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

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Acute ischemic stroke: A guideline-based overview of evaluation and management. 急性缺血性卒中：基于指南的评估和管理概述。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000203
Kevin M Bogenschutz, Daniel S Fisher, Geoff W Wright
{"title":"Acute ischemic stroke: A guideline-based overview of evaluation and management.","authors":"Kevin M Bogenschutz, Daniel S Fisher, Geoff W Wright","doi":"10.1097/01.JAA.0000000000000203","DOIUrl":"10.1097/01.JAA.0000000000000203","url":null,"abstract":"<p><strong>Abstract: </strong>Stroke is the fifth most common cause of death in the United States, and projections suggest that its incidence will increase in the coming decade. Of all stroke cases, 85% are caused by vascular occlusion, resulting in infarction to the brain, in a condition more specifically known as acute ischemic stroke (AIS). The American Heart Association (AHA)/American Stroke Association (ASA) guideline addresses early management of AIS for providers' use in ensuring rapid evaluation and imaging for patients suspected to be affected. The guideline also aids providers in determining and delivering the most appropriate interventions upon AIS diagnosis. This article reviews the AHA/ASA AIS guideline and highlights key components of care, such as patient evaluation, criteria for fibrinolysis and mechanical thrombectomy, postacute care, and hospital discharge with secondary prevention measures.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"13-20"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804593","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
Delayed sleep-wake phase disorder. 延迟睡眠-觉醒阶段障碍。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000096
Keith A Barnes
{"title":"Delayed sleep-wake phase disorder.","authors":"Keith A Barnes","doi":"10.1097/01.JAA.0000000000000096","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000096","url":null,"abstract":"<p><strong>Abstract: </strong>One of seven circadian rhythm disorders, delayed sleep-wake phase disorder (DSWPD) commonly occurs in adolescents and young adults. The disorder is frequently confused with insomnia and can be a presenting complaint, as the individual is often stressed about being unable to fall asleep at the desired time. The underlying disruption occurs due to a shift between when the individual wants to sleep and when the individual can. Unlike patients with insomnia, patients with DSWPD can achieve sleep easily at later times, leading to later wake-up times. The inability to adapt to the societal norm in terms of the standard school, work, or social schedule leads to stressors, further complicating the disorder. Sleep questionnaires, sleep diaries, and actigraphy have improved identification of individuals with delayed sleep. Treatment of DSWPD involves the use of scheduled melatonin, scheduled sleep-wake times, and bright light therapy. If identified early, the disorder can be successfully managed.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"e7-e11"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064921","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
Prostate cancer screening guidelines and their alignment with recent literature. 前列腺癌筛查指南及其与近期文献的一致性。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000205
Michael Gerlach, Anne Schempp
{"title":"Prostate cancer screening guidelines and their alignment with recent literature.","authors":"Michael Gerlach, Anne Schempp","doi":"10.1097/01.JAA.0000000000000205","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000205","url":null,"abstract":"<p><strong>Abstract: </strong>A prostate-specific antigen (PSA) test is a simple blood test that is used to screen for prostate cancer. Over the last 30 years, the benefit of screening with a PSA test has been a matter of significant debate because of its association with overscreening, overdiagnosis, and overtreatment of prostate cancer. Although most prostate cancer screening guidelines recommend a shared decision-making approach between the patient and provider, these recommendations are contradictory in terms of screening initiation, frequency, and discontinuation as well as screening recommendations for high-risk populations. This article describes a literature review comparing screening guidelines with newer research in order to determine which guideline aligns most closely with the latest findings. Results show that the related American Urological Association and National Comprehensive Cancer Network guidelines, for example, may lead to over- or underscreening, whereas the American Cancer Society (ACS) guideline seems most closely in alignment with recent research. By following the ACS guideline, most clinically significant prostate cancer should be captured with less risk of overscreening and overdiagnosis.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"e12-e15"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033074","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
Artificial intelligence in cardiovascular practice. 人工智能在心血管实践中的应用。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000204
Marci Farquhar-Snow, Amy E Simone, Sheel V Singh, Reamer L Bushardt
{"title":"Artificial intelligence in cardiovascular practice.","authors":"Marci Farquhar-Snow, Amy E Simone, Sheel V Singh, Reamer L Bushardt","doi":"10.1097/01.JAA.0000000000000204","DOIUrl":"10.1097/01.JAA.0000000000000204","url":null,"abstract":"<p><strong>Abstract: </strong>Artificial intelligence (AI) is everywhere, but how is this expansive technology being used in cardiovascular care? This article explores common AI models, how they are transforming healthcare delivery, and important roles for clinicians, including advanced practice providers, in the development, adoption, evaluation, and ethical use of AI in cardiovascular care.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"21-30"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing toward a PA doctoral degree. 攻读硕士博士学位。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000207
Richard W Dehn
{"title":"Advancing toward a PA doctoral degree.","authors":"Richard W Dehn","doi":"10.1097/01.JAA.0000000000000207","DOIUrl":"10.1097/01.JAA.0000000000000207","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"10-11"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804594","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 value of PAs, recognized by physicians. PAs的价值，被医生认可。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000208
Jason Prevelige
{"title":"The value of PAs, recognized by physicians.","authors":"Jason Prevelige","doi":"10.1097/01.JAA.0000000000000208","DOIUrl":"10.1097/01.JAA.0000000000000208","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"12"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804597","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
Bipolar disorder. 双相情感障碍。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000100
Ashley Herren
{"title":"Bipolar disorder.","authors":"Ashley Herren","doi":"10.1097/01.JAA.0000000000000100","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000100","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"44-45"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054902","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
Squamous cell carcinoma arising from chronic enteroatmospheric fistula. 慢性肠大气瘘引起的鳞状细胞癌。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000074
Phillip Alix, Genesis Moseley, Shai Chazin, Courtland Polley, Steven Bowers, Amanda P Stanton
{"title":"Squamous cell carcinoma arising from chronic enteroatmospheric fistula.","authors":"Phillip Alix, Genesis Moseley, Shai Chazin, Courtland Polley, Steven Bowers, Amanda P Stanton","doi":"10.1097/01.JAA.0000000000000074","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000074","url":null,"abstract":"<p><strong>Abstract: </strong>Marjolin ulcers are aggressive, cutaneous malignancies typically arising from chronic, nonhealing wounds. The presence of an obvious defect often masks this potentially life-threatening condition, making detection difficult and frequently leading to delayed diagnosis. Most cases of Marjolin ulcers are squamous cell carcinoma (SCC) in histology. Unlike for other common cutaneous malignancies, no clear guidelines or protocols are in place for early surveillance and management of Marjolin ulcers. Given the aggressive nature of this malignancy when associated with metastasis, early diagnosis and intervention are imperative. We present a unique case describing an immunocompromised patient with an extensive surgical abdominal history who had developed a cutaneous mass determined to be well-differentiated invasive SCC on final histology. The mass was superimposed over a chronic enteroatmospheric fistula that was present for more than 20 years.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"32-34"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039803","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. 芝加哥商品交易所测试后。
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.0000000000000200
{"title":"CME POST-TEST.","authors":"","doi":"10.1097/01.JAA.0000000000000200","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000200","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"28"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701778","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
Metabolic syndrome and obesity. 代谢综合征和肥胖症
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.0000000000000094
Brittany Strelow, Brian Burroughs
{"title":"Metabolic syndrome and obesity.","authors":"Brittany Strelow, Brian Burroughs","doi":"10.1097/01.JAA.0000000000000094","DOIUrl":"10.1097/01.JAA.0000000000000094","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701786","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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