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Evaluation and management of hemoptysis. 咯血的评估与处理。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000252
Clay W Walker, Thomas Hartman, Brittney Hulsey
{"title":"Evaluation and management of hemoptysis.","authors":"Clay W Walker, Thomas Hartman, Brittney Hulsey","doi":"10.1097/01.JAA.0000000000000252","DOIUrl":"10.1097/01.JAA.0000000000000252","url":null,"abstract":"<p><strong>Abstract: </strong>Hemoptysis, defined as the expectoration of blood originating from the lower respiratory tract, is a clinical symptom with a wide differential diagnosis that ranges from benign to life-threatening causes. Common causes vary by geographic region and care setting, with respiratory infections, malignancy, bronchiectasis, and chronic obstructive pulmonary disease being predominant in resource-rich countries and tuberculosis remaining the leading cause in resource-limited areas. Though most cases are mild and self-limited, hemoptysis can be a life-threatening medical emergency; these cases are associated with a mortality exceeding 50%, primarily due to asphyxia. Management strategies are informed by severity, with outpatient care appropriate for stable patients with non-life-threatening hemoptysis and intensive interventions-such as bronchial artery embolization or surgical resection-reserved for those with high-risk features or life-threatening hemoptysis. This article provides an evidence-based approach to hemoptysis evaluation and management, emphasizing the importance of early risk stratification, identification of underlying causes, and timely intervention. By integrating a structured diagnostic and therapeutic approach, clinicians can improve outcomes and reduce the risk of recurrence and complications.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"17-22"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030323","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
Pelvic floor physical therapy: Enhancing patient outcomes. 盆底物理治疗：提高患者预后。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000259
Mollie Francis, Michaela Thielen, Cailin Austin, Brittany Strelow
{"title":"Pelvic floor physical therapy: Enhancing patient outcomes.","authors":"Mollie Francis, Michaela Thielen, Cailin Austin, Brittany Strelow","doi":"10.1097/01.JAA.0000000000000259","DOIUrl":"10.1097/01.JAA.0000000000000259","url":null,"abstract":"<p><strong>Abstract: </strong>Pelvic floor disorders are a wide-ranging group of conditions arising due to abnormalities of the musculature of the pelvic floor. These conditions can include constipation, pelvic pain, urinary incontinence, and dyspareunia. This article first provides an overview of key anatomy of the pelvic floor muscles before discussing pelvic floor physical therapy (PFPT), highlighting the goals of treatment and tactics used by physical therapists to achieve these goals. The article then explores the definition, diagnosis, and treatment of constipation, pelvic pain, and urinary incontinence caused by pelvic floor dysfunction. It is meant to help reduce the gap in this underdiagnosed and undertreated condition and identify key patient populations that may significantly benefit, including through improvements to quality of life, from PFPT.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"23-30"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030758","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
Impact of adverse event exposure on PA and APRN well-being. 不良事件暴露对PA和APRN健康的影响。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000255
Samantha Saggese, Alexander Hembrey, Dorothy Shapiro, Tina Murphy, Tiffani Darling, Gaurava Agarwal
{"title":"Impact of adverse event exposure on PA and APRN well-being.","authors":"Samantha Saggese, Alexander Hembrey, Dorothy Shapiro, Tina Murphy, Tiffani Darling, Gaurava Agarwal","doi":"10.1097/01.JAA.0000000000000255","DOIUrl":"10.1097/01.JAA.0000000000000255","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to measure the impact of adverse events (AEs) on advanced practice provider (APP) well-being and to describe symptoms of second victim syndrome (SVS) among this group of healthcare professionals.</p><p><strong>Methods: </strong>A survey was designed to measure the incidence of AEs among APPs employed at a large healthcare system and AE impact on emotional, physical, and professional well-being. It also measured burnout, callousness, and the desire for peer support among APPs who had experienced AEs and those who had not.</p><p><strong>Results: </strong>Of the 350 APPs who completed the survey, 55.4% had experienced an AE. APPs exposed to an AE had a higher rate of burnout ( p = .027) than those who had not. Following an AE, 97% of APPs experienced one or more symptoms of SVS; additionally, 87% sought peer support after an AE, with 96% finding it helpful.</p><p><strong>Conclusion: </strong>Findings demonstrate that AEs have a negative emotional impact on APP well-being and are associated with burnout and callousness. Peer support is desired by APPs after AEs and may enhance recovery.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"32-37"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030611","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
Treating resistant hypertension: What are the best pharmacologic options? 治疗顽固性高血压：最好的药物选择是什么？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000249
Joseph M Walter, Andrew Giaquinto
