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

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The surgeon's tale. 外科医生的故事。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000379
Brian T Maurer
{"title":"The surgeon's tale.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000379","DOIUrl":"10.1097/01.JAA.0000000000000379","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"50"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303631","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
Seizure disorders. 癫痫疾病。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000381
Laura Solano
{"title":"Seizure disorders.","authors":"Laura Solano","doi":"10.1097/01.JAA.0000000000000381","DOIUrl":"10.1097/01.JAA.0000000000000381","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"42-43"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303656","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-TESTS. 芝加哥商品交易所测试后。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000383
{"title":"CME POST-TESTS.","authors":"","doi":"10.1097/01.JAA.0000000000000383","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000383","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"49"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303553","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 teenager's neurologic symptoms? 是什么导致了这个青少年的神经症状？
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000368
Allyson Hamacher, Claire Livingston, Kathleen Deponte
{"title":"What is causing this teenager's neurologic symptoms?","authors":"Allyson Hamacher, Claire Livingston, Kathleen Deponte","doi":"10.1097/01.JAA.0000000000000368","DOIUrl":"10.1097/01.JAA.0000000000000368","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"46-48"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303673","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
Diabetic myonecrosis. 糖尿病肌坏死。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000367
Tim Burbach, Clay W Walker
{"title":"Diabetic myonecrosis.","authors":"Tim Burbach, Clay W Walker","doi":"10.1097/01.JAA.0000000000000367","DOIUrl":"10.1097/01.JAA.0000000000000367","url":null,"abstract":"<p><strong>Abstract: </strong>Diabetic myonecrosis, also referred to as diabetic muscle infarction, is an uncommon complication of uncontrolled diabetes mellitus. This diagnosis typically occurs in patients who have chronic, poorly controlled diabetes; patients often experience additional diabetic complications. The presentation of diabetic myonecrosis involves an acute onset of swelling and pain in the affected area, typically involving a unilateral lower extremity. Diagnosis is often delayed due to the rarity of the condition, along with the need for advanced diagnostic testing such as MRI or muscle biopsy for confirmation. This case report describes a patient with a history of poorly controlled type 2 diabetes who experienced persistent left thigh pain and swelling that was ultimately diagnosed as diabetic myonecrosis, highlighting the importance of recognizing these symptoms.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"e9-e12"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303701","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
Acute coronary syndrome during active infusion of andexanet alfa. 主动输注安德沙奈时的急性冠状动脉综合征。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000354
Vishal Dalal, Gwang-Yee J Hu, Rocco A Panico, Michael B Rodricks
{"title":"Acute coronary syndrome during active infusion of andexanet alfa.","authors":"Vishal Dalal, Gwang-Yee J Hu, Rocco A Panico, Michael B Rodricks","doi":"10.1097/01.JAA.0000000000000354","DOIUrl":"10.1097/01.JAA.0000000000000354","url":null,"abstract":"<p><strong>Abstract: </strong>Now withdrawn from the US market, andexanet alfa was initially approved by the FDA in 2018 to reverse life-threatening bleeds associated with factor Xa (FXa) inhibitors, specifically apixaban and rivaroxaban. Observed effects of andexanet alfa include a reduction in anti-FXa activity resulting in hemostatic efficacy. However, thrombotic events including myocardial infarction and deep venous thrombosis, typically occurring 6 to 30 days after infusion, have also been observed. This case presents the first known patient to develop an ST-segment elevation myocardial infarction while actively receiving infusion of andexanet alfa, which was an approved therapy at the time of the patient's treatment.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"e5-e8"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13252967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303615","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
Constructing the PA career continuum: From fragmentation to intentional development. 建构PA职业连续体：从碎片化到意向性发展。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000380
Kenneth Botelho
