Medicine and Health Sciences Commons^™

Statin Therapy Vs. Plant-Based Diet For Reduction Of Plaque Burden In Coronary Artery Disease, Molly Evelyn Zak

Physician Assistant Scholarly Project Posters

Coronary artery disease is one of the most common chronic health conditions to affect adults in the United States, with heart disease being the leading cause of death. Contributing factors include high prevalence of processed foods containing saturated fats, low fiber diets and poor overall nutrition, and physical inactivity. These practices increase risk of low-density lipoprotein cholesterol (LDL-C) plaque buildup and calcification within arteries that supply the heart, leading to decreased blood flow and subsequent oxygen supply. Treatment for coronary artery disease has traditionally been dominated by HMG CoA-reductase inhibitors, or statins. These medications are more effective than the alternative …

Comparing Effectiveness Of Intrauterine Devices Versus Oral Contraceptives For Management Of Dysmenorrhea, Mackenzie Holland

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine if oral contraceptives or intrauterine devices are more effective in the treatment of dysmenorrhea pain. It is estimated that at least 50% of women worldwide live with dysmenorrhea and there is very little research determining what the best treatment options are for it. The main treatment recommended by health care providers for dysmenorrhea are non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. However, this treatment option may not provide the relief that women with this condition need. This review used three main databases, including PubMed, Embase, and Clinical Key …

Efficacy Of Platelet Rich Plasma Injections To Combat Chronic Tendinopathies, Rachel Kisse

Physician Assistant Scholarly Project Posters

➢ Tendinopathy is a clinical syndrome marked by persistent localized pain and tendon thickening, stemming from repetitive overuse. It poses diagnostic and management challenges due to its chronic nature..

➢ This literature review was performed to inform clinicians about the properties, safety, and efficacy of PRP injections as an adjunctive therapy in chronic tendinopathies, specifically the epicondylar and Achilles tendons. A comprehensive review of 12 clinical trials, exploring the efficacy of PRP injections was performed. The primary focus of this review looked into the trends in efficacy, including pain reduction and activity improvement, using various functional assessment scales like the …

The Efficacy Of Glp-1 Agonists In Pediatrics With Type 2 Diabetes And Obesity, Cayla Mahrer

Physician Assistant Scholarly Project Posters

GLP-1 therapies show promise in managing type 2 diabetes and obesity in adolescents. This review explores the efficacy, safety, and variations in treatment outcomes. GLP-1 therapies (liraglutide, dulaglutide, exenatide) effectively reduce HbA1c levels. Weight reduction is a positive outcome crucial for type 2 diabetes and obesity management. Safety concerns and gastrointestinal effects emphasize the need for monitoring during GLP-1 therapy. Insights from studies on Lixisenatide offer valuable information for healthcare providers. There is consensus on general effectiveness, but debates on specific outcomes and long-term effects persist. Case-based investigations suggest potential variations in treatment responses, requiring further exploration. Bridging the gap …

The Efficacy Of Probiotic Use In Patients With Anxiety And Depression, Joanna Mcclelland

Physician Assistant Scholarly Project Posters

The gut-brain connection has become more widely researched for its impacts on anxiety and depression. This bodes the question that if the gut microbiome can be altered, would there be a decrease in symptoms of anxiety and depression as a result? One way to alter gut microbiome is to implement a prebiotic or probiotic. To determine if this is an effective treatment option for anxiety and depression, a literature review was conducted using primarily randomized clinical trials. PubMed was the primary database that was used for this research. Articles were sorted and chosen based upon applicability to the problem being …

Comparison Of Cryopreservation Of Ovarian Tissue Versus Cryopreservation Of Oocytes In Fertility Preservation, Madison Nitschke

Physician Assistant Scholarly Project Posters

This literature review aims to compare ovarian tissue cryopreservation (OTC) and oocyte cryopreservation (OC) as methods for fertility preservation. Electronic health science databases including PubMed, Clinical Key, ScienceDirect, and UpToDate were utilized. Seven articles met the inclusion criteria and were analyzed for this comprehensive review. This review indicates that both oocyte and ovarian tissue cryopreservation can effectively preserve fertility, however, ovarian tissue cryopreservation is deemed most effective for prepubertal girls at high risk of iatrogenic primary ovarian insufficiency (POI), or women who are unable to postpone gonadotoxic treatment. Ovarian tissue cryopreservation offers advantages that oocyte cryopreservation does not, such as …

