200 results match your criteria AAPA News [Journal]


My strange but amazing year as president.

Authors:
David E Mittman

JAAPA 2020 Jun;33(6):9-10

David E. Mittman is president and chair of the board of the American Academy of PAs. He welcomes comments and concerns on this or any other topic at The author has disclosed no other potential conflicts of interest, financial or otherwise.

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http://dx.doi.org/10.1097/01.JAA.0000662404.19404.aeDOI Listing

The Federal Trade Commission and Consumer Protections for Mobile Health Apps.

J Law Med Ethics 2020 Mar;48(1_suppl):103-114

Jennifer K. Wagner, J.D., Ph.D., is an Assistant Professor in the Center for Translational Bioethics & Health Care Policy and the Associate Director of Bioethics Research at Geisinger (Danville, PA) as well as a solo practicing attorney. She earned her J.D. at the University of North Carolina (Chapel Hill, NC) and her Ph.D. in Anthropology at the Pennsylvania State University (University Park, PA) before completing post-doctoral research at Duke University (Durham, NC) and the University of Pennsylvania (Philadelphia, PA) and serving as an AAAS Congressional Fellow in Washington, D.C. She has served as chair of the ASHG Social Issues Committee, co-chair of the AAPA Ethics Committee, and a member of the PBA Cybersecurity and Data Privacy Committee.

The Federal Trade Commission (FTC) has an important role to play in the governmental oversight of mobile health apps, ensuring consumer protections from unfair and deceptive trade practices and curtailing anti-competitive methods. The FTC's consumer protection structure and authority is outlined before reviewing the recent FTC enforcement activities taken on behalf of consumers and against developers of mhealth apps. The article concludes with identification of some challenges for the FTC and modest recommendations for strengthening the consumer protections it provides. Read More

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http://dx.doi.org/10.1177/1073110520917035DOI Listing

Inspiring the Future of Physician Assistant Ultrasound Education: Lessons Learned From the Inaugural Yes, iScan Event.

J Physician Assist Educ 2020 Mar;31(1):28-32

Patrick Bafuma, PA-C, is the lead physician assistant in the Department of Emergency Medicine at Columbia Memorial Hospital, Hudson, New York. Janelle Bludorn, MS, PA-C, is a clinical assistant professor at the University of North Carolina School of Medicine, Chapel Hill, North Carolina. Robert Baeten, DMSc, PA-C, is a clinical assistant professor at Mercer University College of Health Professions, Atlanta, Georgia. Fritz Fuller, MPHTH, PA-C, is an emergency medicine physician assistant at Emergency Services of New England, Chester, Vermont. Jonathan Monti DSc, PA-C, RDMS, is an associate professor, US Army/Baylor EMPA Residency Program at Madigan Army Medical Center, Tacoma, Washington. Francisco Norman, MPAS, PA-C, is director of emergency ultrasound for Emergency Medicine Specialists, Davenport, Florida.

Purpose: Point-of-care ultrasound (POCUS), despite its rapid integration into undergraduate medical education curriculum, remains underutilized among physician assistant (PA) programs, with a resultant training gap between PAs and their physician collaborators. Herein, we present the Yes, iScan Ultrasound event, piloted at the 2018 American Academy of PAs (AAPA) conference, as a means to generate PA student interest in, and introductory engagement with, the emerging clinical adjunct of POCUS.

Methods: Physician assistant students and instructors were recruited to voluntarily participate. Read More

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http://dx.doi.org/10.1097/JPA.0000000000000289DOI Listing

Direct Medicare payments for PAs.

Authors:
David E Mittman

JAAPA 2020 02;33(2):12

David E. Mittman is president and chair of the board of the American Academy of PAs. He welcomes comments and concerns on this or any other topic at The author has disclosed no other potential conflicts of interest, financial or otherwise.

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http://dx.doi.org/10.1097/01.JAA.0000651752.76987.16DOI Listing
February 2020

The chaos of hypertension guidelines for chronic kidney disease patients.

Clin Kidney J 2019 Dec 28;12(6):771-777. Epub 2019 Sep 28.

IIS-Fundacion Jimenez Diaz, School of Medicine, Universidad Autonoma de Madrid, Madrid, Spain.

