JAAPA

02/27/2020

With the expanded use of DNA analyses, the number of patients with an identified hereditary risk for ovarian cancer is increasing. This article describes birth control options for women with no history of cancer, but with an identified hereditary ovarian cancer risk, who decline bilateral salpingo-oophorectomy. http://bit.ly/2T0PNWI

02/27/2020

JAAPA is currently seeking a leader in the PA profession to be the journal’s new Editor-in-Chief. This position is a part-time, independent-contractor position with an honorarium. http://bit.ly/2TflpqJ

02/24/2020

Have you listened to the February episode of the JAAPA Podcast yet? In this month’s episode, our co-hosts cover everything from point-of-care ultrasound of long bone fractures to CME articles on multiple sclerosis and complementary feeding for infants. Don’t miss it! https://apple.co/2UVHo8F

02/22/2020

February is American Heart Month, so make sure to check out the latest guidelines from the American Diabetes Association which include new information on hypertension, lipid management, heart failure, and coronary heart disease. http://bit.ly/2LeOwqd

02/21/2020

How can clinicians respectfully address religious objections to vaccination while honoring patient autonomy? This article introduces a four-step framework for exploring and responding to a patient's stated religious objections to vaccination. http://bit.ly/2HxO4BO

02/20/2020

This month’s original research surveyed PA attitudes about electronic-assisted documentation in the outpatient setting and its disadvantages. Learn more from the study: http://bit.ly/2vNrUZS

02/19/2020

This article explains why drugs can have a proarrhythmic propensity, discusses the origins and nature of the regulatory landscape that governs current premarketing assessments, provides examples of resulting prescribing information warnings, and presents a scenario illustrating clinical practice implications for PAs and NPs. http://bit.ly/2V1PTPm

02/18/2020

Should we treat other providers’ rude behavior as a threat to patient safety? Harrison Reed, MMSc, PA-C, shares why patient safety may suffer due to destructive interpersonal behavior in this month’s Editorial. http://bit.ly/2P4ugKu

02/14/2020

Kick off your weekend with the February episode of the JAAPA Podcast! This month, our co-hosts discuss CME articles on multiple sclerosis and complementary feeding for infants, a Quick Recertification Series article on skin cancer, and much more. https://apple.co/2UVHo8F

02/11/2020

Multiple sclerosis affects more than 900,000 Americans and patient presentations vary widely; therefore, symptom recognition and an understanding of diagnostic criteria are critical in providing timely patient referrals. http://bit.ly/3brUArG

02/10/2020

A local dentist called the primary care clinic concerned about a lytic lesion in the anterior right lower jaw of a 28-year-old female patient. Find out the diagnosis in this month's Diagnostic Imaging Review. http://bit.ly/2SJ8bCr

02/07/2020

AAPA President David Mittman, PA, DFAAPA, writes about direct payment for PAs in this month’s issue - read how current payment arrangements are disadvantaging PAs in the healthcare marketplace and why advocacy efforts on this front are vital. http://bit.ly/3bfFK7u

02/06/2020

Safe and timesaving, ultrasound can be used in the ED as a screening tool for suspected long bone fractures and can detect associated musculoskeletal injuries. Studies have found that clinicians using ultrasound can detect long bone fractures with an average 90% sensitivity and specificity after an average of 1 to 4 hours total of didactic and practical training. http://bit.ly/388xJiQ

02/05/2020

Clinicians can find it difficult to navigate the recommendations and research to give practical, evidence-based advice to parents about optimal feeding practices for infants. This article brings the current recommendations and recent research together and organizes them for clinicians in pediatrics to enable them to understand and convey this information to parents of infants. http://bit.ly/2S0SCqf

02/02/2020

Ibrutinib is a new first-line drug for treating chronic lymphocytic leukemia (CLL). Learn more about this oral drug that could change frontline treatment of CLL from traditional IV chemotherapy to oral targeted therapy. http://bit.ly/2REqb1m

02/01/2020

A man who presented with a 2-week history of atraumatic, unilateral, retro-orbital cranio-facial pain, ipsilateral diaphoresis, and facial flushing was diagnosed with cluster headaches after a positive response to oxygen therapy. Learn more in this case report: http://bit.ly/2U5MPkV

