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Personalized Medicine In Complex Aortic Aneurysm Repair. 复杂主动脉瘤修复中的个体化治疗。
Missouri medicine Pub Date : 2026-09-01
Uttara Nag
{"title":"Personalized Medicine In Complex Aortic Aneurysm Repair.","authors":"Uttara Nag","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For patients with aortic aneurysms involving the visceral segment, historically, treatment options were limited and associated with major morbidity and mortality. More recently, an array of options have become available for these patients as a result of both refinements in perioperative management and evolution of endovascular devices and techniques. This review aims to highlight the current options for treatment of complex aortic aneurysms including open, endovascular, and hybrid approaches. We emphasize the strengths and limitations of each that may allow surgeons to tailor the approach for each individual patient.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"415-419"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217639","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
Denied by Algorithm: How AI Has Accelerated Health Insurance Rejections. 被算法拒绝：人工智能如何加速医疗保险的拒绝。
Missouri medicine Pub Date : 2026-09-01
Kevin D Weikart
{"title":"Denied by Algorithm: How AI Has Accelerated Health Insurance Rejections.","authors":"Kevin D Weikart","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"382-383"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217584","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
The Future is Small: Little Patients, Big Leaps, Innovations in Pediatric Surgery. 未来是小的：小病人，大飞跃，儿科外科的创新。
Missouri medicine Pub Date : 2026-09-01
Yousef El-Gohary, Venkataraman Ramachandran, Jessica Peuterbaugh, Tara Kempker, Ahmed I Marwan
{"title":"The Future is Small: Little Patients, Big Leaps, Innovations in Pediatric Surgery.","authors":"Yousef El-Gohary, Venkataraman Ramachandran, Jessica Peuterbaugh, Tara Kempker, Ahmed I Marwan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric surgery stands at the forefront of technological innovation. The future promises even greater transformations, from robotics and 3D-printed models to non-operative management for traditionally operative surgical conditions. These developments are not merely technical triumphs; they represent a fundamental reimagining of how we diagnose, operate, and care for our smallest patients. In this article, we will examine emerging innovations transforming the future of pediatric surgery and the challenges they pose.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"426-433"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216732","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
Highly Pathogenic Avian Influenza H5N1 in Missouri: Current Situation and Pandemic Potential. 密苏里州高致病性H5N1禽流感：现状和大流行的可能性。
Missouri medicine Pub Date : 2026-09-01
David S McKinsey, Joel P McKinsey, Vincent A Ait Ouamara, Molly Baker, Jessica Goswitz, John Bos
{"title":"Highly Pathogenic Avian Influenza H5N1 in Missouri: Current Situation and Pandemic Potential.","authors":"David S McKinsey, Joel P McKinsey, Vincent A Ait Ouamara, Molly Baker, Jessica Goswitz, John Bos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Highly pathogenic avian influenza (HPAI) H5N1, which has caused severe disease in poultry since 1996, has become panzootic in wild birds and recently has spread to dairy cattle and other mammalian species in the United States. Although few human cases have been reported, devastating HPAI H5N1 poultry outbreaks and massive dieoffs in wild birds and in some mammals raise concern about pandemic potential. Surveillance, early detection, public health interventions, farm biosecurity measures, and next-generation vaccines may reduce the risk of a future HPAI H5N1 pandemic.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"434-441"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217561","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
Breast Cancer Awareness and Screening Barriers Among Women in a Diverse Urban Setting. 不同城市环境中女性乳腺癌意识和筛查障碍
Missouri medicine Pub Date : 2026-09-01
Joanne Loethen, Priyanka Kumar, Alka Joseph, Sarah Huddleston, Angellar Manguvo
{"title":"Breast Cancer Awareness and Screening Barriers Among Women in a Diverse Urban Setting.","authors":"Joanne Loethen, Priyanka Kumar, Alka Joseph, Sarah Huddleston, Angellar Manguvo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breast cancer remains a leading cause of morbidity and mortality among women. Early detection through mammography is crucial for improving survival. Despite widespread awareness, disparities in screening persist. This cross-sectional survey examined perceptions and barriers to mammography among 117 women aged 40-75 receiving primary care services in an urban, academic medical center in Kansas City, Missouri. Most participants reported awareness of breast cancer risks, recognized the importance of mammography, and had undergone at least one screening. However, 61% reported skipping, delaying, or avoiding mammograms. Commonly cited barriers included lack of physician referral, distance to screening sites, work conflicts, and transportation challenges. Younger women and those with lower household incomes were more likely to forgo screening. Findings underscore that knowledge and provider recommendations alone are insufficient; structural and emotional barriers must also be addressed. Targeted interventions, including patient navigation, mobile screening, and culturally tailored counseling, are needed to improve adherence.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"442-448"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217626","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
