal Justice Faculty Publications

One in 12 children will have a parent incarcerated at some point in their lifetime, with a staggering rate of one in four for African American children (Wildeman et al., 2018). Though the incarcerated populations have been in decline across the United States in the past decade (Carson, 2020), its impact still dwarfs that of most other countries (Coyle et al., 2016). The long-term residual consequences of the country’s imprisonment binge are likely to burden later generations through a myriad of social and economic disadvantages that extend through the children of today’s prisoners. Consequences may manifest in terms of social …

Examining Factors Associated With The Use Of Face Coverings During Covid-19: A Survey Of Shoppers In Greater Grand Forks, Minnesota And North Dakota, Isaac Karikari, Tanis J. Walch, Ashley Evenson, Carenlee Bardull, Bret Weber, Stephanie Scallon, Delton Gabe, Mikale Kuntz, Gabriel Wavra, Emily Possis, Courtney Leben, Hailer Boushee, Madeline Comeau

Social Work Faculty Publications

Despite the availability of COVID-19 vaccines, the pandemic’s persistence and recent spikes in cases have heightened the need for the promotion of protective behaviors notably, the continued use of face coverings (or ‘masks’ in the common parlance for COVID-related face coverings). Effective messaging on mask use is essential to more fully resonate with individuals and their shared communities. Studies covering rural or mostly-urban regions in the U.S. are sparse. Accordingly, an interdisciplinary team of social work and public health researchers explored mask wearing behaviors in a small, urban metro community consisting of two cities spanning North Dakota and Minnesota that …

Effectiveness Of Executive Functioning Interventions Among Homeless Elementary Aged Students, Julia Warmack, Abby Jessen, Taylor Koopmeiners

Critically Appraised Topics

Elementary-aged children who are homeless face challenges in the areas of self-regulation, working memory, attention, and time management (Wanger-Fuhs et al., 2014). Currently, there is a lack of research on homeless elementary-aged children and the influence occupational therapy can have on their academic success. Specifically, there is no comprehensive source that details the effects of the role of occupational therapy interventions on executive functioning skills such as self-regulation, working memory, attention, and time management for the population of homeless elementary-aged school children. The purpose of this CAT paper was to determine the effect of occupational therapy interventions that focus on …

Effectiveness And Availability Of Occupational Therapy Interventions For Improving Quality Of Life For Families Dealing With Virtual Learning During The Covid-19 Pandemic And Substance Use Issues, Madison Christian, Alexis Lehmann, Hannah Steckler

Critically Appraised Topics

Currently, there is an overall lack of evidence examining the effects of occupational therapy interventions to enhance families’ quality of life while dealing with virtual learning in school-aged children and the impacts of substance use on parents. The purpose of this critically appraised topic is to determine the availability for immediate use and the quality of occupational therapy interventions for improving the quality of life for families with school-age children dealing with school issues and virtual learning during the COVID-19 pandemic, specifically with parents who are also experiencing substance use issues

The Link Between Occupational Therapy Interventions, Quality Of Life, And Social And Leisure Participation In Adults With Chronic Conditions, Katie Deboer, Callie Kleindl, Monicah Nyakoe

Critically Appraised Topics

The focus population for this critically appraised topic (CAT) was adults aged 18 years and older with chronic conditions. For this CAT, chronic conditions included depression, heart diseases, diabetes, arthritis, respiratory diseases, chronic kidney disease, neurological disorders, and cancers. Chronic conditions greatly impact a large majority of the older adult population. Of the adult population, about 80% had at least one type of chronic condition while close to 70% had two or more (National Council on Aging, 2021). Diving deeper, the prevalence of chronic conditions in adults 65 years and older varied by race/ethnicity. According to Lim et al. (2018), …

Identifying The Role Of Occupational Therapy In The Pediatric Palliative Care Team For Pediatric Cancer Patients, Rudessa Bedonie, Hannah Gianan, Riley Thomas, Kennedy Tooke

Critically Appraised Topics

What is the role of occupational therapy in providing effective intervention during palliative care for pediatric cancer patients and their families during the transition to the end of life?

Effectiveness Of Occupational Therapy Services On Quality Of Life Among Chronically Homeless Mothers With Children, Stephanie Dullum, Caitlyn Fussy, Cierra Jacobson

Critically Appraised Topics

Chronically homeless mothers face many challenges with their quality of life due to trauma, mental illness, substance abuse, and stress that impacts the person, their environment, and occupations. Currently there is a lack of occupational therapy interventions for improving the quality of life for this population. The purpose of this critically appraised topic is to address the role of occupational therapy within the population of chronically homeless mothers and how it can improve their quality of life.

