Digital Commons Network^™

Electromyographic Activity Of Hamstrings And Quadriceps Muscle During Jumping And Landing: Pilot Study, Shawn Danielson, Logan Flegel, Nathan Mertens

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of this pilot study was to see if there was a difference in the amount of electromyographic (EMG) activity in the quadriceps (vastus medialis and vastus lateralis) compared to the amount of EMG activity in the hamstrings (biceps femoris and semitendinosus) muscles in active male and female subjects during vertical jumping and landing. In addition, we looked at the amount of knee flexion that occurred shortly after landing from a vertical jump.

Methods. EMG activity was recorded using a Noraxont TeleMyo DTS telemetry unit with a sampling rate of 1 kHz. EMG data was recorded …

Cannabis Effectiveness On The Motor Symptoms Of Parkinson’S Disease, Austin Fridrich

Physician Assistant Scholarly Project Papers

Fueled by news media reports, cannabis use has been ever growing in popularity for the treatment of both motor and non-motor symptoms of Parkinson’s disease (PD). The purpose of this literature review is to evaluate the safety and efficacy of using cannabis to treat the motor symptoms and levodopa-induced dyskinesia of PD. In this literature review electronic databases were searched and included PubMed, CINAHL, Embase, DynaMed Plus, Cochrane Library, Academic Search Premier, and Clinical Key. A variety of keywords and MeSH terms, as listed below, were used to define a set of literature. There were 16 studies chosen for review …

Use Of Marijuana In Those With Anxiety And Depression, Heather Brooke Flaa

Physician Assistant Scholarly Project Papers

The purpose of this research and literature review is to compare the use of marijuana to Selective Serotonin Reuptake Inhibitors (SSRIs) in reducing anxiety and depression symptoms. The safety of marijuana in those with psychiatric disorders such as, general anxiety disorder and major depressive disorder, was also analyzed. The literature review searched databases Cochrane, PubMed, Clinical Key, PsycINFO, and DynaMed Plus. A variety of key terms were used when searching. Studies excluded were due to narrowed sub topics on anxiety disorders or poor design. Due to limited research, the study time frame was extended to studies completed in the last …

Treatment Of Clostridioides Difficile With Fecal Microbiota Transplantation, Brenton Green

Physician Assistant Scholarly Project Papers

Research was performed to discuss the epidemiology and current guidelines of Clostridioides difficile infection (CDI), recurrent C. difficile infection (rCDI), the different modalities of fecal microbiota transplantation (FMT), the donor screening process, as well as the safety and efficacy of treatment. Utilizing Clinical Key, NCBI database, Dynamed Plus, Cochrane Review, and the websites for the CDC and FDA, a literature review was produced, encompassing recent research and human studies related to CDI. Recent studies were preferred, however since C. difficile has sparsely changed, older data was utilized with updates applied accordingly. Articles excluded were due to not meeting the themes …

Cyp2d6 Enzyme Polymorphisms And Their Effect On Opiate Metabolism, Blair Camille Runde

Physician Assistant Scholarly Project Papers

The purpose of this research and systematic literature review is to determine if pharmacogenetic testing for the CYP2D6 enzyme responsible for the metabolism of several opiates leads to differences in serum levels, side effects, and treatment outcomes for patients with acute or chronic pain. In this review, the Pubmed and Embase databases were searched from January 1, 2014, to November 1, 2019. Exclusion criteria included studies published before 2014 and those not peerreviewed. For this review, 11 studies were included with designs such as prospective and retrospective cohorts, randomized control trials, systematic reviews, and meta-analyses. Much of the presented research …

The Safety, Accuracy, And Cost-Effectiveness Of Confirmatory Penicillin Allergy Testing In The Outpatient Setting As A Means Of Reducing Patient Morbidity And Mortality, Mitchell Mimbach

Physician Assistant Scholarly Project Papers

The purpose of this review is to investigate the prevalence of documented penicillin (PCN) allergies in health care and any negative outcomes associated with being labeled as such. Additional topics researched included the safety and accuracy of PCN allergy testing, the cost-effectiveness of PCN allergy testing versus using non-PCN related antibiotics, and barriers to confirmatory PCN allergy testing implementation. A complete review of the aforementioned topics included meta-analysis’, systematic reviews, cohorts, clinical trials, and cross-sectional studies from the last five years. Databases utilized for this research included PubMed, Cochrane Review, Embase, Dynamed Plus, and ClinicalKey. Sources that were excluded from …

