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Jaapa-Journal of the American Academy of Physician Assistants最新文献

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Recommendations for managing patients with hypothyroidism. 管理甲状腺功能减退症患者的建议。
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-05-01 Epub Date: 2024-04-25 DOI: 10.1097/01.JAA.0000000000000005
Cheyenne Hardy
{"title":"Recommendations for managing patients with hypothyroidism.","authors":"Cheyenne Hardy","doi":"10.1097/01.JAA.0000000000000005","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000005","url":null,"abstract":"<p><strong>Abstract: </strong>The American Thyroid Association recommends levothyroxine monotherapy for treating hypothyroidism, a condition that affects 4.6% of the US population. However, up to 15% of these patients experience residual symptoms despite normalized thyroid-stimulating hormone levels, and may benefit from an endocrinology referral. Additional high-quality studies are needed to further evaluate patient preferences, as well as to investigate long-term outcomes of combination therapy and continue exploring therapeutic options for hypothyroidism management among specific patient subgroups.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870011","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
Acute liver failure. 急性肝衰竭
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-05-01 Epub Date: 2024-04-25 DOI: 10.1097/01.JAA.0000000000000001
James Beck, Jasleen K Bolina, Lisa H Boyd
{"title":"Acute liver failure.","authors":"James Beck, Jasleen K Bolina, Lisa H Boyd","doi":"10.1097/01.JAA.0000000000000001","DOIUrl":"10.1097/01.JAA.0000000000000001","url":null,"abstract":"<p><strong>Abstract: </strong>Acute liver failure, commonly caused by acetaminophen overdose, is associated with numerous systemic complications including cerebral edema, hypotension, acute kidney injury, and infection. Management is primarily supportive, with an emphasis on excellent neurocritical care. Although some antidotes and targeted treatments exist, the only definitive treatment remains orthotopic liver transplant.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870115","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
Recognizing rare rashes: A case of acute generalized exanthematous pustulosis. 识别罕见皮疹：一例急性全身泛发性脓疱病。
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-05-01 Epub Date: 2024-04-25 DOI: 10.1097/01.JAA.0000000000000007
Maleah Roth, Adrijana Anderson
{"title":"Recognizing rare rashes: A case of acute generalized exanthematous pustulosis.","authors":"Maleah Roth, Adrijana Anderson","doi":"10.1097/01.JAA.0000000000000007","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000007","url":null,"abstract":"<p><strong>Abstract: </strong>Acute generalized exanthematous pustulosis (AGEP) is a rare, pustular rash that occurs most commonly after exposure to a medication (typically antibiotics or diltiazem). This case describes a patient who developed a widespread pustular eruption shortly after beginning empiric antibiotics for community-acquired pneumonia. Diagnosis of AGEP was difficult in this scenario due to the patient's pulmonary infection and atypical skin biopsy results. However, after AGEP was correctly identified, the offending agents were discontinued and the patient had subsequent resolution of her symptoms.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866785","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 nourishes you? 什么能滋养你？
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1097/01.JAA.0001007384.57578.23
Joshua Penninger
{"title":"What nourishes you?","authors":"Joshua Penninger","doi":"10.1097/01.JAA.0001007384.57578.23","DOIUrl":"10.1097/01.JAA.0001007384.57578.23","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295027","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
Analyzing the training of PAs in ophthalmology. 分析眼科助理医师的培训。
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1097/01.JAA.0001007352.76363.d2
L Carlos Gutierrez, Candace Ayars
{"title":"Analyzing the training of PAs in ophthalmology.","authors":"L Carlos Gutierrez, Candace Ayars","doi":"10.1097/01.JAA.0001007352.76363.d2","DOIUrl":"10.1097/01.JAA.0001007352.76363.d2","url":null,"abstract":"<p><strong>Objective: </strong>This study sought to determine the role of physician associates/assistants (PAs) in ophthalmology, the balance between barriers and facilitators in training, and optimal training for PAs in ophthalmology.</p><p><strong>Methods: </strong>In this explanatory qualitative case study, 17 of the 94 PAs in ophthalmology in the United States participated in qualitative, semistructured interviews. Qualitative interviews were conducted using a validated interview guide. Interpretational data analysis methods helped in the development of various themes.</p><p><strong>Results: </strong>Themes suggest that PAs play a unique role in assisting ophthalmologists in surgery, performing procedures autonomously, and evaluating and treating patients autonomously. PAs in ophthalmology reported current training programs as unfavorable, reported satisfaction in their careers, and identified formal postgraduate training programs as optimal training for PAs.</p><p><strong>Conclusions: </strong>Findings of this study suggest that formal postgraduate training programs can help PAs gain the necessary skills to successfully fulfill their roles in ophthalmology.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132886","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