01/31/2020

Foreign body aspiration is the fifth most common cause of mortality due to unintentional injury in the US. Children who have aspirated a foreign body may present with a variety of symptoms, from mild irritation and cough to respiratory failure. Clinicians must have a high degree of suspicion to ensure a foreign body aspiration is not missed on initial presentation. http://bit.ly/2S0WsPe

01/30/2020

Take a look at this month's Difficult Diagnosis to learn an unexpected cause of wheezing and shortness of breath. http://bit.ly/36EJEDs

01/29/2020

Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of morbidity and mortality for patients with diabetes. The latest guidelines from the American Diabetes Association include new information on hypertension, lipid management, heart failure, and coronary heart disease. http://bit.ly/2LeOwqd

01/27/2020

Over the past 15 years, policy reports and news headlines have predicted dire physician shortages. But if workforce projections included a realistic assessment of the roles of PAs and NPs, these concerns might seem considerably less dramatic. http://bit.ly/2otnuDQ

01/27/2020

The US opioid epidemic has resulted in legislative actions to make treatment more accessible to patients. This article describes opioid use disorder in the US, treatment gaps, safe treatment with buprenorphine, and PA prescriptive authority. http://bit.ly/2IntWTS

01/24/2020

Kick off your weekend with the January episode of the JAAPA Podcast! Co-hosts Kris Maday, PA-C and Adrian Banning, PA-C review CME articles on peripheral neuropathy and pericarditis. They also discuss an article on helping survivors of sexual assault and an original research article on improving health disparities in PA practices. https://apple.co/2GqCCHr

01/23/2020

Athletes and parents often believe that initiating specialized & intensive training at an early age is necessary in order to optimize development of sport-specific skills. However, evidence suggests that this early specialization counteracts many of the physical, psychologic, and social benefits of sport participation, and does not produce the desired result. Clinicians need to know how to counsel families about participation patterns in youth sports. http://bit.ly/2TTmVAC

01/21/2020

Bariatric surgery is largely known for its role as a weight loss tool but is gaining notoriety as a successful treatment for patients with refractory type 2 diabetes. As bariatric surgery gains more prominence in diabetes, clinicians must understand these procedures, which patients are appropriate candidates, and how to manage patients postoperatively. http://bit.ly/2TQo1gJ

01/20/2020

American Academy of PAs

Today we honor the life and legacy of Dr. Martin Luther King, Jr. Thank you Dr. King, for dedicating your life to equality, justice, and peace for all Americans.

01/19/2020

According to the CDC, about 20,000 deaths each year are attributed to viral hepatitis, and 5 million people are chronically infected and at risk for serious liver disease and hepatocellular cancer. This article reviews the three most common causes of viral hepatitis, screening guidelines, and more. http://bit.ly/34qCLoD

01/16/2020

Pericarditis is the most common form of pericardial disease and may be associated with significant morbidity and mortality. This CME article discusses the management of acute and recurrent idiopathic pericarditis. http://bit.ly/30sM8mA

01/15/2020

January is Thyroid Awareness Month - check out this case report on recognizing thyrotoxic hypokalemic periodic paralysis, a rare but potentially serious complication of thyrotoxicosis. http://bit.ly/2CKjLWQ

01/14/2020

The histologic overlap between chronic idiopathic IBD and SCAD creates the potential for misdiagnosing SCAD as IBD, which can be problematic because the natural history and prognosis of the two conditions vary significantly. http://bit.ly/2Nk5Lbi

01/11/2020

Sepsis affects more than 31.5 million people worldwide every year, potentially resulting in 5 million deaths. Up to one-third of patients with sepsis also develop sepsis-associated acute kidney injury. This article describes the need for restraint in fluid resuscitation in patients with sepsis, in order to mitigate end-organ damage and ultimately to save lives. http://bit.ly/36HgsMV

01/10/2020

Simply advising a patient with type 2 diabetes to lose weight and increase physical exercise ignores the complex interplay of many levels of influences throughout a patient's life. This article describes type 2 diabetes from a multilevel life course perspective that can help clinicians find areas of possible intervention and understand the challenges patients face. http://bit.ly/2NcmYTS