Three major guidelines deal with blood pressure thresholds and targets for antihypertensive drug therapy in chronic kidney disease (CKD) patients: the 2012 Kidney Disease: Improving Global Outcomes Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease; the 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults; and the 2018 ESC/ESH Guidelines for the Management of Arterial Hypertension. However, a careful reading of the three guidelines leaves the practicing physician confused about the definition of CKD, how hypertension and secondary hypertension should be diagnosed in CKD patients and what the blood pressure thresholds, targets and compelling indications of antihypertensive drug therapy should be for this population. Current guidelines refer to different CKD populations and propose different definitions of hypertension, different thresholds to initiate antihypertensive therapy in CKD patients and different BP targets compelling antihypertensive drug use. Read More

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http://dx.doi.org/10.1093/ckj/sfz126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885687PMC
December 2019

PAs are a solution to the growing need for clinicians to treat an aging population.

JAAPA 2019 Dec;32(12):46-49

Benjamin J. Smith is director of didactic education and an assistant professor in the PA program at Florida State University in Tallahassee, Fla. He also serves on the audit committee of the American Academy of PAs (AAPA) and as a volunteer on AAPA's PA Research Team Initiative. Timothy C. McCall is associate director of surveys and analysis at AAPA in Alexandria, Va. Elaine M. Slaven is a data analyst experienced associate at Guidehouse in Washington D.C. Noël Smith is senior director of PA and industry research and analysis at AAPA. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Objective: To elucidate the types of patients cared for by physician assistants (PAs), specifically older adults and those with complex medical conditions.

Methods: A nationwide survey was sent to PAs asking about their practice demographics, including the complexity of their patients and the types of treatment they provide; 676 responded.

Results: Less than 2% of PAs specialize in geriatrics but 92. Read More

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http://dx.doi.org/10.1097/01.JAA.0000604864.79443.79DOI Listing
December 2019

Let's keep the momentum going for optimal team practice: Become a champion for PAs.

Authors:
David E Mittman

JAAPA 2019 09;32(9):12-13

David E. Mittman is president and chair of the board of the American Academy of PAs and is editor-in-chief of Clinician1, an online community for PAs and NPs. He welcomes comments and concerns around this or any other topic at The author has disclosed no other potential conflicts of interest, financial or otherwise.

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http://dx.doi.org/10.1097/01.JAA.0000578784.92545.82DOI Listing
September 2019

Spotlight from the American Society for Preventive Cardiology on Key Features of the 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guidelines on the Management of Blood Cholesterol.

Am J Cardiovasc Drugs 2020 Feb;20(1):1-9

Division of Cardiology, Johns Hopkins University, Baltimore, USA.

The 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol retains focus on recommendations for statin treatment in the original four statin-eligible groups [those with atherosclerotic cardiovascular disease (ASCVD), diabetes, low-density lipoprotein cholesterol (LDL-C) ≥ 190 mg/dL, and higher risk primary prevention] without the use of treatment initiation or target LDL-C levels from the earlier 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline, but has several new features. First, patients with primary prevention are divided into those who are at low (< 5%), borderline (5% to < 7.5%), intermediate (7. Read More

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http://dx.doi.org/10.1007/s40256-019-00358-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946888PMC
February 2020
3 Reads
2.203 Impact Factor

Did the ACC/AHA/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA cholesterol guidelines get apoB right?

J Clin Lipidol 2019 May - Jun;13(3):360-366

Division of Cardiology, Mike and Valeria Rosenbloom Centre for Cardiovascular Prevention, McGill University Health Centre, McGill University. Electronic address:

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http://dx.doi.org/10.1016/j.jacl.2019.05.010DOI Listing
March 2020
2 Reads

AAPA Statement on Race and Racism.

Am J Phys Anthropol 2019 07;169(3):400-402

Santa Clara University, Santa Clara, California, USA.

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http://dx.doi.org/10.1002/ajpa.23882DOI Listing
July 2019
10 Reads

Icosapent ethyl: Where will it fit into guideline-based medical therapy for high risk atherosclerotic cardiovascular disease?

Authors:
Carl E Orringer

Trends Cardiovasc Med 2020 Apr 4;30(3):151-157. Epub 2019 May 4.

