South Dakota medicine : the journal of the South Dakota State Medical Association最新文献_第2页

An Investigation of Historical Injustices in South Dakota Medical Journals: 1931-1960. 南达科他州医学期刊历史不公正调查：1931-1960。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Sangah Park, Henry Travers

{"title":"An Investigation of Historical Injustices in South Dakota Medical Journals: 1931-1960.","authors":"Sangah Park, Henry Travers","doi":"","DOIUrl":"","url":null,"abstract":"Exploration of the role of South Dakota medical journals in perpetuating historical biases and injustices from 1931 to 1960 continues a line of research that initially considered the period from 1912 to 1930. The Journal-Lancet and the South Dakota Journal of Medicine and Pharmacy as well as South Dakota newspapers (for eugenics only) in the years 1931-1960 were searched using key terms in five categories: Native American, Black American, the intellectual disabilities, gender and sexuality, and eugenics. Relevant articles containing key words were archived in databases (DEVONthink and Claris FileMaker) structured to permit systematic examination of the material. We found that Native Americans continued to be denigrated as savages and incapable of participating in efforts to change reservation environments and reduce disease prevalence, predominantly syphilis and tuberculosis. There was widespread acceptance of the eugenic assertion that individuals regarded as defective, tubercular or feeble-minded inherited their conditions and could pass them on persisted during this period. The belief in the greater fecundity of \"defectives\" was a presumed risk to the displacement of \"normal\" people and was the basis for continued efforts at sterilization, removal to institutions, and restrictions on their right to marry. References to eugenics fell off sharply after 1935. Homosexuality was regarded variously as both deviant and a variety of normal behavior. Distinct from the earlier period, references to Black individuals as racially inferior all but disappeared. There was growing recognition, primarily referring to Black communities, of the need to extend medical care to the poor. We conclude that physicians writing in the South Dakota medical journals during this time perpetuated biased views in the categories we studied with a reduction in biases concerning Black individuals, eugenics and the feeble-minded after 1930.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 7","pages":"296-300"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649351","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

Rural Presentation of Kawasaki Disease with Leukopenia and Transaminitis. 川崎病合并白细胞减少和转氨炎的农村表现。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Lucas Goetz, Abbey Rieber, Nanci Van Peursem

{"title":"Rural Presentation of Kawasaki Disease with Leukopenia and Transaminitis.","authors":"Lucas Goetz, Abbey Rieber, Nanci Van Peursem","doi":"","DOIUrl":"","url":null,"abstract":"Kawasaki disease (KD) is an acute, self-limited vasculitis that primarily affects young children, and early treatment is essential to prevent coronary artery complications. Diagnosis is clinical and can be challenging in children who present atypically or receive initial evaluation in resource-limited settings. We report a case of KD in a 6-year-old girl who presented to a rural clinic with six days of fever, a progressive polymorphous rash, bilateral conjunctivitis, and mucocutaneous changes. Her evaluation showed leukopenia, marked transaminitis, elevated inflammatory markers, and an extensive negative infectious workup. These findings, along with her older age and a pruritic rash, complicated initial recognition and broadened the differential to include viral exanthems and systemic infections. KD was suspected based on her clinical course, and she was promptly transferred to a tertiary pediatric center, where she met four of the five diagnostic criteria. She received intravenous immunoglobulin and high-dose aspirin, resulting in rapid improvement. Echocardiography showed no coronary involvement. This case reinforces the importance of maintaining suspicion for KD in children with prolonged fever and mucocutaneous findings, even when laboratory abnormalities are atypical. It also highlights the value of early consultation, efficient transfer pathways, and collaboration between rural and tertiary facilities to ensure timely treatment and reduce the risk of cardiac complications.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 7","pages":"306-309"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649359","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

Diagnostic Puzzle of Atypical Kawasaki Disease. 不典型川崎病的诊断难题。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Michael Roberts, Alexandra Job, Tate Blankespoor, Leah Naasz, Rebecca Hofer, Meghan Kuntz, Jennifer Reed, Peter Paul Lim

