Medicine and Health Sciences Commons^™

Evaluating And Comparing The Safety And Efficacy Of Rimegepant Versus Lasmiditan In Aborting Acute Migraine Headaches In The Adult Migraineur, Anthony Douthit

Physician Assistant Scholarly Project Posters

Migraine headaches are one of the most common causes of primary headaches and one of the leading causes of disability worldwide. While the mechanism of migraines are not entirely understood, they can result in significant disability (DynaMed, 2023). Dihydroergotamine was introduced for migraine treatment in the 1920s and in the 1990s triptans were introduced and have been the mainstay of acute migraine treatment since their introduction (Solomon et al., 2008). In recent years, there have been several developments in the acute treatment and prophylaxis of migraine headaches. CGRP receptor antagonists and 5-HT1F receptor agonists have been researched, developed, and approved …

A Comparison Of Pharmacotherapy Versus Complementary Medicine In The Treatment Of Migraines, Samantha Braaten

Physician Assistant Scholarly Project Posters

Migraine headache is a common, universal neurological disorder that can be complicated to treat. Despite the wide availability of treatments used as prophylactic agents against migraines, outcomes have been inconsistent, and a number of patients do not respond to prophylactic medications. Therefore, it is important to investigate new non-pharmacological modalities accompanied with less adverse effects and maximal efficacy. To determine if complementary medicine modalities such as acupuncture, botulinum toxin-A, or cognitive behavioral therapy can be as effective as traditional pharmacotherapy for the treatment of migraines, a literature review was completed using meta-analyses and clinical trial reviews. Despite the fact there …

Associations Between Screen Use And Depression In Youth, David Franta

Physician Assistant Scholarly Project Posters

the youth population have remained largely unclear  Depression is common in children and adolescents  Screen use is readily available and frequently used by children and adolescents  This literature review was conducted to evaluate current literature regarding depression in the youth population, to include differences between sexes, across ages, and amongst different types of screen use  Results demonstrate that an association between screen use and depression in the youth population does exist, particularly cross sectionally  A causative or reciprocal relationship may be present, however, if it is present, it is quite minor  Girls tend to …

The Effect Of Metformin Vs Lifestyle Modifications On The Prevention Of Prediabetes To Type Ii Diabetes, Brittany Mcpherson

Physician Assistant Scholarly Project Posters

• Literature was performed using an electronic search database to identify literature related to preventing the conversion of prediabetes to type 2 diabetes.

• Literature review looks at the effectiveness of metformin, diet alone, exercise alone, and a combination of diet and exercise.

• Research shows that both metformin and lifestyle modification have been effective in reducing the progression of prediabetes to type 2 diabetes.

• While lifestyle modifications appear to show greater benefit in the short term, their impact has shown to be less effective when studied in the long term.

• Primary care treatment of prediabetes requires a …

Chronic Exertional Compartment Syndrome: Surgical Treatment Vs Conservative Care, Molly Ruebke

Physician Assistant Scholarly Project Posters

• Summary of Problem: Chronic exertional compartment syndrome (CECS) is a relatively rare pathology characterized by pain, tightness, and/or numbness in the affected calf upon performance of repetitive physical activity, most commonly with running or serving in the military. CECS usually has a delay in diagnosis due to low levels of awareness among clinicians and a wide range of differential diagnoses for chronic exertional leg pain. The natural course of CECS is often not self-limiting and therefore requires intervention, as symptoms can be severely debilitating and eventually force patients to avoid any provoking activity. The purpose of this literature review …

Fertility Treatment In Pcos: Metformin Vs. Myoinositol, Kaylina Kelley

Physician Assistant Scholarly Project Posters

Metformin is commonly used to decrease insulin resistance and increase fertility in women with PCOS. However, it is known to cause many side effects. Myoinositol is a B-vitamin that is thought to also decrease insulin resistance and increase fertility with few side effects. The purpose of this literature review is to determine whether myoinositol is a comparable substitute for metformin in patients with PCOS suffering with infertility. This was done by evaluating pregnancy rates, insulin resistance, and side effects of metformin and myoinositol. A literature review found that both medications had similar pregnancy rates. Neither medication affected insulin resistance. However, …

Perimenopausal Depression Screening And Treatment Efficacy Between Antidepressants And/Or Hormone Replacement Therapy, Mandy Stenehjem

Physician Assistant Scholarly Project Posters

During perimenopause, women are at increased risk of depression due to complex and multifactorial factors, such as HPA axis dysregulation and fluctuations in hormones, like estradiol. Antidepressants are currently used to treat depression, but hormone replacement therapy may also have comparable antidepressant effects based on hormonal mechanisms. Perimenopausal depression is a unique subtype of depression and needs to be routinely screened by OBGYNs and primary care providers. The literature review found mixed results on the efficacy of HRT, antidepressants, and a combination of both; all treatments have shown promising benefits and specific screening may be needed to tailor treatment.

