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

{"title":"Dr. TikTok: The Viral Social Media App Acting as the Newest Self-Diagnosis Platform.","authors":"Cole D Tessendorf","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 12","pages":"531"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025077","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}

{"title":"Advanced Cardiac Imaging Modalities: A Brief Review for the Primary Care Physician.","authors":"Muhammad Hasan, Ninad Nadkarni, Naveen Rajpurohit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Advanced cardiac imaging modalities have revolutionized the field of cardiovascular medicine, offering invaluable tools for both diagnosis and the management of a wide spectrum of cardiovascular diseases. These imaging methods, including echocardiography, cardiac computed tomography (CT), computed tomography angiography (CTA), cardiac magnetic resonance imaging (MRI), nuclear imaging, and fluoroscopy, offer various approaches to evaluate both the structure and function of the heart. This article provides an overview of imaging modalities for primary care physicians, highlighting their types, advantages, limitations and clinical uses.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 12","pages":"562-570"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025000","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}

{"title":"A Survey of Employed Orthopedic Surgeons Ability to Estimate Operating Room Device Costs.","authors":"Michaela Derby, Edward Floyd, David Sturdevant, Hunter O'Connor, Nathan Skelley","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Orthopaedic devices represent a large amount of the overall cost incurred in the operating room. It is unknown if employed sports medicine surgeons are aware of the true prices of these devices. The purpose of this study was to assess sports medicine orthopaedic surgeons' knowledge of implant and device costs, as well of commonly used items in their operating rooms.</p><p><strong>Methods: </strong>REDCap surveys were distributed to 18 orthopaedic surgeons who perform arthroscopic and sports medicine procedures. All surgeons are employed at a healthcare system spanning four different states. Surgeons estimated the cost of 26 items used in the operating room. A surgeon reported cost within 10% of the actual price was established as having awareness of that item's cost.</p><p><strong>Results and conclusions: </strong>Response rate was 89% (16/18). Twenty-five percent (n = 4) of surgeons were within 10% of the actual cost of only one item (Swivelock 4.75mm). Forty-three percent (n = 7) were within 20% of the actual cost of one item (Achilles Allograft). Those who perceived they had the poorest insight into device costs were found to have the greatest difference between estimated and actual cost. Surgeons in our study were not aware of the cost of commonly used items and implants in the operating room. Surgeons with greater insight into this topic can contribute toward a more value-based delivery of care. These findings support engaging employed physicians with initiatives to increase their awareness of the actual cost of the care they deliver, benefiting the whole healthcare system.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 12","pages":"534-539"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024992","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}

{"title":"Carpal Tunnel, Trigger Finger, and Spinal Stenosis: The Rest of the Story.","authors":"Joseph Rath, Victoria Durkin, Robert E Van Demark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Amyloidosis is a deadly systemic disease in which misfolded proteins accumulate in human tissue eventually leading to morbid dysfunction in multiple organ systems. The prognosis of untreated amyloidosis is poor. Orthopedic manifestations of amyloidosis include carpal tunnel syndrome (CTS), trigger digit, distal biceps tendon rupture, rotator cuff disease, and lumbar spinal stenosis. These orthopedic conditions are early red flags for systemic amyloidosis. CTS is often the earliest manifestation and can precede the disease by over four years. With the advent of medications that can slow the progression of amyloidosis, particularly in the early stages of the disease, it is imperative to diagnose amyloidosis early on. Both primary care physicians and orthopedic surgeons can recognize the various orthopedic conditions associated with amyloidosis and play a vital role in early disease detection. Awareness of the musculoskeletal presentation of systemic amyloidosis can lead to earlier detection and treatment that can delay the progression of the disease.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 11","pages":"516-525"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012568","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}

{"title":"From GRIT to Determination.","authors":"Jason J Kemnitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 11","pages":"483"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012772","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}

{"title":"A Case Report: Rosuvastatin Induced Rhabdomyolysis in an 80-Year-Old Female.","authors":"Muhammad Hasan, Mohammad Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rosuvastatin, a commonly prescribed lipid-lowering medication for primary and secondary prevention of cardiovascular disease, is generally considered safe with associated mortality benefits. Despite its overall safety profile, the drug is not without side effects. Statin-induced myopathy, a known complication, can manifest in 10-25% of cases, while more uncommon complications such as rhabdomyolysis occur in less than 0.1% of treated patients. In this case report, we present an 80-year-old female presenting with rhabdomyolysis attributable to rosuvastatin.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 11","pages":"501-502"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013727","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}

{"title":"The State of Palliative Care in South Dakota.","authors":"Amanda Kay Sedlacek, Sarah Mollman, Michele Snyders, Michelle Gierach","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As numbers of patients living with chronic diseases are increasing, there is a growing demand for physicians who have knowledge to provide interventions that align with the goals of palliative care. The increasing number of patients living with chronic disease creates a challenge for the healthcare landscape of South Dakota. Even though South Dakota has a growing number of fellowship trained and board certified palliative and hospice physicians to help meet patient needs, there is a shortage of providers to meet the demand. This article provides an overview of the state of palliative care in South Dakota. A brief background of palliative care is provided along with information related to advanced training for physicians. An overview of legislation addressing palliative care for the 2024 session is provided. Through the collaboration of our healthcare teams, universities, and the South Dakota Association of Healthcare Organization, there is increasing exposure to palliative care principles, patient care, and a unified vision for palliative care in South Dakota is being created.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 11","pages":"505-509"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012964","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}

