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Journal of the American Association of Nurse Practitioners最新文献

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Standardizing mammogram screening in primary care: Integrating an evidence-based approach. 标准化乳房x光检查在初级保健:整合循证方法。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-09-01 DOI: 10.1097/JXX.0000000000000651
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引用次数: 0
How accurate are your citations? 你的引用有多准确?
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-09-01 DOI: 10.1097/JXX.0000000000000645
Rodney W Hicks
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引用次数: 1
In Memorium. 在记忆中。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-09-01 DOI: 10.1002/2327-6924.12441
C. Pierson
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引用次数: 0
Mitochondrial DNA: Unraveling the "other" genome. 线粒体DNA:解开“其他”基因组。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-09-01 DOI: 10.1097/JXX.0000000000000646
Beth Heuer

Abstract: The mitochondrial genome, which contains all of the hereditary information within human mitochondria, consists of 16,569 base pairs of double-stranded DNA that encode 37 genes. Pathogenic mutations of mitochondrial DNA (mtDNA) cause dysfunction of the respiratory chain and the process of oxidative phosphorylation (OXPHOS), leading to impaired adenosine triphosphate synthesis. Nuclear DNA (nDNA) mutations can affect structural subunits or assembly factors of one of the five OXPHOS complexes. Mitochondrial diseases are a heterogeneous group of disorders, ranging from mtDNA single-point mutations and large-scale deletions to mitochondrial depletion syndromes, resulting from nDNA pathogenic mutations. Manifestations of mitochondrial disease are multisystemic, and organs with substantial energy requirements are most typically affected. Mitochondrial disorders are progressive in nature, and prognosis is dependent on the organs involved and the rate and severity of disease progression. A multidisciplinary team approach is needed to monitor and manage disease sequelae.

摘要:线粒体基因组由16569个碱基对的双链DNA组成,编码37个基因,包含了人类线粒体的全部遗传信息。线粒体DNA (mtDNA)的致病性突变引起呼吸链和氧化磷酸化(OXPHOS)过程的功能障碍,导致三磷酸腺苷合成受损。核DNA (nDNA)突变可以影响五种OXPHOS复合物之一的结构亚基或组装因子。线粒体疾病是一组异质性疾病,从线粒体dna单点突变和大规模缺失到线粒体耗损综合征,由线粒体dna致病性突变引起。线粒体疾病的表现是多系统的,有大量能量需求的器官最典型地受到影响。线粒体疾病本质上是进行性的,预后取决于所涉及的器官以及疾病进展的速度和严重程度。需要多学科团队的方法来监测和管理疾病的后遗症。
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引用次数: 2
Community outreach for immigrant adults with diabetes and chronic kidney disease. 为患有糖尿病和慢性肾病的成年移民提供社区外展服务。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-09-01 DOI: 10.1097/JXX.0000000000000650
Debra Hain

Abstract: There is a critical need to discover health-promoting strategies to address a growing Hispanic immigrant adult population with diabetes who are at risk or have chronic kidney disease. Fellows are uniquely positioned to lead research efforts focused on community outreach to recruit this population to a kidney health clinic. Innovative models of care are important to provide care to a population who may not seek medical attention. The author collaborated with a registered renal dietician to develop a kidney health clinic. Funding from the American Nephrology Nurses Association enabled a feasibility study to recruit patients and test the effects of a model of care on patient related and health care system outcomes.

摘要:目前迫切需要发现健康促进策略,以解决日益增长的西班牙裔成年糖尿病患者或患有慢性肾脏疾病的风险。研究员具有独特的地位,可以领导研究工作,重点关注社区外展,以招募这些人群到肾脏健康诊所。创新的护理模式对于向可能不寻求医疗照顾的人群提供护理非常重要。作者与一位注册肾脏营养师合作开办了一家肾脏健康诊所。来自美国肾病护士协会的资金支持了一项可行性研究,以招募患者并测试一种护理模式对患者相关和医疗保健系统结果的影响。
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引用次数: 0
Facilitators, barriers, benefits, and funding to implement postgraduate nurse practitioner residency/fellowship programs. 实施研究生护士实习/奖学金计划的促进因素、障碍、好处和资金。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-07-28 DOI: 10.1097/JXX.0000000000000641
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引用次数: 0
Optimizing your chances for successful publication in JAANP. 优化在JAANP中成功发表的机会。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-07-28 DOI: 10.1097/JXX.0000000000000640
Kim Curry
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引用次数: 0
Understanding the genetics of chronic obstructive pulmonary disease, α1-antitrypsin deficiency, and implications for clinical practice. 了解慢性阻塞性肺疾病、α - 1抗胰蛋白酶缺乏的遗传学及其对临床实践的影响。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-07-28 DOI: 10.1097/JXX.0000000000000627
Jennifer R Mammen, Jung Eun Lee

Abstract: Cigarette smoking and poor air quality are the greatest risk factors for developing chronic obstructive pulmonary disease (COPD), but growing evidence indicates that genetic factors also affect predisposition to and clinical expression of disease. With the exception of α1-antitrypsin deficiency (AATD), a rare autosomal recessive disorder that is present in 1-3% of individuals with COPD, no single gene is associated with the development of obstructive lung disease. Instead, a complex interplay of genetic, epigenetic, and environmental factors is the basis for persistent inflammatory responses, accelerated cell aging, cell death, and fibrosis, leading to the clinical symptoms of COPD and different phenotypic presentations. In this brief review, we discuss current understanding of the genetics of COPD, pathogenetics of AATD, epigenetic influences on the development of obstructive lung disease, and how classifying COPD by phenotype can influence clinical treatment and patient outcomes.

吸烟和空气质量差是慢性阻塞性肺疾病(COPD)的最大危险因素,但越来越多的证据表明遗传因素也影响疾病的易感性和临床表现。α - 1抗胰蛋白酶缺乏症(AATD)是一种罕见的常染色体隐性遗传病,存在于1-3%的COPD患者中,除α - 1抗胰蛋白酶缺乏症(AATD)外,没有单一基因与阻塞性肺疾病的发生相关。相反,遗传、表观遗传和环境因素的复杂相互作用是持续炎症反应、加速细胞衰老、细胞死亡和纤维化的基础,导致COPD的临床症状和不同的表型表现。在这篇简短的综述中,我们讨论了目前对慢阻肺的遗传学、AATD的病理遗传学、表观遗传学对阻塞性肺疾病发展的影响,以及按表型分类慢阻肺如何影响临床治疗和患者预后。
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引用次数: 2
Recognizing asthma in patients with chronic obstructive pulmonary disease. 认识慢性阻塞性肺疾病患者的哮喘。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-07-01 DOI: 10.1097/JXX.0000000000000633
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引用次数: 1
Remembering, and writing about, our history. 记住并书写我们的历史。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2021-06-30 DOI: 10.1097/JXX.0000000000000634
Kim Curry
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引用次数: 0
期刊
Journal of the American Association of Nurse Practitioners
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