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What is the potential role of the nonopioid suzetrigine in pain management? 非阿片类药物苏三嗪在疼痛治疗中的潜在作用是什么？
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.0000000000000353
Emily Weidman-Evans, Roland Paquette
{"title":"What is the potential role of the nonopioid suzetrigine in pain management?","authors":"Emily Weidman-Evans, Roland Paquette","doi":"10.1097/01.JAA.0000000000000353","DOIUrl":"10.1097/01.JAA.0000000000000353","url":null,"abstract":"<p><strong>Abstract: </strong>Effective pain management without the risk of addiction, abuse, or dependence associated with opioids remains a key clinical challenge in patient care. Suzetrigine, a newly approved drug for acute pain management, is a nonopioid with a novel mechanism of action: it selectively targets voltage-gated sodium channels present only on peripheral, pain-sensing nerves. In phase 2 and 3 clinical trials, suzetrigine was found to be more effective for post-abdominoplasty and -bunionectomy pain than placebo and was noninferior to an opioid-acetaminophen combination for pain following abdominoplasty. The drug, which is taken twice daily for up to 14 days postoperatively, has shown no addiction or physical dependence risk to date in either animal or human studies. Suzetrigine expands options for acute pain management, and additional studies that further expanding on the drug's current indication are underway.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"14-17"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786298","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
Nutrition risk considerations in uninsured adult patients in a free primary care clinic. 在免费初级保健诊所无保险成年患者的营养风险考虑。
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.0000000000000325
Jaime Gnau, Jessica Willis, Stephanie Mitchell Urich, Madison Kurth, Katelyn Maben, Brandi L Bowers
{"title":"Nutrition risk considerations in uninsured adult patients in a free primary care clinic.","authors":"Jaime Gnau, Jessica Willis, Stephanie Mitchell Urich, Madison Kurth, Katelyn Maben, Brandi L Bowers","doi":"10.1097/01.JAA.0000000000000325","DOIUrl":"10.1097/01.JAA.0000000000000325","url":null,"abstract":"<p><strong>Abstract: </strong>This study examines patient and provider perceptions of nutrition risk, compares these perceptions with objective measures, and suggests practices to support improved nutrition-related health outcomes. Using observational methods, surveys were disseminated to uninsured, low-income patients (N = 150) and providers (N = 5) to assess diet quality, malnutrition risk, and food insecurity. Analyses, which used descriptive statistics and Spearman's Rho correlations, included three objective nutrition risk indicator scores based on validated tools, perceptions of nutrition risk, and perceptions of nutrition risk indicator impact on overall nutrition risk. Patient perceptions of nutrition risk correlated with objective measures: diet quality, malnutrition risk, and food insecurity. Provider perception of nutrition risk indicators correlated only with objective malnutrition risk. No correlation was observed between provider- and patient-perceived nutrition risk. Patients identified nutrition risk indicators more effectively than providers. Patient care and PA education may be improved through use of tools to identify and address nutrition risk indicators.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"e13-e19"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436969","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
Cerebellitis and cytotoxic lesions of the corpus callosum after COVID-19 infection. COVID-19感染后胼胝体的小脑炎和细胞毒性病变。
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.0000000000000345
Victoria A Johnson, Vikas Kumar
{"title":"Cerebellitis and cytotoxic lesions of the corpus callosum after COVID-19 infection.","authors":"Victoria A Johnson, Vikas Kumar","doi":"10.1097/01.JAA.0000000000000345","DOIUrl":"10.1097/01.JAA.0000000000000345","url":null,"abstract":"<p><strong>Abstract: </strong>Initially identified as a respiratory illness, COVID-19 has increasingly been linked to a range of neurologic complications, including myelitis, acute disseminated encephalomyelitis, and Guillain-Barré syndrome. Potential signals of central nervous system involvement-either during active infection or in the postinfectious period-include ataxia and cognitive changes. Though rarely observed in the setting of COVID-19 infection, these neurologic symptoms can be serious, and therefore, providers should maintain a high index of suspicion for central nervous system involvement in patients with current or recent COVID-19 infection. This article presents a rare case of concurrent cerebellitis and corpus callosum cytotoxicity after SARS-CoV-2 infection.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"e3-e7"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786309","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
Venomous bites and stings. 有毒的咬和刺。
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.0000000000000347
Patrick McNeal, Meredith Provost
{"title":"Venomous bites and stings.","authors":"Patrick McNeal, Meredith Provost","doi":"10.1097/01.JAA.0000000000000347","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000347","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786262","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 recurrent small bowel obstructions? 是什么原因导致这个病人反复出现小肠阻塞？
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.0000000000000346
Kimberly A Carter
{"title":"What is causing this patient's recurrent small bowel obstructions?","authors":"Kimberly A Carter","doi":"10.1097/01.JAA.0000000000000346","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000346","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"47-49"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786295","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
A model for APP onboarding at a large community health system. 应用程序在大型社区卫生系统中的应用模式。
