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

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

From the outside looking in. (Editorial).
March 1, 2002... Most of us have heard the phrase "think outside the box." This compelling metaphor has become notorious in corporate America over the past decade as a motivational tool designed, no doubt, to encourage employees to expand their way of thinking...

Control of hepatitis A through routine vaccination of children. (Infectious Disease).
March 1, 2002... Averhoff F, Shapiro CN, Bell BP, et al. JAMA. 2001 ;286:2968-2973 Young children play an important role in the transmission of hepatitis A virus (HAV) in communitywide outbreaks. This CDC-sponsored study examined the effect of routine...

Morbidity and mortality in breast-fed and formula-fed infants of HIV-1-infected women. (Infectious Disease).
March 1, 2002... Mborl-Ngacha D, Nduati R, John G, et al. JAMA. 2001:286:2413-2420. Breast feeding among women infected with human immunodeficiency virus type 1 (HIV-1) is associated with substantial risk of HIV-1 transmission, but little is known about the...

The safety of inactivated influenza vaccine in adults and children with asthma. (Infectious Disease).
March 1, 2002... American Lung Association Asthma Clinical Research Centers. N Engl J Med. 2001;345: 1529-1536. Previous studies have suggested an exacerbation of asthma after influenza vaccination. Fewer than 10% of patients with asthma are estimated to...

Zinc supplementation in infants born small for gestational age reduces mortality: A prospective, randomized, controlled trial. (Pediatrics).
March 1, 2002... Sazawal S, Black RE, Menon VP, et al. Pediatrics. 2001;108:1280-1286. In developing countries, about 12 million children younger than 5 years die of preventable causes such as diarrheal or respiratory diseases. Much of the risk of...

Death by homicide, suicide and other unnatural causes in people with mental illness: A population-based study. (Psychiatry).
March 1, 2002... Hiroeh U, Appleby L, Mortenson PB, Dunn G. Lancet. 2001;358:2110-2112. Do mentally ill patients have an increased risk of being victims of homicides and accidents? Little is known because reports on such incidents have focused on the...

A growing, pruritic plaque on the thigh. (Dermatology Digest).(Majocchi's granuloma with secondary tinea incognito)
March 1, 2002... Case report A 27-year old Asian woman arrived at the dermatology clinic complaining of a moderately pruritic plaque on her right thigh that had grown despite daily applications of betamethasone 0.05% ointment (Diprolene, Diprosone,...

SCHIP: A far-reaching health insurance program for children--and adults. (Professional Practice).(State Children's Health Insurance Program)
March 1, 2002... Keeping up with advances in medicine may seem easy compared with managing your practice and your career. State regulations, licensing and recertification requirements, and reimbursement issues--these are only a few of the many nonclinical...

Practical evaluation of pediatric heart murmurs. (Cover Article).
March 1, 2002... The ability to differentiate an innocent murmur from one caused by a serious cardiac condition is an important aspect of pediatric primary care. A thorough physical exam and auscultation are key. Although most primary care providers can...

A first survey: Measuring burnout in emergency medicine physician assistants.
March 1, 2002... ABSTRACT Using the Maslach Burnout Inventory (a device used in prior studies on emergency physicians) and the EMPA Demographic, Work, and Lifestyle Characteristics Survey, we assessed the burnout levels of emergency medicine physician...

Using nonphysician clinicians to improve geriatric care. (PA Watch).
March 1, 2002... Ryden MB, Snyder M, Gross CR, et al. Value-added outcomes: the use of advanced practice nurses in long-term care facilities. Gerontologist. 2000; 40(6):654-662. * This study looked at how advanced practice nurses (APNs) who helped to...

Misstatements about PAs. (PA Watch).(physician assistants)
March 1, 2002... Cox CL. Advanced nurse practitioners and physician assistants: what is the difference? Comparing the USA and UK. Hosp Med. 2001;62(3):169-171. * In the United Kingdom, the hours of junior doctors have been reduced and fewer doctors are...

The outlook for PAs in Texas. (PA Watch).(physician assistants)
March 1, 2002... Jones PE, Hooker RS. Physician assistants in Texas. Tex Med. 2001;97(1):68-73. * The authors undertook a descriptive study to examine how physician assistants in Texas have contributed toward the ongoing effort to meet the health needs of...

Subungual hematoma evacuation. (Procedures in Family Practice).
March 1, 2002... A subungual hematoma--bleeding between the nail and nail bed--is usually caused by a direct blow to the nail and can produce significant pain. Evacuation--piercing the nail to allow the pooled blood to drain out--can effect immediate and...

CME Calendar.(continuing medical education)
March 1, 2002... APRIL 3-7 Medical Views, Southern Vistas Provider: Medical University of South Carolina PA program. Location: Charleston, SC. Contact: Wanda Hancock, (843) 789-7809. APRIL 4-7 Sun Valley CME Conference Provider: Idaho...