Training Community Therapists to Deliver a Mental Health Intervention for Autism Spectrum Disorder: Changes in Caregiver Outcomes and Mediating Role on Child Outcomes
This study examines the impact of training therapists to deliver An Individualized Mental Health Intervention for autism spectrum disorder (ASD) (AIM HI) for children with autism spectrum disorder on caregiver outcomes and the mediating role of changes in caregiver outcomes on child outcomes. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - August 2, 2020 Category: Psychiatry Authors: Lauren Brookman-Frazee, Colby Chlebowski, Miguel Villodas, Scott Roesch, Kassandra Martinez Tags: New Research Source Type: research

Collaboration in Hand Surgery: Experiences From Silicone Arthroplasty in Rheumatoid Arthritis, Finger Replantation and Amputation Challenges in Assessing Impairment, Satisfaction, and Effectiveness, Wrist and Radius Injury Surgical Trial, and Surgery of the Ulnar Nerve.
We present our experiences in conducting multicenter investigations to provide insight into this demanding and rewarding frontier of research. PMID: 32732659 [PubMed - in process] (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

How Are Orthopaedic Surgery Residencies Responding to the COVID-19 Pandemic? An Assessment of Resident Experiences in Cities of Major Virus Outbreak.
DISCUSSION: COVID-19 has caused unprecedented changes to orthopaedic training; however, residents remain on the front lines of inpatient care. Exposures to COVID-19 are prevalent and residents have fallen ill. Programs currently use a variety of strategies to provide essential orthopaedic care. We recommend continued prioritization of resident safety and necessary training accommodations. PMID: 32732660 [PubMed - in process] (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Predictors of Insurance Claim Rejection in Hand and Upper Extremity Surgery.
Authors: Matson AP, Earp BE, Benavent KA, Geresy KM, Collins JE, Blazar PE Abstract INTRODUCTION: Insurance claim rejections represent a challenge for healthcare providers because of the potential for lost revenue and administrative costs of reworking claims. METHODS: The billing records of five hand and upper extremity surgeons at a tertiary academic center were queried for all patient billing activity over a 1-year period yielding a total of 14,421 unique patient encounters. RESULTS: A total of 11,839 unique patient encounters were included, and the overall claim rejection rate was 19.3%. Claim rejection ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Emergency Department Utilization After Outpatient Hand Surgery.
DISCUSSION: ED utilization after outpatient hand surgery is low, with postoperative pain being the most common cause of an ED visit at all time points. Nearly 98% of patients presenting to the ED for postoperative pain are subsequently discharged home. LEVEL OF EVIDENCE: Level III, Retrospective Cohort. PMID: 32732657 [PubMed - in process] (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Evaluation and Management of Carpal Fractures Other Than the Scaphoid.
Authors: Catalano LW, Minhas SV, Kirby DJ Abstract Fractures of the carpus can be debilitating injuries and often lead to chronic pain and dysfunction when not properly treated. Although scaphoid fractures are more common, fractures of the other carpal bones account for nearly half of all injuries of the carpus. Often missed on initial presentation, a focused physical examination with imaging tailored to the suspected injury is needed to identify these fractures. In addition to plain radiographs, advanced imaging such as CT and MRI are helpful in diagnosis and management. Treatment of carpal fractures is based on t...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Posterior Labral Injury and Glenohumeral Instability in Overhead Athletes: Current Concepts for Diagnosis and Management.
Authors: Sheean AJ, Kibler WB, Conway J, Bradley JP Abstract Posterior glenohumeral instability in overhead athletes presents a unique set of challenges for both diagnosis and treatment. Although a great deal of attention has been focused on the management of injuries to the biceps-labrum complex and rotator cuff in throwers, comparatively less has been written about posterior glenohumeral instability within this unique cohort. Historically, posterior instability has been observed secondary to either acute trauma or repetitive microtrauma, usually among collision athletes, weight lifters, and rowers. However, poste...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Current Concepts in the Management of Trigger Finger in Adults.
Authors: Gil JA, Hresko AM, Weiss AC Abstract Trigger finger (TF) is one of the most common causes of hand disability. Immobilization of TF with a joint-blocking orthosis has been demonstrated to effectively relieve pain and improve function. The efficacy of steroid injections for TF varies based on the number of affected digits and the clinical severity of the condition. Up to three repeat steroid injections are effective in most patients. When conservative interventions are unsuccessful, open surgical release of the A1 pulley effectively alleviates the subjective and objective manifestations of TF and currently r...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