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.0000000000000351
Heather Dobbin
{"title":"A model for APP onboarding at a large community health system.","authors":"Heather Dobbin","doi":"10.1097/01.JAA.0000000000000351","DOIUrl":"10.1097/01.JAA.0000000000000351","url":null,"abstract":"<p><strong>Abstract: </strong>Advanced practice providers (APPs) are essential to health care delivery in the United States. As the nationwide physician shortage intensifies and scope-of-practice laws better align with APP training and skills, APPs will play an increasingly vital role in delivering high-quality care. The transition to practice (TTP) period for novice and new-to-practice-area APPs is often associated with stress that may result in dissatisfaction and attrition at a significant cost to the institution. Structured onboarding and TTP programs are recognized as key drivers in developing APP confidence and clinical practice while reducing attrition. Organizational orientation, competency validation, protected learning time, and gradual ramp-up to full productivity are essential components to successful onboarding and TTP. This article explores an approach to developing and implementing a standardized onboarding and TTP program at a large regional community health system.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"e8-e12"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610477","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
L.E.A.D. from where you are: A framework for career development. 从你所在的地方开始：职业发展的框架。
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.0000000000000344
Bridget A McGrath, Francesco J Umbriaco, Alisa K Heitman, Andrew W Schram, Shannon K Martin
{"title":"L.E.A.D. from where you are: A framework for career development.","authors":"Bridget A McGrath, Francesco J Umbriaco, Alisa K Heitman, Andrew W Schram, Shannon K Martin","doi":"10.1097/01.JAA.0000000000000344","DOIUrl":"10.1097/01.JAA.0000000000000344","url":null,"abstract":"<p><strong>Abstract: </strong>As physician associates (PAs) and advanced practice registered nurses (APRNs) have steadily increased in numbers within the clinical realm, attention needs to be given to their career development. Some institutions have created professional advancement models (PAMs) to address career development for these professionals. These programs have the potential to decrease burnout, improve professional satisfaction, and increase retention. However, for advanced practice providers (APPs) to be successful in PAMs or to excel professionally at institutions without PAMs, they need academic and leadership skills, which vary widely among individuals. In this article, we share a career development framework, developed at the University of Chicago, to foster workplace-based academic and leadership skills development among APPs. L.E.A.D. encompasses 1) leadership (L) roles and opportunities, 2) embedding (E) interests in existing structures, and 3) academic (A) development (D) to provide a framework for diversifying APP careers and enhancing professional satisfaction.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"40-44"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610443","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
Everything is going to be all right. 一切都会好起来的。
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.0000000000000343
Ethan Stonerook
{"title":"Everything is going to be all right.","authors":"Ethan Stonerook","doi":"10.1097/01.JAA.0000000000000343","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000343","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786318","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
Rocky Mountain spotted fever. 落基山斑疹热。
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.0000000000000342
David Baldwin
{"title":"Rocky Mountain spotted fever.","authors":"David Baldwin","doi":"10.1097/01.JAA.0000000000000342","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000342","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"e20-e21"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786289","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
Body dysmorphic disorder: Diagnostic challenges and current management. 身体畸形障碍：诊断挑战和当前的管理。
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.0000000000000350
Cierra P Geho, Steven R Hardin, Joel L Panicker, Oliver L Marra, Jonathan L Odom, Burke A Glover, Abigail K Wilcock, Ryan Rafa, Sarah Brammer, Deanna M Schmitt
{"title":"Body dysmorphic disorder: Diagnostic challenges and current management.","authors":"Cierra P Geho, Steven R Hardin, Joel L Panicker, Oliver L Marra, Jonathan L Odom, Burke A Glover, Abigail K Wilcock, Ryan Rafa, Sarah Brammer, Deanna M Schmitt","doi":"10.1097/01.JAA.0000000000000350","DOIUrl":"10.1097/01.JAA.0000000000000350","url":null,"abstract":"<p><strong>Abstract: </strong>Body dysmorphic disorder (BDD) is a psychiatric condition characterized by obsessive preoccupation with perceived flaws in appearance, causing significant dysfunction in daily life. BDD is often misdiagnosed due to patient concealment and its overlap with other mental health disorders. Increasing clinician awareness can overcome the diagnostic challenges presented by BDD. Early-onset BDD, particularly in adolescents, is associated with an increased risk of comorbidities and suicide. BDD may present with subthreshold symptoms before meeting full diagnostic criteria or before the patient discloses symptoms, creating an opportunity for earlier detection in primary and specialty care. Although first-line treatment consists of cognitive behavioral therapy and serotonin reuptake inhibitors, additional research and therapies are needed as many patients do not achieve full symptom remission. Early recognition and accurate diagnosis of BDD are vital for improving quality of life and optimizing long-term patient outcomes.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"18-24"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786250","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
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