Long Term Control Of T2dm And Weight Through Roux-En-Y Gastric Bypass Surgery Versus Weight Loss Medication, Alexandra Laber

Physician Assistant Scholarly Project Posters

• Type II diabetes mellitus (T2DM) affects hundreds of millions of individuals in the United States and prevalence is increasing. • As a lifelong disease, interventions must be studied long-term. • This project aims to compare long term efficacity of Roux-en-Y gastric bypass surgery and several antidiabetic medications that result in weight loss in type II diabetics who have failed to achieve goals through first line treatment of diet, exercise, and metformin. • A literature review was completed using the electronic search database PubMed with a variety of MeSH terms and keywords. • Research showed strong evidence that surgery was …

Home-Based Cardiac Rehab Vs. Center-Based Cardiac Rehab In Rural Areas, Timothy Fresonke

Physician Assistant Scholarly Project Posters

Cardiac rehabilitation in rural areas can present unique challenges. The main challenge is the locations patients must travel to receive such care. Some patients are expected to travel more then an hour away, on multiple occasions during the week, to undergo their therapy. A literature review was done to see if there was a safe and effective alternative to the traditional center-based cardiac rehabilitation. The electronic search databases PubMed, Embase and CINAHL Complete were utilized to search for articles that addressed the four main topics of the paper. Dalal et al. (2019) found that home-based cardiac rehabilitation was as safe …

Gabapentin For Alcohol Use Disorder, Monica Hurst

Physician Assistant Scholarly Project Posters

The purpose of this literature review is to determine whether gabapentin is an effective treatment option for alcohol use disorder (AUD). Utilizing data sourced primarily from published clinical trials, gabapentin’s effect on heavy drinking, abstinence, withdrawal symptoms and alcohol cravings will be explored. This review will also compare gabapentin’s efficacy against currently approved AUD treatment options, along with what dosages are most efficacious while contributing the fewest adverse effects. The data presented in this literature review undeniably demonstrates a positive effect of gabapentin on alcohol use disorder; specifically the data shows that gabapentin at multiple dosages helps to decrease heavy …

Aspirin Vs. Pravastatin For Prevention Of Preterm Delivery In Patients At Risk For Pre-Eclampsia, Mary Weisberg

Physician Assistant Scholarly Project Posters

This literature review is an examination of the use of low-dose aspirin therapy versus the use of pravastatin therapy to prevent preterm delivery in women at risk of developing preeclampsia. Preeclampsia is defined as new onset hypertension after 20 weeks of gestation with evidence of maternal organ or uteroplacental dysfunction or proteinuria. Preeclampsia is a serious condition that affects pregnant women and their growing fetuses which may lead to maternal or fetal demise. The Prevention of preeclampsia with the use of low-dose aspirin in the first 12-16 weeks is currently the mainstay of treatment for women with moderate to severe …

Comparison Of Urethral Bulking Injection Therapy And Surgical Midurethral Sling Placement For Treatment Of Stress Urinary Incontinence In Women, Ashley Black

Physician Assistant Scholarly Project Papers

This literature review aims to assess the comparative efficacy and safety of urethral bulking injection therapy and surgical midurethral sling intervention in the treatment of stress incontinence in women. A comprehensive search of the existing literature was conducted and includes studies from PubMed, an electronic search databases. The findings indicate that both urethral bulking injection therapy and surgical midurethral sling intervention are suitable interventions to be considered for the treatment of stress incontinence in women. Current research available regarding the efficacy of urethral bulking agents versus midurethral slings suggests that the placement of a miduerthral sling has the highest incidence …

Safety And Efficacy Of Apixaban Vs Rivaroxaban: In Nonvalvular Atrial Fibrillation, Cody Dewitt

Physician Assistant Scholarly Project Papers

Nonvalvular atrial fibrillation, the most common cardiac arrhythmia in developed countries, warrants anticoagulation for stroke prevention. Updated guidelines recommend direct oral anticoagulants (DOACs) over historically used warfarin. The purpose of this review is to compare clinical safety and efficacy outcomes between apixaban and rivaroxaban. In patients with nonvalvular atrial fibrillation on a direct oral anticoagulant, is there a significant difference in safety and efficacy between apixaban and rivaroxaban? Does decreased kidney function change safety and efficacy? Does varying BMI such as low weight or obesity change safety and efficacy? A retrospective literature review was conducted utilizing PubMed databases. Articles included …

Introduction To Human Biology, Sharon S. Ellerton, Christopher Roblodowski

Open Educational Resources

This OER is intended as a textbook for a one semester introductory course in Human Anatomy and Physiology for non-science majors. It covers the major topics typically covered in A&P, but in a simplified, easier to understand manner. This textbook aims to educate students interested in lower-level health careers and non-science majors without the intimidating detail found in current textbooks. Text and images were created to be more accessible for these student populations.

