Jaapa-Journal of the American Academy of Physician Assistants最新文献_第10页

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000330

Meredith Swift

引用次数: 0

PA clinic for gestational diabetes: An observational study. 妊娠期糖尿病的PA诊所：一项观察性研究。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000335

Nikki Semaniuk, Abigail Meadows, Pam Katz, Sora Ludwig, Bruce Roe, Elizabeth Salamon, Sarah M Sigurdson, Katherine J Bernier, Christy Pylypjuk, Jennifer M Yamamoto

{"title":"PA clinic for gestational diabetes: An observational study.","authors":"Nikki Semaniuk, Abigail Meadows, Pam Katz, Sora Ludwig, Bruce Roe, Elizabeth Salamon, Sarah M Sigurdson, Katherine J Bernier, Christy Pylypjuk, Jennifer M Yamamoto","doi":"10.1097/01.JAA.0000000000000335","DOIUrl":"10.1097/01.JAA.0000000000000335","url":null,"abstract":"Objectives: Gestational diabetes is a common complication of pregnancy. Its management requires diabetes expertise, prompt assessment, and frequent follow-up, all of which increasingly strains already overburdened specialty clinics. We aimed to assess the safety and effectiveness of a physician associate (PA)-led gestational diabetes clinic.Methods: We conducted a retrospective cohort study comparing outcomes between a PA-led interdisciplinary team clinic with a physician-led interdisciplinary team clinic.Results: After adjustment for differences in patient characteristics, maternal and neonatal outcomes were comparable between the clinic models. Initiation of pharmacotherapy was lower in the PA-led clinic group (adjusted odds ratio 0.19; 95% CI, 0.11-0.31), likely due to differences in referral triage process.Conclusions: The PA was able to manage half of the gestational diabetes referrals during the study period while maintaining a high level of care.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"34-39"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437022","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

Addressing the crises of declining vaccination rates and measles resurgence by promoting health literacy. 通过促进卫生知识普及，应对疫苗接种率下降和麻疹死灰复燃的危机。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000328

Laura Solano, Robert Smith

{"title":"Addressing the crises of declining vaccination rates and measles resurgence by promoting health literacy.","authors":"Laura Solano, Robert Smith","doi":"10.1097/01.JAA.0000000000000328","DOIUrl":"10.1097/01.JAA.0000000000000328","url":null,"abstract":"Abstract: Pediatric vaccination rates are declining in the United States, with the Centers for Disease Control and Prevention (CDC) reporting decreases in immunization coverage against measles-mumps-rubella (MMR), diphtheria-tetanus-acellular pertussis (DTaP), polio, and varicella. The recent measles outbreaks have resulted in tragic outcomes, highlighting the urgent need for clinician concern and proactive measures to prevent illness, hospitalizations, missed school and caregiver workdays, and deaths. According to the World Health Organization, MMR vaccination rates below 95% compromise herd immunity, increasing the risk of sustained outbreaks. This article reviews the decreasing rates of pediatric vaccine uptake and the measles outbreak; examines the role of health and vaccine literacy in shaping parental decision-making amid these crises; and explores factors contributing to disparities in vaccination rates including ethnicity, residence location, and birth country. Finally, it outlines strategies primary care clinicians can use to improve pediatric vaccination rates and summarizes CDC and American Academy of Pediatrics recommendations aimed at reducing morbidity and mortality from vaccine-preventable diseases.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"16-22"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504093","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

Beyond hype, hope, habit, and headlines: Reaffirming commitment to evidence-based practice. 超越炒作、希望、习惯和头条新闻：重申对循证实践的承诺。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1097/01.JAA.0000000000000312

Janelle Bludorn, Patrick Bafuma

引用次数: 0

Acute hyperkalemia. 急性血钾过高。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1097/01.JAA.0000000000000313

Kirby Cranford Lee

引用次数: 0

Exploring the intersection of mind and skin: A comprehensive review of psychodermatology. 探索心灵与皮肤的交集：心理皮肤病学的综合综述。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1097/01.JAA.0000000000000316

Alicyn Trask

引用次数: 0

Ventriculoperitoneal shunt management in patients with normal pressure hydrocephalus and cerebral atrophy: A retrospective chart review. 脑室-腹膜分流治疗常压脑积水和脑萎缩患者：回顾性图表回顾。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1097/01.JAA.0000000000000319

Karlyssa Chung, Zoe Hareng, Christopher Duma

{"title":"Ventriculoperitoneal shunt management in patients with normal pressure hydrocephalus and cerebral atrophy: A retrospective chart review.","authors":"Karlyssa Chung, Zoe Hareng, Christopher Duma","doi":"10.1097/01.JAA.0000000000000319","DOIUrl":"10.1097/01.JAA.0000000000000319","url":null,"abstract":"Objective: The objective of this study was to determine whether cerebral atrophy is associated with ventriculoperitoneal (VP) shunt overdrainage in patients with normal pressure hydrocephalus (NPH).Methods: A 3-year retrospective chart review included 100 patients diagnosed with NPH who underwent VP shunt implantation for treatment. Radiologist CT or MRI reports were analyzed for a description of brain atrophy before shunting and overdrainage complications after shunting. Patients were categorized into four groups based on the presence or absence of cerebral atrophy and overdrainage complications.Results: Shunt overdrainage complications, including subdural hygromas and subdural hematomas, were found to occur significantly more often ( p = .0012) in patients with cerebral atrophy (n = 83) than in patients without cerebral atrophy (n = 17).Conclusion: In this study, adult patients with NPH who had cerebral atrophy before VP shunt placement were observed to have a higher frequency of overdrainage complications after placement, compared with patients who did not have cerebral atrophy preplacement.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"37-41"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151102","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

Weight regain after bariatric surgery: A framework for management. 减肥手术后体重恢复：管理框架。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1097/01.JAA.0000000000000322

Christine G Niedbala

{"title":"Weight regain after bariatric surgery: A framework for management.","authors":"Christine G Niedbala","doi":"10.1097/01.JAA.0000000000000322","DOIUrl":"10.1097/01.JAA.0000000000000322","url":null,"abstract":"Abstract: Obesity is a complex, multifactorial disease. Rates of obesity are rising worldwide. Bariatric surgery is the most effective treatment for obesity, as it results in the greatest weight loss as well as significant improvement in or resolution of obesity-related comorbidities. Despite the efficacy of bariatric surgery, postoperative weight gain is a reality for up to 37% of patients. Significant weight regain is associated with recurrence or worsening of comorbidities as well as reduced quality of life. Early identification of those at risk and prompt intervention can minimize the amount of postoperative weight regain. Reinforcing lifestyle modifications, assessing mental health, and scheduling frequent office visits are necessary to minimize weight regain. Phentermine/topiramate, the glucagon-like peptide-1 (GLP-1) receptor agonists liraglutide and semaglutide, and the dual incretin tirzepatide are effective for treating postoperative weight regain. Referral to a bariatric surgeon may be indicated for those needing surgical revision. Further research is necessary to create a formal clinical treatment guideline for identifying and managing weight regain after bariatric surgery.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 3","pages":"e1-e6"},"PeriodicalIF":0.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285793","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

Advance care planning. 提前制定护理计划。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1097/01.JAA.0000000000000315

Cameron Young Sweeney

引用次数: 0

Portal venous gas: Where's my CT? 门静脉气体：我的CT在哪？

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1097/01.JAA.0000000000000318

Clinton Billhorn, Alannah Zheng, Brittany Strelow

引用次数: 0