Medicine and Health Sciences Commons^™

Dexcom & Other Continuous Glucose Monitors Impact Toward Diabetic Care Management & Convenience, Lacey Beyer, Tori Buckler, Colleen Rypkema, Dr. Pam Hulstein

Celebration of Research

Continuous glucose monitor devices, such as the Dexcom, plays a huge role in lowering A1C, advancing individual diabetic management, and preventing diabetic complications. Through the following research, connections have been made between the goal of continuous glucose monitoring devices being more convenient for patients and the positive impact towards managing glucose trends and hemoglobin A1C levels.

Efficacy Of A Low Fodmap Diet And Probiotics In The Treatment Of Irritable Bowel Syndrome In Adults, Melinda Kubesh Pa-S, Kyle Nathan Pa-S, Mariah Nathan Pa-S, Sandra Muyskens Mpas, Pa-C

Celebration of Research

Irritable bowel syndrome (IBS) is a functional bowel disease characterized by abdominal pain in relation to altered bowel habits. Theories regarding the mechanisms underlying IBS include poor absorption of foods containing fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs), leading to a build-up of gas, and an altered intestinal barrier due to the overabundance of pathogenic bacteria. A diet low in FODMAPs and adjuvant therapy with probiotics may reduce symptoms in some individuals. This presentation examines the efficacy of a low FODMAP diet, supplementation with probiotics, and a combination of the two in the treatment of IBS in adults.

Upright Birthing Positions: The Positive Impacts On Labor, Brooke Mciver Pa-S, Jayde Schroder Pa-S, Sydney Schwitters Pa-S, Lori Anderson Mpas, Pa-C

Celebration of Research

The lithotomy position is the most common birthing position currently used in Western medicine. Historically, women used upright birthing positions which include sitting, kneeling, squatting, and standing. This article reviews the advantages of upright birthing positions in comparison to lithotomy. Studies have shown benefits in reduced episiotomies, perineal trauma, and labor time, while providing the most optimal pelvic position.

Increasing Accessibility To Birth Control: Over The Counter Oral Birth Control, Sydney O'Neal Pa-S, Julieta Silva Pa-S, Andrea Crew Pa-C

Celebration of Research

The increasing barriers to the accessibility of birth control have prompted a need for a solution. One long standing solution suggested to diminish the barriers is by removing the prescription requirement of oral contraceptives. Removing the prescription requirement not only breaks down barriers for women without healthcare access but also allows women an opportunity to control their reproduction with more accessibility. Although this solution appears to be concise, the reality is there are many different views regarding offering birth control over the counter, including some healthcare professionals who believe the health risks outweigh the access benefit. On the contrary, those …

Cost Of Transport And Muscle Activity As A Function Of Walking Efficiency At Variable Speed, Grace Van Namen

Celebration of Research

Previous studies have mostly relied on surface EMG signal amplitude to understand the correlation between muscle activity and metabolic rate during walking at various speeds. However, these studies have failed to establish a relationship between EMG signal frequency and gait efficiency (i.e., cost of transport (COT)). The frequency of the EMG signal is an important measure as it provides a better understanding of the motor unit recruitment range.

The goal of our project is to examine the correlation between human metabolic rate and muscle activity, with a particular focus on the frequency of the EMG signals during walking at different …

An Assessment Of Surgical Weight Management Compared To Pharmacological Therapies For Treatment Of Type 2 Diabetes, Olivia Becker Pa-S, Ava Gonsorowski Pa-S, Cassandra Schmiesing Pa-S

Celebration of Research

Diabetes is one of the highest leading causes of death in the United States with type 2 diabetes mellitus (DM2) being the most prevalent type. Despite many methods available for treatment, none have proven to be a curative option for patients diagnosed with diabetes mellitus. Recently, the use of surgical weight management has piqued interest with its ability to cause remission in DM2. This literature review compared the effects of Roux-en-Y gastric bypass (RYGB), laparoscopic gastric bypass, and pharmacotherapies alone. These methods showed improved outcomes of the following: hemoglobin A1c, weight loss, low density lipoprotein (LDL) cholesterol, blood pressure, and …