Intervention Strategies To Combat The Impacts Of Covid-19 On Adolescents Mental Health: A Critically Appraised Topic, Rylie Garner, Lauryne Griego, Kailey Squier, Jamie Steinhoff

Critically Appraised Topics

Does sensory modulation and physical activity as an occupational therapy intervention improve mental health outcomes in adolescents resulting from the COVID-19 pandemic?

The Benefits Of Habituation Altering Occupational Therapy Interventions To Improve Engagement In Adls And Iadls For Adults With Chronic Pain, Alexis Brolsma, Aleece Durbin, Casidi Pullar

Critically Appraised Topics

Adults experiencing chronic pain have difficulties performing ADLs and IADLs, consequently lowering their quality of life. Current research supports multiple interventions used by occupational therapists when working with adults with chronic pain, however, there is no primary intervention identified (Andrews et al., 2018; Guy et al., 2019; Guy et al., 2020; Nielsen et al., 2021; Schmid et al., 2019; Simon & Collins, 2017). The purpose of this CAT paper is to determine how beneficial occupational therapy interventions are at changing habits and routines (habituation) of adults (18+ years of age) with chronic pain in improving engagement in ADLs and IADLs.

Occupational Therapy In Palliative Care: Incorporating Meaningful Occupations And Education Programs For Occupational Therapists, Emily Geissler, Mariah Herring, Katya Kivi

Critically Appraised Topics

Based on the literature reviewed for this critically appraised topic (CAT), end-of-life care has become a more popular setting, and healthcare workers are beginning to see the need for occupational therapists. Due to the undefined role of an OT in this setting, it is difficult for the client to be provided with the best care that increases their quality of life near death, as well as inadequate training for how to address intervention. The issue found within palliative care is that clients are not provided the opportunity to engage in the meaningful activities that bring them joy. The purpose of …

Interventions For Adults With Rheumatoid Arthritis To Increase Quality Of Life And Motivation In Activities Of Daily Living And Instrumental Activities Of Daily Living: A Critically Appraised Topic, Erin Ferebee, Makenzie Kroupa, Makayla Tucker

Critically Appraised Topics

PICO:

P: Adults with a chronic condition of Rheumatoid Arthritis

I: Programs and interventions most effective to improve participation in ADL & IADL

C: Motivation levels & QOL

O: Increased participation in ADL & IADLS

Focused Question - What occupational therapy (OT) intervention approaches are best for Rheumatoid arthritis (RA) patients struggling with motivation, quality of life, as evidenced by the ability to participate in ADLs and IADLs?

Effectiveness Of Early Intervention Programs Addressing Mental Health Issues Caused By Long-Haul Covid-19 In Older Adults, Grace Kleinvachter, Lauren Fischer, Kelsey Rajewsky

Critically Appraised Topics

Lannigan & Tyminski (2021) shared that occupational therapy practitioners are ready to address the many complications that COVID-19 has caused, including emotional issues, by encouraging engagement in healthy occupations in their day-to-day lives. Occupational therapists have specific skills to combat these issues, help others reclaim their occupational identity, and improve quality of life (Lannigan & Tyminski, 2021; Wilcox & Frank, 2021). Symptoms of long-haul COVID-19 have greatly impacted the valued occupations of those over 50 years old, leading to an occupational justice need for further investigation. Occupational therapists should then use that knowledge to understand the degree of impact the …

Effectiveness Of Occupational Therapy Self-Management Interventions Among Chronically Homeless Veterans With Mental Health And Substance Abuse Disorders, Jace Allard, Hannah Leisenheimer, Adeyinka Omotunde

Critically Appraised Topics

Homeless veterans are challenged with chronic mental health and substance abuse disorders that affect their abilities to carry out their daily functions. There is a paucity of focused literature to address the extent to which occupational therapy interventions help chronically homeless veterans that struggle with substance abuse and mental health issues. The purpose of this critically appraised topic paper was to investigate and demonstrate the extent to which substance abuse and mental health occupational therapy programs may help to increase the performance range of self-management skills of chronically homeless veterans.

Efficacy Of Educational Programs For Homeless Adults With Mental Illness, Madison Herbeck, Samantha Proctor, Bailee Scheer

Critically Appraised Topics

Homeless adults continually face occupational deprivation. There is a lack of reimbursement for occupational therapy community-based interventions (Gutman, 2021). This critically appraised topic aims to explore how educational programs will impact and influence positive occupational engagement and quality of life for homeless adults with mental illness.

Rehabilitation Post Rotator Cuff Repair Secondary To Rotator Cuff Tear: A Case Study, Jager Lane Hanson

Physical Therapy Scholarly Projects

Background and Purpose: A rotator cuff repair (RCR) is the broad term for an operation that is effective in treating the damaged muscles and/or tendons that support the shoulder and hold it in place, as well as facilitate active movement of the shoulder. This case study aims to evaluate the effectiveness of physical therapy following an RCR and discusses the outcomes experienced by the patient.

