Kansas Journal of Medicine最新文献_第6页

Navigating Minority and Gender Discrimination, Substance Use Disorder, Financial Distress, and Workplace Politics: Lessons for Work-Life Wellness in Academic Medicine: Part 2 of 3. 引导少数民族和性别歧视，物质使用障碍，财务困境和工作场所政治:学术医学中工作与生活健康的教训(三集之二)。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19953

Rami Ahmed, Jennifer L Hartwell, Heather Farley, Julia MacRae, David A Rogers, Elizabeth C Lawrence, Chantal Mlr Brazeau, Eliza M Park, Anna Cassidy, Jane Hartsock, Emily Holmes, Kristen Schroeder, Paul Barach

{"title":"Navigating Minority and Gender Discrimination, Substance Use Disorder, Financial Distress, and Workplace Politics: Lessons for Work-Life Wellness in Academic Medicine: Part 2 of 3.","authors":"Rami Ahmed, Jennifer L Hartwell, Heather Farley, Julia MacRae, David A Rogers, Elizabeth C Lawrence, Chantal Mlr Brazeau, Eliza M Park, Anna Cassidy, Jane Hartsock, Emily Holmes, Kristen Schroeder, Paul Barach","doi":"10.17161/kjm.vol16.19953","DOIUrl":"https://doi.org/10.17161/kjm.vol16.19953","url":null,"abstract":"In this second of three manuscripts addressing a range of complex work and personal issues, the authors explore case scenarios with characters who work in the fields of general surgery, orthopedic surgery, anesthesiology, neurology, radiology, and otolaryngology. The medical specialty identifiers help inform some baseline understanding of the demands of that particular profession but are less pertinent than the specifics of each case. In this manuscript, the authors dive into the topics of navigating a lawsuit and professional burnout, personal finances, substance use disorder, demands of clinical work and workplace politics, diversity and inclusion, and dealing with major personal illness. The authors provide practical steps to help the readers deal with similar situations and provide insight to support persons on how to improve support structures.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":"16 ","pages":"159-164"},"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/d5/7b/16-159.PMC10291990.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10085444","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

Cocaine-Induced Bilateral Basal Ganglia Ischemia Presenting with Unilateral Wrist Drop. 可卡因诱导的双侧基底神经节缺血表现为单侧腕下垂。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19114

Mahmoud Mahdi, Ahmad Mahdi, Hamna Shah, Wissam Karam, Jennifer Jackson

引用次数: 0

A Case of Catastrophic Aspergillus Endocarditis. 灾难性曲霉性心内膜炎1例。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.19546

Roshan Bisarya, Kenneth Villareal, Bhanu Gupta, Rachel Weihe

引用次数: 0

Twiddler Syndrome: A Rare Complication of Pacemaker Lead Placement. 旋手综合征:一种罕见的心脏起搏器导线置入并发症。

Kansas Journal of Medicine Pub Date : 2023-01-01 DOI: 10.17161/kjm.vol16.18978

Ahmad Mahdi, Mahmoud Mahdi, Rhythm Vasudeva, Abhiram Challa, Wassim Shaheen

引用次数: 0

Is Two Better Than One? A Retrospective Study on Colorectal Surgery Outcomes Using the Da Vinci^® Dual-Console Robot. 两个人比一个人好吗?使用达芬奇®双控制台机器人对结直肠手术效果的回顾性研究。

Kansas Journal of Medicine Pub Date : 2022-11-28 eCollection Date: 2022-01-01 DOI: 10.17161/kjm.vol15.18278

