Jaapa-Journal of the American Academy of Physician Assistants最新文献_第9页

Diagnosis and management of axial spondyloarthritis. 轴性脊柱炎的诊断与治疗。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000263

Jaclyn M Demeter, Kevin Bogenschutz, Andrew Chastain

引用次数: 0

Agreement between APPs and physicians in interpreting 12-lead ECGs for STEMI in the correctional setting: An analysis. 应用程序和医生在纠正设置中解释STEMI的12导联心电图的一致性：分析。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000264

Nick Entsminger

{"title":"Agreement between APPs and physicians in interpreting 12-lead ECGs for STEMI in the correctional setting: An analysis.","authors":"Nick Entsminger","doi":"10.1097/01.JAA.0000000000000264","DOIUrl":"10.1097/01.JAA.0000000000000264","url":null,"abstract":"Objective: This pilot study assesses diagnostic agreement between correctional advanced practice providers (APPs) and physicians in interpreting 12-lead ECG results for STEMI diagnosis, with the aim of determining whether APPs offer comparable care to adult correctional populations that decreases ED burden.Methods: This study compared the diagnostic accuracy of APPs with that of physicians in identifying STEMI through an online 12-lead ECG assessment based on current guideline criteria. Sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy were calculated for each profession. Unadjusted odds ratio (OR) with 95% CI were used to compare groups.Results: Of the 37 total completed submissions, no statistically significant difference was observed in overall 12-lead ECG STEMI diagnostic accuracy among the groups.Conclusions: Correctional APPs and physicians had comparable accuracy in using 12-lead ECGs to identify STEMI, and evaluation by an APP in the correctional setting does not increase the likelihood of ED evaluation. However, a quality improvement study entailing use of larger sample sizes and proctor-controlled assessments is needed to accurately determine APP 12-lead ECG STEMI competency.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"30-34"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293790","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 vulvar ulcerations? 是什么导致了这个病人的外阴溃疡？

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000268

Alannah Zheng, Brittany Strelow

引用次数: 0

An update on osteoporosis management and fracture prevention strategies. 骨质疏松症管理和骨折预防策略的最新进展。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000273

Ashlyn Smith

引用次数: 0

Early MMR vaccination during measles outbreaks: Reconsidering routine timing. 麻疹暴发期间早期MMR疫苗接种：重新考虑常规接种时间。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000269

Chelsey Meachum

{"title":"Early MMR vaccination during measles outbreaks: Reconsidering routine timing.","authors":"Chelsey Meachum","doi":"10.1097/01.JAA.0000000000000269","DOIUrl":"10.1097/01.JAA.0000000000000269","url":null,"abstract":"Abstract: Measles cases are increasing across the United States, with infants under age 12 months at increased risk as they are not yet eligible for routine measles, mumps, and rubella (MMR) vaccination. The current MMR vaccination schedule is based on decades-old data from an era of widespread natural maternal immunity and low measles prevalence. Today, most mothers have vaccine-derived immunity, and recent studies show these maternal antibodies wane by 3 to 6 months of age, leaving many infants vulnerable to infection until they receive their first MMR vaccine at the currently recommended age of 12 to 15 months. Evidence demonstrates, however, that MMR vaccination between ages 6 and 11 months provides partial protection during outbreaks and does not impair the immune response to later doses. Safety data also support vaccination in younger infants. Although early MMR vaccination is currently recommended before international travel, it should also be offered domestically during outbreaks as a risk-based strategy. National guidance should be updated to reflect current epidemiology and close this gap in infant protection.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 11","pages":"39-42"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379412","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 fentanyl: The emergence of xylazine in illicit opioids. 芬太尼之外：非法阿片类药物中出现了噻嗪。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000270

Christina Krasnavage, Christopher Kudrich, Edwin Salsitz

引用次数: 0

PA profession in Scotland: Current landscape and future direction. 苏格兰的私人助理行业：现状和未来方向。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000266

Liam Allan, Sophie MacDonald, Sue Donaldson, Alastair Murray

引用次数: 0

Evaluation and management of hemoptysis. 咯血的评估与处理。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000252

Clay W Walker, Thomas Hartman, Brittney Hulsey

{"title":"Evaluation and management of hemoptysis.","authors":"Clay W Walker, Thomas Hartman, Brittney Hulsey","doi":"10.1097/01.JAA.0000000000000252","DOIUrl":"10.1097/01.JAA.0000000000000252","url":null,"abstract":"Abstract: Hemoptysis, defined as the expectoration of blood originating from the lower respiratory tract, is a clinical symptom with a wide differential diagnosis that ranges from benign to life-threatening causes. Common causes vary by geographic region and care setting, with respiratory infections, malignancy, bronchiectasis, and chronic obstructive pulmonary disease being predominant in resource-rich countries and tuberculosis remaining the leading cause in resource-limited areas. Though most cases are mild and self-limited, hemoptysis can be a life-threatening medical emergency; these cases are associated with a mortality exceeding 50%, primarily due to asphyxia. Management strategies are informed by severity, with outpatient care appropriate for stable patients with non-life-threatening hemoptysis and intensive interventions-such as bronchial artery embolization or surgical resection-reserved for those with high-risk features or life-threatening hemoptysis. This article provides an evidence-based approach to hemoptysis evaluation and management, emphasizing the importance of early risk stratification, identification of underlying causes, and timely intervention. By integrating a structured diagnostic and therapeutic approach, clinicians can improve outcomes and reduce the risk of recurrence and complications.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"17-22"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030323","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

Pelvic floor physical therapy: Enhancing patient outcomes. 盆底物理治疗：提高患者预后。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000259

Mollie Francis, Michaela Thielen, Cailin Austin, Brittany Strelow

引用次数: 0

Impact of adverse event exposure on PA and APRN well-being. 不良事件暴露对PA和APRN健康的影响。

IF 0.8 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-10-01 Epub Date: 2025-09-25 DOI: 10.1097/01.JAA.0000000000000255

Samantha Saggese, Alexander Hembrey, Dorothy Shapiro, Tina Murphy, Tiffani Darling, Gaurava Agarwal

{"title":"Impact of adverse event exposure on PA and APRN well-being.","authors":"Samantha Saggese, Alexander Hembrey, Dorothy Shapiro, Tina Murphy, Tiffani Darling, Gaurava Agarwal","doi":"10.1097/01.JAA.0000000000000255","DOIUrl":"10.1097/01.JAA.0000000000000255","url":null,"abstract":"Objective: This study aimed to measure the impact of adverse events (AEs) on advanced practice provider (APP) well-being and to describe symptoms of second victim syndrome (SVS) among this group of healthcare professionals.Methods: A survey was designed to measure the incidence of AEs among APPs employed at a large healthcare system and AE impact on emotional, physical, and professional well-being. It also measured burnout, callousness, and the desire for peer support among APPs who had experienced AEs and those who had not.Results: Of the 350 APPs who completed the survey, 55.4% had experienced an AE. APPs exposed to an AE had a higher rate of burnout ( p = .027) than those who had not. Following an AE, 97% of APPs experienced one or more symptoms of SVS; additionally, 87% sought peer support after an AE, with 96% finding it helpful.Conclusion: Findings demonstrate that AEs have a negative emotional impact on APP well-being and are associated with burnout and callousness. Peer support is desired by APPs after AEs and may enhance recovery.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"32-37"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030611","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