Patient Outcomes With Tele-Emergency Medicine Services In Rural Areas, Andrea Rieder

Physician Assistant Scholarly Project Posters

The purpose of this literature review was to examine patient outcomes with the use of tele-emergency medicine. Teleemergency medicine serves as a tool to expand the healthcare team in rural facilities by connecting them with specialized providers, typically via video conference call, for assistance in surge or lowstaff situations, or for guidance in more complicated cases that rural providers might typically transfer to a larger hospital. A benefit of adopting a tele-emergency medicine service is that it can shorten time to care and reduce the need for transfers, thereby reducing associated costs. The question arises as to whether patient outcomes …

Minimally Invasive Therapies In The Treatment Of Arthropathy, Steven Bateman

Physician Assistant Scholarly Project Posters

This literature review explores the efficacy of minimally invasive therapies that precede and delay surgical intervention in adult patients experiencing functional limitations and pain in major joints. The effectiveness of physical therapy and injections such as corticosteroids, hyaluronic acid, platelet-rich plasma, and mesenchymal stem cells (MSC) was evaluated. A comprehensive search of PubMed utilizing MeSH terms yielded 114 relevant studies, which were screened based on inclusion criteria of human studies published within the past five years. Keywords included mesenchymal stem cells, stem cells, mesenchymal, arthroplasty, and joints. Producing few results, inclusion criteria were later expanded to include studies within the …

Treating Rheumatoid Arthritis: Immunosuppression Versus Stem Cell Therapy, Bailee Blickensderfer

Physician Assistant Scholarly Project Posters

This literature review will discuss the difference in efficacy and side effect profile between methotrexate monotherapy and mesenchymal stem cell therapy for the treatment of rheumatoid arthritis. Rheumatoid arthritis is a debilitating inflammatory condition that effects a person’s mobility and can cause chronic, intense pain. Due to the side effect profile of methotrexate, mesenchymal stem cell therapy is being investigated as a treatment option. There were 11 scholarly articles evaluated for the purpose of this literature review. Data compiled from these studies supports the use of Mesenchymal stem cells as treatment for rheumatoid arthritis due to immunomodulatory effect on multiple …

Single Center Retrospective Comparison Of Bivalirudin And Heparin For Therapeutic Anticoagulation In Pediatric Patients, Clayton Habiger, Shannon L. Carpenter

Posters

Background: The pharmacological choice for continuous anticoagulation therapy in pediatric patients has classically been unfractionated heparin. However, with heparin there are risks of treatment resistance in pediatrics given differences in developmental hemostasis, and contemporary medications such as bivalirudin offer a valuable alternative. Bivalirudin binds to thrombin and has shown encouraging results compared to heparin in pediatric patients receiving ECMO, but no comparison has been made in patients receiving therapeutic anticoagulation. Three years ago, Children’s Mercy Pediatric Hematology department encouraged bivalirudin use over heparin use for therapeutic anticoagulation requiring a continuous infusion. Objectives: Compare clinical and laboratory outcomes in patients receiving …

An Occupational Therapy Approach To Improving Adl/Iadl Performance In Diabetic Adults With Stroke And Upper Extremity Pathologies, Halle Thomas, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

This capstone presentation depicts the impact of diabetic management with an occupational therapy approach on upper extremity motor function for the adult stroke population. This program utilizes dietary management, a home exercise program, and task modification strategies to improve ADL and IADL performance.

Detection And Management Of Post Intensive Care Syndrome, Ann Tomy

Nursing | Student Research Posters

Post Intensive Care Syndrome (PICS) is a collection of symptoms that more than half of patients who survive a critical illness experience after discharge.Those symptoms include weakness, fatigue, sleep disturbances, cognitive dysfunction, post-traumatic stress disorder, mental health conditions, and a lack of effective coping strategies. PICS can significantly impact an individual's quality of life, complicating the recovery process and posing challenges for reintegration into daily activities and societal roles. The etiology of PICS is multifactorial, with the severity and duration of the illness, the nature of medical interventions in the ICU, and the pre-existing health condition of the patient all …

Assessing Lung Cancer Screening Protocols And Outcomes: A Comparative Analysis Between Indonesia And The United States, Priscilla Sitorus