{"title":"Constructing the PA career continuum: From fragmentation to intentional development.","authors":"Kenneth Botelho","doi":"10.1097/01.JAA.0000000000000380","DOIUrl":"10.1097/01.JAA.0000000000000380","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"18-19"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303585","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
Empowering PAs in health care: Unlocking the potential of implementation science. 授权医疗保健中的助理：释放实施科学的潜力。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000374
Kari S Bernard, Natalie Smith, Kelly R Conner, Jerica N Derr, Gayle Bodner
{"title":"Empowering PAs in health care: Unlocking the potential of implementation science.","authors":"Kari S Bernard, Natalie Smith, Kelly R Conner, Jerica N Derr, Gayle Bodner","doi":"10.1097/01.JAA.0000000000000374","DOIUrl":"10.1097/01.JAA.0000000000000374","url":null,"abstract":"<p><strong>Abstract: </strong>Implementation science bridges the gap between research and practice by using structured strategies to integrate evidence-based interventions into clinical care. Physician associates, with their unique roles in team-based care, are well suited to address gaps in delivery of evidence-based interventions and to lead change initiatives. The purpose of this article is to introduce key principles of implementation science and identify opportunities for PA-driven practice change. Clinical vignettes illustrate both practical application of implementation science and the deimplementation of low-value care. By understanding implementation science principles, physician associates can enhance patient outcomes and drive system-level improvements.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"e1-e4"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303711","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
Challenges of heart failure treatment in patients with chronic kidney disease: A call to action. 慢性肾脏疾病患者心力衰竭治疗的挑战：行动呼吁。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000375
Mariana Metry, Stephanie Bernard
{"title":"Challenges of heart failure treatment in patients with chronic kidney disease: A call to action.","authors":"Mariana Metry, Stephanie Bernard","doi":"10.1097/01.JAA.0000000000000375","DOIUrl":"10.1097/01.JAA.0000000000000375","url":null,"abstract":"<p><strong>Abstract: </strong>Heart failure (HF) is one of the most common and consequential conditions encountered in clinical practice. It frequently coexists with chronic kidney disease (CKD), a highly prevalent and economically burdensome condition. The presence of CKD in patients with HF is an independent risk factor for HF-related hospitalization and death. Clinicians often face significant challenges when treating this patient population because many standard, guideline-directed medical therapies for HF can worsen kidney function. As a result, evidence-based HF treatments are frequently underutilized. Moreover, patients are often referred back and forth between cardiologists and nephrologists in attempts to optimize therapy and control symptoms, often without significant improvement in their condition. The purpose of this article is to examine the safety and efficacy of standard HF treatments among patients with CKD based on the available evidence, with the goal of supporting clinical decision-making and emphasizing the importance of an interdisciplinary approach.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"28-33"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303595","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 role of estrogen in prevention of recurrent urinary tract infections in postmenopausal women. 雌激素在预防绝经后妇女复发性尿路感染中的作用。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000378
Ellie Wiese, Amna Amjad, Gianluca Bartoli, Madeline Beyzarov, Sara Gigliotti, Catherine Hanna, Olivia Myers, Carol Galarza, Jamie Adler
{"title":"The role of estrogen in prevention of recurrent urinary tract infections in postmenopausal women.","authors":"Ellie Wiese, Amna Amjad, Gianluca Bartoli, Madeline Beyzarov, Sara Gigliotti, Catherine Hanna, Olivia Myers, Carol Galarza, Jamie Adler","doi":"10.1097/01.JAA.0000000000000378","DOIUrl":"10.1097/01.JAA.0000000000000378","url":null,"abstract":"<p><strong>Abstract: </strong>In the United States, postmenopausal women represent the largest group affected by recurrent urinary tract infections (rUTIs). Limited evidence supports long-term use of antibiotics for rUTI prophylaxis in this population. In addition to being expensive, repeated antibiotic use contributes to antimicrobial resistance, posing additional concerns for postmenopausal women who may be at higher risk for serious infection or complications from resistant infections. Topical estrogen, which directly addresses the pathophysiologic changes associated with rUTIs in this population, offers an effective and cost-efficient option for postmenopausal patients while avoiding the dangers of antimicrobial resistance.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"34-38"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303621","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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