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Cytomegalovirus: Maternal and neonatal infection prevention and management. 巨细胞病毒：孕产妇和新生儿感染的预防和管理。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-15 DOI: 10.1097/01.JAA.0000000000000229
Tonya Williamson-Leon, Tania Tejera Morales
{"title":"Cytomegalovirus: Maternal and neonatal infection prevention and management.","authors":"Tonya Williamson-Leon, Tania Tejera Morales","doi":"10.1097/01.JAA.0000000000000229","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000229","url":null,"abstract":"<p><strong>Abstract: </strong>Cytomegalovirus (CMV) is the most common congenital infection in the United States and a leading cause of nongenetic sensorineural hearing loss (SNHL). This article reviews the epidemiology and diagnosis of CMV infection, with an emphasis on the effects of congenital infection on fetal and neonatal health. Recognition of early signs of infection and prompt testing in the neonate are imperative to prevent or decrease the severity of long-term sequelae, including SNHL. This article also highlights the importance of congenital CMV screening and audiology follow-up in infants, and it provides an overview of specialty interventions, possible treatment, related education, and prevention in women of reproductive age.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using point-of-care ultrasound to assess volume status. 使用即时超声评估容量状况。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-15 DOI: 10.1097/01.JAA.0000000000000236
Taryn Ragaisis, Tiffany Galush, Mike Breunig
{"title":"Using point-of-care ultrasound to assess volume status.","authors":"Taryn Ragaisis, Tiffany Galush, Mike Breunig","doi":"10.1097/01.JAA.0000000000000236","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000236","url":null,"abstract":"<p><strong>Abstract: </strong>Determining volume status at the bedside is an essential skill clinicians must possess. Unfortunately, traditional bedside assessments, including measuring vital signs, obtaining a history, and performing a physical examination, are often unreliable and limited by patient body habitus. Point-of-care ultrasound (POCUS) is a valuable and accurate adjunct to aid in determination of a patient's volume status. POCUS of the lungs, heart, inferior vena cava, and internal jugular vein can add valuable data for clinicians when determining volume status. Specifically, lung ultrasound is more accurate than physical examination and chest radiography in detecting pulmonary edema and pleural effusions; cardiac POCUS allows for qualitative estimations of left ventricle and right ventricle function and can confirm the presence or absence of clinically significant pericardial effusions; and POCUS of the inferior vena cava and internal jugular vein can estimate right atrial pressure, and in the appropriate clinical context, help to determine intravascular volume status.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing gastric cancer mortality in the United States: Practical strategies. 降低美国胃癌死亡率：实用策略
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000220
Kam C Nina Li, Sarah Combs
{"title":"Reducing gastric cancer mortality in the United States: Practical strategies.","authors":"Kam C Nina Li, Sarah Combs","doi":"10.1097/01.JAA.0000000000000220","DOIUrl":"10.1097/01.JAA.0000000000000220","url":null,"abstract":"<p><strong>Abstract: </strong>Worldwide, gastric cancer is the fifth most diagnosed malignancy, with more than 1 million diagnoses annually, and it also represents the fourth leading cause of cancer death, with approximately 770,000 deaths each year. Relative 5-year survival rates are as high as 95% to 99% when the disease is diagnosed early in its course, but that rate drops to less than 30% when diagnosed in advanced stages. South Korea and Japan, two countries where gastric cancer is endemic, have implemented screening programs that successfully support earlier detection. No routine gastric cancer screening guidelines exist for practice in the United States. This article examines current evidence in support of gastric cancer prevention and screening measures. Two measures are buoyed by the literature: first, prevention of the disease by targeting modifiable risk factors, namely the eradication of Helicobacter pylori , and second, early detection among high-risk groups through endoscopic screening.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"13-18"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Weather dependent. 天气相关的。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000222
Laura A Katers
