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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":"144053640","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
Primary aldosteronism: Screening, diagnosis, and management. 原发性醛固酮增多症：筛查、诊断和管理。
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.0000000000000102
Justine Herndon
{"title":"Primary aldosteronism: Screening, diagnosis, and management.","authors":"Justine Herndon","doi":"10.1097/01.JAA.0000000000000102","DOIUrl":"10.1097/01.JAA.0000000000000102","url":null,"abstract":"<p><strong>Abstract: </strong>Hypertension (HTN) is a common condition that physician associates (PAs) encounter in clinical practice. Of patients with HTN, about 10% have secondary HTN, of which primary aldosteronism is one of the most common causes. Primary aldosteronism is a condition in which the adrenal glands produce excess aldosterone, and it contributes to HTN development by inducing sodium and water retention. Primary aldosteronism is underdiagnosed, as it can be hard to identify due to its lack of specific signs and symptoms. Moreover, without proper treatment, patients are at higher risk of cardiovascular disease, chronic kidney disease, metabolic syndrome, osteoporosis, and lower quality of life. It is therefore critical for PAs to be aware of indicators for primary aldosteronism screening. This review discusses primary aldosteronism screening and treatment in primary care while highlighting appropriate specialist referral.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"37-40"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701805","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 this patient's weakness? 是什么导致了这个病人的虚弱？
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.0000000000000104
Brian Burroughs, Nathan Young
{"title":"What is causing this patient's weakness?","authors":"Brian Burroughs, Nathan Young","doi":"10.1097/01.JAA.0000000000000104","DOIUrl":"10.1097/01.JAA.0000000000000104","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"47-49"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701824","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 dermatological history: More than skin deep. 了解皮肤病史：不止于皮肤
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.0000000000000197
Brian T Maurer
{"title":"Taking a dermatological history: More than skin deep.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000197","DOIUrl":"10.1097/01.JAA.0000000000000197","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701816","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
Urea cycle disorders: A puzzling case of acute encephalopathy. 尿素循环障碍：一例令人费解的急性脑病。
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.0000000000000073
Maleah Roth, Laura McRae
{"title":"Urea cycle disorders: A puzzling case of acute encephalopathy.","authors":"Maleah Roth, Laura McRae","doi":"10.1097/01.JAA.0000000000000073","DOIUrl":"10.1097/01.JAA.0000000000000073","url":null,"abstract":"<p><strong>Abstract: </strong>Urea cycle disorders (UCDs) are rare genetic disorders affecting the urea cycle, a metabolic pathway that leads to the excretion of waste products such as ammonia. This case report describes a patient who developed acute encephalopathy secondary to hyperammonemia. Following an extensive workup to determine the etiology of the hyperammonemia, the patient was found to have a UCD. Diagnosis of a UCD was challenging, not only due to the rarity of the disorder, but also in this case due to atypical presentation and multiple confounding clinical variables. However, after the UCD was identified and appropriately managed, the patient's clinical status improved.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"e2-e5"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701820","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
Aplastic anemia: A person-centered approach to diagnosis and treatment. 再生障碍性贫血：以人为中心的诊断和治疗方法。
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.0000000000000195
Alexis C Geppner
{"title":"Aplastic anemia: A person-centered approach to diagnosis and treatment.","authors":"Alexis C Geppner","doi":"10.1097/01.JAA.0000000000000195","DOIUrl":"10.1097/01.JAA.0000000000000195","url":null,"abstract":"<p><strong>Abstract: </strong>Aplastic anemia (AA) is an inherited, idiopathic, or acquired syndrome of bone marrow failure characterized by pancytopenia and ineffective hematopoiesis. Diagnosis, while crucial, is often difficult due to required exclusion of numerous inherited or acquired diseases with similar phenotypes. Mortality from severe AA without treatment approaches 70% within 2 years. The diagnostic algorithm for AA has increased in complexity, now incorporating molecular and genetic testing, and AA treatment guidelines have evolved to optimize patient outcomes. For individuals younger than age 50 years, a matched sibling allogeneic hematopoietic stem cell transplant remains the treatment of choice, and possible cure, for AA. For those without a donor, immunosuppressive therapy (IST) utilizing equine antithymocyte globulin, cyclosporine A, and eltrombopag is the mainstay of treatment. This article explores updated AA guidelines, covering presentation, diagnostic workup, differential diagnosis, IST, supportive care, and monitoring for appropriate dosing and adverse events.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"18-27"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574302","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