{"title":"Diagnostic Puzzle of Atypical Kawasaki Disease.","authors":"Michael Roberts, Alexandra Job, Tate Blankespoor, Leah Naasz, Rebecca Hofer, Meghan Kuntz, Jennifer Reed, Peter Paul Lim","doi":"","DOIUrl":"","url":null,"abstract":"Kawasaki disease (KD) is a systemic inflammatory illness characterized by medium blood vessel vasculitis and is considered to be the leading cause of acquired heart disease in children less than 5 years old in developed countries. KD can present as either a classical or atypical/incomplete presentation based on distinct laboratory parameters seen in Table 1. The exact cause of KD remains unknown; however, specific purported infectious agents have been theorized to be linked to it. It classically presents with fever and four of the following: conjunctival injection, oral mucosal changes, cervical lymphadenopathy, changes in the extremities and polymorphous rash. Rarely, KD can present with hepatobiliary syndrome such as hepatic congestion, obstructive jaundice, acalculous cholecystitis and gallbladder hydrops. We present a case of a 12-year-old, otherwise healthy male who presented with an 8-day history of upper respiratory infection symptoms and fevers up to 102 F along with significant jaundice, dilated common bile duct and transaminitis initially thought to be ascending cholangitis. His clinical course evolved to also show rash, abdominal pain, vomiting, diarrhea, cervical lymphadenopathy and non-exudative, bilateral conjunctival injection with limbic sparing. Absence of improvement to antibiotic and distinct clinical evolution prompted the diagnosis of atypical KD. He received high dose IVIG and high dose aspirin with apparent clinical improvement. His surveillance echocardiography studies and subsequent physical exam findings have all been reassuring. This case underscores how KD can initially present as cholangitis and how it can manifest as a concomitant process during a viral infection.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 7","pages":"310-313"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649404","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

Analysis of Sanford School of Medicine Medical Students' Physical Activity. 桑福德医学院医学生体育活动情况分析。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Emily Eisenbraun, Madison Landon, Tiffany M Knecht, Craig Uthe

{"title":"Analysis of Sanford School of Medicine Medical Students' Physical Activity.","authors":"Emily Eisenbraun, Madison Landon, Tiffany M Knecht, Craig Uthe","doi":"","DOIUrl":"","url":null,"abstract":"Background: Recommendations for physical activity in adults include 150 minutes of moderate intensity or 75 minutes of high intensity aerobic activity weekly. Strength training is recommended at least twice weekly. Current literature regarding medical student adherence to Centers for Disease Control and Prevention (CDC) and American Heart Association (AHA) physical activity recommendations does not encompass South Dakota medical students. The purpose of this study is to determine what percent of Sanford School of Medicine (SSOM) medical students adhere to CDC and AHA physical activity guidelines.Methods: This is a USD IRB approved study. A survey link was sent to 291 medical students at the SSOM. The survey included questions regarding physical activity, weight-training, BMI, and age.Results: 107 SSOM medical students responded to the survey. The average reported weekly high intensity aerobic exercise was 52.8 minutes. The average reported weekly moderate intensity aerobic exercise was 119.4 minutes. 61.7% of students reported completion of recommended aerobic activity, while 38.3% of participants did not meet this recommendation. 50.5% of participants report completing weight training at least twice weekly.Conclusion: Of the 107 SSOM medical student respondents, 61.7% met AHA and CDC recommendations. A similar study that surveyed 4000 medical students nationwide found that 63.7% of respondents met these aerobic recommendations. Taking into account the smaller study sample, we conclude that SSOM students fall within the normal range of medical students nationwide. Future directions may include increasing the sample size of SSOM medical student respondents and further stratifying these results.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 7","pages":"322-325"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649380","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

Skin Cancer Prevention Outreach for Agricultural Workers: A Farm Show Survey. 农业工人皮肤癌预防外展：一项农场展览调查。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Leah Naasz, Kianna Thelen, Emily Eisenbraun, Candace Zeigler

