JAAPA-Journal of the American Academy of Physicians Assistants articles from January 2002

JAAPA-Journal of the American Academy of Physicians Assistants archives from January 2002

Coming to terms with direct-to-consumer advertising. (Editorial).(direct-to-consumer advertising of medications)
January 1, 2002... By now we have all faced the patient who shows us an advertisement from a popular consumer magazine or mentions an ad broadcast on television and who then demands a prescription for the medication advertised. Even when we are familiar with the...

A difficult diagnosis of a child's sore throat. (Diagnostic Imaging Review).
January 1, 2002... A 6-year-old boy is brought to a clinic in Uganda in midafternoon, crying about a sore throat and in significant distress. The patient, barely able to speak because of the pain, cannot provide an adequate history. The accompanying adult noticed...

The scrub sink. (In Retrospect).
January 1, 2002... I lean against the edge of the scrub sink, washing my hands and staring vacantly into the window of the operating room. A remote part of my brain runs through the checklist: patient properly positioned, all necessary instruments available, lab...

Prognostic value of a normal or nonspecific initial electrocardiogram in acute myocardial infarction. (Cardiology).
January 1, 2002... Welch RD, Zalenski RJ, Frederick PD, et al. JAMA. 2001;286:1977-1984. Studies of patients who come to the emergency department with chest pain have found that a normal or nonspecific electrocardiogram (ECG) correlates to low rates of both...

Three months versus one year of oral anticoagulant therapy for idiopathic deep venous thrombosis. Warfarin Optimal Duration Italian Trial Investigators. (Cardiology).
January 1, 2002... Agnelli G, Prandoni P, Santamaria MG, et al. N Engl J Med. 2001;345:165-169. A multicenter, randomized trial evaluated the long-term clinical effects of warfarin therapy following a first episode of idiopathic deep venous thrombosis (DVT)....

I was sick and you came to visit me: time spent at the bedsides of seriously ill patients with poor prognoses. (End-of-Life Care).
January 1, 2002... Sulmasy DP, Rahn M. Am J Med. 2001;111:385-589. This study examined the actual bedside contact by medical staff and family with medical inpatients in a university hospital. Video cameras hidden behind wall-mounted televisions in the...

Early intervention with high-dose acyclovir treatment during primary herpes simplex virus infection reduces latency and subsequent reactivation in the nervous system in vivo. (Infectious Disease).
January 1, 2002... Sawtell NM, Thompson RL, Stanberry LR, Bernstein DI. J Infect Dis. 2001;184:964-971. This mouse-model study evaluated whether early aggressive antiviral therapy initiated soon after the appearance of the first herpes simplex virus (HSV)...

Macrolide resistance among invasive Streptococcus pneumoniae isolates. (Infectious Disease).
January 1, 2002... Hyde TB, Gay K, Stephens DS, et al. JAMA. 2001;286:1857-1862. Clinical practice guidelines for treatment of community-acquired pneumonia (CAP) in adults often recommend macrolides as first-line treatment agents. However, macrolide...

Meeting the health needs of refugees and immigrants: Language and cultural barriers contribute to the challenge of caring for refugees, who bring to the United States health risks, needs, and diseases that may be unfamiliar. (Cover Article).
January 1, 2002... The United States, a nation comprised primarily of immigrants and their descendants, remains the final destination for tens of thousands of new immigrants each year. Many arrive illegally, while others have applied for and received a visa to...

Resource use by physician assistant services versus teaching services.
January 1, 2002... ABSTRACT Objective: To compare resource use in physician assistant (PA) services versus teaching services for 5 medical diagnostic groups in a large community teaching hospital, while controlling for attending physician. Methods: The...

Understanding the problem of urinary incontinence. (Recertification Refresher).
January 1, 2002... Patients are hesitant to discuss incontinence, and clinicians ask about it infrequently. Your ability to diagnose and treat this underappreciated condition can improve the quality of life for many patients. Most patients who experience...

Corneal abrasion: Should you patch the eye? (Cat Clinic).
January 1, 2002... Case: A pain in the eye A 37-year-old man arrives at the emergency department complaining of severe pain in his left eye, blurred vision, and the sensation of a foreign body in the eye after a piece of rock struck the eye at work. The...

Who makes a "good PA"? (PA Watch).(physician assistant)
January 1, 2002... Kelly P. Determining the Influence of Pre-Admission Health Care Experience on Measures of Entry-Level Clinical Competence in a Cohort of Physician Assistant Graduates [dissertation]. Fort Lauderdale, Fla: Nova Southeastern University; 2000. ...

Residents' perceptions of PAs in the ED. (PA Watch).(physicians' assistants in the emergency department)
January 1, 2002... Larkin GL, Kantor W, Zielinski JJ. Doing unto others? Emergency medicine residents willingness to be treated by moonlighting residents and nonphysician clinicians in the emergency department. Acad Emerg Med. 2001;8:886-892. Moonlighting...