01/09/2020

In an era of less-frequent routine gynecologic examinations, cervical infections, especially if asymptomatic, may be missed. Annual wellness examinations and other patient visits outside routine gynecologic cancer screening visits should include brief evaluation with sexual risk assessment and a gynecologic examination if indicated. http://bit.ly/2sgZXUZ #CervicalHealthMonth

01/07/2020

The ideal environment necessary for health equity requires the removal of a broad range of barriers that reduce patients' access to the opportunities and resources needed to be healthy. This study assessed a quality improvement initiative designed to highlight awareness of health disparities and improve healthcare practices. http://bit.ly/2tBjlQI

01/07/2020

What is causing this patient's recurrent cough and dyspnea? http://bit.ly/35ul3R4

01/05/2020

Sexual assault is a widespread problem in US communities, affecting about one in every three women and one in every eight men. These assaults reverberate through the lives of survivors and their loved ones, often for decades or even a lifetime. Healthcare providers must be empowered and equipped to contribute to the medical and mental health of survivors. http://bit.ly/39EKjHz

01/03/2020

After serving JAAPA for nine years as Editor-in-Chief, Reamer L. Bushardt, PharmD, PA-C, DFAAPA, will retire from the JAAPA board next June. In his farewell letter, he shares some of what he’s learned through his tenure, his gratitude to his peers, and his appreciation for the experience: http://bit.ly/2QH798K

01/02/2020

Peripheral neuropathy is a common condition that can be encountered in a multitude of clinical settings, and treatment must be tailored to the underlying cause. Review the various causes of peripheral neuropathy and recommendations for evaluating patients to determine the cause of peripheral neuropathy: http://bit.ly/2MR148F

01/01/2020

American Academy of PAs

Wishing everyone a Happy New Year! 🎆

12/31/2019

It's not quite yet the new year, but the new issue of JAAPA is now available online! Check out the January issue to learn about a curious case of colitis, bariatric surgery and type 2 diabetes, helping survivors of sexual assault, and more. http://bit.ly/2Vr44Lt

12/30/2019

Hepatocellular carcinoma is the fifth most common cancer worldwide. Advanced hepatocellular carcinoma with tumor thrombus metastasis to the right atrium is rare, generally considered inoperable, and has a poor prognosis. This article describes the management of two patients with hepatocellular carcinoma and incidental findings of tumor thrombus invasion into the right atrium. http://bit.ly/2tfuhQr

12/30/2019

Leber congenital amaurosis is a rare congenital disorder caused by a mutation in any of several different genes that causes rod-cone dystrophy and may eventually lead to blindness. Characteristic findings on fundoscopic examination include retinal pigment migration and macular atrophy. Confirmation can be obtained using electroretinograms and the specific gene can be identified with genetic testing. http://bit.ly/39mZ6q5

12/26/2019

Patients with Down syndrome are known to produce excess interferon gamma, a major culprit of psoriasis formation and severity. Both conditions increase patient risk for major cardiovascular events; however, a potential association between Down syndrome and severe psoriasis has not been well studied. This article discusses a patient with Down syndrome and worsening plaque psoriasis. http://bit.ly/2t38VsQ

12/22/2019

Happy Holidays from JAAPA! May your holidays be filled with cheer.

12/21/2019

Editor-in-Chief Bushardt to Retire from JAAPA Board - AAPA

After serving the Journal of the American Academy of PAs for nine years as Editor-in-Chief, Reamer L. Bushardt, PharmD, PA-C, DFAAPA, will retire from the JAAPA board. Harrison Reed will serve as the Acting Editor-in-Chief as the search for a new Editor-in-Chief begins.

After serving the Journal of the American Academy of PAs for nine years as Editor-in-Chief, Reamer L. Bushardt, PharmD, PA-C, DFAAPA, will retire from the JAAPA board next June. Bushardt is professor and senior associate dean at GW School of Medicine and Health Sciences.

12/20/2019

Acetaminophen-induced hepatotoxicity is the most common cause of acute liver failure in adults and a major cause of acute liver failure in children. Prompt treatment with N-acetylcysteine can mitigate hepatotoxicity and progression to liver failure. This article describes a 16-year-old girl who ingested a large dose of extra-strength acetaminophen, and how the 150 rule was used in her management. http://bit.ly/36KO8bR