Dyllan Landry, Karson R Quinn, Stephen D Helmer, Noel C Sanchez

{"title":"Is Two Better Than One? A Retrospective Study on Colorectal Surgery Outcomes Using the Da Vinci® Dual-Console Robot.","authors":"Dyllan Landry, Karson R Quinn, Stephen D Helmer, Noel C Sanchez","doi":"10.17161/kjm.vol15.18278","DOIUrl":"https://doi.org/10.17161/kjm.vol15.18278","url":null,"abstract":"Introduction: The da Vinci® surgical system has become standard in many specialties. The dual-console system has increased console time for residents during their training. This study evaluated patient outcomes using the single- versus dual-console system in resident training.Methods: A retrospective case-control study was conducted of patients who underwent various colorectal surgeries using either the single- or dual-console da Vinci® system. Patient demographics, comorbidities, and outcomes were collected.Results: Seventy-one patients (54.2%) utilized the single-console and 60 (45.8%) utilized the dual-console. There were no statistically significant differences in patient demographics, procedures performed, conversion to open, ICU admissions, total length of stay, need for blood transfusion, adequacy of surgical margin, number of lymph nodes harvested, anastomotic leak, discharge disposition, or readmission, wound infection, or need for reoperation within 30 days. There was a nonsignificant decrease in operative time with the dual-console system (200.6 vs. 220.2 minutes, p = 0.111).Conclusions: While this study showed no statistically significant differences between patient outcomes utilizing the single- versus dual-consoles, it showed that it is safe for use in training, and that more research is needed in this area.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":" ","pages":"418-421"},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/29/15-418.PMC9710501.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35208986","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

Quadriceps Strength and Knee Function After Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Bone Autograft: A Preliminary Report. 自体四头肌腱骨移植重建前交叉韧带后四头肌力量和膝关节功能:初步报告。

Kansas Journal of Medicine Pub Date : 2022-11-28 eCollection Date: 2022-01-01 DOI: 10.17161/kjm.vol15.18619

Kevin L Hofer, Brennen L Lucas, Daniel J Prohaska, Rosalee Zackula, Robert C Manske

{"title":"Quadriceps Strength and Knee Function After Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Bone Autograft: A Preliminary Report.","authors":"Kevin L Hofer, Brennen L Lucas, Daniel J Prohaska, Rosalee Zackula, Robert C Manske","doi":"10.17161/kjm.vol15.18619","DOIUrl":"https://doi.org/10.17161/kjm.vol15.18619","url":null,"abstract":"Introduction: The purpose of this study was to evaluate quadriceps strength and knee function after anterior cruciate ligament (ACL) reconstruction using a quadriceps tendon bone (QTB) autograft.Methods: Preliminary data were extracted from an ongoing prospective cohort study in which the operative extremity was compared to non-operative extremity. Patients from 14 to 40 years of age who had an ACL reconstruction with QTB autograft volunteered to have knee assessment including quadriceps isokinetic strength measures and functional knee testing at 6 and 12 months post-operatively. Paired t-tests were conducted to compare post-operative strength and function scores on participants who had minimum one-year post-surgical follow-up.Results: Patients had a significant recovery of quadriceps strength as determined by isokinetic testing and single leg hop test. For 31 participants, quadriceps strength of the operative leg measured at 60 deg/sec was 63% of the non-operative leg at six months, increasing to 79% at one year (p < 0.001); when measured at 180 deg/sec, these values were 68% at six months, increasing to 82% at one year (p < 0.001). For 30 participants, single leg hop functional scores of the operative leg were 80% of the non-operative leg at six months, increasing to 91% at one year (p < 0.001).Conclusions: After QTB autograft for ACL reconstruction, there were significant gains in quadriceps strength and knee function from six months to one year post-operative. These findings indicated the QTB is an acceptable ACL reconstruction option.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":" ","pages":"412-417"},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/c6/15-412.PMC9710502.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209023","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

MPO-ANCA Rapidly Progressive Glomerulonephritis with Immune Deposits. 伴有免疫沉积的快速进行性肾小球肾炎。

Kansas Journal of Medicine Pub Date : 2022-11-28 eCollection Date: 2022-01-01 DOI: 10.17161/kjm.vol15.18459

Eric Acosta, Hitesh Rathod

引用次数: 0

COVID-19 Confinement Unmasking PFAPA Syndrome. COVID-19禁闭揭露PFAPA综合征。

Kansas Journal of Medicine Pub Date : 2022-11-28 eCollection Date: 2022-01-01 DOI: 10.17161/kjm.vol15.18386

Aimee Daccache, Edwin Feghali, Elio Junior Feghali, Melanie Daccache, Edouard Sayyad, Gerard Wakim

引用次数: 1

A Qualitative Study of Traditional Bone Setters in South India: A Case Series. 印度南部传统植骨器的定性研究:一个案例系列。

Kansas Journal of Medicine Pub Date : 2022-11-28 eCollection Date: 2022-01-01 DOI: 10.17161/kjm.vol15.18580