The Evaluation and Management of Suprascapular Neuropathy.
Authors: Strauss EJ, Kingery MT, Klein D, Manjunath AK Abstract Suprascapular neuropathy is a potential source of shoulder pain and functional limitation that can present secondary to various etiologies including entrapment or compression. Cystic lesions arising from a labral or capsular tear can compress the nerve along its course over the scapula. Nerve traction is theorized to arise from chronic overhead athletics or due to a retracted rotator cuff tear. The diagnosis of suprascapular neuropathy is based on a combination of a detailed history, a comprehensive physical examination, imaging, and electrodiagnostic ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

The Evaluation and Management of the Failed Primary Arthroscopic Bankart Repair.
Authors: Waterman BR, Leroux T, Frank RM, Romeo AA Abstract Primary arthroscopic Bankart repair is a common procedure that is increasing in popularity; however, failure rates can approach up to 6% to 30%. Factors commonly attributed to failure include repeat trauma, poor or incomplete surgical technique, humeral and/or glenoid bone loss, hyperlaxity, or a failure to identify and address rare pathology such as a humeral avulsion of the glenohumeral ligament lesion. A thorough clinical and radiographic assessment may provide insight into the etiology, which can assist the clinician in making treatment recommendations...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

The Impact of COVID-19 on the Orthopaedic Surgery Residency Application Process.
Authors: Aiyer AA, Granger CJ, McCormick KL, Cipriano CA, Kaplan JR, Varacallo MA, Dodds SD, Levine WN Abstract Over recent months, coronavirus disease 2019 (COVID-19) has swept the world as a global pandemic, largely changing the practice of medicine as it was previously known. Physician trainees have not been immune to these changes-uncertainty during this time is undeniable for medical students at all levels of training. Of particular importance is the potential impact of COVID-19 on the upcoming residency application process for rising fourth-year students; a further source of added complexity in light of the n...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Resident, Fellow, and Attending Perception of E-Learning During the COVID-19 Pandemic and Implications on Future Orthopaedic Education.
CONCLUSION: E-learning has been an important modality to continue academic pursuits during the disruption in usual education and training schedules during the COVID-19 pandemic. Most trainees and attendings surveyed felt that e-learning should play a supplementary role in resident and fellow education moving forward. Although e-learning does provide an opportunity to hold multi-institutional conferences and makes participation in meetings logistically easier, it cannot fully replicate the dynamic interactions and benefits of in-person learning. PMID: 32732495 [PubMed - as supplied by publisher] (Source: The Journal of ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 1, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

18th Congress of the Academy for Multidisciplinary Neurotraumatology: 26-28 February 2020 | Cairo | Egypt.
Authors: Cretoiu D PMID: 32728401 [PubMed - in process] (Source: Journal of Medicine and Life)
Source: Journal of Medicine and Life - August 1, 2020 Category: General Medicine Tags: J Med Life Source Type: research

Management of acute stroke and urgent neurointerventional procedures during COVID-19 pandemic: recommendations on the Scientific Department on Cerebrovascular Diseases of the Brazilian Academy of Neurology, Brazilian Society of Cerebrovascular Diseases and Brazilian Society of Neuroradiology
ABSTRACT Introduction: Although the 2019 severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2, COVID-19) pandemic poses new challenges to the healthcare system to provide support for thousands of patients, there is special concern about common medical emergencies, such as stroke, that will continue to occur and will require adequate treatment. The allocation of both material and human resources to fight the pandemic cannot overshadow the care for acute stroke, a time-sensitive emergency that with an inefficient treatment will further increase mortality and long-term disability. Objective: This paper summar...
Source: Arquivos de Neuro-Psiquiatria - August 1, 2020 Category: Neurology Source Type: research

