Уважаемые коллеги, доброго времени суток! Мы начинаем обзор изданий в области Младших медицинских работников. Сегодня хотим представить вашему вниманию американское научное издание JAAPA : official journal of the American Academy of Physician Assistants. Журнал имеет первый квартиль, издаётся в Lippincott Williams and Wilkins Ltd., его SJR за 2022 г. равен 0,225, импакт-фактор 1,347, печатный ISSN - 1547-1896, электронный - 0893-7400, предметные области - Младшие медсёстры, Медицина (общие вопросы). Вот так выглядит обложка:
Редактором является Ричард Ден, контактные данные - richard.dehn@nau.edu.
Это рецензируемый клинический журнал Американской академии ассистентов врачей (AAPA). Издаваемый более 25 лет, он призван поддерживать непрерывное образование и повышение квалификации ассистентов врачей (PAS) путем публикации актуальной информации и исследований по клиническим вопросам, политике здравоохранения и профессиональным вопросам. Публикуемая ежемесячно, отмеченная наградами редакционная комиссия в Японии включает в себя:
- Обзорные статьи о клинических испытаниях (с одобренной APA категорией I CME в каждом номере);
- Отчеты о случаях;
- Клинические отделения;
- Оригинальные исследования служб здравоохранения;
- Статьи по вопросам, представляющим профессиональный интерес для PAS.
Адрес издания - https://journals.lww.com/jaapa/pages/default.aspx
Пример статьи, название - Cognitive behavioral therapy for patients suffering with tinnitus distress. Заголовок (Abstract) - Of the 21% of the US population with tinnitus, between 3% and 6% develop tinnitus distress, a sudden, traumatic, and severe emotional response to tinnitus. Cognitive behavioral therapy (CBT) is the most effective therapy for reducing the initial and secondary emotional stresses caused by tinnitus distress. The skills taught in CBT lead to habituation and desensitization, providing relief for the patient. This article describes tinnitus distress, CBT, and resources that clinicians can use immediately in their practices. A 41-year-old woman presented to an otolaryngology practice and proclaimed, “I can't take it anymore! This constant ringing won't stop. I haven't had a full night's sleep in years. I can't concentrate. It's all I ever think about. I feel like I'm going crazy! If you don't do something to take it away, I am to the point of ending it all!”
When providing her history, she stated that when she was a teen, her father would take her to the shooting range, and they would only wear the “bright orange foam plugs” for hearing protection. In her 20s, she attended many rock concerts and liked sitting up front near the speakers. About this time, she was diagnosed with social anxiety disorder, experienced panic attacks, and was prescribed venlafaxine. Her constant bilateral tinnitus started in her mid-30s and was tolerable for several years. Over a year ago, her tinnitus changed in pitch and loudness and became all-consuming for her, affecting her ability to focus, relax, and sleep.
Her physical examination was unremarkable. She takes 150 mg of extended-release venlafaxine once per day. An audiogram was performed in the office and showed a mild high-frequency sensorineural hearing loss (SNHL), notched at 4 kHz bilaterally, indicative of hearing damage from excessive noise exposure. Because tinnitus and tinnitus distress have no cure, what is the best way to manage this patient?
Keywords: tinnitus distress; hyperacusis; phonophobia; misophonia; cognitive behavioral therapy; habituation