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

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Perineural spread as the presenting symptom for cutaneous squamous cell carcinoma. 神经周围扩散是皮肤鳞状细胞癌的主要症状。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000292
Katey Wert, Brittany Andress
{"title":"Perineural spread as the presenting symptom for cutaneous squamous cell carcinoma.","authors":"Katey Wert, Brittany Andress","doi":"10.1097/01.JAA.0000000000000292","DOIUrl":"10.1097/01.JAA.0000000000000292","url":null,"abstract":"<p><strong>Abstract: </strong>Recurrent cutaneous squamous cell carcinoma (cSCC) may rarely present with symptoms of perineural spread (PNS) or perineural invasion (PNI), which may not be noted on initial pathology. Because PNS can mimic benign neuropathies, patients with this manifestation often experience diagnostic delays, especially when PNI is not initially detected. This case report describes a patient who experienced persistent and progressive neurologic symptoms for more than a year before imaging revealed recurrent cSCC involving the cervical nerve roots, despite initial evaluations and imaging failing to detect PNS or PNI. It highlights the need to closely follow and perform repeat evaluations for patients with persistent symptoms without a definitive diagnosis.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"32-35"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020286","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 the worst headache of this patient's life? 是什么导致了这个病人一生中最严重的头痛？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000310
Sarah M DeLuca, Shea A Dempsey
{"title":"What is causing the worst headache of this patient's life?","authors":"Sarah M DeLuca, Shea A Dempsey","doi":"10.1097/01.JAA.0000000000000310","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000310","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"47-49"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020250","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
Comparing trauma surgery outcomes between APPs and resident-run teams. 比较app与住院医师团队的创伤手术结果。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000302
Allysen Shaughnessy, Andrea Majewski, Morgan Henderson, Alaina M Lasinski
{"title":"Comparing trauma surgery outcomes between APPs and resident-run teams.","authors":"Allysen Shaughnessy, Andrea Majewski, Morgan Henderson, Alaina M Lasinski","doi":"10.1097/01.JAA.0000000000000302","DOIUrl":"10.1097/01.JAA.0000000000000302","url":null,"abstract":"<p><strong>Abstract: </strong>Since the Accreditation Council for Graduate Medical Education's restriction of residents' work hours, trauma surgery teams have begun utilizing physician associates (PAs) and nurse practitioners (NPs), collectively referred to as advanced practice providers (APPs), to compensate for resident shortages. The increased adoption of APPs in trauma surgical staffing models has led to growing interest in evaluating their impact on quality of care, clinical outcomes, and system-level performance. This literature review aims to evaluate current evidence on APP trauma surgery service outcomes and compare them with those of resident-run teams.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"e7-e10"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913769","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
Managing the wait: A practical guide to diagnosis and management of common endocrine conditions. 管理等待：诊断和管理常见内分泌条件的实用指南。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000311
Ashley Williams, Justine Herndon
{"title":"Managing the wait: A practical guide to diagnosis and management of common endocrine conditions.","authors":"Ashley Williams, Justine Herndon","doi":"10.1097/01.JAA.0000000000000311","DOIUrl":"10.1097/01.JAA.0000000000000311","url":null,"abstract":"<p><strong>Abstract: </strong>Wait times for endocrinology care can delay diagnosis and management of many hormonal imbalance disorders. Physician associates (PAs) are now, more than ever, faced with the task of ordering and interpreting complex laboratory tests to diagnose these endocrine disorders in the face of specialty care shortages. When primary care providers diagnose a disorder, it speeds therapy initiation and slows or stops the risk of complications. This article aims to assist PAs in nonendocrinology settings by clarifying various confounding factors that may impede diagnosis, as well as to provide guidelines and practical advice for the diagnosis and treatment of common endocrine disorders.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"25-30"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020259","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
Female chronic pelvic pain: From trauma-informed assessment to evidence-based treatment. 女性慢性盆腔疼痛：从创伤评估到循证治疗。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000309
Kimberly Weikel, Elyse Watkins, Megan Orlando
{"title":"Female chronic pelvic pain: From trauma-informed assessment to evidence-based treatment.","authors":"Kimberly Weikel, Elyse Watkins, Megan Orlando","doi":"10.1097/01.JAA.0000000000000309","DOIUrl":"10.1097/01.JAA.0000000000000309","url":null,"abstract":"<p><strong>Abstract: </strong>Female chronic pelvic pain (CPP) is a common, complex, multifactorial disorder that can negatively affect sexual functioning and emotional well-being. Effective assessment necessitates a comprehensive patient history and trauma-informed physical examination. The differential diagnosis is extensive, but a methodical investigation often leads to an appropriate diagnosis. Management strategies encompass a range of pharmacologic and nonpharmacologic interventions, including neuropathic medications, hormone therapies, pelvic floor physical therapy, trigger point injections, and behavioral health interventions. A multidisciplinary, evidence-based approach is essential for patients with CPP.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"18-24"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020282","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
Second victim syndrome: The impact on the practicing PA. 第二受害者综合症：对执业私人助理的影响。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000307
Reagan Davis
{"title":"Second victim syndrome: The impact on the practicing PA.","authors":"Reagan Davis","doi":"10.1097/01.JAA.0000000000000307","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000307","url":null,"abstract":"<p><strong>Abstract: </strong>After a patient suffers a medical error or other adverse event, physician associates (PAs) and other health care providers involved in the patient's care are susceptible to experiencing their own physical and psychosocial symptoms. In this commonly occurring phenomenon, known as second victim syndrome, the health care provider becomes the second victim after the patient. This article reviews the symptoms, progression, management, and complications of second victim syndrome. Additionally, this review advocates for PA programs to integrate curricula focused on second victim experiences, equipping PA students with effective coping strategies, and for institutions to establish tiered support programs to help employees navigate the challenges of second victim experiences.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"e2-e6"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020248","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
nicu: instructions for observing your first c-section. Nicu：观察第一次剖腹产的说明。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000304
Caroline Suddath
{"title":"nicu: instructions for observing your first c-section.","authors":"Caroline Suddath","doi":"10.1097/01.JAA.0000000000000304","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000304","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"e1"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020252","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
Doctoral degree preferred: What the PA doctorate can offer the profession. 博士学位优先：PA博士可以提供什么专业。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000300
Kyle Moser
{"title":"Doctoral degree preferred: What the PA doctorate can offer the profession.","authors":"Kyle Moser","doi":"10.1097/01.JAA.0000000000000300","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000300","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"16-17"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020254","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
Inflammatory bowel disease. 炎症性肠病。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000305
Koren Cooper
{"title":"Inflammatory bowel disease.","authors":"Koren Cooper","doi":"10.1097/01.JAA.0000000000000305","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000305","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020284","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
An unfinished novel. 一部未完成的小说。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-02-01 Epub Date: 2025-01-22 DOI: 10.1097/01.JAA.0000000000000306
Brian T Maurer
{"title":"An unfinished novel.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000306","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000306","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 2","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020256","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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