Concurrent and Predictive Validity of AND-ASPEN Malnutrition Consensus is Satisfactory in Hospitalized Patients: A longitudinal Study.
CONCLUSION: AND-ASPEN can be used for malnutrition diagnoses, even when HGS is not available, since it has satisfactory concurrent and predictive validity. This article is protected by copyright. All rights reserved. PMID: 32738153 [PubMed - as supplied by publisher] (Source: JPEN Journal Of Parenteral And Enteral Nutrition)
Source: JPEN Journal Of Parenteral And Enteral Nutrition - August 1, 2020 Category: Nutrition Authors: Burgel CF, Teixeira PP, Leites GM, Carvalho GD, Modanese PVG, Rabito EI, Silva FM Tags: JPEN J Parenter Enteral Nutr Source Type: research

Disorders of Consciousness and Disability Law
In 2018, the American Academy of Neurology, the American Congress of Rehabilitation Medicine, and the National Institute on Disability, Independent Living, and Rehabilitation Research published a systematic evidence-based review and an associated practice guideline for improved assessment, treatment, and rehabilitation of patients with disorders of consciousness. Patients with disorders of consciousness include individuals in the vegetative and minimally conscious states, as well as others with covert consciousness and cognitive motor dissociation. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - August 1, 2020 Category: Internal Medicine Authors: Joseph J. Fins, Megan S. Wright, Samuel R. Bagenstos Tags: Special article Source Type: research

Obstructive sleep apnea syndrome and autonomic dysfunction in Duchenne muscular dystrophy
AbstractPurposeCardiac and respiratory involvement constitutes serious complications of Duchenne muscular dystrophy (DMD). We hypothesized that obstructive sleep apnea syndrome (OSAS) may play a role in cardiac autonomic dysfunction in DMD. We sought to assess the presence of cardiac autonomic function in patients with DMD by analyzing heart rate variability (HRV) during polysomnography (PSG).MethodsIn a prospective study, all participants had whole-night PSG recorded and scored according to American Academy of Sleep Medicine guidelines. HRV analysis was performed on electrocardiography recordings from PSG recordings.Resul...
Source: Sleep and Breathing - August 1, 2020 Category: Respiratory Medicine Source Type: research

Risk of systemic infections in adults with atopic dermatitis: a nationwide cohort study
• Adult AD patients managed in a hospital setting have a significantly higher risk of having systemic infections but the absolute risk increase was generally small. • Clinicians should be aware of the increased risk of musculoskeletal, heart and respiratory tract infections when managing adults with AD. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - August 1, 2020 Category: Dermatology Authors: Catherine Droitcourt, Ida Vittrup, Sandrine Kerbrat, Alexander Egeberg, Jacob P. Thyssen Source Type: research

News and Notes
International Academy of Gnathology - American Section (Source: Journal of Prosthetic Dentistry)
Source: Journal of Prosthetic Dentistry - August 1, 2020 Category: Dentistry Source Type: research

ECHO Autism: Integrating Maintenance of Certification with Extension for Community Healthcare Outcomes Improves Developmental Screening
Conclusion: Maintenance of Certification Part 4 training delivered through the ECHO Autism QI Learning Network was found to be incentivizing and highly effective in shaping and maintaining PCP developmental screening practices. Improved screening rates show promise in decreasing time to critical developmental evaluations, interventions, and resources. Our methodology is likely transferable to other ECHO communities and may facilitate expedient implementation of best practice standards in primary care. (Source: Journal of Developmental and Behavioral Pediatrics)
Source: Journal of Developmental and Behavioral Pediatrics - July 31, 2020 Category: Child Development Tags: Original Article Source Type: research

