{"title":"Cochlear Implants: An Overview.","authors":"Gabriella L Boone, Joshua M Sappington","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Importance: </strong>Hearing loss poses a significant health burden to the Missouri population and broader United States (US). Cochlear implantation is the most effective intervention for patients with sensorineural hearing loss who do not find adequate benefit from hearing aids.</p><p><strong>Objective: </strong>This review provides an overview on cochlear implantation including its history, mechanisms, candidacy criteria, outcomes, and continued challenges in access and utilization.</p><p><strong>Methods: </strong>A literature review was conducted using PubMed to identify peer-reviewed articles using relevant keywords pertaining to cochlear implantation.</p><p><strong>Findings: </strong>Cochlear implantation has evolved significantly over the past six decades, and advancements continue to be made. Extensive research has supported cochlear implantation as a highly effective intervention in both adults and children, and its indications and candidacy criteria continue to expand. However, cochlear implantation is underutilized, driven by a combination of socioeconomic, individual, and health systems related factors.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"123 1","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313335","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}
{"title":"Report of the American Medical Association Interim Meeting.","authors":"Charles W Van Way","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 6","pages":"463-465"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822380","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}
{"title":"Autism Spectrum Disorder: Nature vs. Nurture.","authors":"Joel C Eissenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Autism Spectrum Disorder (ASD) is associated with a variety of inherited disorders, but most diagnoses have no identifiable genetic etiology. There has been a significant increase in the incidence of ASD diagnoses in the past three decades. The now-discredited vaccine theory of ASD causation has driven concerns over environmental exposures that may or may not lead to ASD. Here, I discuss the evidence for an underlying genetic basis for ASD, the evidence that environmental inputs could play a significant role ASD and potential treatments for associated symptoms.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 6","pages":"501-507"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822253","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}
{"title":"Missouri Medicine Moments The 2025 Chronicle.","authors":"John C Hagan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 6","pages":"444-445"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822340","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}
{"title":"Embracing Opportunities, Making Choices, and Focusing on the Mission.","authors":"Karen Edison","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 6","pages":"473-476"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822389","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}
Abby L Cheng, Ryan Barker, David von Nordheim, Amy McQueen
{"title":"Long COVID: What is it? Who has it? What Are Treatment Resources in Missouri?","authors":"Abby L Cheng, Ryan Barker, David von Nordheim, Amy McQueen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As we pass the five-year mark since the COVID-19 pandemic hit, the prevalence of persistent (and often disabling) symptoms from the SARS-CoV-2 virus is estimated to be on par with the prevalence of heart disease. Yet, these Long COVID symptoms can masquerade as other conditions and/or normal aging, so it is believed that Long COVID is under-diagnosed and, as a result, under-treated. Although there is not yet a true cure for Long COVID, many patients benefit substantially from rehabilitation strategies, medications, and social support resources that are available in Missouri. The purpose of this article is to review the definition and epidemiology of Long COVID, provide practical guidance for Long COVID assessment and management especially in the primary care setting, and increase awareness of regional resources for people in Missouri who are living with Long COVID and for the clinicians who are caring for them.</p>","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 6","pages":"488-494"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822297","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}
{"title":"Running-Related Silent Atrial Flutter Presenting as a Stroke: A Marathoner's Tale.","authors":"Philip R Cohen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 6","pages":"477-481"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822348","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}
{"title":"Missouri's 2026 Legislative Session: A Pivotal Year for Physician-Led Care.","authors":"Rachel Bauer, Jacob Scott","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74203,"journal":{"name":"Missouri medicine","volume":"122 6","pages":"458-460"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12721851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822369","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}