PA and NP burnout in orthopedic surgery. 骨科手术中助理医师和护士的职业倦怠。
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1097/01.JAA.0001007336.48746.90
Alexis V Drennen, Jeremy C Heard, Nicholas D D'Antonio, Christopher K Kepler
{"title":"PA and NP burnout in orthopedic surgery.","authors":"Alexis V Drennen, Jeremy C Heard, Nicholas D D'Antonio, Christopher K Kepler","doi":"10.1097/01.JAA.0001007336.48746.90","DOIUrl":"10.1097/01.JAA.0001007336.48746.90","url":null,"abstract":"<p><strong>Objective: </strong>To quantify the burnout rate among physician associates/assistants (PAs) and NPs in a large orthopedic surgery practice affiliated with an academic institution.</p><p><strong>Methods: </strong>The Maslach Burnout Inventory (MBI) and original research questions were given to all PAs and NPs in orthopedics at the facility. Burnout was defined as a high level of emotional exhaustion or depersonalization on the MBI subscale.</p><p><strong>Results: </strong>Of the 129 PAs and NPs in orthopedics at our institution, 91 (70.5%) completed all survey items. Nearly 42% of respondents were burned out, as defined by high depersonalization or emotional exhaustion. PAs and NPs who met the burnout criteria were significantly older than those who did not (41.8 ± 10 versus 36.5 ± 7.71 years, P = .007) and spent longer in practice (12.4 ± 6.66 versus 9.35 ± 6.41 years, P = .01).</p><p><strong>Conclusions: </strong>The prevalence of burnout is high among PAs and NPs in orthopedics who practice in an academic setting.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132888","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 PA Licensure Compact: A commonsense step: Erratum. 宾夕法尼亚州执照契约：常识性的一步：勘误。
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1097/01.JAA.0001010404.76166.56
{"title":"The PA Licensure Compact: A commonsense step: Erratum.","authors":"","doi":"10.1097/01.JAA.0001010404.76166.56","DOIUrl":"10.1097/01.JAA.0001010404.76166.56","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295026","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
Daptomycin-induced eosinophilic pneumonia. 达托霉素诱发的嗜酸性粒细胞肺炎。
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1097/01.JAA.0001005632.20281.96
Michael R Hassett
{"title":"Daptomycin-induced eosinophilic pneumonia.","authors":"Michael R Hassett","doi":"10.1097/01.JAA.0001005632.20281.96","DOIUrl":"10.1097/01.JAA.0001005632.20281.96","url":null,"abstract":"<p><strong>Abstract: </strong>Daptomycin-induced eosinophilic pneumonia (DIEP) is a rare complication of daptomycin use. Manifestations most commonly include fever, hypoxia, dyspnea, cough, eosinophilia, and lung changes on radiographs and CT. Patients typically have had recent daptomycin exposure and develop fever, dyspnea, infiltrates on chest radiograph, more than 25% eosinophils on bronchoalveolar lavage, and improvement of symptoms after withdrawal of daptomycin. Treatment includes discontinuation of daptomycin, corticosteroids, and supportive measures such as supplemental oxygen. Clinicians should have a high index of suspicion for DIEP in patients who develop new onset of pulmonary and systemic signs and symptoms after initiation of daptomycin.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295021","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 rash assessment. 贸然评估。
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1097/01.JAA.0001007368.29560.ff
Brian T Maurer
{"title":"A rash assessment.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0001007368.29560.ff","DOIUrl":"10.1097/01.JAA.0001007368.29560.ff","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295052","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
Croup. 儿童哮喘
IF 1.1 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1097/01.JAA.0001007380.81031.21
Alicia M Andaloro
{"title":"Croup.","authors":"Alicia M Andaloro","doi":"10.1097/01.JAA.0001007380.81031.21","DOIUrl":"10.1097/01.JAA.0001007380.81031.21","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295020","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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