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

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Copper deficiency myelopathy and sensory ataxia in a 20-year-old female. 缺铜脊髓病和感觉性共济失调一例20岁女性。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000321
Andrew Overholser, Emily Landis, Kate Szymanski
{"title":"Copper deficiency myelopathy and sensory ataxia in a 20-year-old female.","authors":"Andrew Overholser, Emily Landis, Kate Szymanski","doi":"10.1097/01.JAA.0000000000000321","DOIUrl":"10.1097/01.JAA.0000000000000321","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"e2-e4"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504667","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 sexual dysfunction: Screening, diagnosis, and management. 女性性功能障碍：筛查、诊断和管理。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000336
Danielle O'Laughlin
{"title":"Female sexual dysfunction: Screening, diagnosis, and management.","authors":"Danielle O'Laughlin","doi":"10.1097/01.JAA.0000000000000336","DOIUrl":"10.1097/01.JAA.0000000000000336","url":null,"abstract":"<p><strong>Abstract: </strong>Sexual health is an important indicator of one's overall well-being and quality of life. Although sexual dysfunction can significantly impact women, it is often underreported and underdiscussed in routine clinical encounters. This article provides an overview of female sexual dysfunction, including its classifications, risk factors, pathophysiology, symptoms, screening, and diagnosis. It also highlights emerging and established treatment options for affected patients.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"23-27"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504890","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 enigmatic rash: When the obvious isn't. 神秘皮疹：当显而易见的事情并不明显时。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000333
Taryn Ragaisis, Thomas Kingsley
{"title":"An enigmatic rash: When the obvious isn't.","authors":"Taryn Ragaisis, Thomas Kingsley","doi":"10.1097/01.JAA.0000000000000333","DOIUrl":"10.1097/01.JAA.0000000000000333","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"45-47"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504638","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
Traumatic hemorrhage and childbearing potential: Modern perspectives on Rh(D) alloimmunization. 外伤性出血和生育潜力：Rh(D)同种异体免疫的现代观点。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000327
John Ramos
{"title":"Traumatic hemorrhage and childbearing potential: Modern perspectives on Rh(D) alloimmunization.","authors":"John Ramos","doi":"10.1097/01.JAA.0000000000000327","DOIUrl":"10.1097/01.JAA.0000000000000327","url":null,"abstract":"<p><strong>Abstract: </strong>Hemorrhage is a leading preventable cause of trauma-related death. Early hemorrhage control and resuscitation with blood products are both critical for survival. The use of whole blood and low-titer type O blood has been shown to reduce overall transfusion volume, mitigating the effects of dilutional coagulopathy. Historically, Rh(D)-negative blood products have been prioritized for people of childbearing potential given the feared risk of alloimmunization and hemolytic disease of the fetus and newborn. However, the survival benefit of whole blood resuscitation seems to outweigh the estimated risks associated with sensitization, although no prospectively collected data provide a definitive solution to this ongoing health equity and ethical dilemma.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"40-42"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505116","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 knee pain and stiffness? 是什么导致这个病人的膝盖疼痛和僵硬？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000334
Juliana Karcewski, Paul A Coleman
{"title":"What is causing this patient's knee pain and stiffness?","authors":"Juliana Karcewski, Paul A Coleman","doi":"10.1097/01.JAA.0000000000000334","DOIUrl":"10.1097/01.JAA.0000000000000334","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"e10-e12"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505039","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
Suicidal ideation. 自杀意念。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000331
Cheryl Vanderford
{"title":"Suicidal ideation.","authors":"Cheryl Vanderford","doi":"10.1097/01.JAA.0000000000000331","DOIUrl":"10.1097/01.JAA.0000000000000331","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"43-44"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505097","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
Nitroglycerin use in STEMI locations. 在STEMI地点使用硝酸甘油。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000303
Brenna Heaney, Kaitlyn Zalar, Marlene Flores, Sarah Jessee, Elyse Watkins