In Newborn Babies, What Are The Risks Of Developing Vitamin K Deficiency Bleeding Disorders If Not Provided Im Vitamin K Injection At Birth?, Chelsea Daines-Raasch Pa-S, Morgan Powell Pa-S, Kali Welling Pa-S, Lori Anderson Mpas, Pa-C

Celebration of Research

Vitamin K, which is produced in the large intestines of adults, is naturally lacking in neonates. It is a crucial part in the clotting cascade for activating clotting factors II, VII, IX, and X. For the past several decades, it has been a standard in Western Medicine to give an IM Vitamin K injection to neonates post birth. In recent years, statistics of refusal have continued to grow creating an increased prevalence of Vitamin K Deficiency Bleeding Disorders. This study is aimed at exploring the statistics of injection refusal, reasons for refusal, alternative methods to injections, and the importance behind …

Long-Covid Fatigue Treatment Methods, Stephanie Davis, Madysn Grotewold, Jack Johnson, Dr. Pam Hulstein

Celebration of Research

A literature review was conducted between the months of August 2022-November 2022 to explore various proposed treatment methods for patients experiencing long-COVID fatigue. Ten articles focusing on various treatment methods for long-COVID fatigue were reviewed. The purpose of this review was to examine current research regarding treatment of long-COVID fatigue and to suggest, based on the research included in this review, a holistic and individualized approach to long-COVID fatigue treatment. In the following literature review, we provide several treatment options, including pharmacologic, complementary, and alternative methods, that seem to provide relief from long-COVID related fatigue in preliminary studies.

Surgical Vs Conservative Treatments For Adolescent Shoulder Instability, David Pontius, Pa-S, Ian Shields, Pa-S, Taylor Ten Pas, Pa-S, Rick Loutsch, Dat, Act

Celebration of Research

Shoulder instability following an anterior shoulder dislocation is common in active adolescent populations and can have negative long-term impacts on activities of daily living and competitive physical activities. Historically, shoulder instability following anterior shoulder dislocation is treated surgically due to the high risk of recurrent instability. However, conservative treatments may be appropriate in certain adolescent populations due to skeletal immaturity. This article investigates the effectiveness of conservative therapy compared to surgical repair in the adolescent population with shoulder instability following anterior shoulder dislocation.

Cardiovascular Effects Of Long Term Androgenic Anabolic Steroid Use, Jordan Grosdidier Pa-S, Zach Harrison Pa-S, Ryan Vanmoer Pa-S, Andrea Crew Pa-C

Celebration of Research

Background: Anabolic steroids have been a consistent area of debate when it comes to athletes. Anabolic steroids are very common in certain sports like powerlifting and bodybuilding. Negative health effects have been found to be associated with the long term use of anabolic steroids. The objective of this review is to determine if there are negative cardiovascular effects associated with chronic androgenic anabolic steroid use when compared to non-steroid users.

Methods: A literature review of past research articles was performed. Pertinent information was obtained from the sources and compiled as evidence for the topic of this paper.

Results …

Reducing Compassion Fatigue And Burnout Among Nurses, Vanessa Gomez, Brialle Koerselman, Nora Olson, Matthew Wynne, Pam Hulstein

Celebration of Research

Abstract: A literature review was done between the months of August 2022 and November 2022 to determine if nurses, who utilize hospital sponsored counseling resources or compassion fatigue reduction programs, experience less burnout than nurses who do not. Ten articles were reviewed focusing on services provided to nurses with the intent of reducing burnout and compassion fatigue and improving compassion satisfaction. The purpose was to provide Spencer Hospital, in Spencer Iowa, with viable programs and interventions that combat burnout and compassion fatigue. Results showed, when provided with the opportunity, nurses chose to learn self-care techniques or participate in compassion fatigue …

Improving Adolescent Utilization Of Mental Health Services In Community-Based Settings, Brianna Kleinwolterink, Kyra Klinghagen, Hannah Nerem, Hannah Ten Pas, Dr. Pam Hulstein

Celebration of Research

A literature review was done between September 2022 - November 2022 to determine what Promise Community Health can do to increase adolescents’ utilization of services for mental health challenges in rural areas. Ten articles were reviewed focusing on the barriers adolescents face when seeking treatment for mental health conditions. Five main barriers were identified for adolescents in rural areas attempting to utilize treatment for mental health: lack of available resources, lack of knowledge surrounding mental health, stigma, logistical issues, and negative prior experiences. The purpose was to develop strategies to address these barriers so that Promise can reach rural adolescents …

