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

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Approved. 批准。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.JAA.0000000000000287
Katelin Cashman
{"title":"Approved.","authors":"Katelin Cashman","doi":"10.1097/01.JAA.0000000000000287","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000287","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 1","pages":"e1"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821689","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
Optimizing clinical productivity: A single-institution analysis of APP utilization in pediatric plastic surgery. 优化临床工作效率：儿科整形外科应用程序应用的单机构分析。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.JAA.0000000000000299
Sarah A Layon, Michelle G Roy, Matthew J Parham, Heather R Burns, Jordan L Rodriguez, Larry H Hollier, Kristina Marsack
{"title":"Optimizing clinical productivity: A single-institution analysis of APP utilization in pediatric plastic surgery.","authors":"Sarah A Layon, Michelle G Roy, Matthew J Parham, Heather R Burns, Jordan L Rodriguez, Larry H Hollier, Kristina Marsack","doi":"10.1097/01.JAA.0000000000000299","DOIUrl":"10.1097/01.JAA.0000000000000299","url":null,"abstract":"<p><strong>Background: </strong>Advanced practice providers (APPs) are integral to plastic surgery practices due to the frequency of staged procedures, perioperative care, and broad scope of practice. Our study evaluates the impact of APP utilization in one of the largest pediatric plastic surgery divisions in the United States.</p><p><strong>Methods: </strong>Descriptive analyses were conducted to describe productivity trends from October 2012 to September 2023. Metrics included the number of clinic encounters, providers, operating room (OR) cases, and surgical conversion rate.</p><p><strong>Results: </strong>In 2013, APPs completed one patient encounter for every five completed by surgeons. Since 2020, APPs have matched or exceeded the number of clinic encounters conducted by surgeons. The surgeon surgical conversion rate (surgeon clinic encounters to OR cases) increased from 0.19 in 2018 to 0.26 in 2023.</p><p><strong>Conclusions: </strong>Enhanced utilization of APPs in the division of plastic surgery has optimized our patient care model, increasing procedural productivity for surgeons without reducing clinic volume.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"39-44"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716113","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
Pott puffy tumor: Rare complication of sinusitis in a toddler. 鼻窦炎的罕见并发症。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.JAA.0000000000000288
Kristin L Norquest, Kelly M Bridgham, Udayan K Shah
{"title":"Pott puffy tumor: Rare complication of sinusitis in a toddler.","authors":"Kristin L Norquest, Kelly M Bridgham, Udayan K Shah","doi":"10.1097/01.JAA.0000000000000288","DOIUrl":"10.1097/01.JAA.0000000000000288","url":null,"abstract":"<p><strong>Abstract: </strong>Pott puffy tumor (PPT) is a condition characterized by frontal bone osteomyelitis with subperiosteal abscess and is typically a complication of sinusitis. PPT is rare in young children due to the timing of pneumatization of the frontal sinus. This case presents a healthy toddler who developed PPT with an epidural abscess requiring surgical drainage.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 1","pages":"e2-e4"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821686","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
Why is this patient's onychomycosis treatment failing? 为什么这个病人的甲真菌病治疗失败？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000281
Victoria Fleemin, Kevin O'Loughlin
{"title":"Why is this patient's onychomycosis treatment failing?","authors":"Victoria Fleemin, Kevin O'Loughlin","doi":"10.1097/01.JAA.0000000000000281","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000281","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"45-47"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565921","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
Of snakes and gods and medicine: Medico-religious symbolism and the values of modern medical practice. 蛇、神和医学：医学宗教象征和现代医学实践的价值。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000285
Adam O'Neill
{"title":"Of snakes and gods and medicine: Medico-religious symbolism and the values of modern medical practice.","authors":"Adam O'Neill","doi":"10.1097/01.JAA.0000000000000285","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000285","url":null,"abstract":"<p><strong>Abstract: </strong>The medical field is filled with ancient and modern symbols that have cultural and historical meanings. Symbols present in logos implicitly communicate values and purpose. This article explores the medical and religious symbolism found in the two most common medical logos, the Rod of Asclepius and the caduceus, comparing the values they represent to the values of modern medical practice as defined by the Georgetown Mantra. Although the Rod of Asclepius and the caduceus are culturally recognized today as representing medical practice and healing, they in reality are associated with historical figures and stories representative of trickery, thievery, or a selective application of the healing arts. Institutions using these symbols in their logos should consider how their branding might be adjusted to communicate the values that medical professionals aim to espouse today.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"e10-e13"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565977","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