National Academy of Engineering 2019 Simon Ramo Founders Award Remarks : Cato T. Laurencin, M.D., Ph.D.: Winner of the 2019 Simon Ramo Founders Award of the National Academy of Engineering.
PMID: 32737638 [PubMed - as supplied by publisher] (Source: Annals of Biomedical Engineering)
Source: Annals of Biomedical Engineering - July 31, 2020 Category: Biomedical Engineering Authors: Laurencin CT Tags: Ann Biomed Eng Source Type: research

Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists.
CONCLUSIONS: More than half of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. IMPACT: This study is the first to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is first step in understanding how VBMA is used and might be used to enhance clinical assessme...
Source: Physical Therapy - July 31, 2020 Category: Physiotherapy Authors: Hensley CP, Millican D, Hamilton N, Yang A, Lee J, Chang AH Tags: Phys Ther Source Type: research

Virtual surgery residency selection: Strategies for programs and candidates
In response to the disruption in surgical education that has resulted from the COVID-19 pandemic, the American College of Surgeons (ACS) Division of Education through the ACS Academy of Master Surgeon Educators appointed a Special Committee of national leaders and experts in surgical education and charged the Committee with the responsibility of addressing major educational needs during the pandemic and establishing the foundation for future innovations in surgical training.1 A major area of focus of the Committee was the surgery residency selection process and interviews that needed to be conducted virtually. (Source: Ame...
Source: American Journal of Surgery - July 31, 2020 Category: Surgery Authors: Paris D. Butler, Alisa Nagler, Anthony Atala, L.D. Britt, James Denneny, Brenessa Lindeman, John Mellinger, Ajit K. Sachdeva, Kathryn Spanknebel, Mohsen Shabahang Source Type: research

Skin of Color Representation in Medical Education: An Analysis of Popular Preparatory Materials Used for United States Medical Licensing Examinations
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - July 31, 2020 Category: Dermatology Authors: Virginia A. Jones, Kayla A. Clark, Morinola T. Shobajo, Adriana Cordova, Maria M. Tsoukas Source Type: research

Systematic Review: Educational Accommodations for Children and Adolescents With Attention-Deficit/Hyperactivity Disorder
Children and adolescents with ADHD often receive instruction and take tests using educational accommodations. This review aims to summarize and integrate the research literature on accommodations for this specific population. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - July 31, 2020 Category: Psychiatry Authors: Benjamin J. Lovett, Jason M. Nelson Tags: Review Source Type: research

Changes in Intrinsic Brain Connectivity in Family-Focused Therapy Versus Standard Psychoeducation Among Youth at High Risk for Bipolar Disorder
We compared intrinsic network connectivity in symptomatic youth at high risk (HR) for bipolar disorder (BD) and healthy comparison (HC) youth, and, in HR youth, investigated treatment-related changes in intrinsic connectivity following family focused therapy for high-risk youth (FFT-HR) versus standardized family psychoeducation. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - July 31, 2020 Category: Psychiatry Authors: Manpreet K. Singh, Akua F. Nimarko, Amy S. Garrett, Aaron J. Gorelik, Donna J. Roybal, Patricia D. Walshaw, Kiki D. Chang, David J. Miklowitz Tags: New Research Source Type: research

Axial psoriatic arthritis: An update for dermatologists
Psoriasis is a chronic, immune-mediated, systemic, inflammatory disorder characterized by skin plaques and, often, nail disease and arthritis that contribute to reduced quality of life. Psoriatic arthritis —a heterogeneous, inflammatory, musculoskeletal disease that can cause permanent damage to both peripheral and axial joints—is the most common comorbidity of psoriasis. Axial disease occurs in 25% to 70% of patients with PsA, with some patients exclusively experiencing axial joint involvement. E arly therapeutic intervention is important for preventing permanent joint and spine damage and loss of functionalit...
Source: Journal of the American Academy of Dermatology - July 31, 2020 Category: Dermatology Authors: Alice B. Gottlieb, Joseph F. Merola Tags: Review Source Type: research

Optimal timing of postoperative patient telephone calls after Mohs micrographic surgery: A randomized controlled trial
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - July 31, 2020 Category: Dermatology Authors: Robert Bednarek, Cory Jonak, Nicholas Golda Source Type: research

