{"title":"Foreword for trafficking in the child and adolescent: Application of SAFETY and CARE for a global crisis of exploitation","authors":"Jerrold B. Leikin MD FACOEM, FACP, FACEP, FACMT, FAACT, FASAM (Senior Editor Disease-A-Month)","doi":"10.1016/j.disamonth.2024.101826","DOIUrl":"10.1016/j.disamonth.2024.101826","url":null,"abstract":"","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"71 1","pages":"Article 101826"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dm Disease-A-MonthPub Date : 2025-01-01DOI: 10.1016/j.disamonth.2024.101825
Donald E. Greydanus MD, DrHC (ATHENS) , Dena Nazer MD , Artemis Tsitsika MD , Ahsan Nazeer MD , Dr Swati Y. Bhave , Elizabeth K. Greydanus LMSW, CAADC
{"title":"Trafficking in the child and adolescent: Application of SAFETY and CARE for a global crisis of exploitation","authors":"Donald E. Greydanus MD, DrHC (ATHENS) , Dena Nazer MD , Artemis Tsitsika MD , Ahsan Nazeer MD , Dr Swati Y. Bhave , Elizabeth K. Greydanus LMSW, CAADC","doi":"10.1016/j.disamonth.2024.101825","DOIUrl":"10.1016/j.disamonth.2024.101825","url":null,"abstract":"<div><div>Human trafficking in the child and adolescent is a global public health crisis that can be divided into sex trafficking, labor trafficking and organ trafficking. This discussion considers basic terminology in this area, sociodemographic information on these victims, negative effects or repercussions from such egregious actions forced on the victims, issues of screening for healthcare providers based on specific risk factors/indicators, and information regarding screening tools as well as management principles for healthcare professionals. These trafficked persons are seen in varied practice settings such as primary care offices, emergency departments, street medicine operations, and others. Clinicians can approach these victims with targeted training that encourages these pediatric persons to feel safe in healthcare settings, empowering them to help with healing (i.e., trauma-informed care). It is important that those involved in the care of trafficked victims understand the rights of these persons who are essentially hostages that need rescuing, and thus, employ a rights-based approach in dealing with these vulnerable children and youth. Culturally-sensitive concepts of prevention are considered as well to reduce this illegal, inhumane exploitation of our children and adolescents ubiquitously existing throughout the United States and the world. Indeed, there is much that clinicians and society can do to help these unfortunate minors who often feel hopeless and trapped in chaotic circumstances.</div></div>","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"71 1","pages":"Article 101825"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dm Disease-A-MonthPub Date : 2024-12-01DOI: 10.1016/j.disamonth.2024.101827
Robin B. McFee DO, MPH, FACPM, FAACT
{"title":"Gastrointestinal disorders–Clinical challenges for the primary care clinician: Conclusion","authors":"Robin B. McFee DO, MPH, FACPM, FAACT","doi":"10.1016/j.disamonth.2024.101827","DOIUrl":"10.1016/j.disamonth.2024.101827","url":null,"abstract":"","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"70 12","pages":"Article 101827"},"PeriodicalIF":3.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dm Disease-A-MonthPub Date : 2024-12-01DOI: 10.1016/j.disamonth.2024.101830
Fizza Zulfiqar MD , Muhammad Bilal MD , Yash Shah MD , Steele Morgan , Rida Fatima MD , Bryanna Singh , Sneha Annie Sebastian , Bashar Roumia , Parjanya Bhatt MD , Vinay Kumar Thallapally MD , Geetha Krishnamoorthy MD , Syed Ali Muttaqi Hussain MD
{"title":"Navigating mesenteric vasculitis: A comprehensive review of literature","authors":"Fizza Zulfiqar MD , Muhammad Bilal MD , Yash Shah MD , Steele Morgan , Rida Fatima MD , Bryanna Singh , Sneha Annie Sebastian , Bashar Roumia , Parjanya Bhatt MD , Vinay Kumar Thallapally MD , Geetha Krishnamoorthy MD , Syed Ali Muttaqi Hussain MD","doi":"10.1016/j.disamonth.2024.101830","DOIUrl":"10.1016/j.disamonth.2024.101830","url":null,"abstract":"<div><div>Vasculitides are diseases marked by inflammation of the blood vessel walls across various organ systems. The mesenteric vasculitis (MV) affects localized mesenteric vessels of the gastrointestinal tract. It usually occurs as part of a systemic inflammatory process but could also present in isolation. There are very few published reports of isolated mesenteric artery vasculitis. Presenting symptoms often include nausea, vomiting, diarrhea, abdominal pain, rectal bleeding, often complicating the diagnostic process. Diagnosing MV as the cause of abdominal pain can be challenging, and failure to diagnose can result in significant morbidity and mortality. A timely and accurate diagnosis of MV is essential for administering the appropriate immunosuppressive therapy and preventing unnecessary surgical interventions. This review aims to provide a comprehensive discussion of MV, including its clinical presentation, diagnostic approaches, and treatment options, with a focus on achieving early diagnosis to enhance outcomes and prevent complications. Furthermore, this review addresses the diagnostic challenges associated with MV, including the lack of specific criteria and symptom overlap with other gastrointestinal disorders such as atherosclerotic mesenteric ischemia, infections, malignancies, adverse medication effects, and other vessel occlusive processes. It also emphasizes the gaps in current literature regarding optimal diagnostic strategies and the necessity for standardized treatment protocols. By addressing these gaps and challenges, we aim to optimize patient care and improve prognosis for individuals affected by MV.</div></div>","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"70 12","pages":"Article 101830"},"PeriodicalIF":3.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dm Disease-A-MonthPub Date : 2024-12-01DOI: 10.1016/j.disamonth.2024.101832
R.B. McFee DO, MPH, FACPM, FAACT
{"title":"Cannabinoid Hyperemesis Syndrome (CHS) - An emerging gastrointestinal disorder and clinical challenge","authors":"R.B. McFee DO, MPH, FACPM, FAACT","doi":"10.1016/j.disamonth.2024.101832","DOIUrl":"10.1016/j.disamonth.2024.101832","url":null,"abstract":"<div><div>Nausea and vomiting are not uncommon symptoms resulting in emergency department (ED) or primary care visits. One of the emerging etiologies – Cannabinoid Hyperemesis Syndrome (CHS) remains significantly under-diagnosed, often resulting in unnecessary repeat ED visits and testing. This is in part due to lack of experience with and knowledge about CHS by health care professionals. Characterized by cyclic vomiting, often severe and intractable, it is frequently associated with a form of self-treatment; the compulsive need to take hot showers, and in the context of chronic cannabis use. With increased legalization and resultant accessibility to cannabis containing products, the risk of adverse events is significantly rising. Lack of clinical familiarity with the range of potential deleterious physical and mental health effects associated with cannabis leads to delays in appropriate diagnosis and effective treatment of CHS. Moreover, commonly utilized anti-emetics, such as ondansetron, and similar 5 HT drugs may not fully attenuate symptoms of CHS, and other interventions may be necessary; ultimately abstinence being the most effective long term clinical preventive approach. The objective of this review article is to assist the clinician in identifying the specific clinical characteristics of CHS, distinguishing it from other causes of CVS or nausea and vomiting, to facilitate more rapid, effective interventions. Collaboration with substance use professionals should also be considered during CHS treatment.</div></div>","PeriodicalId":51017,"journal":{"name":"Dm Disease-A-Month","volume":"70 12","pages":"Article 101832"},"PeriodicalIF":3.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}