Implementation Of Mental Health Resources To Decrease Depression And Suicide In Healthcare Professional Students, Matthew Knealing

Physician Assistant Scholarly Project Papers

The intent of this review of literature is to determine if implementing mental health resources in graduate healthcare programs decreases the rate of depression and suicidal ideations. In this review of literature, five databases were searched. Databases included: PubMed, PsycInfo, CINAHL Complete, Clinical Key, and the Cochrane Library from September 15 to January 3, 2020. Due to the topic being dynamic and receiving more acknowledgment in recent years, articles reviewed were restricted to the last six years within the United States. Works chosen were peer-reviewed, which included meta-analysis, cross-sectional, systemic reviews, longitudinal and, survey method studies. Sources excluded included opinion-based …

Early Intervention: Addressing Opioid Use Disorder With Emergency Department Initiated Buprenorphine Therapy, Dustin Peter Voss

Physician Assistant Scholarly Project Papers

The subsequent review evaluates opioid use disorder (OUD) as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria, including the use of buprenorphine in the process of induction, its efficacy for the management of OUD, and barriers to its initiation. The outcomes of the initiation of office-based buprenorphine treatment are compared to emergency department-initiated buprenorphine treatment for the management of OUD. This project is a review of current meta-analysis, systematic reviews, cross-sectional, longitudinal, and survey methodologies were analyzed. The medical research databases PubMed, Embase, Cochrane Review, CINAHL Complete, and PsychINFO, have been utilized in obtaining peer-reviewed …

Catheter Ablation Of The Accessory Pathway In The Asymptomatic Patient With Wolff-Parkinson-White, Erin Breann Mondry

Physician Assistant Scholarly Project Papers

Wolff-Parkinson-White (WPW) is a condition in which an accessory conduction pathway exists within the heart. This accessory pathway may or may not cause symptoms, in fact, the first manifestation of the condition may be sudden cardiac death. The management of this condition in asymptomatic individuals is controversial. The purpose of this research and literature review is to analyze the safety and efficacy associated with invasive catheter ablation of the accessory pathway, in comparison to risk of sudden cardiac death and malignant arrythmias in non-ablated, asymptomatic individuals with WPW. In this review, five databases were searched including CINAHL, Clinical Key, PubMed, …

Low-Dose Naltrexone For Treatment In Crohn’S Disease And Fibromyalgia, Hannah Rachel Tkach

Physician Assistant Scholarly Project Papers

The United States has experienced a dramatic increase in opioid abuse and overdoses, leading to a national epidemic. Contributing to this epidemic is the use of opioid therapy for complex chronic inflammatory and neuropathic conditions that remain difficult to treat. Many traditional treatments are ineffective or have intolerable side effects, forcing providers to utilize opioid therapy as a last resort. Recently, there is increased interest in the use of partial opioid antagonist naltrexone to treat Crohn’s disease and fibromyalgia. Previous research suggests the potential for naltrexone to provide analgesic effects when administered in low doses via its unique interaction with …

Resting Heart Rate And Its Effect On Cardiovascular Disease, Peter Tronset

Physician Assistant Scholarly Project Papers

The purpose of the presented research and systematic review is to determine the associated impact resting heart rate has on development of cardiovascular disease. A literature review was conducted through electronic databases: PubMed, Clinical Key and Dynamed Plus. No limitation of timeframe was used when researching as few studies are available correlating resting heart rate and its associated development of cardiovascular disease. Research points to limitations of lowering resting heart rate due to adverse effects on blood pressure. Additionally, tachycardia is addressed through several methods including lifestyle modification and pharmacologic therapy. Comorbidities such as obesity, low body mass index (BMI), …

Treatment Option Decision Making For Low-Grade Prostate Cancer, Janene Caldwell Witherite

