South Dakota medicine : the journal of the South Dakota State Medical Association最新文献

Methylene Blue-Guided Debridement in Preparation for Cardiac Device Reimplantation: A Retrospective Cohort Pilot Study. 亚甲基蓝引导下的清创为心脏装置再植做准备：一项回顾性队列先导研究。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-04-01

Joel C Stroman, Alyssa Reinschmidt, Heather Karu

{"title":"Methylene Blue-Guided Debridement in Preparation for Cardiac Device Reimplantation: A Retrospective Cohort Pilot Study.","authors":"Joel C Stroman, Alyssa Reinschmidt, Heather Karu","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Debridement of infected wounds is an essential component of wound healing. Surgical debridement is one option and is typically performed under direct visualization of the wound. It is carried out until healthy tissue is felt to be encountered by the surgeon. Methylene blue has been described as a visual aid in the debridement process, including in the setting of infected prostheses. This study aimed to compare wound healing and device reimplantation times between patients who underwent methylene blue-guided debridement or routine wound care of their infected cardiac device implant pockets. Evaluating differences in rates of recurrent infection following reimplantation was a secondary goal of the study.Methods: Patients were identified for inclusion using a CPT code-based data pull and manual chart review. They were separated into groups dependent upon whether they received routine wound care or methylene blue-guided debridement. Chart review was conducted to estimate the number of days from explantation to wound healing and device reimplantation, and any documentation of reinfection was also recorded. Mann-Whitney U, Student's t, and Chi-square tests were performed using jamovi.Results: To date, 13 patients have been included in the analysis. Methylene blue-guided debridement is associated with significantly faster time to wound healing (p = 0.011). A significant difference in the interval between explantation and reimplantation was noted, with those in the methylene blue group having shorter intervals (p = 0.036). Differences in reinfection rates were nonsignificant.Conclusion: Methylene blue-guided debridement appears to significantly improve time to wound healing and time to device reimplantation in patients who have undergone device explantation secondary to infection.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 4","pages":"171-175"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Osler-Weber-Rendu Syndrome: A Case Report and Brief Literature Review. 奥斯勒-韦伯-伦度综合征一例报告及简要文献回顾。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-04-01

Lauren Schild, Emily Boden

引用次数: 0

Pseudogout in Primary Care Practice: An Approach to Diagnosis and Treatment. 初级保健实践中的伪out：一种诊断和治疗方法。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-04-01

Tinotendad Me Sekeramayi, Thabuna Sivaprakasam, Joseph Fanciullo

{"title":"Pseudogout in Primary Care Practice: An Approach to Diagnosis and Treatment.","authors":"Tinotendad Me Sekeramayi, Thabuna Sivaprakasam, Joseph Fanciullo","doi":"","DOIUrl":"","url":null,"abstract":"Pseudogout refers to an autoinflammatory arthritis associated with the appearance of calcium pyrophosphate dihydrate crystals in the joint fluid. In acute pseudogout attacks patients typically endorse rapid onset of pain and swelling, at times following mechanical trauma to the joint. Physical exam reveals warmth, swelling with effusion, tenderness, and limited range of motion of the involved joint(s) which can mimic gout flares and an overlying soft tissue infection so maintaining a broad differential is important in the workup of pseudogout attacks. Risk factors for pseudogout include advancing age, osteoarthritis, mechanical joint trauma or history of meniscectomy, and primary hyperparathyroidism. Diagnosis requires synovial fluid analysis with direct visualization of rhomboid shaped calcium pyrophosphate crystals. Acute attacks are managed with low-dose colchicine, non-steroidal anti-inflammatory drugs, or corticosteroids (either intra-articular injection or systemic therapy). The ideal approach combines pharmacologic and supportive measures such as application of ice or cooling packs and temporary joint rest with weight restriction along with analgesic medications. Currently there are no long-term therapies that prevent calcium pyrophosphate crystal formation; however, research is underway for agents such as probenecid, phosphocitrate, methotrexate, and interleukin-1 antagonists.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 4","pages":"177-181"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case Report: Salmonella Infection of a Prosthetic Shoulder Joint Requiring Long-term Antibiotic Suppression. 病例报告：需要长期抗生素抑制的假肩关节沙门氏菌感染。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-04-01

Becky Davies, Andrew Nerland, Chester Samuelson

引用次数: 0

A Case Report of Group B Streptococcus Septic Arthritis in a 37-day-old Male. 37日龄男性B群链球菌感染性关节炎1例报告。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-04-01

Nadya Ekhteraee-Sanaee, Andrew Nerland, Connie Taylor, Casey Swenson, Peter Pc Lim

引用次数: 0

Hair Matters: Psychosocial Impact of Receding Hairline in College-Aged Men. 头发问题：大学年龄男性发际线后退的社会心理影响。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-04-01

Alyssa L Reinschmidt, Rachel Van Gorp, Oluwafunke Oluwatosin Ogunremi, John Samuel Vassar, Brant Hannahs, Jazmin Newton, Brianne Haskell Hanisch, Marcus L Frohm

