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Contemporary Issues in Missouri Trauma Care. 密苏里州创伤护理的当代问题。
Missouri medicine Pub Date : 2026-09-01
Jeffrey Coughenour
{"title":"Contemporary Issues in Missouri Trauma Care.","authors":"Jeffrey Coughenour","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"398-402"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217555","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
Robotic Surgery: Who Benefits More, the Patient, or the Surgeon? 机器人手术：病人和外科医生谁更受益？
Missouri medicine Pub Date : 2026-09-01
Thomas Xu, Kevin Bartow, Milot Thaqi
{"title":"Robotic Surgery: Who Benefits More, the Patient, or the Surgeon?","authors":"Thomas Xu, Kevin Bartow, Milot Thaqi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The adoption of robotic-assisted surgery (RAS) across multiple specialties has outpaced procedural specific evidence of benefit over laparoscopy. The question we seek to answer is not whether RAS \"works\"- rather whether the purported advantages are primarily for the surgeon or the patient and under what circumstances those advantages justify the added cost and complexity. With the review of randomized, trials, large comparative cohorts, cost analyses, and ergonomic studies, we hope to highlight areas where RAS delivers patient-centered value compared to surgeon benefits. Across many routine operations, with well-performed laparoscopy, patient outcomes are largely equivalent, however operative time, cost, and emerging potential safety concerns highlight the importance of a measured approach to the spread of RAS. There is evidence that RAS does offer some benefits, namely in deep pelvic dissections. Surgical approach should be based on documented outcomes, surgeon proficiency, and surgeon benefits rather than being driven by platform availability alone.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"403-408"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217592","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 Lawsuits Will Continue Until Morale Improves. 诉讼将继续，直到士气好转。
Missouri medicine Pub Date : 2026-09-01
Cory L Andrews
{"title":"The Lawsuits Will Continue Until Morale Improves.","authors":"Cory L Andrews","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"390-391"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217076","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
Doctors versus The Dogs. 医生对狗。
Missouri medicine Pub Date : 2026-09-01
Norman P Knowlton
{"title":"Doctors versus The Dogs.","authors":"Norman P Knowlton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"392-395"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217616","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
When Suspicion Is Enough: Missouri Physicians' Mandatory Reporting Obligations for Abuse, Neglect, and Related Harm. 当怀疑是足够的：密苏里州医生对虐待，忽视和相关伤害的强制性报告义务。
Missouri medicine Pub Date : 2026-09-01
Kathryn C Horvatits, Lisa M Luetkemeyer
{"title":"When Suspicion Is Enough: Missouri Physicians' Mandatory Reporting Obligations for Abuse, Neglect, and Related Harm.","authors":"Kathryn C Horvatits, Lisa M Luetkemeyer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"384-389"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217132","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 Great Debate: Metabolic Surgery vs. Glucagon-Like Peptide-1 Receptor Agonists in Managing Patients with Obesity and its Related Comorbid Medical Illnesses. 大辩论：代谢手术与胰高血糖素样肽-1受体激动剂治疗肥胖及其相关合并症的患者
Missouri medicine Pub Date : 2026-09-01
Andrew A Wheeler, Norbert Richardson, Joshua Landreneau
{"title":"The Great Debate: Metabolic Surgery vs. Glucagon-Like Peptide-1 Receptor Agonists in Managing Patients with Obesity and its Related Comorbid Medical Illnesses.","authors":"Andrew A Wheeler, Norbert Richardson, Joshua Landreneau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity as a chronic disease continues to increase in prevalence despite continual advancements in surgical and medical therapy. Bariatric surgery has been the gold-standard for effective treatment of obesity and its related diseases for multiple decades. However, with the continual introduction of newer and more effective glucagon-like peptide one receptor agonists, the most effective non-surgical therapy to date, the debate has begun about which therapy is more effective in treating patients suffering from chronic obesity. As data continues to emerge, further consideration must be given regarding the use of these modalities as monotherapy or as combination therapy for treating obesity. We will provide arguments for each therapy and make a further argument for multimodal therapy to treat the challenging disease of obesity.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 5","pages":"409-414"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217124","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
Concept Study: Small Group Strength and Conditioning Training for Physician Burn-Out. 概念研究：医师倦怠的小组力量和调节训练。
Missouri medicine Pub Date : 2026-07-01
Amer Avdagic, Stephanie Clookey, Komal Hargovind Ashraf
{"title":"Concept Study: Small Group Strength and Conditioning Training for Physician Burn-Out.","authors":"Amer Avdagic, Stephanie Clookey, Komal Hargovind Ashraf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This single-armed pilot study evaluated the feasibility and potential benefit for small-group, coach-led strength training for the treatment of physician burnout. The findings suggest a benefit for the treatment, perhaps even the prevention of physician burnout.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 4","pages":"365-367"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992885","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
10 Years of Youth Sport Concussion Reporting in Missouri. 密苏里州青少年运动脑震荡报道的十年。
Missouri medicine Pub Date : 2026-07-01
Katherine R Newsham
{"title":"10 Years of Youth Sport Concussion Reporting in Missouri.","authors":"Katherine R Newsham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Concussions in high school athletics are increasingly studied as a public health issue. Little is known about sport-related concussion among Missouri high school student-athletes. This retrospective analysis of data reported through the Missouri State High School Activities Association aimed to describe trends in participation and clinical incidence of concussion and provide comparisons of similar sports. Over 10 years, 39,953 concussions were reported for 2.16 million participants; the number of concussions increased by 48% during this time. Boys reported twice as many concussions as girls, though when adjusted for participation, girls' sports are often higher than matched boys' sports in concussions per 100 player-seasons. This information should increase awareness and may inform policies moving forward.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 4","pages":"358-364"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992779","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
A Review of Direct-to-Consumer Home Antibiotic Kits: A Threat to Antimicrobial Stewardship and Patient Safety. 直接面向消费者的家用抗生素包：对抗菌药物管理和患者安全的威胁。
Missouri medicine Pub Date : 2026-07-01
Hilal Abdessamad, Hadie Islam, Brian K White
{"title":"A Review of Direct-to-Consumer Home Antibiotic Kits: A Threat to Antimicrobial Stewardship and Patient Safety.","authors":"Hilal Abdessamad, Hadie Islam, Brian K White","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Driven by the global wellness industry, pandemic anxiety, and increasing demand for telehealth, a direct-to-consumer (DTC) market for prescription antibiotic emergency kits has emerged. This review examines the clinical, ethical, and public health risks of stockpiling broad-spectrum antimicrobials for self-administration without guidance from a clinician. This model is a health risk to the individual consumers (adverse effects, drug interactions) and to the entire population (propagating antimicrobial resistance). While these kits are marketed as tools of safety and peace of mind, they represent an unmonitored public health threat. This article concludes with a call to action for regulatory bodies and medical societies to investigate misleading marketing and enforce stricter rules on prescribing antibiotics for future hypothetical illnesses, except in high-risk travel medicine contexts.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 4","pages":"344-350"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992817","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
Physician Involvement in Healthcare Litigation: What to Do and What to Expect. 医生参与医疗保健诉讼：该做什么和期待什么。
Missouri medicine Pub Date : 2026-07-01
Liz LaFoe, Scott Martin
{"title":"Physician Involvement in Healthcare Litigation: What to Do and What to Expect.","authors":"Liz LaFoe, Scott Martin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 4","pages":"298-302"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992878","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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