{"title":"Weather dependent.","authors":"Laura A Katers","doi":"10.1097/01.JAA.0000000000000222","DOIUrl":"10.1097/01.JAA.0000000000000222","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 7","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Syncope: A tough pill to swallow. 晕厥：一颗难以下咽的药丸。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000065
Robert J DeCoste, Ashley N Meerschaert
{"title":"Syncope: A tough pill to swallow.","authors":"Robert J DeCoste, Ashley N Meerschaert","doi":"10.1097/01.JAA.0000000000000065","DOIUrl":"10.1097/01.JAA.0000000000000065","url":null,"abstract":"<p><strong>Abstract: </strong>Syncope is a common clinical syndrome that is typified by loss of consciousness and has several etiologies ranging from benign to potentially life-threatening. To differentiate syncope from other conditions, a detailed history is crucial. Several key historical components that aid in establishing the etiology of syncope include frequency, identifiable triggers, and prodromal symptoms. The differential diagnosis of syncope includes mechanical fall, seizure, narcolepsy, intoxication, and psychiatric conditions. Meticulous review of a patient's past medical conditions and medication list must be completed when evaluating syncope etiologies, as this information may aid in the elucidation of a cause or contributing factor. This case report illustrates the importance of history collection, as the underlying cause of syncope is not always easily identified.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 7","pages":"30-33"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What is causing this patient's episodes of disorientation and confusion? 是什么导致了病人的定向障碍和意识混乱？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000225
Heather Tonga
{"title":"What is causing this patient's episodes of disorientation and confusion?","authors":"Heather Tonga","doi":"10.1097/01.JAA.0000000000000225","DOIUrl":"10.1097/01.JAA.0000000000000225","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 7","pages":"47-49"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CME POST-TEST. 芝加哥商品交易所测试后。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000228
{"title":"CME POST-TEST.","authors":"","doi":"10.1097/01.JAA.0000000000000228","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000228","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 7","pages":"26"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Labyrinthitis.
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000219
David J Irving
{"title":"Labyrinthitis.","authors":"David J Irving","doi":"10.1097/01.JAA.0000000000000219","DOIUrl":"10.1097/01.JAA.0000000000000219","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 7","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence in cardiovascular practice: Bringing the technology to the bedside. 心血管实践中的人工智能：将技术带到床边。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000223
Shuhan He
{"title":"Artificial intelligence in cardiovascular practice: Bringing the technology to the bedside.","authors":"Shuhan He","doi":"10.1097/01.JAA.0000000000000223","DOIUrl":"10.1097/01.JAA.0000000000000223","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"11-12"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Left shoulder pain from humeral Rosai-Dorfman disease. 肱骨罗赛-多夫曼病引起的左肩疼痛。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI: 10.1097/01.JAA.0000000000000066
Parimal Rana, Andrea Johnson, Justin Turcotte, Alyssa Maley
{"title":"Left shoulder pain from humeral Rosai-Dorfman disease.","authors":"Parimal Rana, Andrea Johnson, Justin Turcotte, Alyssa Maley","doi":"10.1097/01.JAA.0000000000000066","DOIUrl":"10.1097/01.JAA.0000000000000066","url":null,"abstract":"<p><strong>Abstract: </strong>Rotator cuff impingement was suspected when a 23-year-old male police officer presented to the orthopedic clinic with gradual-onset left shoulder pain and weakness; however, conservative management did not improve the patient's symptoms. Subsequent imaging revealed a lytic lesion in the left humeral head, with CT-guided biopsy findings consistent with Rosai-Dorfman disease, an extremely rare histiocytic disorder. Typically self-limiting and benign, Rosai-Dorfman disease is characterized by overproduction and accumulation of rare non-Langerhans cell histiocytes, a type of immune cell, in various tissues. These histiocytes most commonly proliferate in the lymph nodes, causing hallmark lymph node enlargement. In cases that do not spontaneously resolve, individualized treatment may be required. The patient in this case report returned to normal activity following improvement without intervention.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 7","pages":"27-29"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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