University of Miami, Miller School of Medicine, Cardiovascular Diseases, Clinical Research Building, 1120 NW 14th Street, Suite 1111, Miami 33136, United States. Electronic address:

Patients who are at high or very high risk for atherosclerotic cardiovascular disease (ASCVD) events derive the greatest benefit when clinicians prescribe evidence-based preventive therapies. The writing process used in the creation of the 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol employed a thorough evaluation of the highest quality evidence, and synthesis of this evidence into actionable recommendations for ASCVD risk reduction. Clinical trials supporting the addition of ezetimibe, PCSK9 inhibitors, or both to evidence-based statins provide the basis for the updated recommendations for the preventive care of these patients. Read More

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http://dx.doi.org/10.1016/j.tcm.2019.04.009DOI Listing
April 2020
1 Read

Statins for Primary Prevention in Those Aged 70 Years and Older: A Critical Review of Recent Cholesterol Guidelines.

Drugs Aging 2019 08;36(8):687-699

New England Geriatric Research, Education, and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA, USA.

The risk of atherosclerotic cardiovascular disease rises with age and remains the leading cause of death in older adults. Evidence for the use of statins for primary prevention in older adults is limited, despite the possibility that this population may derive significant clinical benefit given its increased cardiovascular risk. Until publication of the 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA guideline on the Management of Blood Cholesterol, and the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease, guidelines for statin prescription in older adults remained unchanged despite new evidence of possible benefit in older adults. Read More

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http://dx.doi.org/10.1007/s40266-019-00673-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245614PMC
August 2019
2 Reads

How Much Do Lipid Guidelines Help the Clinician? Reading Between the (Guide)lines.

Authors:
Carl E Orringer

Methodist Debakey Cardiovasc J 2019 Jan-Mar;15(1):16-22

UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE, MIAMI, FLORIDA.

Although lipid guidelines provide updated, practical, and clinically relevant information that may be used in patient care, the continuing publication of new evidence and the inevitable treatment gaps present in all guidelines reinforce the importance of clinical judgment in shared decision making. This article explores the development of the 2013 American College of Cardiology/American Heart Association Blood Cholesterol Guidelines and the evidence base for managing patients with severe hypercholesterolemia, provides more recent high-quality evidence, and identifies existing treatment gaps that should be considered when caring for such patients. Although it was submitted prior to publication of the 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol, this review also includes key takeaway messages from the updated guideline. Read More

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http://dx.doi.org/10.14797/mdcj-15-1-16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489601PMC
June 2019
5 Reads

Effects of inhibiting antioxidant pathways on cellular hydrogen sulfide and polysulfide metabolism.

Free Radic Biol Med 2019 05 19;135:1-14. Epub 2019 Feb 19.

Indiana University School of Medicine - South Bend, South Bend, IN, 46617, USA.

Elaborate antioxidant pathways have evolved to minimize the threat of excessive reactive oxygen species (ROS) and to regulate ROS as signaling entities. ROS are chemically and functionally similar to reactive sulfur species (RSS) and both ROS and RSS have been shown to be metabolized by the antioxidant enzymes, superoxide dismutase and catalase. Here we use fluorophores to examine the effects of a variety of inhibitors of antioxidant pathways on metabolism of two important RSS, hydrogen sulfide (HS with AzMC) and polysulfides (HS, where n = 2-7, with SSP4) in HEK293 cells. Read More

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http://dx.doi.org/10.1016/j.freeradbiomed.2019.02.011DOI Listing
May 2019
22 Reads

Mental health first aid training: Removing the stigma and empowering recovery.

JAAPA 2019 Feb;32(2):1-2

Melodie J. Kolmetz is an assistant professor in the PA program at Rochester (N.Y.) Institute of Technology Rochester, N.Y. The author has disclosed no potential conflicts of interest, financial or otherwise. The fellowship program described was funded with philanthropic support from AAPA and Takeda Pharmaceuticals U.S.A., Inc.

The Mental Health First Aid course, from the National Council for Behavioral Health in partnership with the Missouri Department of Mental Health, is an 8-hour course that teaches participants how to identify, understand, and respond to signs of mental illnesses and substance use disorders. Sixteen PAs took the course and hope to build a PA network of MHFA trainers. Read More

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http://dx.doi.org/10.1097/01.JAA.0000552721.83241.d9DOI Listing
February 2019
2 Reads

Associations between professional development benefits and PA career satisfaction.

