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JAAPA: Official Journal of the American Academy of Physician Assistants

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https://www.readbyqxmd.com/read/29979330/understanding-osteosarcomas
#1
Emily Simpson, Heather L Brown
This article reviews the cause, clinical presentation, diagnostic methods, and management of osteosarcoma, the most common primary bone tumor and third most common cancer among children and adolescents. In the 1970s, the introduction of adjuvant chemotherapy following tumor resection improved overall 10-year survival from 30% to about 50% of patients. However, since that change in management strategy, the survival rate has since plateaued, with no improvement in overall 10-year survival since the 1990s. A better understanding of this disease is the first step to help improve these numbers...
July 3, 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29979329/alopecia-due-to-high-androgen-index-contraceptives
#2
Katelyn Y Graves, Benjamin J Smith, Brigitta C Nuccio
Adverse reactions to hormonal contraceptives are a common patient concern. Alopecia, an adverse reaction to androgen activity caused by the progestin component of hormonal contraceptives, can cause considerable psychosocial distress for women. This article discusses how to identify the level of androgen activity in certain progestins, how increased androgen activity can lead to hair loss, and alternatives for patients experiencing androgenic alopecia due to high androgen index contraceptives.
July 3, 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29965857/on-media-violence-and-aggression
#3
Dave Grossman, Kristine Paulsen
No abstract text is available yet for this article.
June 29, 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29894331/pas-nps-physicians-and-regression-to-the-mean
#4
Roderick S Hooker
No abstract text is available yet for this article.
June 11, 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29894330/identifying-and-treating-traumatic-hand-and-wrist-injuries
#5
Michelle Kavin, Frederic E Liss
Proper identification and management of traumatic hand and wrist injuries is critical to preventing loss of function, nerve damage, joint instability, persistent pain, and delay in indicated surgery. This article uses case studies to help clinicians make accurate diagnoses and treatment plans. Physical examination findings, radiograph results, and treatment plans are reviewed for four traumatic hand and wrist fractures or dislocations.
June 11, 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957613/an-overview-of-anal-intraepithelial-neoplasia
#6
Corina L Buzard, Denise Rizzolo
Anal intraepithelial neoplasia (AIN) and anal squamous cell carcinoma (ASCC) are on the rise in the United States, especially among men who have sex with men, HIV-positive or other immunocompromised patients, and women with a history of cervical, vaginal, or vulvar cancer. Strong evidence supports the human papillomavirus as the causative factor in anal dysplasia; reducing the risk of HPV infection can reduce rates of ASCC. High-risk patients should be screened for AIN, but no universal screening guidelines exist, and more studies are needed to develop a national protocol for screening and management of patients with AIN...
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957612/stories-in-measuring-what-matters
#7
Ixchel V Montenegro, Adrian S Banning
No abstract text is available yet for this article.
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957611/the-least-of-the-concerns
#8
Cameron Young Sweeney
No abstract text is available yet for this article.
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957610/what-is-causing-this-patient-s-vulvar-pain
#9
Aleece Fosnight
No abstract text is available yet for this article.
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957609/using-drug-monitoring-programs-to-optimize-pain-management-for-elective-surgery-patients
#10
Robert Lowry
This article describes an innovative workflow that incorporates the prescription drug monitoring program (PDMP) into a suggested workflow for managing pain in elective surgery patients. Using the PDMP and working with the patient's pain management provider, clinicians can make sure that patients on chronic opioid therapy are identified before admission so that their care can be individualized, a plan developed to manage postoperative pain, and the patient can be transitioned seamlessly back to outpatient pain management...
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957608/malaria
#11
David Gelbart
No abstract text is available yet for this article.
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957607/the-new-israeli-pa
#12
Oren Berkowitz, Udi Gelbshtein, Idit Segal, Eyal Jacobson
Israel launched its new physician assistant profession with its first class of students, who were graduated in October 2017. The program is run by the Ministry of Health's Training and Development Department. This first course was focused on emergency medicine and the plan is to expand to anesthesiology and pathology in the near future.