{"title":"Nitroglycerin use in STEMI locations.","authors":"Brenna Heaney, Kaitlyn Zalar, Marlene Flores, Sarah Jessee, Elyse Watkins","doi":"10.1097/01.JAA.0000000000000303","DOIUrl":"10.1097/01.JAA.0000000000000303","url":null,"abstract":"<p><strong>Abstract: </strong>Current acute coronary syndrome (ACS) protocols recommend against the administration of nitroglycerin to patients with inferior ST-elevation myocardial infarction (STEMI). Due to nitroglycerin's vasodilatory effects, which decrease preload and cardiac output, protocols warn of a possible critical drop in blood pressure with the drug's use that could be detrimental to patients with inferior STEMI. Research has shown, however, that nitroglycerin-induced hypotension occurs at similar rates in both inferior STEMI and non-inferior STEMI. Rather than the location of the culprit lesion, the development of hypotension depends on individual patient epidemiologic factors. An amendment to current ACS protocols for patients with inferior STEMI is warranted to reflect nitroglycerin's benefits in the preservation of myocardial function. Removing this barrier to the care of inferior STEMI would lead to therapeutic relief and improve patient survival overall.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"e5-e9"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505050","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
Where do neurokinin receptor antagonists fit into management of menopausal vasomotor symptoms? 神经激肽受体拮抗剂在绝经期血管舒缩症状治疗中的作用？
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000332
Gabriela Rajić, Erin Raney
{"title":"Where do neurokinin receptor antagonists fit into management of menopausal vasomotor symptoms?","authors":"Gabriela Rajić, Erin Raney","doi":"10.1097/01.JAA.0000000000000332","DOIUrl":"10.1097/01.JAA.0000000000000332","url":null,"abstract":"<p><strong>Abstract: </strong>Menopause is often accompanied by vasomotor symptoms that negatively impact daily functioning and overall well-being. Hormone therapy remains the gold standard for relief; however, contraindications and patient preferences may limit its use. To address this gap, nonhormonal therapies have been developed and investigated. Two newer options, fezolinetant and elinzanetant, directly target hypothalamic pathways involved in thermoregulation through modulation of neurokinin B. Clinical studies of these selective neurokinin B receptor antagonists demonstrate reduced frequency of vasomotor symptoms with their use, positioning them as promising options for individuals who are unable or unwilling to pursue hormone-based treatment.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"13-15"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505139","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
Disparities in depression screening following adoption of universal screening protocol. 采用普遍筛查方案后抑郁症筛查的差异。
IF 0.9 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000337
Blake Johnson, Shahpar Najmabadi, Phillip Goetz, Sasha Ure, Sonora George, Johanna Greenberg, Joanne Rolls
{"title":"Disparities in depression screening following adoption of universal screening protocol.","authors":"Blake Johnson, Shahpar Najmabadi, Phillip Goetz, Sasha Ure, Sonora George, Johanna Greenberg, Joanne Rolls","doi":"10.1097/01.JAA.0000000000000337","DOIUrl":"10.1097/01.JAA.0000000000000337","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the rates of depression screening between patient groups at an academic medical center (AMC)-associated family medicine clinic (FMC) that adopted universal annual depression screening.</p><p><strong>Methods: </strong>This study is a retrospective data analysis of electronic health records for patients seen within the AMC health system between June 1, 2021, and December 31, 2022, and whose assigned primary care provider practiced at the FMC. The demographic groups of interest were race, ethnicity, language preference, and insurance status.</p><p><strong>Results: </strong>Of the 12,428 patients included, 78.7% were 30 years of age or older, 59.9% identified as female, 82.9% as White, and 88.7% as not Hispanic or Latino/a/x; 97.2% preferred English and 72.3% had commercial insurance. Patients were less likely to be screened if they identified as male, identified as a non-White race, had a non-English language preference, or were uninsured.</p><p><strong>Conclusion: </strong>Focused interventions are needed to address the disparities in depression screening rates among these groups.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"29-33"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436981","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
Chest pain. 胸部疼痛。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1097/01.JAA.0000000000000329
Brian T Maurer
{"title":"Chest pain.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000329","DOIUrl":"10.1097/01.JAA.0000000000000329","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 4","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504714","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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