JAAPA 2019 Feb;32(2):36-40

Adam B. Wilson is an assistant professor and director of anatomy education in the Department of Cell and Molecular Medicine at Rush University in Chicago, Ill. Janet Furman is director of advanced practice provider education and competency and an assistant professor in the PA program at Rush University and practices at Rush University Walk-In Clinic. Jennifer M. Orozco is director of advanced practice providers and practices vascular surgery at Rush University Medical Center, and is an assistant professor in the PA program at Rush University. The authors disclose that the study was funded by a 2017 PA workforce grant from the American Academy of PAs. They have disclosed no other potential conflicts of interest, financial or otherwise.

Objective: This study investigated how professional development benefits offered by employers directly correlate to self-perceptions of leadership potential, committee involvement, and career satisfaction among physician assistants (PAs).

Methods: A retrospective analysis of the 2015 AAPA National Survey and 2016 AAPA Salary Survey explored the associations between the aforementioned variables. Bivariate correlations were used to evaluate the associations between variables. Read More

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http://dx.doi.org/10.1097/01.JAA.0000552725.50069.d4DOI Listing
February 2019
3 Reads

Systematic Review for the 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Circulation 2019 06 10;139(25):e1144-e1161. Epub 2018 Nov 10.

Background: The 2013 American College of Cardiology/American Heart Association guidelines for the treatment of blood cholesterol found little evidence to support the use of nonstatin lipid-modifying medications to reduce atherosclerotic cardiovascular disease (ASCVD) events. Since publication of these guidelines, multiple randomized controlled trials evaluating nonstatin lipid-modifying medications have been published.

Methods: We performed a systematic review to assess the magnitude of benefit and/or harm from additional lipid-modifying therapies compared with statins alone in individuals with known ASCVD or at high risk of ASCVD. Read More

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http://dx.doi.org/10.1161/CIR.0000000000000626DOI Listing
June 2019
8 Reads

2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Circulation 2019 06 10;139(25):e1082-e1143. Epub 2018 Nov 10.

ACC/AHA Representative. †AACVPR Representative. ‡ACC/AHA Task Force on Clinical Practice Guidelines Liaison. §Prevention Subcommittee Liaison. ‖PCNA Representative. ¶AAPA Representative. **AGS Representative. ††ADA Representative. ‡‡PM Representative. §§ACPM Representative. ‖‖NLA Representative. ¶¶APhA Representative. ***ASPC Representative. †††ABC Representative.

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http://dx.doi.org/10.1161/CIR.0000000000000625DOI Listing
June 2019
18 Reads
14.430 Impact Factor

2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Circulation 2019 06 10;139(25):e1046-e1081. Epub 2018 Nov 10.

ACC/AHA Representative. †AACVPR Representative. ‡ACC/AHA Task Force on Clinical Practice Guidelines Liaison. §Prevention Subcommittee Liaison. ‖PCNA Representative. ¶AAPA Representative. **AGS Representative. ††ADA Representative. ‡‡PM Representative. §§ACPM Representative. ‖‖NLA Representative. ¶¶APhA Representative. ***ASPC Representative. †††ABC Representative.

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http://dx.doi.org/10.1161/CIR.0000000000000624DOI Listing
June 2019
19 Reads
14.430 Impact Factor

FASTBAC-Seq: Functional Analysis of Toxin-Antitoxin Systems in Bacteria by Deep Sequencing.

Methods Enzymol 2018 25;612:67-100. Epub 2018 Sep 25.

ARNA Laboratory, INSERM U1212, CNRS UMR 5320, University of Bordeaux, Bordeaux, France. Electronic address:

As the number of bacterial genomes and transcriptomes increases, so does the number of newly identified toxin-antitoxin (TA) systems. However, their functional characterization remains challenging, often requiring the use of overexpression vectors that can lead to misinterpretations of in vivo results. To fill this gap, we developed a systematic approach called FASTBAC-Seq (Functional AnalysiS of Toxin-Antitoxin Systems in BACteria by Deep Sequencing). Read More

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http://dx.doi.org/10.1016/bs.mie.2018.08.033DOI Listing
July 2019
6 Reads

Systematic Review for the 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

J Am Coll Cardiol 2019 06 10;73(24):3210-3227. Epub 2018 Nov 10.

