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January 2010 Issue of JAAPA

Tributes

Tributes to Charlie Huntington

From the Academy

Advocacy matters: It's essential to the growth of the PA profession

The AAPA urges physician assistants to help build the PA profession's advocacy efforts and influence on Capitol Hill to a higher level.

Commentary

PAs are the leaders who can make a ruckus—and a difference

Inspired by a book on leadership, the author reflects on physician assistants' responsibility and ability to be leaders.

Letters

Some unopposed estrogen products require progestogen protection

A new verdict for hormone therapy (HT): Safe for younger, symptomatic women

The title sums up celiac disease: common and often overlooked

Common signs and symptoms, and a diagnosis that is often overlooked

Dermatology Digest

What is the best way to manage this severe rash?

This common skin disorder can be managed with simple hygiene practices and OTC products. Parental education is the most valuable tool.

Clinical Watch

Mild cognitive impairment (MCI) and dementia: Diagnosis and treatment

Clinicians should screen for mild cognitive impairment and initiate treatment with cholinesterase inhibitors as early as possible in the disease process.

CME

Elder preventive medicine: Immunization and screening for adults older than 65 years

Preventive medicine in the elderly can reduce disease-specific morbidity, decrease disability, and improve quality of remaining life.

Safety and adherence: Complex issues that hinder childhood vaccination programs

Scrutiny of recommended childhood vaccines continues to support their effectiveness. Yet, many parents may still need reassurance.

CME Posttests

CME Posttest: Elder preventive care; Childhood vaccinations

January 2010

Research Corner

The development of varying physician assistant roles in the United States

The studies discussed in this installment of Research Corner illustrate the growing demand for PAs in the American health care workforce across a variety of ...

Research Report

Acceptance of physician assistants (PAs) and nurse practitioners (NPs) in trauma centers: A national survey

This study suggests that trauma centers are increasingly hiring and making effective use of PAs and NPs—and that jobs for PAs will grow in this ...

The Surgical Patient

Portal vein encasement complicates resection of Klatskin's tumor in the liver

Right hemihepatectomy with en bloc resection of the extrahepatic biliary tree is performed on a perihilar cholangiocarcinoma.

Quick Recertification Series

A review of giant cell arteritis and chronic renal disease

Clinical features, diagnosis, and treatment for an inflammatory disease of the blood vessels in the head and kidney disease are discussed.

Sounding Board

PA profession in South Australia: One year later

A PA participating in a South Australian trial reflects on her experience and the future of the PA profession in Australia.

POEMs

N95 respirator and surgical mask are similarly protective against influenza

Clinical question: How effective is the surgical mask compared to the N95 respirator in protecting health care workers against influenza?

Vitamin D, in high doses, prevents falls

Clinical question: Can supplementation with vitamin D prevent falls in older people?

Few patients with acute back pain in primary care have serious pathology

Clinical question: How often are serious problems identified among patients with acute back pain seeking care from primary care physicians?

Treatment of mild GDM has some benefits

Clinical question: Does the treatment of mild gestational diabetes mellitus (GDM) improve pregnancy outcomes?

Prostatectomy: Minimally invasive versus open radical procedures

Clinical question: How does minimally invasive radical prostatectomy (MIRP) compare with open retropubic radical prostatectomy (RRP)?

Clinical factors can identify children at low risk of traumatic brain injury

Clinical question: Can clinical factors identify children with head injury who are at low risk for clinically important traumatic brain injury?

When the Patient Asks

What is a heart catheterization?

This patient handout explains that left-heart catheterization with coronary angiography is the gold standard test for significant coronary disease.

Diagnostic Imaging Review

Classic adolescent injury mimics a twisted ankle

An ankle injury in a skeletally immature boy turns out to be much more serious than initial radiographs suggest to the casual observer.

Genomics in PA Practice

Toward a more nuanced conversation: The role of genetics in understanding racial and ethnic health disparities

The role played by genetics in racial and ethnic health disparities must be reported more factually and responsibly than it has been to date.

Case of the Month

What could be causing this woman's abdominal pain and constipation?

Imaging studies and key laboratory test results help identify the cause of this patient's GI pain and altered bowel habits.

Ask a Librarian

Ask a Librarian!—January 2010

What's the best online source for information about influenza? And what's the best way to determine the impact factor of various journals? This month's installment ...

Eliminating Health Disparities: What Works?

Eliminating health disparities: What works?—January 2010

This column examines recent literature on health disparities, emphasizing tools that can help clinicians to assess and address disparities in their own practices. This month's ...