{"title":"Skin Cancer Prevention Outreach for Agricultural Workers: A Farm Show Survey.","authors":"Leah Naasz, Kianna Thelen, Emily Eisenbraun, Candace Zeigler","doi":"","DOIUrl":"","url":null,"abstract":"Background: Agricultural workers are at increased risk for skin cancer due to prolonged ultraviolet (UV) exposure, yet many underutilize sun protection. Brief, community-based educational interventions may improve knowledge and preventive behaviors.Objective: To provide targeted skin cancer education and promote sun protection behaviors among agricultural workers in South Dakota.Methods: Twenty agricultural workers attending the Vermillion and Sioux Falls Farm Shows participated in a pre- and post-educational survey. Inclusion criteria included: ≥18 years old, English-speaking, and working in agriculture. Participants completed a seven-question pre-survey assessing sun exposure, sun protection habits, and knowledge of skin cancer. They then received a 10-minute tutorial on skin cancer risk factors, sun protection, and self-examinations. A post-survey assessed knowledge gained and intended behavior changes. Paired t-tests and Wilcoxon signed-rank tests evaluated pre- to post-intervention changes, with significance set at p < 0.05.Results: Post-intervention, participants showed significant improvements in recognizing melanoma warning signs (mean Δ = 0.90; p < 0.001) and identifying the most common type of skin cancer (mean Δ = 0.65; p < 0.001). Intent to use sunscreen increased significantly (mean Δ = 0.38; p = 0.009), though no meaningful changes were observed for wide-brim hat or protective clothing use. Participants reported a high likelihood of engaging in sun protection behaviors (mean 4.38/5).Conclusion: Brief, targeted educational sessions at farm shows effectively increase skin cancer awareness and self-reported intent to adopt sun-protective behaviors among South Dakota agricultural workers.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 7","pages":"302-304"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649381","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

Rapid-Onset Menstrual-Associated Toxic Shock Syndrome in an Adolescent Female: A Case Report and Clinical Review. 青春期女性快速发作月经相关中毒性休克综合征：1例报告及临床回顾。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Ellie Gubbrud, Mackenzie Gustafson, David Withrow

{"title":"Rapid-Onset Menstrual-Associated Toxic Shock Syndrome in an Adolescent Female: A Case Report and Clinical Review.","authors":"Ellie Gubbrud, Mackenzie Gustafson, David Withrow","doi":"","DOIUrl":"","url":null,"abstract":"Background: Toxic shock syndrome (TSS) is a rare, life-threatening, toxin-mediated illness caused by Staphylococcus aureus or Streptococcus pyogenes. Since its initial recognition in the late 1970s, menstrual-associated TSS has been closely linked to tampon use. While regulatory changes to tampon composition have reduced incidence, TSS continues to be an important cause of fulminant sepsis in adolescents.Case presentation: We describe a 16-year-old female who presented with five days of suprapubic pain, nausea, diarrhea, and fever who later developed sore throat, vomiting, rash, and mucous membrane involvement. Examination revealed tachycardia, strawberry tongue, erythematous lips, and a diffuse macular rash. Laboratory studies demonstrated leukocytosis with left shift, hyponatremia, elevated bilirubin, and elevated CRP, consistent with early multiorgan dysfunction. Blood and urine cultures were negative. She was managed with intravenous fluids and empiric broad-spectrum antibiotics including clindamycin with subsequent resolution of hemodynamic instability and complete recovery by hospital day four.Discussion: TSS is primarily a clinical diagnosis. It requires careful clinical differentiation, as its presentation with fever, hypotension, rash, mucous membrane involvement and multiorgan dysfunction may overlap with PID with progression to sepsis. Management centers on rapid hemodynamic stabilization, empiric antibiotic therapy with agents that suppress toxin production, and removal of the inciting source.Conclusion: Our case highlights the continued relevance of menstrual-associated TSS in adolescents, and the diagnostic challenges posed by its clinical overlap with other pediatric inflammatory syndromes. We emphasize the importance of early recognition, aggressive supportive care, and appropriate antimicrobial therapy in achieving favorable outcomes.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 7","pages":"318-320"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649419","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

