Medicine and Health Sciences Commons^™

Vegan Diet - Adverse Pregnancy Outcomes, Satenik Melkonyan

Physician Assistant Studies | Student Articles

Globally, plant-based diets are continuing to increase with knowledge that such diets may prevent coronary heart disease, cancer, and diabetes. In the United States, vegan diets have seen recent growth with the vegan population growing past 1.6 million. In simple terms, vegans refrain from consuming any animal products such as meat, eggs, dairy products, as well as other animal-derived substances [1]. Vegan diet has several known risks, as it exposes its participants to various nutritional deficiencies such as proteins, iron, vitamin D, calcium, iodine, omega-3, and vitamin B12 [2]. These nutrients are typically found in a balanced diet that includes …

Efficacy Of Platelet Rich Plasma Injections Vs. Topical Minoxidil In Androgenic Alopecia, Scott Sproul

Physician Assistant Studies | Student Articles

No abstract provided.

Sexting Among Adolescents: Examining The Association Between Sexting And Self-Esteem, Hanaah Fannin

Physician Assistant Studies | Student Articles

Purpose: This paper provides a systematic review of the published literature examining the association between sexting and self-esteem in adolescents. It further attempts to identify gaps in the current literature and provide recommendations for future research as well as patient care and education.

Methods: Electronic databases (CINAHL Plus with Full Text, Iceberg, and PsycINFO) were searched with publication dates between January 1, 2014 and September 30, 2019. The keywords used to conduct the search were: sexting, adolescents, self-esteem, youth, and teenagers. All records were screened to meet established criteria. The inclusion criteria included the following: a) articles written in the …

Evaluation Of New Dietary Guideline Recommendations On Red Meat Consumption, Dalia Azizi

Physician Assistant Studies | Student Articles

Objective: To evaluate the strength of evidence of the studies used to formulate the new dietary guideline recommendations published by the “Annals of Medicine” that encourage continuation of red meat consumption which contradicts existing guidelines.

Methods: The studies used to formulate the dietary guidelines were analyzed for their quality of evidence and compared to established existing evidence that associates meat consumption with negatives health outcomes

Results: Upon further evaluation, many biases and limitations to these studies exist and the quality of the evidence is low

Conclusion: The new dietary guidelines published by the “Annals of Internal Medicine …

Adverse Effects Of Cell Phone Use During Pregnancy, Stephanie Santos

Physician Assistant Studies | Student Articles

This study explored the possible adverse outcomes of cell phone use during the prenatal period. Previous literature has lacked in the analysis of all the potential adverse outcomes of cell phone use during pregnancy. This gap in literature, is needed to determine if a reduction in cell phone usage during pregnancy should be recommended in future clinical practices. For my research, I reviewed three published studies that have been done on cell phone use during pregnancy. These studies include the potential adverse effects in causing ADHD, developmental milestone delays, and low birth weights in children. Of the three studies analyzed, …

The Benefits Of Intermittent Fasting On Patients With Diabetes Mellitus, Alissa Guinto

Physician Assistant Studies | Student Articles

Diabetes mellitus is the 7^th leading cause of death in the United States, comprising about 10% of the population. With intermittent fasting gaining popularity in the media as a method to lose weight and control chronic illness, patients with diabetes would likely turn to any of the fasting methods in order to better manage their disease. However, there is a paucity of information to support whether intermittent fasting is an effective method to control diabetes, in conjunction with lifestyle modifications and anti-diabetic pharmacotherapy. This review sought to identify clinically relevant human studies that provide evidence that intermittent fasting is …

10 Patient-Centered Questions For Clinical Encounters With Transgender Patients, Blossom Kim

Physician Assistant Studies | Student Articles

Transgender (TG) individuals face extensive barriers to care that result in detrimental health disparities and increased prevalence of certain medical conditions such as mood disorders, HIV, and substance abuse. Existing research details multiple approaches to aid healthcare providers in reducing these disparities, but they tend to either generalize the transgender community or provide a surplus of information that may potentially overwhelm healthcare providers. This best practices review aims to provide clinicians with an approach that includes 10 patient-centered questions in hopes of improving patient-clinician rapport and addressing the main disparities and health concerns a TG patient may have.