Background: The 2013 American College of Cardiology/American Heart Association guidelines for the treatment of blood cholesterol found little evidence to support the use of nonstatin lipid-modifying medications to reduce atherosclerotic cardiovascular disease (ASCVD) events. Since publication of these guidelines, multiple randomized controlled trials evaluating nonstatin lipid-modifying medications have been published.

Methods: We performed a systematic review to assess the magnitude of benefit and/or harm from additional lipid-modifying therapies compared with statins alone in individuals with known ASCVD or at high risk of ASCVD. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07351097183903
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http://dx.doi.org/10.1016/j.jacc.2018.11.004DOI Listing
June 2019
51 Reads

Characterization of Diarrheagenic Strains of Isolated From Cattle Raised in Three Regions of Mexico.

Front Microbiol 2018 11;9:2373. Epub 2018 Oct 11.

Peripheral Unit of Basic and Clinical Research in Infectious Diseases, Bacterial Pathogenicity Laboratory, Hemato Oncology and Research Unit, Department of Public Health/Research Division Medicine Faculty, Children's Hospital of Mexico Federico Gómez, National Autonomous University of Mexico, Mexico City, Mexico.

Intestinal infections represent an important public health concern worldwide. is one of the main bacterial agents involved in the pathogenesis of different diseases. In 2011, an outbreak of hemorrhagic colitis (HC) and hemolytic uremic syndrome (HUS) in Germany was related to a non-O157 STEC strain of O104:H4 serotype. Read More

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https://www.frontiersin.org/article/10.3389/fmicb.2018.02373
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http://dx.doi.org/10.3389/fmicb.2018.02373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193479PMC
October 2018
35 Reads

Systematic Review for the 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Circulation 2018 10;138(17):e595-e616

These members of the evidence review committee are listed alphabetically, and all participated equally in the process. †The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Objective To review the literature systematically and perform meta-analyses to address these questions: 1) Is there evidence that self-measured blood pressure (BP) without other augmentation is superior to office-based measurement of BP for achieving better BP control or for preventing adverse clinical outcomes that are related to elevated BP? 2) What is the optimal target for BP lowering during antihypertensive therapy in adults? 3) In adults with hypertension, how do various antihypertensive drug classes differ in their benefits and harms compared with each other as first-line therapy? Methods Electronic literature searches were performed by Doctor Evidence, a global medical evidence software and services company, across PubMed and EMBASE from 1966 to 2015 using key words and relevant subject headings for randomized controlled trials that met eligibility criteria defined for each question. We performed analyses using traditional frequentist statistical and Bayesian approaches, including random-effects Bayesian network meta-analyses. Results Our results suggest that: 1) There is a modest but significant improvement in systolic BP in randomized controlled trials of self-measured BP versus usual care at 6 but not 12 months, and for selected patients and their providers self-measured BP may be a helpful adjunct to routine office care. Read More

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http://dx.doi.org/10.1161/CIR.0000000000000601DOI Listing
October 2018
32 Reads

2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Circulation 2018 10;138(17):e426-e483

American Society for Preventive Cardiology Representative. †ACC/AHA Representative. ‡Lay Volunteer/Patient Representative. §Preventive Cardiovascular Nurses Association Representative. ‖American Academy of Physician Assistants Representative. ¶Task Force Liaison. #Association of Black Cardiologists Representative. **American Pharmacists Association Representative. ††ACC/AHA Prevention Subcommittee Liaison. ‡‡American College of Preventive Medicine Representative. §§American Society of Hypertension Representative. ‖‖Task Force on Performance Measures Liaison. ¶¶American Geriatrics Society Representative. ##National Medical Association Representative.

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https://www.ahajournals.org/doi/10.1161/CIR.0000000000000597
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http://dx.doi.org/10.1161/CIR.0000000000000597DOI Listing
October 2018
57 Reads

2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Circulation 2018 10;138(17):e484-e594

American Society for Preventive Cardiology Representative. †ACC/AHA Representative. ‡Lay Volunteer/Patient Representative. §Preventive Cardiovascular Nurses Association Representative. ‖American Academy of Physician Assistants Representative. ¶Task Force Liaison. #Association of Black Cardiologists Representative. **American Pharmacists Association Representative. ††ACC/AHA Prevention Subcommittee Liaison. ‡‡American College of Preventive Medicine Representative. §§American Society of Hypertension Representative. ‖‖Task Force on Performance Measures Liaison. ¶¶American Geriatrics Society Representative. ##National Medical Association Representative.