Long-acting GLP-1 receptor agonists: Findings and implications of cardiovascular outcomes trials
This article reviews CVOTs completed to date for the class of long-acting glucagon-like peptide-1 receptor agonists (GLP-1RAs; liraglutide, exenatide extended-release, albiglutide, dulaglutide, semaglutide injectable, semaglutide oral) and implications for clinical management of T2DM. All CVOTs have confirmed long-acting GLP-1RAs to be noninferior to (not worse than) placebo with regard to first occurrence of a primary outcome of three-point major adverse cardiovascular events (MACE; composite outcome of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke). Further, a number of the studies demonstrated a ...
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Long-Acting GLP-1 Receptor Agonists Source Type: research

Long-acting GLP-1RAs: An overview of efficacy, safety, and their role in type 2 diabetes management
Over recent decades, an improved understanding of the pathophysiology of type 2 diabetes mellitus (T2DM) and glucose regulation has led to innovative research and new treatment paradigms. The discovery of the gut peptide glucagon-like peptide-1 (GLP-1) and its role in glucose regulation paved the way for the class of GLP-1 receptor agonist compounds, or GLP-1RAs. The long-acting GLP-1RAs (dulaglutide, exenatide extended-release, liraglutide, semaglutide [injectable and oral]) are classified as such based on a minimum 24-hour duration of clinically relevant effects after administration. In phase 3 clinical trial programs of...
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Long-Acting GLP-1 Receptor Agonists Source Type: research

Providing Long-acting Reversible Contraception to Adolescents: A Review
Unintended teen pregnancy continues to be a problem in the United States which has the highest rate of adolescent pregnancy among developed nations. Long-acting reversible contraception (LARC) has much higher continuation rates compared with moderately effective reversible contraception; however, moderately effective reversible contraception is more commonly used by adolescents. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists recommend LARC as first-line contraception for adolescents. Clinicians providing contraception to adolescents should be knowledgeable of LARC indications...
Source: Clinical Obstetrics and Gynecology - July 30, 2020 Category: OBGYN Tags: Pediatric and Adolescent Gynecology: What the Generalist Ob/Gyn Needs to Know Source Type: research

Clinical Reasoning as a Core Competency
Diagnostic error is a challenging problem; addressing it effectively will require innovation across multiple domains of health care, including medical education. Diagnostic errors often relate to problems with clinical reasoning, which involves the cognitive and relational steps up to and including establishing a diagnostic and therapeutic plan with a patient. However, despite a call from the National Academies of Sciences for medical educators to improve the teaching and assessment of clinical reasoning, the creation of explicit, theory-informed clinical reasoning curricula, faculty development resources, and assessment t...
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Physical Characteristics of Elite Youth Female Soccer Players Characterized by Maturity Status
Emmonds, S, Scantlebury, S, Murray, E, Turner, L, Robsinon, C, and Jones, B. Physical characteristics of elite youth female soccer players characterized by maturity status. J Strength Cond Res 34(8): 2321–2328, 2020—The purpose of this study was to investigate the influence of maturity status on the physical characteristics of youth female soccer players. One hundred fifty-seven players from 3 elite soccer academies in England completed assessments of anthropometry, strength (isometric midthigh pull), lower-body power (countermovement jump [CMJ]), aerobic capacity (Yo-Yo intermittent recovery test level 1), cha...
Source: Journal of Strength and Conditioning Research - July 30, 2020 Category: Sports Medicine Tags: Original Research Source Type: research

A Machine Learning Approach to Assess Injury Risk in Elite Youth Football Players
Conclusions Our machine learning algorithm was able to predict injury and to distinguish overuse from acute injuries with reasonably high accuracy based on preseason measures. Hence, it is a promising approach to assess injury risk among elite-level youth football players. This new knowledge could be applied in the development and improvement of injury risk management strategies to identify youth players with the highest injury risk. (Source: Medicine and Science in Sports and Exercise)
Source: Medicine and Science in Sports and Exercise - July 30, 2020 Category: Sports Medicine Tags: EPIDEMIOLOGY Source Type: research