Physician Assistant Scholarly Project Papers

Prostate cancer (PCa) is the second most common cancer, behind skin cancer, among men, in the United States (Centers for Disease Control and Prevention [CDC], 2019.). PCa is defined as low-grade or low risk if the neoplasm grows slowly or not at all. According to the Institute for Quality and Efficiency in Health Care, (2020), to make the conclusion that a PCa is low-grade, several tests are performed including a prostate specific antigen (PSA) level, a Gleason score, and a TNM score, which refers to tumor size, lymph node involvement, and metastasis outside the prostate. Low-grade PCa is further defined …

Analysis Of Tech-Based And Telemental Health Approaches Within The Adolescent And Young Adult Populations Of Rural America, Audrey Smeenk

Physician Assistant Scholarly Project Papers

Background: The incidences of depression and anxiety among adolescent and young adult populations are intensifying, and resources remain limited for the management of these diseases within rural America. Objective: The purpose of this literature review is to evaluate evidence-based practices regarding telemedicine and tech-based mental health interventions. Evaluation of different interventions will demonstrate the ability of access, efficacy, and patient adherence with the hope of decreasing the incidence of disease and increase the availability of resources to rural areas. Methods: A comprehensive literature review was completed by assessing journal articles and scientific databases from the last fifteen years using a …

Efficacy Of Antibiotic Therapy In Those Diagnosed With Chronic Lower Back Pain, Alexander Marcel Lee

Physician Assistant Scholarly Project Papers

Chronic back pain affects approximately eight percent of the American population, yet no treatment has been agreed upon universally. Recent studies suggest that between 20-30 percent of lower back pain cases are caused by a low-virulence bacterial infection of the intervertebral disks in those who suffered disc herniation. This scholarly project is to investigate: In patients with chronic lower back pain and Modic changes after disc herniation, what is the effect of antibiotic therapy on reducing pain symptoms compared to placebo. This literature review used the following electronic databases: ClinicalKey, Cochrane Library, Embase, and PubMed. Keywords and mesh terms refined …

Hpv Vaccine In Adolescents: How To Increase Uptake, Natasha Richesin

Physician Assistant Scholarly Project Papers

The human papillomavirus (HPV) is a sexually transmitted virus that affects both males and females of all ages. An HPV vaccine was developed to help protect against harmful infections caused by the virus. This literature review focuses on the relationship between the HPV vaccine and its low uptake from untoward events, misinformation surrounding the vaccine, and different education methods. PubMed, Clinical Key, and Cochrane electronic databases are used for the literature review. A comprehensive literature review was conducted, and articles utilized were based on the age of the population being 11 to 29 years old, the HPV vaccine’s involvement in …

Postherpetic Neuralgia Management, Mirand Helmers Rn

Nursing Capstones

No abstract provided.

Optimal Blood Glucose Management And Effect On Patient Outcomes, Miranda Lehmann

Nursing Capstones

No abstract provided.

Optimal Perioperative Blood Glucose Management And Its Effect On Patient Outcomes, Hilary Narum

Nursing Capstones

No abstract provided.

An Examination Of The Use Of Corticosteroids For Adverse Effects Related To Immunotherapy Treatment In Cancer Patients, Leanne Kilzer

Nursing Capstones

No abstract provided.

Evidence Based Management Of Herpes Zoster Ophthalmicus, Mikkel Buckmier Rn

Nursing Capstones

No abstract provided.

The Effects Of Elevated Pre-Operative Hemoglobin A1c On Post-Surgical Infection Risk, Emily Koska Rn

Nursing Capstones

No abstract provided.

Screening For Fibromyalgia In Patients With Chronic Widespread Pain, Justus Ongaga

Nursing Capstones

Background: Fibromyalgia has an estimated prevalence of 2% of the United States population, with a greater estimated prevalence among women (3.4%) than with men (0.5%). In addition to widespread pain, fibromyalgia symptoms include fatigue, headache, sleep disturbance, anxiety, depression, memory problems, and numbness/tingling sensations. If the condition remains untreated or is poorly managed, then fibromyalgia can present problems among individuals, families, and communities. The lack in fibromyalgia screening processes at a Midwest Pain Clinic presented opportunity for the project.