{"title":"Hair Matters: Psychosocial Impact of Receding Hairline in College-Aged Men.","authors":"Alyssa L Reinschmidt, Rachel Van Gorp, Oluwafunke Oluwatosin Ogunremi, John Samuel Vassar, Brant Hannahs, Jazmin Newton, Brianne Haskell Hanisch, Marcus L Frohm","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Androgenetic alopecia, or male pattern baldness, is a common condition that causes progressive hair loss on the scalp. The psychosocial effects of male pattern baldness may be underestimated, especially in younger men. The purpose of this study was to better understand the implications of hair thinning and receding hairlines on the psyche of college-aged men.Methods: A 30-question online survey consisting of closed and open-ended questions was distributed to email addresses and social media accounts affiliated with undergraduate student organizations representing South Dakota universities from October to November 2023. Male university students aged 18-40 were included. Data were anonymously collected and stored in the Qualtrics database. Descriptive statistics were used to analyze quantitative data, while thematic analysis was used for qualitative data.Results: 71 male students completed the survey. 82% of participants reported a full head of hair, 40% reported hair thinning, 44% reported a receding hairline, and 14% reported a bald spot. About one third of participants (32%) reported that the current state of their hair bothers them. More than half of the participants would consider taking treatments for hair loss indefinitely.Conclusions: The psychosocial impact of male pattern hair loss and hair thinning affects young males at South Dakota universities, making it vital for healthcare providers to address treatment options and education among college-aged men. Open discussions regarding hair loss may improve confidence while reducing distress among patients.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 4","pages":"154-159"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Consumption vs. Discernment. 消费vs.洞察力。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-03-01

Jason J Kemnitz

引用次数: 0

Low Grade Laryngeal Chondrosarcoma of the Cricoid Cartilage: A Case Report. 环状软骨低级别喉软骨肉瘤1例报告。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-03-01

Colton D Carlson, Gaven Bowman, Aaron Amundson, William C Spanos

{"title":"Low Grade Laryngeal Chondrosarcoma of the Cricoid Cartilage: A Case Report.","authors":"Colton D Carlson, Gaven Bowman, Aaron Amundson, William C Spanos","doi":"","DOIUrl":"","url":null,"abstract":"Laryngeal chondrosarcomas are a rare class of laryngeal tumor arising from the various cartilages in the larynx. Despite their generally benign nature, removal of laryngeal chondrosarcomas is essential as the tumor often obstructs the larynx resulting in vocal defects and can impede breathing in advanced cases. In this case, we present a 61-yearold male with a low-grade laryngeal chondrosarcoma arising from the cricoid cartilage. The patient presented with a long history of hoarseness accompanied by normal physical exam and lab findings. After CT imaging showed a laryngeal mass, biopsy and histological examination were performed and confirmed a diagnosis of low-grade laryngeal chondrosarcoma arising from the cricoid cartilage. The patient was primarily treated via an anterior commissure laryngoscope with thulium laser resection and further debulking was able to be performed multiple months after the initial procedure during another unrelated neck surgery. The eight-month follow up course resulted in retention of laryngeal function and no recurrence on CT scan. This case provides a thorough look into a chondrosarcoma arising from the larynx with a discussion of workup for these rare airway related tumors.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"104-108"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delayed Diagnosis of Subungual Acral Lentiginous Melanoma. 足跖下肢端黄斑性黑色素瘤的延迟诊断。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-03-01

Robert Van Demark, Vanessa Richardson, Dylan Beeler, Cole D Tessendorf, Ben VanBockern, Victoria Durkin, Andrew Erie, Hao Li

引用次数: 0

Examining the Relationships between Work Environment and Stress Coping Mechanisms with Burnout in Medical Students. 医学生工作环境、压力应对机制与职业倦怠的关系研究。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2025-03-01

Oluwafunke Oluwatosin Ogunremi, Ethan Noble, Valeriy Kozmenko

{"title":"Examining the Relationships between Work Environment and Stress Coping Mechanisms with Burnout in Medical Students.","authors":"Oluwafunke Oluwatosin Ogunremi, Ethan Noble, Valeriy Kozmenko","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Throughout the duration of medical training, learners are oftentimes overworked and faced with high levels of stress and pressure; this can decrease quality of life for many individuals. The goal of this study was to gain an understanding of how work environments and stress coping mechanisms play a role in the amount of burnout experienced by medical students.Methods: Data was collected from medical students at the University of South Dakota Sanford School of Medicine by using a 22 question Qualtrics survey. The survey remained open until a 50% response rate was achieved from the student body. The results of the survey were analyzed by using 2 sample t-tests and ANOVA tests as appropriate.Results: No statistically significant differences were found in total burnout ratings, coping mechanisms, and perception of the work environment between the different cohorts of medical students. Students who had healthier behaviors, such as following CDC recommendations on sleep, exercise, and fruit and vegetable consumption or practicing meditation and mindfulness, had lower levels of burnout compared to those who did not. Students who stated on the survey that they were experiencing burnout had a lower overall score on the survey, indicating higher levels of burnout.Conclusion: Some medical students may recognize when they are burning out, so providing resources to help them incorporate healthier behaviors into their lifestyles may help aid in burnout recovery. Finding effective ways to help students deal with stressors and develop coping mechanisms improves their own quality of life and can hence improve patient outcomes.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 3","pages":"114-119"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0