Lost in Translation: What a Community Interpreter Taught Me About Preventive Care. 迷失在翻译中：一个社区翻译教我预防保健。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Lucas Goetz

引用次数: 0

Images in Medicine: Intestinal Pseudo-Obstruction Associated With Acute Epstein-Barr Virus Infection in a 2-Year-Old Child. 医学影像：1例2岁儿童急性爱泼斯坦-巴尔病毒感染相关假性肠梗阻

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-07-01

Peter Paul C Lim

引用次数: 0

Emily's Hope Upper Elementary School Substance Use Curriculum: Knowledge, Attitude and Perception Outcomes - a Cross-Sectional Study. 爱米莉希望小学物质使用课程：知识、态度与知觉结果的横断面研究。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-06-01

Grace Caldwell, Phil Dohn, Minga C Vargas, Vivek Anand

{"title":"Emily's Hope Upper Elementary School Substance Use Curriculum: Knowledge, Attitude and Perception Outcomes - a Cross-Sectional Study.","authors":"Grace Caldwell, Phil Dohn, Minga C Vargas, Vivek Anand","doi":"","DOIUrl":"","url":null,"abstract":"Background: Substance use severely harms health, mental health, and is a leading cause of preventable morbidity and mortality. To help prevent substance use, developmentally appropriate educational interventions during elementary school are much needed.Methods: An evidence-based and age-appropriate substance use prevention curriculum targeted at upper elementary school students (4th and 5th grades) was developed by a multidisciplinary educational committee. The curriculum was administered to 514 upper elementary over the 2023-2024 school year.Results: A pre-curriculum baseline knowledge survey was administered to 274 students in 4th grade and 240 students in 5th grade over the 2023-2024 school year. At the end of the school year, following instruction of the curriculum, the survey was re-administered post-curriculum (n=158 in 4th grade; n=162 in 5th grade) with student retention rates of 58% and 68%, respectively. This pilot study demonstrated increased knowledge, changes in attitude, and improved perceptions about health promotion and substance use prevention in both 4th and 5th grade students.Conclusion: These results support well-designed and age-appropriate curriculum as effective prevention programs that would ideally mitigate risk and reinforce protective factors. It further suggests that elementary school-based prevention programs are likely to be successful, which could help reduce exposure to substances during middle and high school.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 6","pages":"246-250"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621764","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

Mind Matters: South Dakota's Public Health Response to Dementia. 心理问题：南达科他州对痴呆症的公共卫生反应。

South Dakota medicine : the journal of the South Dakota State Medical Association Pub Date : 2026-06-01

Justin Persson, Grace Geffre

{"title":"Mind Matters: South Dakota's Public Health Response to Dementia.","authors":"Justin Persson, Grace Geffre","doi":"","DOIUrl":"","url":null,"abstract":"Alzheimer's disease and related dementias pose a growing health and societal challenge in South Dakota, where dementia ranks as the fourth leading cause of death. The burden extends beyond patients to families and caregivers, many of whom report significant emotional, financial, and physical strain. In response, the South Dakota Department of Health introduced the South Dakota Healthy Brain Initiative. This statewide effort aims to improve brain health across the lifespan, promote earlier detection, strengthen caregiver support, and prepare the state's workforce to better respond to the needs of people living with dementia. The initiative promotes routine cognitive assessment, distributes clinical toolkits to assist with diagnosis and care planning, and expands access to community-based services. A core focus of the initiative is health equity, particularly for rural, tribal, and underserved communities that face significant barriers to care. Through strengthened partnerships among public health, healthcare systems, and aging services, the Healthy Brain Initiative seeks to reduce disparities, support caregivers, and improve outcomes for individuals and families affected by dementia across South Dakota.","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"79 6","pages":"262-264"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621800","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