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http://dx.doi.org/10.1161/CIR.0000000000000596DOI Listing
October 2018
39 Reads

Burnout, job satisfaction, and stress levels of PAs.

JAAPA 2018 Sep;31(9):42-46

Bettie Coplan is a clinical associate professor in the PA program at Northern Arizona University and an adjunct faculty member in the College of Health Solutions at Arizona State University, both in Phoenix, Ariz. Timothy C. McCall is research manager for the American Academy of PAs (AAPA) in Alexandria, Va., and director of health sciences undergraduate courses at George Washington University in Washington, D.C. Noël Smith is senior director of PA and industry research and analysis at AAPA. Vivienne L. Gellert is a student in the School for the Science of Health Care Delivery at Arizona State University. Alison C. Essary is director of strategic academic initiatives in the College of Health Solutions, interim director and a clinical professor in the School for the Science of Health Care Delivery, and a faculty member in the honors college at Arizona State University. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Objective: The main goal of this study was to assess burnout, job satisfaction, and stress to gain insight into the work lives of female and male PAs.

Methods: Data were obtained from the 2016 American Academy of PAs salary survey. Descriptive statistics were used to assess questions related to burnout, happiness, and stress and to compare responses by sex. Read More

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http://dx.doi.org/10.1097/01.JAA.0000544305.38577.84DOI Listing
September 2018
5 Reads

Physician assistants in urgent care.

JAAPA 2018 Aug;31(8):40-44

In the PA program at George Washington University in Washington, D.C., Tamara S. Ritsema is an assistant professor and James F. Cawley is a professor of prevention and community health. Noël Smith is a senior director at the American Academy of PAs in Alexandria, Va. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Objective: To describe the characteristics of physician assistants (PAs) who practice urgent care.

Methods: Data from national surveys conducted by the American Academy of PAs (AAPA) between 1998 and 2016 were analyzed, comparing PAs who practice in urgent care, emergency medicine, and all other specialties.

Results: The percentage of PAs who work in an urgent care setting has nearly doubled in the last 10 years. Read More

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http://dx.doi.org/10.1097/01.JAA.0000541483.62234.b1DOI Listing
August 2018
4 Reads

An ungrouped cuticular protein is essential for normal endocuticle formation in the brown planthopper.

Insect Biochem Mol Biol 2018 09 7;100:1-9. Epub 2018 Jun 7.

State Key Laboratory of Rice Biology and Ministry of Agriculture Key Laboratory of Agricultural Entomology, Institute of Insect Science, Zhejiang University, Hangzhou, 310058, China. Electronic address:

Using transcriptome analysis of tissues of the brown planthopper (BPH), Nilaparvata lugens, we identified a gene tentatively designated NlCP21.92 that was expressed at high levels in the integument. Spatiotemporal expression profiling with quantitative PCR and Western blotting verified its integument-specific expression and showed periodic expression during molting. Read More

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http://dx.doi.org/10.1016/j.ibmb.2018.06.001DOI Listing
September 2018
6 Reads

Effects of the adipokinetic hormone/red pigment-concentrating hormone (AKH/RPCH) family of peptides on MK-801-induced schizophrenia models.

Fundam Clin Pharmacol 2018 Dec 27;32(6):589-602. Epub 2018 Jun 27.

National Institute of Mental Health, Topolova 748, Klecany, 250 67, Czech Republic.

The adipokinetic and red pigment-concentrating hormone (AKH/RPCH) family of peptides controls fat, carbohydrate, and protein metabolism in insects. In our previous study, we showed that AKH possesses antidepressant, anxiolytic, and analgesic effects, causes hyperlocomotion, and exerts neuroprotective effects and increased brain neurotrophic factors in mice. The aim of this study was to investigate the effects of Anax imperator AKH (Ani-AKH), Libellula auripennis AKH (Lia-AKH), and Phormia-Terra hypertrehalosemic hormone (Pht-HrTH) on MK-801-induced memory deterioration in the active allothetic place avoidance test (AAPA) and MK-801-induced sensorimotor gating deficit in the prepulse inhibition test (PPI). Read More

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http://dx.doi.org/10.1111/fcp.12386DOI Listing
December 2018
15 Reads

Response to Letter to editor "2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults".

