Kansas Journal of Medicine最新文献

{"title":"Ischemic Hepatitis and Acute Kidney Injury Following Cardioversion.","authors":"Chelsea Wuthnow, Aastha Bharwad, Syed Kamran, Mona Brake, Kyle Rowe","doi":"10.17161/kjm.vol16.19636","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19636","url":null,"abstract":"COMMENTARY 153 Navigating Work-Life Integration, Legal Issues, Patient Safety: Lessons for Work-Life Wellness in Academic Medicine: Part 1 of 3 Jennifer L. Hartwell, M.D., Paul Barach, M.D., Tracy D. Gunter, M.D., Kyra Reed, M.D., Heather Kelker, M.D., Julie Welch, M.D., Kristine Olson, M.D., Elizabeth Harry, M.D., Samantha Meltzer-Brody, M.D., MPH, Mariah Quinn, M.D., MPH, Jennifer Ferrand, Psy.D., Sharon C. Kiely, M.D., Jane Hartsock, J.D., M.A., Emily Holmes, M.D., Kristin Schroeder, M.D., Rami Ahmed, D.O.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"145-146"},"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/82/c5/16-145.PMC10291978.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10085439","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}

{"title":"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.","authors":"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","doi":"10.17161/kjm.vol16.19954","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19954","url":null,"abstract":"In this final manuscript of the three-part series, the authors address issues of imposter syndrome, pregnancy, and parental leave, second victim phenomenon, sexual harassment, response to suicide, and managing a budget while advancing diversity, equity, and inclusion. The case scenarios have learners and non-clinicians as their main characters, bringing attention to the cross-cutting nature of the complex issues we see both in and around a career in medicine.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"165-171"},"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/37/9b/16-165.PMC10291980.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10085441","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}

{"title":"Adrenocortical Carcinoma as an Atypical Cause of Secondary Hypertension.","authors":"Joy Ogundare, Mark Meyer, Mazin Al-Kasspooles","doi":"10.17161/kjm.vol16.19113","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19113","url":null,"abstract":"Adrenocortical Carcinoma as an Atypical Cause of Secondary Hypertension Joy Ogundare, M.D.1, Mark Meyer, M.D.1, Mazin Al-Kasspooles, M.D.2 University of Kansas Medical Center, Kansas City, KS 1Department of Family Medicine and Community Health 2Department of Surgery Received Jan. 17, 2023; Accepted for publication March 3, 2023; Published online April 24, 2023 https://doi.org/10.17161/kjm.vol16.19113","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"114-116"},"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/db/9d/16-114.PMC10136667.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9393690","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}

{"title":"Addressing Burnout Among Women Residents: Results from Focus Group Discussions.","authors":"Jeff Norvell,&nbsp;Greg Unruh,&nbsp;Timothy Norvell,&nbsp;Kimberly J Templeton","doi":"10.17161/kjm.vol16.18364","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18364","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Effects of Smoking on Outcomes of Thyroid Eye Disease Treated with Teprotumumab: A Retrospective Cohort Study.","authors":"Jordan Miller O'Dell,&nbsp;Caroline C Mussatto,&nbsp;Rachel L Chu,&nbsp;Mohammed Q Al-Sabbagh,&nbsp;Peter J Timoney,&nbsp;Jason A Sokol","doi":"10.17161/kjm.vol16.18940","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18940","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Smoking is a modifiable risk factor which portends a worse response to treatment of thyroid eye disease with teprotumumab.</p>","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}

