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

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Solitary polypoid ganglioneuroma of the sigmoid colon: A rare colonic neoplasia. 乙状结肠孤立性息肉样神经节神经瘤：一种罕见的结肠肿瘤。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1097/01.JAA.0000000000000356
Chloe Hundman, Christopher D Jackson, Leonard Baidoo, Claudio R Tombazzi, Kiran Joglekar
{"title":"Solitary polypoid ganglioneuroma of the sigmoid colon: A rare colonic neoplasia.","authors":"Chloe Hundman, Christopher D Jackson, Leonard Baidoo, Claudio R Tombazzi, Kiran Joglekar","doi":"10.1097/01.JAA.0000000000000356","DOIUrl":"10.1097/01.JAA.0000000000000356","url":null,"abstract":"<p><strong>Abstract: </strong>We report the case of a 52-year-old man undergoing routine screening colonoscopy who was found to have a 3-cm submucosal mass in the sigmoid colon. Initial biopsy demonstrated S100 positivity, raising suspicion for ganglioneuroma (GN). Endoscopic ultrasound revealed a large hypoechoic submucosal lesion, and due to concern for possible gastrointestinal stromal tumor, size, and partial obstruction, the patient underwent partial colectomy. Surgical pathology confirmed a polypoid GN without atypia. Colonic GNs are rare, benign tumors derived from neural crest cells that may mimic other subepithelial lesions. Complete excision is typically curative, and though recurrence is uncommon, some experts advise follow-up imaging to monitor.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 6","pages":"35-36"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036748","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
Parsing the medical history. 分析病史。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1097/01.JAA.0000000000000357
Brian T Maurer
{"title":"Parsing the medical history.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000357","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000357","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 6","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036696","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
Guillain-Barré syndrome presenting with unilateral facial weakness. 格林-巴罗综合征表现为单侧面部无力。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1097/01.JAA.0000000000000359
Clay W Walker
{"title":"Guillain-Barré syndrome presenting with unilateral facial weakness.","authors":"Clay W Walker","doi":"10.1097/01.JAA.0000000000000359","DOIUrl":"10.1097/01.JAA.0000000000000359","url":null,"abstract":"<p><strong>Abstract: </strong>Acute immune system-mediated neuropathy, referred to as Guillain-Barré syndrome, is a common etiology of acutely acquired weakness that often presents with proximally spreading initial distal extremity weakness and paralysis. Less common manifestations include delayed facial nerve palsy and weakness, occurring in approximately 15% of patients. This case report highlights a rarer initial presentation of Guillain-Barré syndrome in a 43-year-old man initially presenting with unilateral upper facial weakness whose symptoms progressed to bilateral hand and foot numbness over a 2-week period.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 6","pages":"e1-e4"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036734","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
Cardiovascular risk and pharmacologic treatment in adults with ADHD: A call for clarification. 成人ADHD的心血管风险和药物治疗：呼吁澄清。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1097/01.JAA.0000000000000348
Lauren York
{"title":"Cardiovascular risk and pharmacologic treatment in adults with ADHD: A call for clarification.","authors":"Lauren York","doi":"10.1097/01.JAA.0000000000000348","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000348","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 6","pages":"e25-e26"},"PeriodicalIF":0.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036758","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 elevated eosinophils? 是什么导致患者嗜酸性粒细胞升高？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1097/01.JAA.0000000000000360
Thea Cogan-Drew, Elizabeth Di Prospero, Frank Giannelli
{"title":"What is causing this patient's elevated eosinophils?","authors":"Thea Cogan-Drew, Elizabeth Di Prospero, Frank Giannelli","doi":"10.1097/01.JAA.0000000000000360","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000360","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 6","pages":"47-48"},"PeriodicalIF":0.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036726","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
Midday Moments: Pilot intervention of peer-led sessions to enhance hospitalist well-being. 午间时刻：试点干预同伴主导的会议，以提高医院医生的福祉。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1097/01.JAA.0000000000000365
Jennifer Kleinman Sween, Meghan Flanigan, Laura Boldenow, Jyoti Murray
{"title":"Midday Moments: Pilot intervention of peer-led sessions to enhance hospitalist well-being.","authors":"Jennifer Kleinman Sween, Meghan Flanigan, Laura Boldenow, Jyoti Murray","doi":"10.1097/01.JAA.0000000000000365","DOIUrl":"10.1097/01.JAA.0000000000000365","url":null,"abstract":"<p><strong>Objective: </strong>Peer-led discussion groups incorporating mindfulness-based tools have proven effective in improving clinician well-being in predominantly outpatient and nonclinical settings. In this study, peer-led discussion sessions were piloted in the inpatient setting with hospitalist advanced practice providers (APPs) and physicians, with the primary aim of increasing mindfulness, fostering connection, and testing intervention feasibility.</p><p><strong>Methods: </strong>We piloted 27 peer-led discussion sessions from March 2022 through December 2023. Aims were assessed through voluntary anonymous surveys following 20 of the sessions (5 virtual, 15 in-person).</p><p><strong>Results: </strong>A total of 86 survey responses were collected from attendees after 20 sessions. Survey responses showed participants felt the sessions created a space for mindfulness (86/86 responses, 100.0%), increased connection with colleagues (85/86, 98.8%), and were feasible to fit in the workday (81/86, 94.2%).</p><p><strong>Conclusion: </strong>The results of this exploratory pilot suggest that peer-led discussion sessions may be an effective and feasible way to increase mindfulness and foster connection among colleagues in inpatient hospitalist practice.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"e20-e24"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844798","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
