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

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Evaluating and treating pediatric obesity: A practice update.
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000194
Roxanna Benton
{"title":"Evaluating and treating pediatric obesity: A practice update.","authors":"Roxanna Benton","doi":"10.1097/01.JAA.0000000000000194","DOIUrl":"10.1097/01.JAA.0000000000000194","url":null,"abstract":"<p><strong>Abstract: </strong>The American Academy of Pediatrics (AAP) in 2023 released a guideline for evaluating and treating children and adolescents with overweight and obesity. The AAP advocated for a patient-centered, comprehensive (\"whole child\") approach to evaluation and a treatment regimen that includes a foundation of both motivational interviewing and intensive health behavior and lifestyle therapy, along with adjunctive pharmacotherapy and referral of adolescents with severe obesity to bariatric surgery. This article reviews the diagnosis of pediatric obesity and provides an update on the latest evidence and expert recommendations for evaluation and treatment of this condition.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"12-17"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574356","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
Drug-induced aseptic meningitis after amoxicillin use. 使用阿莫西林后药物诱发的无菌性脑膜炎。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000198
Jina Bai, Todd Cutler
{"title":"Drug-induced aseptic meningitis after amoxicillin use.","authors":"Jina Bai, Todd Cutler","doi":"10.1097/01.JAA.0000000000000198","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000198","url":null,"abstract":"<p><strong>Abstract: </strong>Drug-induced aseptic meningitis (DIAM) is a noninfectious meningitis related to a drug exposure. Diagnosis requires exclusion of infectious meningitis. Patients with DIAM will exhibit rapid improvement after discontinuation of the offending drug. Most patients will develop recurrent symptoms after repeat exposure to the offending agent. The clinical features of DIAM are indistinguishable from infectious meningitis and the recurrent symptoms often are identical to previous episodes of DIAM. Nonsteroidal anti-inflammatory drugs, co-trimoxazole, and penicillin are the medications that most commonly cause DIAM with use. This article describes a patient who was admitted to the hospital with meningoencephalitis after taking prophylactic amoxicillin for a dental procedure.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"29-31"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701783","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
PAs in Ghana: A rich tradition with a hopeful future.
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-04-01 Epub Date: 2025-03-25 DOI: 10.1097/01.JAA.0000000000000180
Anthony Asare Arkoh, Jennifer Coombs, Sharon Talboys
{"title":"PAs in Ghana: A rich tradition with a hopeful future.","authors":"Anthony Asare Arkoh, Jennifer Coombs, Sharon Talboys","doi":"10.1097/01.JAA.0000000000000180","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000180","url":null,"abstract":"<p><strong>Abstract: </strong>The West African country of Ghana boasts a stable democracy and diverse culture. Although strides have been made in education and healthcare access, challenges persist, particularly in rural communities. The physician associate (PA) profession emerged in the 1960s to address healthcare shortages, with formal training programs established and accreditation overseen by the Ghana Tertiary Education Commission and the Medical and Dental Council. PAs play a critical role in healthcare delivery, providing services in both urban and rural areas. Ghana's healthcare system, while advancing, is concentrated in urban centers, necessitating task-sharing strategies for improved access. Health outcomes have improved, but maternal and child mortality remain high. PAs contribute significantly to Ghana's healthcare system, including reproductive health and primary care services, alongside efforts to combat epidemics such as COVID-19. Key concerns for PAs include career progression, resource allocation, and public understanding of their role. Despite challenges, PAs remain essential in providing care to underserved populations. Addressing concerns and supporting PAs are vital for sustainable and effective healthcare in Ghana.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"e6-e9"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701789","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
Sore throat or severe threat? The teleconsultation that uncovered neutropenic sepsis. 喉咙痛还是严重威胁？发现中性败血症的远程会诊
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/01.JAA.0000000000000175
Chanceeth Chandrakanthan, Tamara S Ritsema
{"title":"Sore throat or severe threat? The teleconsultation that uncovered neutropenic sepsis.","authors":"Chanceeth Chandrakanthan, Tamara S Ritsema","doi":"10.1097/01.JAA.0000000000000175","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000175","url":null,"abstract":"<p><strong>Abstract: </strong>This case report describes a telemedicine visit by a patient with fever, sore throat, and odynophagia. The patient had recently started taking propylthiouracil (PTU) for Graves disease. She was referred to the ED, where a complete blood cell count revealed agranulocytosis with a neutrophil count of 200 cells/mm3. PTU was promptly discontinued, and she received treatment with IV piperacillin-tazobactam, resulting in an improvement in her condition. With the rise of telemedicine, clinicians must prioritize thorough history-taking to detect uncommon complications of medications and to ensure patient safety.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 3","pages":"e2-e5"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494418","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
Evidence-based treatment approaches for adolescent electronic cigarette use. 针对青少年使用电子香烟的循证治疗方法。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/01.JAA.0000000000000179
Laura Solano
{"title":"Evidence-based treatment approaches for adolescent electronic cigarette use.","authors":"Laura Solano","doi":"10.1097/01.JAA.0000000000000179","DOIUrl":"10.1097/01.JAA.0000000000000179","url":null,"abstract":"<p><strong>Abstract: </strong>Electronic cigarettes (e-cigarettes) are the most commonly used tobacco product by adolescents. This article describes the harmful effects of e-cigarette use in adolescents and how to evaluate for severity of nicotine dependence. It also provides an overview of treatment approaches, including behavioral interventions, contingency interventions, pharmacologic options, school-based programs, combination and emerging approaches, and transcranial magnetic stimulation.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"22-29"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190875","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
Atrial fibrillation.