{"title":"Dietary Habits of Children 0 - 23 Months in Rural Kansas: Early Life Diets of Rural Children.","authors":"MacKenzie G Gwinner,&nbsp;Arika L Marchetti,&nbsp;Lynn Chollet-Hinton,&nbsp;Lynn R Fisher","doi":"10.17161/kjm.vol16.17945","DOIUrl":"https://doi.org/10.17161/kjm.vol16.17945","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Improving Medical Student Mentorship in Orthopaedic Surgery.","authors":"Seth A Tarrant,&nbsp;Vafa Behzadpour,&nbsp;Thomas J McCormack,&nbsp;Justin A Cline,&nbsp;Jordan T Willis,&nbsp;Gregory M Mendez,&nbsp;Rosalee E Zackula,&nbsp;Bradley R Dart,&nbsp;Bernard F Hearon","doi":"10.17161/kjm.vol16.18770","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18770","url":null,"abstract":"<p><strong>Introduction: </strong>Owing to limited clinical clerkships and travel restrictions related to COVID-19, recent medical student mentorship in orthopaedic surgery has been impacted negatively. The purpose of this quality improvement (QI) project was to determine if medical student awareness of orthopaedics as a possible career field may be improved through a mentoring program designed and delivered by orthopaedic residents.</p><p><strong>Methods: </strong>A five-resident QI team developed four educational sessions aimed at a medical student audience. Forum topics included: (1) orthopaedics as a career, (2) fracture conference, (3) splinting workshop, and (4) residency application process. Pre- and post-forum surveys were administered to student participants to assess changes in their perceptions regarding orthopaedic surgery. Data derived from the questionnaires were analyzed with nonparametric statistical tests.</p><p><strong>Results: </strong>Of 18 forum participants, 14 were men and 4 were women. A total of 40 survey pairs were collected, averaging 10 per session. In the all-participant encounter analysis, there were statistically significant improvements in all outcome measures including interest in, exposure to, and knowledge of orthopaedics; exposure to our training program; and ability to interact with our residents. Those undecided regarding their specialty demonstrated larger increases in post-forum responses, suggesting that the learning experience was more impactful for that subgroup.</p><p><strong>Conclusions: </strong>This QI initiative was a successful demonstration of orthopaedic resident mentorship of medical students, wherein perceptions of orthopaedics were influenced favorably by the educational experience. For some students with limited access to orthopaedic clerkships or formal one-on-one mentoring, forums like these may be an acceptable alternative.</p>","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"48-52"},"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/12/57/16-48.PMC9957590.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9356980","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}

{"title":"A Unique Case of Post-Biopsy Bleeding in a Jehovah's Witness with a Rare Inherited Undetermined Coagulopathy.","authors":"Bailey A Balinski,&nbsp;William R Kilgore","doi":"10.17161/kjm.vol16.18625","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18625","url":null,"abstract":"A Unique Case of Post-Biopsy Bleeding in a Jehovah's Witness with a Rare Inherited Undetermined Coagulopathy Bailey A. Balinski, B.S.1, William R. Kilgore III, M.D., FACP, AGAF2,3 1Kansas City University, Kansas City, MO 2Ascension Medical Group Via Christi, Wichita, KS 3University of Kansas School of Medicine-Wichita, Wichita, KS Department of Internal Medicine Received Oct. 27, 2022; Accepted for publication Feb. 17, 2023; Published online March 15, 2023 https://doi.org/10.17161/kjm.vol16.18625","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"81-82"},"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/3c/7d/16-81.PMC10035642.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192175","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}

{"title":"Clear Cell Renal Carcinoma Presents as a Solitary Pulmonary Nodule Fifteen Years After Nephrectomy.","authors":"Ahmad Mahdi,&nbsp;Wissam Karam,&nbsp;Mahmoud Mahdi,&nbsp;Nassim Nabbout","doi":"10.17161/kjm.vol16.18988","DOIUrl":"https://doi.org/10.17161/kjm.vol16.18988","url":null,"abstract":"139 Clear Cell Renal Carcinoma Presents as a Solitary Pulmonary Nodule Fifteen Years After Nephrectomy Ahmad Mahdi, M.D.1, Wissam Karam, M.D.1, Mahmoud Mahdi, M.D.1, Nassim Nabbout, M.D.1,2 1University of Kansas School of Medicine-Wichita, Wichita, KS Department of Internal Medicine 2Cancer Center of Kansas, Wichita, KS Received Jan. 13, 2023; Accepted for publication March 13, 2023; Published online May 25, 2023 https://doi.org/10.17161/kjm.vol16.18988","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"139-140"},"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/af/8e/16-139.PMC10241201.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9963429","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}

{"title":"Acute Pancreatitis Secondary to Hypertriglyceridemia Presenting as Sepsis Without Abdominal Pain.","authors":"Ryan Ford,&nbsp;Aastha Bharwad,&nbsp;Kyle Rowe","doi":"10.17161/kjm.vol16.19634","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19634","url":null,"abstract":"Acute Pancreatitis Secondary to Hypertriglyceridemia Presenting as Sepsis Without Abdominal Pain Ryan Ford, M.D.1, Aastha Bharwad, M.D.1, Kyle Rowe, M.D.1,2 1University of Kansas School of Medicine-Wichita, Wichita, KS Department of Internal Medicine 2Division of Gastroenterology Received March 5, 2023; Accepted for publication April 25, 2023; Published online June 20, 2023 https://doi.org/10.17161/kjm.vol16.19634","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"149-150"},"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/bc/af/16-149.PMC10291989.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10085436","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}