Case Description: The patient was a 54-year-old female who received post-surgical physical therapy 7 weeks following arthroscopic surgery to her right rotator cuff and was seen in outpatient therapy for 8 treatments following the initial …

Occupational Therapy’S Ability To Address Perceived Stress Levels In Caregivers Of Individuals With Dementia, Kjerstin Drugan, Molly Van Drehle, Jadalyn Wagner

Critically Appraised Topics

Caregivers of individuals with dementia face unique challenges that affect their ability to participate in their occupations and maintain low-stress levels (Armstrong et al., 2019; Chiao et al., 2015; Cooper et al., 2010; Delgarno et al., 2021; Franzosa et al., 2019; Gleason & Miller, 2021; Lloyd et al., 2019; Madruga et al., 2020; Piersol et al., 2017; Sterling et al., 2021; Yong et al., 2020). Evidence has supported the benefits of occupational therapy intervention for caregiver well-being (Burgess et al., 2021; Lloyd et al., 2019; Raj et al., 2021; Sztramko et al., 2021; Yong et al., 2020). In this critically …

How The Physical Long-Haul Symptoms Of Covid-19 Influence Occupational Performance From A Person-Environment-Occupation Perspective: A Critically Appraised Topic, Emmalee Burtsfield, Amber Matlock, Alyssia Pucel

Critically Appraised Topics

An increasing number of adults continue to experience the long-term physical effects of COVID-19. Currently, there is uncertainty regarding the best practices in occupational therapy to address long-haul COVID-19 symptomology and its effects on people as research on the topic continues to emerge (Robinson et al., 2021). The purpose of this critically appraised paper is to identify prominent areas on which occupational therapists should focus during evaluation and intervention planning while considering the person, environment, and occupation to encompass the ideals of best practice when working with adult clients who are facing disruptions as a result of long-haul COVID-19 symptoms.

Effective Occupational Therapy Interventions For Reducing Parental Stress In The Neonatal Intensive Care Unit, Ann Landreville, Annah Greenmyer, Makayla Murden

Critically Appraised Topics

John et al.’s (2018) study found that over half of the mothers in the NICU suffer from moderate to severe anxiety. This anxiety negatively impacts parents’ abilities to engage in the occupation of caring for their child, which can have long-term consequences. Currently, there is a lack of research on occupational therapy-specific interventions that focus on reducing parental stress in the NICU setting. The purpose of this critically appraised topic (CAT) is to discover which stress-reducing occupational therapy interventions have a positive impact on the abilities of parents to successfully care for their infants in the NICU.

Using Social Annotation To Enhance Student Engagement In Psychology Courses, Julie Lazzara, Virginia Clinton-Lisell

Education, Health & Behavior Studies Faculty Publications

Increasing engagement in asynchronous online courses is a goal for many college instructors. While discussion boards have been used in the past, social annotation is an alternative that may have multiple benefits for instructors and students. Students from an introductory psychology course (two sections) and a developmental psychology course (one section) used Perusall for social annotation with open educational resources. Over the semester, on average, students submitted quality annotations and more than what was required. Students also reported predominantly favorable perceptions of social annotation via a survey using both Likert scale and open-ended items. These findings are suggestive of student …

Physical Therapy Management Of A Patient With Rotator Cuff Pathology, Hailey Lynn Braegelman

Physical Therapy Scholarly Projects

Background and Purpose: Rotator cuff pathology includes dysfunction of at least one of the rotator cuff muscles of the shoulder. This case report assesses the effectiveness of conservative physical therapy treatment with a patient who has pathology of the rotator cuff musculature and the result of the patient’s function following the treatment. Case Description: The patient was a female in her mid-60s who had fallen and landed on her elbow, resulting in pain of the shoulder. This patient was seen in the outpatient orthopedic physical therapy clinic for a total of 10 treatments. Interventions: The patient underwent conservative physical therapy …

Tiny Humans, Huge Environments: All The Sense’S Coming Into Play, Jessica L. Blackman

Occupational Therapy Capstones

Introduction The neonatal intensive care unit (NICU) is a busy overwhelming environment that differs from the womb. In the womb, an infant is protected from noises and bright lights, tasting and smelling the mother's diet, feeling movement and pushing against the mother as they grow (Altimier & Phillips, 2016). It is ideal for a premature infant's neurodevelopment to have the NICU environment mimic the womb. Two models were selected to help guide the product development, one occupation-based model and one NICU-based model.

Methodology The Person, Environment, Occupation (PEO) model Law et al. (1996) was selected to be used as it …