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Is the impact of the refugee crisis more detrimental to women and children? A case study of Ukraine women in Poland
Get PDFThe conflict between Ukraine and Russia has made the European refugee dilemma, even more challenging. Many individuals specifically women and children have been displaced as a result of the conflict between these two nations. Because of the conflict many Ukrainians seek safety and stability in nearby nations like Poland. But this surge of Ukrainian migrants, has also brought forward several difficulties
Barriers to Access for Total Joint Arthroplasty: How Strict Weight-Based Eligibility Criteria May Further Exacerbate Racial and Socioeconomic Disparities in the U.S. Healthcare System
No full textEach year over a million hip and knee arthroplasty surgeries are performed in the United States. Total joint arthroplasty is a highly cost-effective intervention and can reduce overall health care spending associated with the continued care of chronic conditions such as osteoarthritis and associated disability over time. By investing in preventative measures, the long-term savings can contribute to overall lowered cost burden on the healthcare system. Total joint arthroplasty has the potential to drastically improve the overall quality of life of patients. Patients who receive total joint arthroplasty often have restored mobility and regain the ability to enjoy a more mobile lifestyle with reduced pain. With the number of lower extremity total joint replacement surgeries being performed each year, it is increasingly important to evaluate potential barriers to access patients may face. Inflexible eligibility criteria are a barrier to total joint arthroplasty access and has several long-term consequences. Restricted access to total joint arthroplasty also has the potential to exacerbate existing racial and socioeconomic healthcare disparities. Current guidelines have not adapted to account for changes within the demographic features of the current United States population. Obesity is an epidemic in the United States and eligibility criteria for surgical candidates for total joint arthroplasty has not altered guidelines to accommodate for this increasing prevalence of obesity in the general population. It is important to acknowledge the ways in which the healthcare system may be failing to help some individuals access care and the ways in which providers who function within this system can help combat these barriers
Non-invasive techniques for minimizing pain with needle puncture
Get PDFIn healthcare settings with heavy workload and limited intervention time, pain management is still vital for PAs to consider. This CME discussed easy to use, commonly found, non-invasive, rapid, inexpensive, and minimal side effect methods to alleviate this induced pain, including: topical local anesthetics, cryoanesthesia, mechanical vibrations, ShotBlocker, and Buzzy. As PAs play a vital role in providing healthcare, it is essential to provide various methods that are adaptable to each unique clinical context, increase patient satisfaction, and improve the quality of care they provide
Cannabinoid Hyperemesis Syndrome in the Emergency Department
No full textAlthough cannabinoid hyperemesis syndrome (CHS) has been studied for almost twenty years, it is a poorly understood and under-recognized condition. With cannabis legalization and use skyrocketing, many more people are likely to suffer from this affliction. Emergency department physician assistants having a better understanding of how to recognize, diagnose, and treat CHS patients on their first presentation will save patients from a long, frustrating road to diagnosis, and will save millions of dollars in unnecessary healthcare costs
Considerations in Treating Chronic Shoulder Pathology
No full textShoulder pathologies consist of a wide variety of conditions which often cause pain and debilitation. The most common chronic shoulder pathologies include rotator cuff pathology, adhesive capsulitis, and osteoarthritis. These occur in a large percentage of the population and can affect people of any age, gender, activity level, and with any degree of comorbidities. This article offers a concise comparison of these disorders with decision making tools regarding treatment options based on recent literature. Evidence based practice is employed in order to compare some of the older, more commonly used treatments with newer options for providing treatment to patients with shoulder pathologies
The Role of Nutrition in Children with ADHD
No full textThe prevalence of Attention Deficit Hyperactivity Disorder grows each year along with the use of stimulants as pharmaceutical treatment. Meanwhile, the consumption of sugar heavy meals and processed foods skyrocket across the nation. This paper hopes to explore a possible link between one of the most commonly diagnosed childhood psychiatric disorders and the nutritional deficiencies the new generation faces
Radical Prostatectomy vs. Radiation Therapy in the Treatment of Prostate Cancer
No full textProstate cancer is the most common malignant neoplasm affecting men worldwide, and its prevalence has been steadily increasing due to more regular and advanced screening methods. Currently the two most effective and commonly used treatment modalities are radiation therapy and radical prostatectomy. With an estimated 1 in 7 men receiving a prostate cancer diagnosis in their lifetimes, it is incredibly important for providers to understand the benefits and risks of each modality, as well as their efficacy in relation to one another. Many patients and providers will naturally feel that radical prostatectomy provides better assurances of cure as the goal of the procedure is to remove the entire prostate, as opposed to radiating only neoplastic tissue. While this decision is sometimes driven by the “Get the cancer out of me” mentality, it is crucial to separate pathos and logos when evaluating the most efficacious and risk-appropriate course for treating this disease. This presentation evaluates up-to-date research on disease recurrence rates following radiation therapy and radical prostatectomy, as well as adverse effect rates associated with these modalities to enhance the current understanding of the most appropriate option for prostate cancer patients
Diagnosis and Management of Cyclic Vomiting Syndrome
No full textCyclic vomiting syndrome (CVS) is a chronic and debilitating condition that can be encountered in a multitude of clinical settings. It is classified as a functional gastrointestinal disorder and is often misdiagnosed. Proper identification and management of this condition are crucial to patient care and quality of life. This article reviews the hypothesized etiologies, clinical presentation, and diagnosis of CVS as well as recommendations for management in a variety of settings. As an understudied and underdiagnosed condition, it is important that clinicians have a basic understanding of this disorder
Management of Opioid Use Disorder in Primary Care
No full textThe prevalence of opioid use disorder (OUD) in the United States has drastically increased since the COVID-19 pandemic. Overdose deaths involving opioids increased by more than 50% from the year 2019 to 20211. OUD is considered chronic condition and as is the case with many other chronic conditions, can be treated and requires lifetime care. This makes OUD patients excellent candidates to be managed by primary care providers (PCPs)
The Role of Stigma in the Barriers to Mental Health Treatment in the Arab Culture.
Get PDFMental illness is a complex issue that affects individuals worldwide, including those in Arab culture. Unfortunately, mental illness stigma often prevents individuals from seeking help, leading to negative consequences. However, several approaches can be implemented to decrease the stigma of mental illness among Arabs. The stigma of mental illness in the Arab region is a persistent issue. This stigma can and often leads to barriers to treatment for individuals seeking treatment. The research found in this literature review supports the existence of multiple stigma related barriers of families, religion, and acculturation, that can make it particularly difficult for Arab individuals to seek help. The stigma associated with mental illness by the culture can be a major determiner of this being a leading cause in their region. This literature review found that mental health care providers, religious leaders, and the media, can spread awareness and education to reduce the stigma of mental illness among Arabs