Does this white coat make me look old? 这件白大褂会让我看起来老吗？
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.0000000000000196
Carol Mackenzie Jackson
{"title":"Does this white coat make me look old?","authors":"Carol Mackenzie Jackson","doi":"10.1097/01.JAA.0000000000000196","DOIUrl":"10.1097/01.JAA.0000000000000196","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"e1"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701780","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
Examining gender trends in PA authorship: A retrospective analysis of JAAPA and JPAE. 研究PA作者的性别趋势：JAAPA和JPAE的回顾性分析。
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.0000000000000095
Sara Lolar, Robert R Ehrman, Anne M Messman, Alexandria Garino
{"title":"Examining gender trends in PA authorship: A retrospective analysis of JAAPA and JPAE.","authors":"Sara Lolar, Robert R Ehrman, Anne M Messman, Alexandria Garino","doi":"10.1097/01.JAA.0000000000000095","DOIUrl":"10.1097/01.JAA.0000000000000095","url":null,"abstract":"<p><strong>Objective: </strong>This study benchmarked gender trends in research authorship in the physician associate (PA) profession.</p><p><strong>Methods: </strong>A bibliometric analysis was conducted of the Journal of Physician Assistant Education and the Journal of the American Academy of Physician Associates from January 2014 to September 2022. We collected data on instances of PA first, last, and solo authorship of clinical or research articles. Author gender was verified through professional websites. Simple proportions and the Mann-Kendall test are reported.</p><p><strong>Results: </strong>Among 1,315 collected instances of PA authorship, women represented 65.6% (n = 863) of the population, comprising 67.8% of first authors and 60.7% of last authors. The proportion of authors categorized as women increased over time ( P = .04). Women were more likely to have only one publication compared with men.</p><p><strong>Conclusions: </strong>Although positive signs of increased research authorship by women are evident, women still lag behind men in overall publication numbers and in senior authorship roles compared with their representation in the PA profession.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"32-36"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574358","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
Recertification through longitudinal assessment for PAs. 通过对pa的纵向评估进行重新认证。
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.0000000000000099
Jaclyn M Demeter
{"title":"Recertification through longitudinal assessment for PAs.","authors":"Jaclyn M Demeter","doi":"10.1097/01.JAA.0000000000000099","DOIUrl":"10.1097/01.JAA.0000000000000099","url":null,"abstract":"<p><strong>Abstract: </strong>Maintenance of certification (MOC) is a critical and self-regulated process in many professional organizations. MOC serves to protect the public and ensure that professionals enhance their knowledge and its application to clinical practice as they pursue lifelong learning. For the physician associate (PA) profession, MOC involves continuing medical education and a recertifying examination. Longitudinal assessment (LA) is a recent MOC method that is being used by certifying bodies in the pursuit of recertification and advancement of knowledge. In 2023, the National Commission on Certification of Physician Assistants (NCCPA) launched the Physician Assistant National Recertification Examination-Longitudinal Assessment (PANRE-LA). Many PAs are transitioning to this format as their chosen pathway for recertification examination. LA is a testing method that promotes continuous acquisition and application of knowledge over time. Despite the trend toward LA in many professions, limited literature describes the impact of this tool for the PA profession. In the changing landscape of MOC with LA becoming a recertification standard, PAs benefit from understanding the history, educational advantages, and importance of LA as a MOC tool.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 4","pages":"41-44"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701811","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
Evaluating and treating pediatric obesity: A practice update. 评估和治疗儿童肥胖：实践更新。
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
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