Beyond the clinic: Nonclinical PAs and factors associated with leaving clinical practice. 临床之外：非临床PAs和与离开临床实践相关的因素。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI: 10.1097/01.JAA.0000000000000341
Teresa G Palumbo, Michelle Lim
{"title":"Beyond the clinic: Nonclinical PAs and factors associated with leaving clinical practice.","authors":"Teresa G Palumbo, Michelle Lim","doi":"10.1097/01.JAA.0000000000000341","DOIUrl":"10.1097/01.JAA.0000000000000341","url":null,"abstract":"<p><strong>Objective: </strong>Most physician associates (PAs) who leave their clinical jobs will pursue another clinical position, though a smaller subset leave clinical practice entirely. Job change research tends to focus on PAs who leave their clinical roles for another clinical position; PA departure from clinical practice altogether is understudied. The purpose of this study was to explore the reasons behind why PAs leave clinical medicine to pursue nonclinical career options.</p><p><strong>Methods: </strong>Interviews were conducted with nonclinical PAs to assess their reasons for leaving clinical practice.</p><p><strong>Results: </strong>Although the reasons the study participants left clinical practice were multifactorial, burnout was widely expressed as a top contributor. Other reasons included but were not limited to lack of professional advancement opportunities, financial considerations, lack of flexibility, and poor work-life balance.</p><p><strong>Conclusions: </strong>Burnout was a key factor for leaving clinical practice, though other important reasons were also discovered. Understanding these factors could influence future PA retention plans and elucidate career trends in the profession.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"e15-e19"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844814","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 National PA Research Agenda: Research priorities identified by American Academy of Physician Associates leaders. 美国医师协会研究议程：由美国医师协会领导确定的研究重点。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000340
David J Bunnell, James Kilgore, Theresa A Johnson, Robert E McKenna, Noël Smith
{"title":"The National PA Research Agenda: Research priorities identified by American Academy of Physician Associates leaders.","authors":"David J Bunnell, James Kilgore, Theresa A Johnson, Robert E McKenna, Noël Smith","doi":"10.1097/01.JAA.0000000000000340","DOIUrl":"10.1097/01.JAA.0000000000000340","url":null,"abstract":"<p><strong>Objective: </strong>To update the National Physician Associate Research Agenda by identifying research priorities aligned with current health care delivery, policy, and education needs.</p><p><strong>Methods: </strong>A cross-sectional survey of 127 American Academy of Physician Associates (AAPA) leaders assessed the importance of 20 predefined research topics using Likert-scale ratings. Open-ended responses related to the top five priorities underwent thematic analysis.</p><p><strong>Results: </strong>Patient outcomes, cost-effectiveness, and access to care associated with physician associate (PA) utilization were rated as the top research priorities, followed by PA role expansion and readiness to practice. Qualitative themes highlighted the need for empirical evidence to drive legislative reform, strengthen public trust, and affirm the profession's legitimacy. Structural barriers such as billing constraints and scope-of-practice laws were also noted.</p><p><strong>Conclusions: </strong>These findings offer a leadership-informed roadmap to guide research that advances the PA profession's contributions to cost-effective care, health equity, and workforce resilience. By centering priorities on patient outcomes, access, role expansion, and readiness to practice, the agenda supports future research that drives innovation, informs policy, and sustains PA relevance in a dynamic health care system.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"32-37"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610510","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
Barriers to hearing aid adoption in hearing loss. 听力损失患者采用助听器的障碍。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000349
Jessica Canavan, Shea A Dempsey
{"title":"Barriers to hearing aid adoption in hearing loss.","authors":"Jessica Canavan, Shea A Dempsey","doi":"10.1097/01.JAA.0000000000000349","DOIUrl":"10.1097/01.JAA.0000000000000349","url":null,"abstract":"<p><strong>Abstract: </strong>More than one-fifth of the US population has hearing loss, a condition associated with higher risk of falls, depression, isolation, cognitive decline, dementia, and all-cause mortality. Treatment of hearing loss has been shown to correlate with decreased risk of cognitive decline, dementia, and mortality, as well as an improved quality of life. Surprisingly, however, fewer than 1 in 10 Americans with hearing loss use hearing aids. As the prevalence and burden of hearing loss grow, clinicians must understand factors influencing hearing aid use to increase treatment rates. This article reviews key barriers to hearing aid adoption-including low hearing health knowledge, inadequate screening, stigma, cost, and difficulty of use-and discusses recent changes that may influence these barriers.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"25-30"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786120","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
Compassionate care: The most efficient tool you're not using. 同情关怀：你没有使用的最有效的工具。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000339
Elizabeth Martinelli
{"title":"Compassionate care: The most efficient tool you're not using.","authors":"Elizabeth Martinelli","doi":"10.1097/01.JAA.0000000000000339","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000339","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"e1-e2"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786348","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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