Nursing | Student Research Posters

After losing a loved one to lung cancer, it can be difficult to process, especially when the diagnosis could have been made earlier. However, some may struggle to trust a healthcare system when screening protocols and care vary significantly, to the extent that it may seem unclear. Amongst both men and women, lung cancer is the worldwide leading cause of cancer-related mortality (World Health Organization, 2023), thus further creating a considerable amount of challenges that not only takes part in communities, but the overall healthcare system. Despite the increasing rate of lung cancer, Indonesia has limited screening programs available for …

Does A Parent Peer Support Program Help Parents Of Children Who Need Mental Health Services Support Their Child’S Care?, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The study aimed to assess the impact of a Family Navigator (FN) program developed to increase child behavioral therapy service utilization on parent and child outcomes.

Improving Classroom Behaviors Among Students With Symptoms Of Autism Spectrum Disorder (Asd) Or Attention Deficit Hyperactivity Disorder (Adhd), Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The study aimed to compare the effectiveness of two school-based behavioral programs on improving executive functioning behaviors among students with symptoms of ADHD or ASD.

Comparing Long-Term Outcomes Of Two Collaborative Care Approaches For People With Depression, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

People with depression usually get treatment in healthcare settings, such as clinics. In communities with few resources, people may also get help in community settings such as social services agencies or churches. Collaborative care brings together healthcare and community programs to help people with depression.

Treating Chronic Pain Using Approaches Adapted For Patients With Limited Reading Skills, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Patients with chronic pain may find some psychosocial interventions to be effective but for those with limited reading skills, it can be hard to understand and use these options.

Comparing Cognitive Behavioral Therapy (Cbt) Versus Yoga For Helping Older Adults Address High Levels Of Worry, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Some older adults have high levels of worry that cause them to feel restless, tired, or tense. Two ways to treat worry are Cognitive Behavior Therapy (CBT) and yoga.

Comparing Two Ways To Treat Serious Worry Among Older Adults From Underserved, Racial Or Ethnic Minority Communities, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Compared with other older adults, those with serious worry are more likely to have poor physical health, and often have depression, sleep problems, and trouble thinking clearly..

Comparing Universal Versus Targeted School Screenings For Depression Among Teens, Research Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The US Preventive Services Task Force endorses universal adolescent major depressive disorder (MDD) screening in primary care; however, most adolescents lack preventive health care, resulting in worsening disparities in MDD screening and treatment.

Is A Patient Navigation Program More Helpful Than A Referral Program For Reducing Depression And Improving Quality Of Life Among Women Living In Neighborhoods With Few Resources?, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The research team compared two programs designed to help women with feelings of depression who live in neighborhoods with few resources. Both programs lasted four months.

Evaluating A Program To Lower Prescription Opioid Doses For Patients With Chronic Pain, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Patients who use opioids for a long time are at increased risk for addiction, care crashes, overdose, & injuries.

Helping Patients With Mental Illness Engage In Their Transitional Care, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Effective transitional care can keep patients from going back to the hospital.

Examining Health Outcomes For People Who Are Transgender, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The Study of Transition, Outcomes, and Gender was initiated to assess morbidity among transgender people in general and after gender-affirming treatments.

Examining Effects Of State Policies To Monitor Mental Health Medicines For Children In Foster Care, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Antipsychotics can have long-term risks but help treat conditions like schizophrenia.

Evaluating A Training Program For Rural Doctors And Nursing Home Staff On Safe Medicine Use For Patients With Dementia And Nursing Home Residents, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Program goal: Reduce unnecessary use of certain medications without worsening symptoms

Behavioral Health Integration And Outcomes That Matter To Patients: A Longitudinal Mixed-Methods Observational Study, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The study team hypothesized that patients would have a better experience over time in clinics that had greater degrees of behavioral health integration.

Does A Video Chat Referral Process Help Families With Children Who Have Medicaid To Initiate Mental Health Care?, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Many children with Medicaid and mental health concerns don’t get the care they need.

Using A Transitional Care Program To Prepare Patients To Take Care Of Themselves After Leaving The Hospital, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Some patients have difficulty caring for themselves after they return home from a hospital stay.

Testing A Clinic-Based Program To Reduce Risky Behaviors Among Teens, Research Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Risky behaviors, including eating poorly, not getting enough sleep or exercise, using drugs, and not wearing a helmet or seatbelt often emerge during the teen years.