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/01.JAA.0000000000000093
Melissa Johnson Chung
{"title":"Atrial fibrillation.","authors":"Melissa Johnson Chung","doi":"10.1097/01.JAA.0000000000000093","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000093","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 3","pages":"44-45"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494394","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
Myocardial infarction with nonobstructive coronary arteries: A clinical review. 冠状动脉非阻塞性心肌梗死：临床回顾。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/01.JAA.0000000000000081
Jonathan Barnes
{"title":"Myocardial infarction with nonobstructive coronary arteries: A clinical review.","authors":"Jonathan Barnes","doi":"10.1097/01.JAA.0000000000000081","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000081","url":null,"abstract":"<p><strong>Abstract: </strong>Myocardial infarction with nonobstructive coronary arteries (MINOCA) is an important, often underrecognized working diagnosis. MINOCA is defined as an acute MI in a patient whose coronary angiography reveals no significant obstructive coronary artery disease. A comprehensive diagnostic approach beyond the initial coronary angiogram is essential for identifying this heterogeneous infarction pathophysiology. Distinguishing disease-specific causes affects patient management and prognosis, especially in female patients. This article provides an evidence-based overview of the tailored management strategies and ongoing clinical research likely to shape future guidelines.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 3","pages":"37-43"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494416","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.
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/01.JAA.0000000000000193
{"title":"CME POST-TEST.","authors":"","doi":"10.1097/01.JAA.0000000000000193","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000193","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 3","pages":"36"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494401","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
Cerebral palsy: Current concepts and a glimpse into the future.
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/01.JAA.0000000000000178
Garrett D Smigelski
{"title":"Cerebral palsy: Current concepts and a glimpse into the future.","authors":"Garrett D Smigelski","doi":"10.1097/01.JAA.0000000000000178","DOIUrl":"10.1097/01.JAA.0000000000000178","url":null,"abstract":"<p><strong>Abstract: </strong>Cerebral palsy (CP) is an encompassing term for a group of permanent neurologic disorders of movement and posture commonly seen in early childhood and caused by abnormal brain development early in life. The cause of CP is unclear in the majority of patients affected and can be multifactorial, occurring in various time frames such as prenatal, intrapartum, and postpartum. Because CP is a clinical diagnosis, clinicians must have a strong understanding of the clinical presentation to ensure early diagnosis and improved outcomes for patients. This article reviews CP and describes advances in diagnosis and management; it also provides an overview of new treatments that are under investigation.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"30-35"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190837","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
Choosing a drug to treat motion sickness. 选择治疗晕车的药物
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-03-01 Epub Date: 2025-02-25 DOI: 10.1097/01.JAA.0000000000000097
Gayle B Bodner, Courtney J Perry
{"title":"Choosing a drug to treat motion sickness.","authors":"Gayle B Bodner, Courtney J Perry","doi":"10.1097/01.JAA.0000000000000097","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000097","url":null,"abstract":"<p><strong>Abstract: </strong>Patients who suffer from motion sickness despite avoiding triggers and using behavioral modifications may benefit from individualized recommendations for pharmacologic therapy. Patients with refractory motion sickness can benefit from prophylactic drug therapy using first-generation antihistamines or scopolamine.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 3","pages":"16-18"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494398","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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