Fecal Microbiota Transplantation And Gut Microbiome Effects On Psychiatric Illnesses, Mona Seresht

Physician Assistant Studies | Student Articles

Despite the medical advances that have been made in regards to mental health, psychiatric medications, and alternative therapies, many patients continue to suffer day in and day out, unable to live the type of life they desire. Many times, the medication route includes many episodes of trial and error, side effects, and no significant improvement in actual symptoms. Therapy, although effective, typically necessitates a supplemental medication for the best results. Fecal microbiota transplantation (FMT) is a method where feces from a healthy donor is transferred to an affected patient, typically via colonoscopy. Theoretically, this alters the gut microbiome in a …

Prophylaxis Of Food Allergen Sensitivity, Dustin Gottfeld

Physician Assistant Studies | Student Articles

Food allergies can have a severe and drastic effect on a person’s lifestyle, while prevention of allergic disease can help to ensure others do not have to live with this burden. There are a variety of differing hypotheses that offer explanations for the early development of food allergies, particularly peanut allergies. Two of the foremost hypotheses are the Hygiene Hypothesis and the Dual-Allergen Hypothesis. The Hygiene Hypothesis claims that the diversity of a child’s microbiota creates a beneficial balance of microorganisms which can help prevent the development of allergic disease. Alternatively, the Dual-Allergen Hypothesis states that early environmental exposure to …

Lowering Hba1c Levels In Type 2 Diabetics With Cinnamon Supplementation, Annie Phan

Physician Assistant Studies | Student Articles

Cinnamon has been evaluated in clinical studies, including RCTS, for its glycemic-lowering effects. The studies have been small and produced conflicting results. The objective of this paper is to provide an updated systematic review that evaluates the relationship between cinnamon supplementation and A1c levels among individuals with Type 2 diabetes mellitus (T2DM).

Psilocybin-Assisted Psychotherapy: Treating Depression And Anxiety With Mushrooms, Sofia Beck

Physician Assistant Studies | Student Articles

Depression and anxiety are debilitating mental health conditions that affect a large portion of the United States. Current pharmacological treatments for these disorders require daily administration, are associated with a number of side effects, and can be ineffective for some. Emerging evidence in novel treatment options may necessitate a shift toward how we treat these psychiatric disorders.

Studies involving the psychedelic serotonin agonist, psilocybin, are currently experiencing a resurgence as an alternative for patients who are unresponsive to traditional treatments. Clinical trials using psilocybin in combination with psychotherapy have demonstrated sustained reductions in depression and/or anxiety symptoms. When used in …

Systematic Review Of Energy Drinks And Qtc Prolongation, Cecilia Alvarez

Physician Assistant Studies | Student Articles

The importance of healthcare providers educating the public regarding the consequences of energy drink consumption is critical as energy drink popularity and consumption continues to rise. The purpose of this systematic review is to add to the research that proves the correlation between energy drink consumption and cardiovascular disease. Energy drinks are a contributing factor to cardiovascular disease which is the number one cause of deaths globally. The four studies reviewed in this systematic review demonstrate a statistically significant correlation between energy drinks and QTc prolongation. Further research is needed to have a better understanding of the correlation between energy …

Risk Of Uterine Rupture With Vaginal Birth After Cesarean In Twin Gestations, Kimya Baradaran

Physician Assistant Studies | Student Articles

Background: Women with a previous cesarean delivery may attempt a subsequent vaginal birth or repeat cesarean. Vaginal birth after cesarean carries a greater risk of uterine rupture, defined as the disruption of all uterine layers, resulting in maternal-fetal morbidity or mortality. It is unclear how the risk of uterine rupture compares in patients with twin gestations who undergo different delivery methods.

Objective: The purpose of this systematic review is to determine if there is an increased risk of uterine rupture in patients with twin gestations attempting vaginal birth after cesarean (VBAC) versus planned repeat cesarean delivery (PRCD).

Study …

Marketing Policies Of E-Cigarettes, Albert Vu

Physician Assistant Studies | Student Articles

Purpose of Review

There has been an increased use of e-cigarettes among adolescents with the CDC reporting that 27.5% of high school students have used e-cigarette in the past 30 days in 2019. This review will highlight marketing restrictions and the lack thereof allowing companies to target adolescents.

Recent Findings

When evaluating the history of traditional combustion cigarette policies there was a steady increase of cigarette users in the 1900s which began to decline after 1964 when aggressive policies and education began to take place. E-cigarettes however are not bound by the same rules and regulations, through a research conducted …

Benefits Of Intermittent Fasting: A Systematic Review Of Randomized Clinical Trials, Kavisha N. Abeyasekera

Physician Assistant Studies | Student Articles

Background: Daily calorie restriction regimens are still the most common diet strategies implemented for weight loss. ^[2,3] In the recent years, intermittent fasting (IMF) has gained popularity among some of the easier diets to follow.^[4]

Objective: The objective of this study is to use the available data on short- and long-term effects of intermittent fasting, either by time restricted feeding or alternate day fasting and help healthcare providers decide on which patients should be recommended IMF as a dietary option.

Study design: Searched Google Scholar, CINAHL, PubMed and Cochrane databases for evidence-based literature on intermittent fasting. Included studies: …