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

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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
A guide to diagnosing and managing dental pain and infections. 诊断和处理牙齿疼痛和感染的指南。
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.0000000000000243
Joshua Hockaday, Anna Zurek, Jonathan Jelmini, Todd Wentland, Cortney Moore, John Stella
{"title":"A guide to diagnosing and managing dental pain and infections.","authors":"Joshua Hockaday, Anna Zurek, Jonathan Jelmini, Todd Wentland, Cortney Moore, John Stella","doi":"10.1097/01.JAA.0000000000000243","DOIUrl":"10.1097/01.JAA.0000000000000243","url":null,"abstract":"<p><strong>Abstract: </strong>Dental pain, infections, and abscesses are common concerns in primary care settings. Prompt diagnosis and targeted management are essential to prevent severe complications such as sepsis, bone or soft tissue loss, and airway compromise. This article provides physician associates and other clinicians with practical, evidence-based strategies to identify and manage odontogenic infections, distinguish between infectious and noninfectious dental pain, and select appropriate antibiotic regimens, with special attention to antibiotic resistance trends. It also highlights circumstances under which collaboration with dental specialists becomes necessary and emphasizes patient education to prevent recurrence. By bridging knowledge gaps in dental health management, this article empowers clinicians to address these conditions confidently in outpatient settings, improving patient outcomes, reducing unnecessary ED visits, and lowering healthcare costs.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"15-22"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822964","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
From vision to reality: Establishing a financially beneficial APP fellowship in gastroenterology. 从愿景到现实：建立一个经济上有益的胃肠病学APP奖学金。
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.0000000000000240
Catherine Brady
{"title":"From vision to reality: Establishing a financially beneficial APP fellowship in gastroenterology.","authors":"Catherine Brady","doi":"10.1097/01.JAA.0000000000000240","DOIUrl":"10.1097/01.JAA.0000000000000240","url":null,"abstract":"<p><strong>Objective: </strong>This project aimed to establish the Advanced Practice Provider Fellowship Program in Gastroenterology at the University of Colorado in order to enhance participating fellows' clinical skills and specialty training while also increasing return on investment (ROI), advanced practice provider (APP) retention, and long-term profitability.</p><p><strong>Methods: </strong>A structured fellowship program curriculum was developed with input from faculty leaders and financial advisors. The program's financial feasibility supported potential profitability by year 2. Recruitment strategies targeted new graduates and midcareer APPs. Program evaluation criteria included knowledge assessments, preceptor feedback, and self-evaluations.</p><p><strong>Results: </strong>Thirteen candidates were interviewed, demonstrating the program's ability to attract external applicants. The curriculum utilized diverse didactic resources and assessment tools. Faculty buy-in and support were secured, facilitating program implementation.</p><p><strong>Conclusions: </strong>The Advanced Practice Provider Fellowship Program in Gastroenterology at the University of Colorado offers a promising approach to enhancing provider proficiency and achieving financial profitability. The curriculum includes focused learning objectives, current guidelines, didactic modules, knowledge assessment examinations, and evaluations.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"33-36"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822965","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
Perinatal depression: Therapeutic shared decision-making in primary care. 围产期抑郁症：初级保健中的治疗性共同决策。
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.0000000000000250
Chelsea J Mohn, Michael Asbach
{"title":"Perinatal depression: Therapeutic shared decision-making in primary care.","authors":"Chelsea J Mohn, Michael Asbach","doi":"10.1097/01.JAA.0000000000000250","DOIUrl":"10.1097/01.JAA.0000000000000250","url":null,"abstract":"<p><strong>Abstract: </strong>The increasing use of antidepressants, escalating rates of unintended pregnancy, and disproportionately high rate of maternal suicide in the United States, as compared with other high-income countries, all highlight the urgent need for more clarity on available treatment options for perinatal depression. Misrepresentative data obtained from animal experiments and observational human studies, many of which do not account for underlying mental illness as a confounder, largely overestimate the teratogenicity of antidepressants. These outdated data-coupled with a lack of clear guidance from leading agencies-have created a healthcare scenario rife with decisional conflict. As general practitioners frequently serve as patients' first point of contact within the US healthcare system, primary care is central to preconception and mental health management. This article educates primary care providers on the risks of untreated perinatal depression and the realities of antidepressant teratogenicity. Doubling as a narrative review, the article also synthesizes available evidence to provide a risk-based guide for treatment with antidepressants that emphasizes a shared decision-making approach.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"23-31"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822966","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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