JAAPA-Journal of the American Academy of Physicians Assistants articles from July 2003

JAAPA-Journal of the American Academy of Physicians Assistants archives from July 2003

Disease: why I'm against it.(Editorial)
July 1, 2003... My husband, who prides himself on being up on PA issues, thinks I should take a more direct, clinical approach to my addresses to the readership. Joe thinks this is preferable to my going on and on about subjects like the proliferation of PA...

Not all fish prevents heart disease.(POEM *)
July 1, 2003... Clinical question Does the type of fish and its preparation affect the degree of cardiovascular benefit? Setting Population-based Study design Cohort (prospective) Synopsis When I'm feeling guilty about stopping at McDonald's for...

On the brink, and over.(Report To The 2003 House Of Delegates)
July 1, 2003... Your Academy continues to work hard to provide value for your membership dollar. Whether working to assure that PAs can practice to the full extent of their education and experience, or to assure that the physician services provided by PAs are...

Is it tension headache or migraine? A new understanding of the multiple presentations of migraine may explain why migraine often presents with tension-type symptoms (4).(Continuing advances in headache diagnosis)
July 1, 2003... More than 14 million migraine sufferers are undiagnosed (1) 52% of all migraine sufferers in America today remain undiagnosed. (1) This is an alarming statistic, considering that migraine is more common than asthma and diabetes combined....

Effects of subantimicrobial-dose doxycycline in the treatment of moderate acne.(Dermatology)(Brief Article)
July 1, 2003... Skidmore R, Kovach R, Walker C, et al. Arch Dermatol. 2003; 139:459-464. This multicenter, double-blind, randomized, placebo-controlled study (n=51) asked whether a submicrobial (SM)-dose of doxycycline hydrate (20 mg bid) improves...

Coping with a crowded ED: an expanded unique role for midlevel providers.(Emergency Medicine)(Brief Article)
July 1, 2003... Ganapathy S, Zwemer FL Jr. Am J Emerg Med. 2003;21:125-128. Crowding in the emergency department (ED) has multiple causes, with waiting for inpatient beds the primary issue in many facilities. These authors developed a transition team (TT)...

Behavioural counselling to increase consumption of fruit and vegetables in low income adults: randomised trial.(Nutrition)(Brief Article)
July 1, 2003... Steptoe A, Perkins-Porras L, McKay C. et al. BMJ. 2003;326:855-860. In an effort to prevent cancer and cardiovascular disease, US and British clinical and public health professionals recommend consumption of at least five portions of a...

Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults.(Oncology)(Brief Article)
July 1, 2003... Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. N Engl J Med. 2003;348:1625-1638. This large prospective cohort study sponsored by the American Cancer Society examined the relationship between body mass index (BMI) and cancer death,...

Effects of estrogen plus progestin on health-related quality of life.(Women's Health)(Brief Article)
July 1, 2003... Hays J, Ockene JK, Brunner RL, et al. N Engl J Med. 2003;348: 1839-1854. The Women's Health Initiative (WHI) has previously determined that postmenopausal women who use combination estrogen and progestin are at significant risk for...

Beignets, inspiration, mudbugs, and CME: voices from the 31st annual conference.
July 1, 2003... JAAPA invited several of your peers to share with you their experiences, perspectives, and impressions from the 31st Annual Physician Assistant Conference in New Orleans, and also to share a bit about themselves. These PAs are a diverse group,...

Using insulin pump therapy to achieve normoglycemia; understanding how to use the insulin pump is the first step toward identifying patients with diabetes who can benefit from this delivery system.
July 1, 2003... Continuous subcutaneous insulin infusion (CSII)--commonly called insulin pump therapy--is a method used to continuously deliver short-acting insulin SC to appropriate patients who have diabetes. (1) The central feature of CSII is a small...

A guide to swift recognition of dangerous arthropod bites and stings: your patient has a lesion that could be a bite or a sting--and symptoms that may herald a significant problem. How arthropod savvy are you?
July 1, 2003... The bites and stings of arthropods are common and pose a health risk to humans, whether by injecting venom, or transmitting disease. Knowing which insects and spiders can cause a life-threatening envenomation or disease transmission is...

CME post-test: expiration date July 2004.
July 1, 2003... Please take this CME Post-test online at www.aapa.org. Van Buren PD. Using insulin pump therapy to achieve normoglycemia. JAAPA. 2003;16(7):33-36. Covington KB. A guide to swift recognition of dangerous arthropod bites and stings....

Diagnosing a patellar fracture.(Diagnostic Imaging Review)
July 1, 2003... The largest sesamoid bone in the body, the patella is a triangular structure that provides mechanical leverage during knee extension by centralizing the divergent forces of the quadriceps. The undersurface of the patella is involved in...

Current treatments for allergic rhinitis and asthma.(Specialty Update)
July 1, 2003... All health care providers should be aware of the newer therapies for allergic diseases, including rhinitis and asthma. Because primary care providers see most of the patients with these conditions, it is imperative that they learn how to use...

CME calendar.
July 1, 2003... AUGUST 6-9 13th Annual CME and Membership Meeting Provider: Montana Academy of Physician Assistants. Location: Fairmont, Mont. Contact: Teshia Birts, (703) 836-2272, ext 3317; montanapas@aapa.org AUGU8T 6-10 FAPA Summer...