Rural Cardiovascular Health in Missouri: Needs, Care Gaps, and Resources for a More Connected System. 密苏里州的农村心血管健康：需求、护理差距和资源，以建立一个更紧密的系统。
Missouri medicine Pub Date : 2026-09-01
Adnan I Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R Gomez
{"title":"Rural Cardiovascular Health in Missouri: Needs, Care Gaps, and Resources for a More Connected System.","authors":"Adnan I Qureshi, Hatem Tolba, Muhammad Shah Miran, Muhammad Shakir, Camilo R Gomez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Missouri's rural health needs are inseparable from cardiovascular health. Nearly one-quarter of Missourians live in nonmetro areas, where rural hospitals, clinics, community health centers, emergency medical services agencies, public health departments, and community organizations anchor care. Yet heart disease is the leading cause of death in Missouri; the 20 counties with the highest heart disease death rates are rural; and recent data show higher rural heart disease and stroke mortality than urban Missouri. Cardiovascular risk is shaped by clinical care, primary care access, transportation, insurance, broadband, food security, medication affordability, and specialty referral networks. Missouri has building blocks: critical access hospitals, rural clinics, federally qualified health centers, the Misouri Time Critical Diagnosis System for STelevation myocardial infarction (STEMI) and stroke, heart disease and stroke prevention program, workforce recruitment programs, and rural health transformation initiatives. This article proposes a rural cardiovascular agenda centered on prevention, urgent treatment, recovery, and community-level coordination.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"449-456"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217569","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
Missouri Medicine Annual Statement of Ownership, Management & Circulation. 密苏里医药年度所有权，管理和流通报表。
Missouri medicine Pub Date : 2026-09-01
{"title":"<i>Missouri Medicine</i> Annual Statement of Ownership, Management & Circulation.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"391"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217614","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
Mizzou School of Medicine Expands in Springfield to Grow Missouri's Physician Workforce. 密苏里大学医学院在斯普林菲尔德扩建，以增加密苏里州的医生队伍。
Missouri medicine Pub Date : 2026-09-01
David Haustein, Andy Oldenburg, Travis Zimpfer
{"title":"Mizzou School of Medicine Expands in Springfield to Grow Missouri's Physician Workforce.","authors":"David Haustein, Andy Oldenburg, Travis Zimpfer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"396-397"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217631","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
AI as Draftsperson, Human as Architect-Reframing Medical Authorship. 人工智能作为绘图员，人类作为建筑师-重新构建医学作者。
Missouri medicine Pub Date : 2026-09-01
John C Hagan
{"title":"AI as Draftsperson, Human as Architect-Reframing Medical Authorship.","authors":"John C Hagan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"376-381"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217608","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
History and Evolution of Lower Extremity Salvage. 下肢抢救的历史和发展。
Missouri medicine Pub Date : 2026-09-01
Lauren Arnold, Eamon O'Reilly, Kylee Rucinski, Daniel A London, Julia A V Nuelle, Sebastien Lalonde, Hunter Timmons
{"title":"History and Evolution of Lower Extremity Salvage.","authors":"Lauren Arnold, Eamon O'Reilly, Kylee Rucinski, Daniel A London, Julia A V Nuelle, Sebastien Lalonde, Hunter Timmons","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There has been a paradigm shift in the management of lower extremity injury from amputations to more complex limb salvage techniques. Despite advancements in orthopedic surgery, trauma surgery, plastic surgery, and vascular surgery, not every patient is a candidate for complex lower extremity limb salvage. For this reason, novel advancements in plastic and reconstructive surgery have targeted not only limb salvage but also functional amputations. Here we review the history and advancements in microsurgical limb salvage and lower extremity amputation to discern how today's surgeon can better aid this population.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"420-425"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217624","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
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