Collagen Meniscal Implantation Outcomes Following Partial And Full Meniscectomies, Jenna Benson Pa-S, Chelsey Christensen Pa-S, Kaylee Frenette Pa-S, Jaclyn Freese Mpas, Pa-C

Celebration of Research

Meniscal injuries are a common result of trauma to the knee. The main two surgical treatments available are partial meniscectomy or full meniscectomy due to the lack of blood flow in that region. These two treatments cause long-term complications such as pain, lack of mobility, and/or osteoarthritis.

To avoid these complications, researchers have looked at placing collagen meniscal implantations (CMI) into the knee. The collagen implantation is composed of type I collagen from bovine Achilles tendon and was infused with glycosaminoglycans (GAGs) to trigger cellular growth. Patients were grouped into cohorts based on tears in the lateral or medial meniscus …

Literature Review: Diagnosing Types Of Dementia Using Biomarkers, Haley Jahnke Pa-S, Hanna Maxwell Pa-S, Brett Bastian Pa-C

Celebration of Research

Purpose

This literature review attempts to determine the most effective biomarkers to diagnose the most common types of dementia.

Methods

Information from articles in various databases (PubMed, ProQuest, NIH, etc.) were compiled to form a list of biomarkers for the most common types of dementia.

Results

Biomarkers specific to Alzheimer’s disease (AD) include increased p-tau & t-tau, decreased Aβ42, increased GFAP, CHIT1, & YKL-40, and increased glutamic acid, hypoxanthine, & anthranilic acid. Frontotemporal dementia (FTD) biomarkers include decreased p-tau & t-tau, increased Aβ42/40, increased GFAP, CHIT1 & YKL-40, fastest change in NPTX2 & neurofilament light chain, and MRI anterior vs. …

Photodynamic Therapy For The Treatment Of Acne Vulgaris, Luis Barragan Pa-S, Brent Chambers Pa-S, Anneke Weg Pa-S

Celebration of Research

Acne vulgaris is a common condition affecting populations and age groups in varying severities worldwide. Traditional approaches to treating acne vulgaris have long consisted of the use of retinoids and antimicrobials. With high prevalence rates of acne vulgaris and its growing resistance to antibiotics, it is important to find alternative treatment options to mitigate this complication. Photodynamic therapy (PDT) has been successfully used in other disease processes and has been recently introduced for the treatment of acne vulgaris. PDT’s proposed mechanisms include inhibiting Propionibacterium acnes proliferation and promoting healthy tissue growth by altering gene expression of P. acnes and reducing …

Slide Preparation For Dna Attachment For Use In Optical Tweezers, Dylan J. Kirkeby, Karissa Carlson, Emily Grace, Eric Jones

Celebration of Research

Our research team, ISLAND CURE, is a multidisciplinary team of professors and undergraduate students with the goal to design and build instruments to make biological measurements on a limited budget. One of the apparatuses we are designing, is optical tweezers, which are a Nobel Prize-winning technology capable of trapping microscopic and sub-microscopic particles using a laser beam. Using a 1064 nm beam, we will trap a single strand of DNA using beads and this will enable us to exert minute forces upon the DNA. This experiment will give us a better understanding of the forces on damaged DNA; specifically, the …

Lost In Translation: A Literature Review Of Professional Interpreter Utilization In The Emergency Department, Jenna Corrin Pa-S, Nicholas Fenske Pa-S, Lexie Severtson Pa-S

Celebration of Research

Breaking down language barriers through interpreter assistance will result in clear and concise conversations between medical providers. This will improve overall satisfaction and outcomes in patients with Limited English Proficiency (LEP) and health literacy. According to In Healthy People 2020, health disparities in access to health information, services, and technology can result in lower usage rates of preventative care, decreased chronic disease management, higher rates of hospitalization, and poorer reported overall health status. In this article, current literature was reviewed to determine the effect of English proficiency on the delivery of healthcare to Spanish-speaking patients in emergency department (ED) settings. …