Medicine and Health Sciences Commons^™

Is Amitriptyline Effective In Reducing Headache Days In Pediatric Patients With Migraines And Chronic Headaches Compared To Topiramate, Propranolol, Or No Treatment?, Megan N. Hall

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not “Is amitriptyline effective in reducing headache days in pediatric patients with migraines and chronic headaches compared to topiramate, propranolol, or no treatment?”

Study design: Systematic review of two randomized control trials (RCTs) and one case series published in peer-reviewed journals in English after 2007.

Data Sources: Two RCTs and one case series were found using PubMed.

Outcome(s) Measured: Headache frequency was measured using a headache diary or calendar. A secondary objective included headache severity that was measured using a ten-point scale or …

Is Virtual Reality An Effective Tool For Reducing Procedural Pain In Pediatric Patients?, Rachel M. Wiegand

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective evidence-based medicine review is to determine whether or not, “Is virtual reality an effective tool for reducing procedural pain in pediatric patients?”

STUDY DESIGN: Included the review of three English language primary studies, published between 2014 and 2018. Articles were selected based on outcomes measured and relevance to the objective.

DATA SOURCES: PubMed was utilized to find two randomized controlled trials and one quasiexperimental study. The selected studies analyzed how the use of virtual reality impacted the amount of pain experienced by the pediatric patient undergoing either a venipuncture or burn wound care procedure. …

Is Hypothermia Therapy An Effective Treatment In Improving Survival Rates In Pediatrics Patients That Have Suspected Brain Injuries?, Brittany J. Kelder

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not therapeutic hypothermia is an effective treatment in improving survival rates in pediatric patients that have suspected brain injuries.

Study Design: Two randomized control trials and one cohort analysis published in 2015 to 2016 were selected based on their relevance to the clinical question.

Data Sources: Studies were obtained by searching PubMed, OVID, Medline databases. All articles were published in English and peer viewed journals.

Outcome Measured: The outcome measured was survival rates at 12-month post injury compared between the groups that received therapeutic hypothermia or normotherapy …

Do Positive Distractions Improve Pediatric Patient Satisfaction In Children Undergoing Medical Procedures?, Audrey Jeon

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not positive distractions improve pediatric patient satisfaction in children undergoing medical procedures.

STUDY DESIGN: Systematic review compiling data from two randomized controlled trials and one convenience prospective trial between 2012 and 2015, all in the English language.

DATA SOURCES: After a thorough search of PubMed and Cochrane, three pertinent studies were found to include in this review. The selected studies were evaluated to assess the effectiveness of positive distraction techniques in improving pediatric patient satisfaction.

OUTCOMES MEASURED: Decrease in anxiety and pain symptoms measured by the Yale …

Is Oral Dexamethasone Safe And Effective For Treating Asthma Exacerbations In Pediatric Patients?, Benhamin J. Kunze

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective evidence based medicine review is to determine whether or not a one or two dose regimen of dexamethasone (DEX) is a safe and effective treatment for asthma exacerbations in the pediatric population.

STUDY DESIGN: Review of three English language, primary randomized controlled trials (RCT) published from 2001-2008.

DATA SOURCES: Three RCTs examining the efficacy of DEX either in a single dose or one dose for two days, compared to a traditional five day regimen of prednisone (PRED).

OUTCOMES MEASURED: The studies examined the number of relapses within 10 days of …

Is Topiramate Effective In Preventing Pediatric Migraines?, Krystina Zeliff

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not Topiramate is effective in the prevention of pediatric migraines.
Study Design: Review of three English language randomized control trials published in 2005, 2007, and 2009.

DATA SOURCES: Three double-blind, placebo-controlled, randomized trials comparing various doses of Topiramate to placebo were found using PubMed, OVID, and Cochrane Library databases.

OUTCOME(S) MEASURED: The frequency of migraines in patients under the age of 18 years old was documented with headache diaries. The patient’s parent would record the number, severity, duration, associated symptoms, and use of acute …

Is Allogeneic Stem Cell Transplantation Of High-Risk Pediatric Acute Lymphoblastic Leukemia (All) Patients More Effective In Preventing Future Relapses Of Disease And/ Or Mortality In Comparison With Chemotherapeutic Regimens Alone?, Patricia A. Ajizadeh

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not allogeneic SCT of HR pediatric ALL patients is more effective in preventing future relapses of disease and/or mortality in comparison with chemotherapeutic regimens alone.

STUDY DESIGN: Review of three English language primary randomized controlled trial studies published between 1996 and the present.

DATA SOURCES: Randomized controlled trial studies were found using PubMed.

OUTCOMES MEASURED: Each of the three studies evaluated the incidence of recurrent disease and/or mortality in high-risk pediatric ALL patients. These outcomes were analyzed according to the following categories: duration of event-free survival …