Reducing the frequency of COPD exacerbations with antimicrobial therapy. 使用抗菌药物治疗降低COPD加重的频率。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000261
Brandon M Lundgren
{"title":"Reducing the frequency of COPD exacerbations with antimicrobial therapy.","authors":"Brandon M Lundgren","doi":"10.1097/01.JAA.0000000000000261","DOIUrl":"10.1097/01.JAA.0000000000000261","url":null,"abstract":"<p><strong>Abstract: </strong>Chronic obstructive pulmonary disease (COPD) exacerbations are a leading cause of hospitalization in the United States, incurring a large financial burden on the healthcare system and placing significant strain on patient quality of life. Adding empiric antimicrobial agents, specifically macrolides, to the medical regimen of patients with severe COPD has been shown to reduce the frequency of COPD exacerbation. Although prophylactic macrolide therapy may relieve COPD burden, providers should consider the consequences of long-term antimicrobial utilization before prescribing these drugs.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"e6-e9"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565899","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
Idiopathic pulmonary fibrosis. 特发性肺纤维化。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000280
Kate J Larson
{"title":"Idiopathic pulmonary fibrosis.","authors":"Kate J Larson","doi":"10.1097/01.JAA.0000000000000280","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000280","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"43-44"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565916","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
Ophthalmology PAs in the Netherlands: A national survey. 荷兰眼科PAs：一项全国性调查。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000282
Gerlineke van der Stelt, Chantal Boot-Brooijmans, Wietse G Wieringa
{"title":"Ophthalmology PAs in the Netherlands: A national survey.","authors":"Gerlineke van der Stelt, Chantal Boot-Brooijmans, Wietse G Wieringa","doi":"10.1097/01.JAA.0000000000000282","DOIUrl":"10.1097/01.JAA.0000000000000282","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the educational background, practiced clinical disciplines and procedures, efficacy, and responsibility distribution of Dutch physician assistants (PAs) working in ophthalmology.</p><p><strong>Methods: </strong>An online survey was sent to and collected from PAs working in ophthalmology and ophthalmologists collaborating with PAs.</p><p><strong>Results: </strong>Of 85 ophthalmology PA and 15 ophthalmologist recipients, 36 PAs and 9 ophthalmologists completed the survey. The mean age of respondents was 39 years (range, 27-54), and 23 (63.9%) were female. Most PAs (97%) had a Bachelor of Science in optometry or orthoptics. All PAs (N = 36) were involved in managing patients with common ophthalmic conditions. On average, PAs worked 32.6 hours (range, 23-36) per week and added on average 77 full-time equivalents to the Dutch ophthalmology workforce. Ophthalmologists collaborating with PAs assessed PA autonomy with a mean score of 3.9 (on a scale from 0 to 5, with 0 being a low level of autonomy and 5 being a high level of autonomy).</p><p><strong>Conclusion: </strong>In the Netherlands, ophthalmology PAs may be considered a good partial solution for the shortage in eyecare professionals.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"31-36"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565937","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
Respiratory syncytial virus-induced uvulitis. 呼吸道合胞病毒引起的小舌炎。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000253
Heather Forbes, Anthony Acosta, Zane Elfessi
{"title":"Respiratory syncytial virus-induced uvulitis.","authors":"Heather Forbes, Anthony Acosta, Zane Elfessi","doi":"10.1097/01.JAA.0000000000000253","DOIUrl":"10.1097/01.JAA.0000000000000253","url":null,"abstract":"<p><strong>Abstract: </strong>Respiratory syncytial virus (RSV) is a respiratory virus that accounts for more than 100,000 ED visits per year. RSV causes the greatest morbidity in infants and children; however, older adults with chronic comorbidities have increased risk of hospitalization due to complications of RSV compared with those who do not have chronic conditions. Typical symptoms of RSV in older adults include cough, rhinorrhea, and sore throat; however, in more serious cases, wheezing, difficulty breathing, or shortness of breath may be present, potentially prompting ED visits. Infections due to other viruses, such as cytomegalovirus, Epstein-Barr virus, and hepatitis B and C, are known to cause angioedema, but no case studies to date have reported RSV-induced uvulitis or angioedema. This article describes a novel case of an adult patient with RSV-induced uvulitis.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"e3-e5"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565986","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 3 decades as a PA have taught me about leadership. 30年的私人助理生涯教会了我什么是领导力。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000284
Todd Pickard
{"title":"What 3 decades as a PA have taught me about leadership.","authors":"Todd Pickard","doi":"10.1097/01.JAA.0000000000000284","DOIUrl":"10.1097/01.JAA.0000000000000284","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"14-15"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490198","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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