Understanding The Efficacy And Safety Of Stem Cell Therapy And Car T-Cell Therapy In Leukemia Patients, Amita Panda, Wendy Perla, Betelhem Negash, Johnny Duong, Cong Nguyen

Research Methods Poster Session 2023

CAR T-cell therapy and Stem cell therapy are effective treatments with varying benefits, efficacy, and safety for patients with recurrent leukemia. CAR T-cell therapy and Stem cell therapy are both effective immunotherapies that use engineered cells to combat cancers. The implications of this study allow patients to understand the benefits and disadvantages of both therapies and paves the way for future advancement within immunotherapy. This review selected studies from reputable medical journals, clinical trials and peer-reviewed research published within the last five years obtained from multiple databases including PubMed, Wiley Online Library, and Google Scholar. We compared the efficacy and …

Nursing Care Of Family Caregivers: Interventions And Considerations Regarding Current Issues Facing Family Caregivers Of Persons With Dementia Relevant To Nursing Practice, Alayna Kent

Senior Honors Theses

There are an estimated 6.5 million Americans age 65 and older who are currently living with Alzheimer’s dementia. A large majority of these individuals receive care from a nonprofessional family caregiver, typically in the home setting. It is well documented that family caregivers of dementia patients experience many unique challenges. These challenges provide valuable opportunities for nurses to provide helpful interventions to aid this vulnerable population. An integrated review of the recent literature was conducted, and articles were chosen by a method modeled after the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowsheet. The research was then analyzed …

Weight Loss For Bariatric Patients: Arterial Embolization Versus Gastric Bypass, Morgan Bernhardt

Physician Assistant Scholarly Project Posters

 The primary aim of this review is to determine the safety and efficacy of left gastric artery embolization (LGAE) in comparison to Roux-en-Y gastric bypass (RYGB) in bariatric patients for the treatment of obesity.  RYGB, an invasive surgical operation, has been proven to result in long-term efficacy of weight loss but can be associated with a higher risk of early and long-term complications to include a gastrojejunal anastomosis leak, surgical site infection, iron deficiency anemia, bowel obstructions, and hernias. RYGB may require reoperation and does have a risk of mortality. Bariatric surgery is now focusing on the appetite-stimulating …

Innovative Management Of Posterior Upper Thigh Pain In Two Adolescent Athletes, Thomas Munro, Brian Harvey

Posters

Case history: Two 16-year-old males with posterior upper leg pain. Athlete A reports he had been exploding up to dunk a basketball when he felt a pop with immediate pain in his posterior LLE. He was treated conservatively with activity modification and PT resulting in improvement of symptoms and return to full activity. He returned 15-months after the initial injury due to recurrence of pain. Athlete B stated he had tweaked his hamstring multiple times over the summer and had been working with a physical therapist for rehabilitation. He had attempted full rest for a couple weeks with graded return …

A Metabolic, Mechanical, Multi-Organ Masterpiece: Dural Device Support Bridge To En-Bloc Heart-Liver Transplantation In Propionic Acidemia, Rebecca Juhl, Brian Birnbaum, Aliessa P. Barnes, William Gibson, Bhargava Mullapudi, Beth Lang, Megan Faseler, Daniel E. Heble, Victoria Urban, Ryan T. Fischer, Jennifer L. Gannon, David Sutcliffe

Posters

Introduction: Propionic Acidemia (PA) is a disorder related to abnormal protein and lipid metabolism resulting in progressive neurological injury and dilated cardiomyopathy (DCM). Interventions for PA and secondary disease manifestations can require multi-organ transplantation. Herein we report the case of a child with PA and end-stage DCM requiring left ventricular assist device (LVAD) support with eventual heart-liver transplant. Case Report: A 17 year old male diagnosed in childhood with PA developed chronically progressive DCM culminating in end stage heart failure with acute decompensations. In a recurrent admission, he progressed to require dual inotropic support and systemic anticoagulation for new LV …

The Teacher - Volume 7, Nova Southeastern University

be Still

No abstract provided.

From The Dean, Elaine M. Wallace

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No abstract provided.

From The Editor, Janet L. Roseman

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No abstract provided.

A Memorable Mentor, Sumaiya Haider

be Still

A person can come into your life for a moment, but make an impact that lasts a lifetime. This piece reflects my gratitude for my attending and all the teachers in my life who gave me the opportunity to learn and grow into the person I am today. From the bottom of my heart, thank you.

She Whose Words Helped Me To See, Tara Mckenna

be Still

This paper is a reflection on the interconnectedness of teachers and physician healers. Still, it identifies lessons that physicians can learn from educators in our lives and the importance of integrating these tools into how we teach patients about medicine.

Beyond The Curriculum, Sydney Molenaar

be Still

No abstract provided.

Time For Change, Nimmi M. Mathews

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No abstract provided.

The Art Of Teaching In Medicine, Mariam Dar

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A reflection on the aspects and importance of teaching in medicine.

Learning From The Best!, Michelle N. Won

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Thank you to all the NSU preceptors of Punta Gorda, Florida.

The Unsung Torchbearers, Leona A. Ewan

be Still

No abstract provided.

Morphology Of Man, Arielle Friedman

be Still

Behind every creation is an artist.

Behind every student is a teacher.

This piece aims to highlight the cyclical, additive nature of generational knowledge, as well as the inherent plasticity involved in generating meaning across collectives.