Authors:
Paul Muntner

J Am Soc Hypertens 2018 03 3;12(3):239. Epub 2018 Feb 3.

Professor and Vice Chair, Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

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http://dx.doi.org/10.1016/j.jash.2018.01.011DOI Listing
March 2018
6 Reads

Participation, representation, and shared experiences of women scholars in biological anthropology.

Am J Phys Anthropol 2018 01;165 Suppl 65:126-157

Department of Basic Science, Touro University, Vallejo, California.

American Association of Physical Anthropologists (AAPA) membership surveys from 1996 and 1998 revealed significant gender disparities in academic status. A 2014 follow-up survey showed that gender equality had improved, particularly with respect to the number of women in tenure-stream positions. However, although women comprised 70% of AAPA membership at that time, the percentage of women full professors remained low. Read More

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http://dx.doi.org/10.1002/ajpa.23386DOI Listing
January 2018
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Race and diversity in U.S. Biological Anthropology: A decade of AAPA initiatives.

Am J Phys Anthropol 2018 01;165 Suppl 65:158-180

Department of Anthropology, Notre Dame.

Biological Anthropology studies the variation and evolution of living humans, non-human primates, and extinct ancestors and for this reason the field should be in an ideal position to attract scientists from a variety of backgrounds who have different views and experiences. However, the origin and history of the discipline, anecdotal observations, self-reports, and recent surveys suggest the field has significant barriers to attracting scholars of color. For a variety of reasons, including quantitative research that demonstrates that diverse groups do better science, the discipline should strive to achieve a more diverse composition. Read More

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http://dx.doi.org/10.1002/ajpa.23382DOI Listing
January 2018
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Systematic Review for the 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

J Am Coll Cardiol 2018 05 13;71(19):2176-2198. Epub 2017 Nov 13.

Objective: To review the literature systematically and perform meta-analyses to address these questions: 1) Is there evidence that self-measured blood pressure (BP) without other augmentation is superior to office-based measurement of BP for achieving better BP control or for preventing adverse clinical outcomes that are related to elevated BP? 2) What is the optimal target for BP lowering during antihypertensive therapy in adults? 3) In adults with hypertension, how do various antihypertensive drug classes differ in their benefits and harms compared with each other as first-line therapy?

Methods: Electronic literature searches were performed by Doctor Evidence, a global medical evidence software and services company, across PubMed and EMBASE from 1966 to 2015 using key words and relevant subject headings for randomized controlled trials that met eligibility criteria defined for each question. We performed analyses using traditional frequentist statistical and Bayesian approaches, including random-effects Bayesian network meta-analyses.

Results: Our results suggest that: 1) There is a modest but significant improvement in systolic BP in randomized controlled trials of self-measured BP versus usual care at 6 but not 12 months, and for selected patients and their providers self-measured BP may be a helpful adjunct to routine office care. Read More

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http://dx.doi.org/10.1016/j.jacc.2017.11.004DOI Listing
May 2018
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Systematic Review for the 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Hypertension 2018 06 13;71(6):e116-e135. Epub 2017 Nov 13.

Objective: To review the literature systematically and perform meta-analyses to address these questions: 1) Is there evidence that self-measured blood pressure (BP) without other augmentation is superior to office-based measurement of BP for achieving better BP control or for preventing adverse clinical outcomes that are related to elevated BP? 2) What is the optimal target for BP lowering during antihypertensive therapy in adults? 3) In adults with hypertension, how do various antihypertensive drug classes differ in their benefits and harms compared with each other as first-line therapy?

Methods: Electronic literature searches were performed by Doctor Evidence, a global medical evidence software and services company, across PubMed and EMBASE from 1966 to 2015 using key words and relevant subject headings for randomized controlled trials that met eligibility criteria defined for each question. We performed analyses using traditional frequentist statistical and Bayesian approaches, including random-effects Bayesian network meta-analyses.

Results: Our results suggest that: 1) There is a modest but significant improvement in systolic BP in randomized controlled trials of self-measured BP versus usual care at 6 but not 12 months, and for selected patients and their providers self-measured BP may be a helpful adjunct to routine office care. Read More

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http://dx.doi.org/10.1161/HYP.0000000000000067DOI Listing
June 2018
59 Reads