{"title":"Taking Control of Your Health: Self-Measured Blood Pressure Program in Yankton, South Dakota.","authors":"Brittany Bamberg, Christopher Behrend, Jennifer Boleyn, Kyler Hardie, Ross Lanier, Christopher Rumrill, Susan Fanta","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Identification and management of hypertension is one of the most common problems for primary care providers. Rural settings have increased rates of hypertension due to a variety of factors including access to care, socioeconomic factors, and restricted strategies to identify hypertension outside of the clinic setting. To address this challenge, a self-measured blood pressure (SMBP) program was employed at a rural clinic in South Dakota with a goal of increasing the number of patients with well-controlled blood pressure.</p><p><strong>Methods: </strong>One-hundred seventy-two patients aged 18-85 years with a primary residence of South Dakota were enrolled during a nine-month period. Two sets of home blood pressure measurements were taken twice a day for seven consecutive days and recorded by the patient. Controlled blood pressure was defined as systolic blood pressure less than 140 mm Hg and diastolic blood pressure less than 90 mm Hg. The number of patients with controlled blood pressures were documented. Additionally, the number of patients with uncontrolled blood pressures requiring treatment plan or medication changes as a result of the program were recorded. Patient data was reviewed by the provider and utilized to make diagnosis and further recommendations.</p><p><strong>Results: </strong>Eighty-eight out of the 172 patients were considered to have controlled blood pressure by the end of the study period without the need for interventions. Eighty-four patients required new medication or treatment plan changes throughout the study period in response to uncontrolled blood pressure readings obtained from the patients' blood pressure logs. Overall, patients reported appreciation for taking ownership in their health management through home blood pressure monitoring.</p><p><strong>Conclusion: </strong>This work provides a framework to implement an SMBP program as a strategy to improve outpatient management of hypertension by empowering patients to take a greater, more active role in their health.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 11","pages":"486-490"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012793","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}

{"title":"Immature Smooth Muscle Infiltration in Sporadic Lymphangioleiomyomatosis: A Case Study.","authors":"Conner Stearns, DesiRae Muirhead, Brandon Rosell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lymphangioleiomyomatosis (LAM) is a rare cystic lung disease that causes progressive pulmonary damage. It typically affects young reproductive-age females with tuberous sclerosis complex (TSC). The clinical manifestations of LAM result from the progressive invasion of abnormal smooth muscle cells into lung parenchyma, lymphatics, or pulmonary vasculature. A 43-year-old female presented to the emergency department with a 4-week history of radiating chest pain and shortness of breath. The workup revealed multiple bilateral, small, parenchymal cysts and a left spontaneous pneumothorax. A wedge biopsy confirmed the diagnosis of lymphangioleiomyomatosis. Although LAM is often associated with TSC, it can also be sporadic. Treatment often relies on the degree of lung function and extent of lung damage.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 11","pages":"511-515"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012790","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}

{"title":"Bridging the Gap from Rural Trauma to Rural Healthcare: Fire Department Education Sessions.","authors":"Kaihlen Smith, Gaven Bowman, Jason Wickersham, Susan M Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>South Dakota's Emergency Medical Services (EMS) volunteer participation is declining, and projected to further decrease over the next decade. To minimize this deficit, South Dakota's Department of Health recommends that rural firefighters assist EMS in high-acuity calls to decrease the burden on EMS personnel in an effort to improve volunteer retention. Bridging the Gap from Rural Trauma to Rural Healthcare aimed to create educational training opportunities for firefighters when assisting EMS. A focus group including EMS personnel, firefighters, and the fire chief from communities surrounding and including Parkston, South Dakota, identified a list of skills where knowledge deficits existed; this list included backboard technique, tourniquets, field dressings, splints, Lund University Cardiopulmonary Assist System (LUCAS) device application, triage procedure, stair chair utilization, oxygen administration, familiarization with ambulance supplies, limb recovery in the field, EMS communication and report, extrication scenarios/problem-solving, cardiopulmonary resuscitation (CPR) re-familiarization, decontamination procedures, and a tour of Parkston's rural emergency department. These skills were divided into three nights of hands-on learning sessions. Pre- and post-session surveys were administered to measure the firefighters' confidence levels regarding each skill. Firefighters demonstrated a statistically significant change in confidence levels in nearly all skills that were taught, with LUCAS device application, decontamination location, and decontamination procedure demonstrating a mean increase in confidence levels of greater than 100%. Typically, firefighters are on location for many rural, high-acuity calls. If trained to assist EMS, firefighters may enhance the South Dakota Department of Health's goals to improve EMS volunteer retention over the next decade.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"77 11","pages":"492-499"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013698","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}