Moving forward
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Becoming a PA Source Type: research

A mother in mourning
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is the ulcerated pink nodule on this patient's scalp?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Can PAs and NPs manage complex patients?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: The Science of Healthcare Delivery Source Type: research

New options for managing fecal incontinence in women
This article reviews the limited therapies for managing fecal incontinence, including a minimally invasive vaginal control device that may offer hope for managing fecal incontinence in women. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Special Topics in Women's Health Source Type: research

Stevens-Johnson syndrome and toxic epidermal necrolysis
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Quick Recertification Series Source Type: research

Recognizing and limiting syphilis to prevent congenital syphilis
Syphilis is on the rise in every age and ethnicity group across the United States. The rate of congenital syphilis has started to rise as well, increasing the need for syphilis screening before pregnancy occurs. Raising awareness for syphilis screening, especially among sexually active women, is important, as the implications of this disease have lifelong effects for mother and child. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Special Article Source Type: research

Opinions of supervisors of clinical associates in South African district hospitals
Conclusions: Interview results highlighted acceptance and appreciation for the introduction of clinical associates. Baseline opinions enhanced curriculum development and will inform further research on the effect of clinical associates on healthcare delivery in South Africa. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Original Research Source Type: research

Intrathecal hydromorphone as an analgesia option for gynecology patients
Enhanced recovery after surgery (ERAS) is a multimodal perioperative strategy originally developed to attenuate the postsurgical stress response in patients after colorectal surgery. Patients undergoing gynecologic surgery who had ERAS had significantly shorter hospital length of stay, reduced hospital-related costs, and acceptable pain management with reduced opioid use, without compromising patient satisfaction. Intrathecal hydromorphone is an effective alternative ERAS protocol analgesia for these patients and will not compromise patient outcomes or healthcare costs. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Review Article Source Type: research

ACE inhibitor-induced angioedema causing small bowel obstruction
Mucosal angioedema of the face, lips, tongue, and throat is a well-recognized adverse reaction to angiotensin-converting enzyme (ACE) inhibitors that is experienced by a minority of patients. Rarely, this angioedema can involve the small bowel, and patients commonly present with abdominal pain and small bowel obstruction. Due to the increasing number of patients being treated for hypertension, clinicians should consider the diagnosis of small bowel angioedema secondary to ACE inhibitor use in all patients with this presentation who are using this class of medications. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Case Report Source Type: research

Cannabis and acute myocardial infarction
This article describes cannabis use as a contributing factor to acute myocardial infarction in a young woman with chest pain. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Case Report Source Type: research

Acute abdominal pain in the first trimester of pregnancy
Pregnant women presenting to the ED with abdominal pain or vomiting are likely to be evaluated for problems with the pregnancy. Although pregnancy-related pathology is common, patients may have intra-abdominal pathology that requires prompt evaluation and possible surgical intervention. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Case Report Source Type: research

Cme post-test
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Post-Test Source Type: research

Adult attention deficit/hyperactivity disorder in the ambulatory care setting
This article reviews the screening and assessment for adult ADHD along with pharmacologic and nonpharmacologic recommendations for the management of the disorder. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: CME: Primary Care Source Type: research

Red flags of low back pain
This article highlights the history and physical examination findings that will improve identification of red flags associated with emergency or serious causes. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: CME: Orthopedics Source Type: research

Types and Amounts of Nonnutritive Sweeteners Purchased by US Households: A Comparison of 2002 and 2018 Nielsen Homescan Purchases
Publication date: Available online 29 July 2020Source: Journal of the Academy of Nutrition and DieteticsAuthor(s): Elizabeth K. Dunford, Donna R. Miles, Shu Wen Ng, Barry Popkin (Source: Journal of the Academy of Nutrition and Dietetics)
Source: Journal of the Academy of Nutrition and Dietetics - July 30, 2020 Category: Nutrition Source Type: research