{"title":"Treating resistant hypertension: What are the best pharmacologic options?","authors":"Joseph M Walter, Andrew Giaquinto","doi":"10.1097/01.JAA.0000000000000249","DOIUrl":"10.1097/01.JAA.0000000000000249","url":null,"abstract":"<p><strong>Abstract: </strong>Resistant hypertension (RH) is defined as blood pressure (BP) that remains above goal despite treatment with three first-line pharmacologic classes or BP that requires four or more medications to obtain control. After ruling out secondary causes and implementing nonpharmacologic treatments, clinicians may encounter the question of which pharmacologic treatment options should be used next. This article discusses evidence-based second-line medication options for RH.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 10","pages":"14-16"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139105","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
Missed call. 错过了电话。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000257
Brian T Maurer
{"title":"Missed call.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000257","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000257","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 10","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139170","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
The expanding role of PAs and NPs in otolaryngology. pa和NPs在耳鼻喉科的扩展作用。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000256
Howard J Ritz
{"title":"The expanding role of PAs and NPs in otolaryngology.","authors":"Howard J Ritz","doi":"10.1097/01.JAA.0000000000000256","DOIUrl":"10.1097/01.JAA.0000000000000256","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"12-13"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030785","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
Taking a health systems science approach: A blueprint for PA and NP leadership. 采取卫生系统科学方法：PA和NP领导的蓝图。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000254
Kristen Will, Justine Marbach, Lacey Buckler, Zachary Hartsell, Bethany Grubb, Alison Essary
{"title":"Taking a health systems science approach: A blueprint for PA and NP leadership.","authors":"Kristen Will, Justine Marbach, Lacey Buckler, Zachary Hartsell, Bethany Grubb, Alison Essary","doi":"10.1097/01.JAA.0000000000000254","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000254","url":null,"abstract":"<p><strong>Abstract: </strong>Physician associates (PAs) and nurse practitioners (NPs) are vital members of the healthcare team. Increasing opportunities for leadership roles have emerged for PAs and NPs in the past decade. PAs and NPs often utilize other health professions' frameworks for leadership, but no framework exists for PAs and NPs specifically. This article examines existing leadership structures and proposes a leadership framework specifically for PAs and NPs through the health systems science lens.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 10","pages":"38-42"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139120","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
Atrioventricular blocks. 房室块。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000258
Laura Solano
{"title":"Atrioventricular blocks.","authors":"Laura Solano","doi":"10.1097/01.JAA.0000000000000258","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000258","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 10","pages":"43-44"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139108","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 chest pain and dyspnea on exertion in this 10-year-old? 是什么导致这名10岁儿童运动时胸痛和呼吸困难？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000260
Brittney Hulsey
{"title":"What is causing chest pain and dyspnea on exertion in this 10-year-old?","authors":"Brittney Hulsey","doi":"10.1097/01.JAA.0000000000000260","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000260","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 10","pages":"45-47"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139195","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
A late HIV diagnosis in the age of COVID-19: Urging screening awareness. COVID-19时代的晚期艾滋病毒诊断：敦促筛查意识。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-09-01 Epub Date: 2025-08-26 DOI: 10.1097/01.JAA.0000000000000068
Lucia Sanchez-Lee
{"title":"A late HIV diagnosis in the age of COVID-19: Urging screening awareness.","authors":"Lucia Sanchez-Lee","doi":"10.1097/01.JAA.0000000000000068","DOIUrl":"10.1097/01.JAA.0000000000000068","url":null,"abstract":"<p><strong>Abstract: </strong>Global health emergencies such as the COVID-19 pandemic have revealed the fragility of medical infrastructure in the US and elsewhere. Specifically, the pandemic insidiously targeted the relationship between public health and medicine by affecting the screening for and prevention of communicable diseases, such as HIV. This case report focuses on a patient with a problematic and late HIV diagnosis amid the pandemic and discusses HIV history, pathogenesis, epidemiology, and current screening guidelines. Although the negative implications of the pandemic are yet to be fully unraveled, health professionals can combat its ill effects on disease screening and prevention by proactively educating their patients on best health practices, including safe sex and sexually transmitted infection (STI) screening, as well as on when to seek care.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 9","pages":"e4-e8"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975163","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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