Sharon Isaacs-Pullins, Manjulika Vaz, Hariram Murthy, Dorothy Hughes, K James Kallail

{"title":"A Qualitative Study of Traditional Bone Setters in South India: A Case Series.","authors":"Sharon Isaacs-Pullins, Manjulika Vaz, Hariram Murthy, Dorothy Hughes, K James Kallail","doi":"10.17161/kjm.vol15.18580","DOIUrl":"https://doi.org/10.17161/kjm.vol15.18580","url":null,"abstract":"Introduction: There are approximately 60,000 Traditional Bone Setters (TBS) in India, who have no formal education or training in modern medicine but treat approximately 60% of bone related trauma. This study investigated the history of TBS, why they are so popular, and their methods.Methods: From a list of TBS from four states in South India, a purposive and convenience sampling method identified participants. One lead TBS from each state was interviewed. With recommendations from these TBS, a total of six participants were interviewed on Zoom® in their native dialect and these interviews were transcribed into English. The data were analyzed using a constant comparative method which included several iterations to refine common themes and determine counterfactual and specific focal points from each interview.Results: Six overarching themes emerged: (1) history of traditional bone setters, (2) occupations outside bone setting, (3) training, certification, education, accolades, (4) patient characteristics and success stories, (5) infrastructure and approach to diagnosis/treatment, and (6) limitations of practice, challenges, and social relevance. The history of traditional bone setting is thousands of years old and passed down within families generationally.Conclusions: In rural India, where a large part of the population lives in poverty and without access to modern medicine, traditional healers provide a much-needed service, often without charge, and consequently, the income is not sufficient without other occupations such as farming. They follow a similar approach to diagnosis and treatment of simple fractures and dislocations as modern medical practitioners. Most would like to share their knowledge and collaborate with ayurvedic and allopathic practitioners and simply want to be respected and supported.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":" ","pages":"394-402"},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/7d/15-394.PMC9710505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209026","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

Pediatric COVID-19 Vaccination: A Description of Adverse Events or Reactions Reported in Kansans Aged 6 to 17. 儿童COVID-19疫苗接种:堪萨斯州6至17岁报告的不良事件或反应的描述

Kansas Journal of Medicine Pub Date : 2022-11-28 eCollection Date: 2022-01-01 DOI: 10.17161/kjm.vol15.18431

Anna Tri, Kale Mills, Kari Nilsen

{"title":"Pediatric COVID-19 Vaccination: A Description of Adverse Events or Reactions Reported in Kansans Aged 6 to 17.","authors":"Anna Tri, Kale Mills, Kari Nilsen","doi":"10.17161/kjm.vol15.18431","DOIUrl":"https://doi.org/10.17161/kjm.vol15.18431","url":null,"abstract":"Introduction: There have been widespread concerns about the safety of the COVID-19 vaccines, particularly when it comes to pediatric populations, and it is important to provide information for parents and guardians to make informed decisions. This study sought to identify the adverse events or reactions (AERs) associated with the COVID-19 vaccines in Kansans aged 6 to 17.Methods: The U.S. Department of Health and Human Services' \"Vaccine Adverse Event Reporting System\" (VAERS) database was searched from May 11, 2021, to April 30, 2022, for AERs related to COVID-19 vaccines in adolescents ages 6 to 17. Results were grouped by vaccine manufacturer and patient gender.Results: A total of 159 individuals reported 409 AERS, with an average of 2.6 per person (± 1.7; median = 2; range 1 to 10). Females (n = 95) reported 237 AERs, with an average of 2.5 each (±1.7; median = 2; range 1 to 8), while males (n = 64) reported 172 AERs, with an average of 2.7 each (±1.8; median = 2; range 1 to 8). The most common adverse event associated with Pfizer® vaccination was syncope/fainting.Conclusions: COVID-19 vaccines have undergone intensive monitoring and safety regulations since the onset of the coronavirus. With over 591 million doses administered, there was compelling evidence that the COVID-19 vaccines are safe and effective. Informing the public about the potential AERs of the COVID-19 vaccines in children can help to alleviate vaccine hesitancy and strengthen vaccination confidence.","PeriodicalId":17991,"journal":{"name":"Kansas Journal of Medicine","volume":" ","pages":"390-393"},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/2d/15-390.PMC9710507.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35208988","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