Objectives: The purpose of this clinical project was to increase fibromyalgia screening by using the Fibromyalgia Rapid Screening Tool (FiRST) in …

Physical Therapy Rehabilitation In A Patient With Guillain-Barre Syndrome With Acute Respiratory Failure: A Case Report, Daniel P. Torok

Physical Therapy Scholarly Projects

Background and Purpose. Guillain-Barre Syndrome (GBS) is a lower motor neuron autoimmune disorder that primarily affects the myelin sheaths of the peripheral nervous system (PNS). GBS results in generalized weakness and sensory deficits of the extremities and trunk; in severe cases it may impact cranial nerves, respiratory musculature, and the autonomic nervous system (ANS). The purpose of this case study is to describe the physical therapy interventions used for a patient diagnosed with GBS and the results from those interventions.

Case Description. This case study describes the 9-week acute care Physical Therapy management of a 51-year-old transgender female diagnosed with …

Effects Of Pole Walking On Adults With Parkinson's Disease Following 6 Weeks Of Training, Kathleen Dennison, Taylor Jamison

Physical Therapy Scholarly Projects

Introduction: Parkinson's Disease is a progressive neurodegenerative disorder that predominantly affects motor planning and motor function. Symptoms associated with this disease include bradykinesia, rigidity, tremor, and postural instability. These symptoms are often accompanied by gait disturbances including decreased step length, arm swing, and gait velocity, as well as diminished trunk rotation and postural instability all which make functional mobility increasingly difficult. Conventional walking has been shown to be an effective physical activity to maintain mobility and improve function and overall fitness. Specifically, walking speed has been identified as a crucial predictor for fall risk which is why clinicians have …

Electromyographic (Emg) Activity Of The Hip Abductors During Various Hip Exercises, Heather Harrower, Natalie Murphy, Trista Saulter, Katelyn Voll

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of the study was to record, compare, and analyze muscle recruitment patterns during different hip abduction exercises. This was done by examining the patterns for gluteus maximus, gluteus medius, and tensor fascia latae when performing the following exercises: Standing hip abduction with a blue resistance band around bilateral ankles, sidelying hip abduction utilizing constant effort to move a small, medium, or large ball up and down the wall, and basic sidelying hip abduction with no ball. All exercises were done with participants' dominant lower extremity.

Case Description: Fifteen, healthy, University of North Dakota Physical Therapy …

Association Of Generalized Joint Hypermobility And Occurrence Of Musculoskeletal Injury In Physical Therapy And Occupational Therapy Students, Allie Erdmann, Amber Klein

Physical Therapy Scholarly Projects

Background: Prior research has shown that physical and occupational therapy students have a higher prevalence of hypermobility than that which is seen within the general population. Throughout the literature, the rates of injury are greater in those with hypermobile joints. It has also been found that females have higher rates of hypermobility than males. Given this information, a secondary question arose regarding whether or not hypermobility and injury (initial or recurrence) are directly related to one another.

Purpose: The intent of conducting this study was to evaluate physical therapy and occupational therapy students for hypermobility while concurrently assessing for their …

Grit And Perceived Stressors As Predictors Of Academic Success In First And Second Year Doctor Of Physical Therapy Students, Abigail Thomas, Jamal Ibnelhaj

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this longitudinal study was to identify any correlations between grit scores, perceived stress levels, academic success (GPA), and demographics (age) among doctor of physical therapy (DPT) students at the University of North Dakota (UND). Grit was assessed using the 12 item Grit scale (Grit-O) from Angela Duckworth. Perceived stress was assessed using the IO item perceived stress scale (PSS).

Methods: The Grit-O and PSS scales were distributed to first year DPT students at UND by the primary investigator. 154 students consented to participate in the study, 102 first year students and 52 second year …

Prevention Of Postherpatic Neuralgia In Patients With Herpes Zoster Infection, Kadie Erickson Rn

Nursing Capstones

No abstract provided.

Effectiveness Of Shingrix Versus Zostavax In Immunocompromised Adults Aged 50 Years And Older., Sandrine Ndetah Rn

Nursing Capstones

No abstract provided.

Non-Narcotic Treatment For Postherpetic Neuralgia, Caitlyn Meehan Rn

Nursing Capstones

No abstract provided.