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957606/effectiveness-of-nps-and-pas-in-managing-diabetes-and-cardiovascular-disease
#13
Nadeen N Faza, Julia M Akeroyd, David J Ramsey, Tina Shah, Khurram Nasir, Anita Deswal, Christie M Ballantyne, Laura A Petersen, Salim S Virani
BACKGROUND: The effectiveness of cardiovascular disease (CVD) and diabetes care delivered by NPs and physician assistants (PAs), and resource use by these providers has not been studied. METHODS: We performed regression analyses of patients with diabetes or CVD with a primary care visit in 130 Veterans Affairs (VA) facilities to assess the association between provider type and effectiveness or resource use. RESULTS: The diabetes cohort consisted of 156,034 patients assigned to NPs and 54,590 assigned to PAs...
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957605/combined-angiotensin-receptor-and-neprilysin-inhibition-therapy-for-heart-failure
#14
Becky N Lu, Lindsay E Davis
The FDA has approved sacubitril/valsartan, an angiotensin-receptor-neprilysin inhibitor, for the treatment of chronic symptomatic heart failure (stage C) in patients with a left ventricular ejection fraction of 35% or less. This article discusses results from a major clinical trial, PARADIGM-HF, and the role of this new drug in heart failure treatment.
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957604/understanding-posterior-reversible-encephalopathy-syndrome
#15
Kenneth Fittro, Roderick Dizon
Posterior reversible encephalopathy syndrome is a characteristic clinical-radiographic syndrome with diverse and multifactorial causes. Symptoms include headache, altered mental status, seizures, nausea and vomiting, and vision abnormalities. The syndrome is treated by lowering BP, administering anticonvulsant medications, correcting metabolic abnormalities, and removing offending agents. Secondary complications include ischemia, hemorrhage, and cerebral infarction.
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29957603/calciphylaxis-in-a-patient-without-renal-failure
#16
Amber Hesse, Andrew Herber, Mike Breunig
Calciphylaxis is a rare disease that typically presents in patients with end-stage renal disease on dialysis or those who have received a renal transplant. Nonuremic calciphylaxis leads to ischemia and subsequent necrosis of subcutaneous tissue. Diseases associated with nonuremic calciphylaxis include primary hyperparathyroidism, connective tissue disease, malignancy, and alcoholic liver disease. Due to its high mortality, early identification and an aggressive multidisciplinary treatment approach is necessary to improve patient outcomes...
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29889715/evaluating-and-managing-chronic-idiopathic-urticaria-in-adults
#17
Lindsay Webster, Nicholas L Rider, Mark E Archambault
Chronic idiopathic urticaria (CIU), also known as chronic spontaneous urticaria, is characterized by the presence of hives on most days of the week, for 6 weeks or longer, and without an identifiable or consistent cause. Evaluation is clinical and based on the presence of episodic urticarial lesions. Although patients are subject to overtesting during the diagnosis of CIU, guidelines suggest starting with three basic laboratory tests. Treatment is a stepwise approach, involving second-generation antihistamines, histamine2 antagonists, leukotriene receptor antagonists, first-generation antihistamines, and potent antihistamines...
July 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29846322/letters-to-the-editor
#18
Jonathan Baker, Andrew Persaud, Martin Mayer
No abstract text is available yet for this article.
June 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29846320/can-state-supported-interprofessional-coalitions-cure-preceptor-shortages
#19
Lesli Woodall, Gigi Smith, David Garr, Deborah Hopla, Donna Kern
The shortage of clinical preceptors compromises the current and future supply of healthcare providers and patient access to primary care. This article describes how an interprofessional coalition in South Carolina formed and sought government support to address the preceptor shortage. Some states have legislated preceptor tax credits and/or deductions to support the clinical education of future primary care healthcare providers. As a result of the coalition's work, a bill to establish similar incentives is pending in the South Carolina legislature...
June 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29846319/the-tuli-effect
#20
Trisha Cooper
No abstract text is available yet for this article.
June 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
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