Kansas Journal of Medicine最新文献_第5页

Illicit Non-Pharmaceutical Fentanyl and Its Analogs: A Short Review of Literature. 非法非药物芬太尼及其类似物:文献综述。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.18555

Vivek Velagapudi, Roopa Sethi

引用次数: 2

Civil Commitment Law with a Focus on Hospitalized Patients History and Practice in Kansas: Part I and Part II. 民事承诺法与重点住院病人的历史和实践在堪萨斯州:第一部分和第二部分。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.18707

David D Masolak, Pamela Parker, Jana Lincoln

引用次数: 0

Should Infants with Blunt Traumatic Brain Injuries and Intracranial Hemorrhage Have Routine Repeat Imaging? 婴儿钝性外伤性脑损伤并颅内出血是否应常规重复影像学检查?

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19209

E Patricia Engel, Bradon Bitter, Jared Reyes, Raymond Grundmeyer, Stephen D Helmer, James M Haan

{"title":"Should Infants with Blunt Traumatic Brain Injuries and Intracranial Hemorrhage Have Routine Repeat Imaging?","authors":"E Patricia Engel, Bradon Bitter, Jared Reyes, Raymond Grundmeyer, Stephen D Helmer, James M Haan","doi":"10.17161/kjm.vol16.19209","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19209","url":null,"abstract":"Introduction: The practice of repeat head CT imaging in infants as a distinct population is poorly studied. The purpose of this study was to evaluate the incidence and utility of repeat head CT in the infant population.Methods: A 10-year retrospective review was conducted of infants with blunt traumatic head injuries (N = 50) that presented to a trauma center. Information from the hospital trauma registry and patient medical records were extracted regarding the size and type of injury, number and results of computed tomography (CT) imaging, changes in neurological exams, and any interventions that were required.Results: Most patients (68%) had at least one repeat CT, with 26% showing progression of hemorrhage. Decreased Glasgow Coma Scale was associated with having repeat CT scans. Nearly one in four infants had a change in management associated with repeat imaging. Repeat CT scans resulted in operative interventions in 11.8% of cases and longer intensive care unit (ICU) stays in 8.8% of cases. Repeat CT scans were associated with increased hospital length of stay, but not with increased ventilator days, ICU length of stay, or mortality. Worsening bleeds were associated with mortality, but not with other hospital outcomes.Conclusions: Changes in management following repeat CT appeared to be more common in this population than in older children or adults. Findings from this study supported repeat CT imaging in infants, however, further research is needed to validate results of this study.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"117-120"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/97/16-117.PMC10241199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9963435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Risk of Occupational HPV Exposure Among Medical Trainees: A Call for HPV Vaccination. 职业HPV暴露在医学培训生中的风险:呼吁接种HPV疫苗。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19567

William M Webb, Andrea E Covey

{"title":"Risk of Occupational HPV Exposure Among Medical Trainees: A Call for HPV Vaccination.","authors":"William M Webb, Andrea E Covey","doi":"10.17161/kjm.vol16.19567","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19567","url":null,"abstract":"The global COVID-19 pandemic has brought new scrutiny to aero-sol-generating medical procedures (AGMPs) and the risk that they pose to healthcare workers, namely through the transmission of aerosolized viral particles and viral DNA. As a result, there is now widespread knowl-edge of the risks posed by the SARS-CoV-2 virus and the measures that protect against it, including personal protective equipment and vaccination. However, healthcare workers regularly encounter another virus that is known to be highly contagious in multiple contexts and leads to significant morbidity and mortality. This is the human papillomavirus (HPV), which accounts for up to 79% of all oropharyngeal cancers in the U.S. and is a known cause of respiratory conditions such as recurrent laryngeal papillomatosis. 1-2 While studies into the respiratory transmission of HPV mainly have examined the risk posed by exposure to and inhalation of surgical smoke during procedures such as loop electrosurgical excision pro-cedure and CO2-laser ablation, 3 many non-surgical AGMPs, such as mechanical ventilation and even endotracheal suctioning, have been shown to result in the airborne transmission of other virus-contain-ing aerosols. 4 Although more research is needed to determine the risk of HPV transmission specifically in procedures that are common to general and critical care medicine, the list of known AGMPs includes sputum induction, nebulized or aerosol therapy, high-flow oxygen therapy, non-invasive and manual ventilation, endotracheal intuba-tion and","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"143"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/6a/16-143.PMC10241205.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9963433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dietary Habits of Children 0 - 23 Months in Rural Kansas: Early Life Diets of Rural Children. 堪萨斯州农村0 - 23个月儿童的饮食习惯:农村儿童的早期饮食。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.17945

MacKenzie G Gwinner, Arika L Marchetti, Lynn Chollet-Hinton, Lynn R Fisher

{"title":"Dietary Habits of Children 0 - 23 Months in Rural Kansas: Early Life Diets of Rural Children.","authors":"MacKenzie G Gwinner, Arika L Marchetti, Lynn Chollet-Hinton, Lynn R Fisher","doi":"10.17161/kjm.vol16.17945","DOIUrl":"https://doi.org/10.17161/kjm.vol16.17945","url":null,"abstract":"Introduction: Children in rural areas face increased rates of obesity compared to their urban counterparts, and diet in early childhood may influence the development of diseases related to food intake. This study sought to determine current diet of children 0-23 months of age in rural Kansas.Methods: Medical students participating in 6-week, summer, rural clinical experiences offered the survey to caregivers of children 0-23 months, born at term as singletons without a specialized diet. The survey asked respondents to answer with the child's diet over the last seven days. The survey was in the style of a validated Food Frequency Questionnaire for infants with an image for estimating portion sizes. Diets were compared to guidelines set by the Dietary Guidelines for Americans, 2020-2025.Results: Of 44 responses, 21 children were aged 0-5 months, 7 aged 6-11 months, and 16 aged 12-23 months. Breastfeeding rates were nearly double reported national averages. All children aged 0-5 months met guidelines. None of the children 6-11 months or 12-23 months met guidelines. In the 6-11 month group, four consumed food in addition to breastmilk or formula (complementary foods). In the 12-23 month group, protein and dairy foods were lower than, and whole grains and vegetables were higher than, reported national averages, respectively.Conclusions: Children may fall short of meeting dietary recommendations due to foods consumed in addition to breastmilk. There is a need for improved survey methods to capture the diets of young children in the rural United States.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/37/16-5.PMC9872500.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ischemic Hepatitis and Acute Kidney Injury Following Cardioversion. 心律转复后缺血性肝炎和急性肾损伤。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19636

Chelsea Wuthnow, Aastha Bharwad, Syed Kamran, Mona Brake, Kyle Rowe

引用次数: 0

Navigating Personal Health Crises, Imposter Syndrome, Sexual Harassment, Clinical Mistakes, and Leadership Challenges: Lessons for Work-Life Wellness in Academic Medicine: Part 3 of 3. 应对个人健康危机、冒名顶替综合症、性骚扰、临床错误和领导力挑战:学术医学中工作与生活健康的教训(三集之三)

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19954

Paul Barach, Rami Ahmed, Gaurava Agarwal, Kristine Olson, Julie Welch, Kimberly Chernoby, Christine L Hein, Tanya Anand, Bellal Joseph, Donald L Rosenstein, Sylk Sotto-Santiago, Jane Hartsock, Emily Holmes, Kristen Schroeder, Jennifer L Hartwell

引用次数: 1

Adrenocortical Carcinoma as an Atypical Cause of Secondary Hypertension. 肾上腺皮质癌是继发性高血压的不典型病因。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19113

Joy Ogundare, Mark Meyer, Mazin Al-Kasspooles

引用次数: 0

Addressing Burnout Among Women Residents: Results from Focus Group Discussions. 解决女性住院医师的职业倦怠:焦点小组讨论的结果。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.18364

Jeff Norvell, Greg Unruh, Timothy Norvell, Kimberly J Templeton

{"title":"Addressing Burnout Among Women Residents: Results from Focus Group Discussions.","authors":"Jeff Norvell, Greg Unruh, Timothy Norvell, Kimberly J Templeton","doi":"10.17161/kjm.vol16.18364","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18364","url":null,"abstract":"Introduction: Physician burnout has been described as more common among women than men. Even if there are no gender-based differences in prevalence, risk factors, such as work/home integration/conflict and gendered biases, likely differ. Prior administrations of an annual resident wellness survey at a single urban academic institution confirmed that rates of burnout were higher among women, especially during the PGY-2 year.Methods: A series of focus groups of PGY-3 women residents across specialties were organized in 2019 at a single urban academic medical center. Given the number of participants, demographics were not collected to maintain participant anonymity. The moderator for all groups used a discussion guide consisting of eight open-ended questions based on a review of the literature.Results: Ten residents agreed to participate in one of four hour-long focus group discussions. While the residents identified some factors that were not gender-specific, they also discussed issues that they faced as women in medicine, including needing to work harder to prove themselves and unconscious gendered biases from faculty and patients. The residents thought that their well-being would be improved if their training programs better understood the experiences and needs of women residents and recommended a series of interventions, including improved mentoring and networking opportunities.Conclusions: Interventions to improve well-being need to consider gender-based differences. While mentoring and networking can help all residents, these may be especially useful for women and should be considered as a component of an overarching plan to improve diversity, equity, inclusion, and belonging.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/60/16-83.PMC10136605.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9393691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Smoking on Outcomes of Thyroid Eye Disease Treated with Teprotumumab: A Retrospective Cohort Study. 吸烟对Teprotumumab治疗甲状腺眼病预后的影响:一项回顾性队列研究

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.18940

Jordan Miller O'Dell, Caroline C Mussatto, Rachel L Chu, Mohammed Q Al-Sabbagh, Peter J Timoney, Jason A Sokol

{"title":"Effects of Smoking on Outcomes of Thyroid Eye Disease Treated with Teprotumumab: A Retrospective Cohort Study.","authors":"Jordan Miller O'Dell, Caroline C Mussatto, Rachel L Chu, Mohammed Q Al-Sabbagh, Peter J Timoney, Jason A Sokol","doi":"10.17161/kjm.vol16.18940","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18940","url":null,"abstract":"Introduction: Smoking has been demonstrated to worsen the disease process and conventional treatment outcomes of thyroid eye disease. However, the effects of smoking on outcomes of thyroid eye disease treated with the novel therapeutic teprotumumab are currently unknown. Our study compares response to teprotumumab treatment between smokers and non-smokers with thyroid eye disease.Methods: A single-center, retrospective cohort study was conducted. Inclusion criteria were patients diagnosed with thyroid eye disease who had started or completed therapy with teprotumumab at the time of our data collection. Main outcome measures included reduction in clinical activity score, diplopia, and proptosis.Results: All smokers had type 2 thyroid eye disease prior to treatment and demonstrated less improvement in diplopia, proptosis, and overall clinical activity score compared to non-smokers with thyroid eye disease. There was no significant difference between smokers and non-smokers in baseline variables (sex, thyroid stimulating hormone (TSH), thyroxine (T4), triiodothyronine (T3), number of infusions completed). Data analysis revealed a statistically significant difference in proptosis reduction between non-smokers and smokers.Conclusions: Smoking is a modifiable risk factor which portends a worse response to treatment of thyroid eye disease with teprotumumab.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"62-64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/71/16-62.PMC10035644.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1