Kansas journal of medicine最新文献

A Case of Olanzapine Resistance from Heavy Smoking and Clinical Considerations.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22846

Kamalakar Surineni, Andrew L Smith, Rachel Glein, Nolan Schrader

引用次数: 0

A Case Report of Futibatinib-Induced Calciphylaxis.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22862

Colin P Slaymaker, Haoran Li

引用次数: 0

Tophaceous Gout in the Axial Skeleton: An Unusual Case with Key Imaging Characteristics.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22771

Hussein Alsadi, Kevin Le, Kelly Dahlstrom, Kyle Summers, Kyle Werth

引用次数: 0

Cost Burden of Cancer Screening in Kansas by Region and Rural/Urban Designation.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22836

Kale Mills, Nicole Freund

{"title":"Cost Burden of Cancer Screening in Kansas by Region and Rural/Urban Designation.","authors":"Kale Mills, Nicole Freund","doi":"10.17161/kjm.vol18.22836","DOIUrl":"https://doi.org/10.17161/kjm.vol18.22836","url":null,"abstract":"Introduction: In 2022, the U.S. healthcare expenditure totaled $4.5 trillion, representing 17.3% of its gross domestic product. Despite this, 26 million Americans remain uninsured, often relying on out-of-pocket payments for essential services like cancer screenings. Kansas, with its high uninsured rate, faces unique challenges, emphasizing the need to analyze the cost burden of these critical yet repeatable interventions.Methods: Authors of this cross-sectional study analyzed hospital pricing transparency data for breast, lung, and colon cancer screening costs across 124 Kansas hospitals. Data on self-pay costs were collected and compared between urban and rural regions, as well as geographic price variations. Statistical analyses included measures of central tendency, Kruskal-Wallis tests, and Mann-Whitney U tests to evaluate differences.Results: Pricing disparities were evident across Kansas. Urban hospitals charged higher prices for chest computed tomography (CT) scans, while rural hospitals had elevated costs for colonoscopies and mammograms. Notable price variation included Northeast Kansas colonoscopy prices, which ranged from $595 to $11,684. Rural residents faced a greater financial burden, spending 7% of their income on screenings compared to 6% for urban residents. Median screening prices statewide were $2,247 for colonoscopies, $1,109 for chest CT scans, and $228 for mammograms.Conclusions: These disparities call for targeted policy interventions, such as Medicaid expansion, standardized pricing regulations, and increased support for low-cost clinics. Enhanced hospital pricing transparency is critical for empowering patients and reducing financial burdens. This study highlights the urgent need for equitable access to cancer screenings in Kansas.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 1","pages":"10-13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652931","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

Working Backwards: Splenic Infarcts from Left Ventricular Thrombus.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22401

Emmanuel Oundo, Ahmad Mahdi, Mona Brake

引用次数: 0

The Importance of Basic Research Knowledge in Undergraduate Medical Education.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22599

Samuel Ofei-Dodoo

引用次数: 0

Uncommon Presentation of Metastatic Melanoma to the Breast.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22874

Jodi A Veach, Molly Hill, Ashley I Huppe

引用次数: 0

Concurrent Small Cell and Non-Small Cell Lung Cancers: The Diagnostic and Management Challenges of Synchronous Primary Lung Tumors.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22810

Joseph O Odeyemi, Abdel-Ghanie H Abu-Samra

引用次数: 0

Factors Affecting Parental Intent to Vaccinate Against COVID-19 in Kansas.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22762

Leah Duncan, Matthew Hoang, Liam Magathan, Michala Sliefert, Kevin McKaughan, Colleen Loo-Gross, Samuel Ofei-Dodoo

{"title":"Factors Affecting Parental Intent to Vaccinate Against COVID-19 in Kansas.","authors":"Leah Duncan, Matthew Hoang, Liam Magathan, Michala Sliefert, Kevin McKaughan, Colleen Loo-Gross, Samuel Ofei-Dodoo","doi":"10.17161/kjm.vol18.22762","DOIUrl":"https://doi.org/10.17161/kjm.vol18.22762","url":null,"abstract":"Introduction: Vaccines have been highly effective in reducing severe illness and death from COVID-19, yet vaccine hesitancy remains a significant barrier to further lowering the incidence of morbidity and mortality. This study aimed to identify the factors influencing parental decisions about COVID-19 vaccination for their children in Kansas, including demographic variables, trust in medical professionals, vaccine safety, and the impact of misinformation.Methods: Data were analyzed from Phase 3.7, Week 53 of the United States Census Bureau's Household Pulse Survey (N = 68,504), collected between January 4 and January 16, 2023. The analysis focused on data specific to the state of Kansas (N = 1,231), using standard descriptive statistics to assess the findings.Results: The respondents were predominantly middle-aged, female, and Caucasian, with a high level of educational attainment and health insurance coverage. Among respondents, 45.7% (n = 563) had children under 18 living in their household. Of these, 73.5% (n = 414) expressed concerns that led them to refrain from vaccinating their children against COVID-19. The primary reasons for hesitancy included concerns about potential side effects, distrust in the vaccine's safety for children, and the belief that their children were not part of a high-risk group for having severe illness with COVID-19.Conclusions: These findings underscore persistent concerns about COVID-19 vaccine safety and efficacy among parents, even within a relatively well-educated and insured population. Addressing these concerns with targeted public health messaging and education could be essential in increasing vaccination rates among children in Kansas.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652932","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

Cloth Mask with Window as an Alternative to Opaque Mask for Students with Speech, Language, and Hearing Deficits for Infection Risk Mitigation.

Kansas journal of medicine Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.17161/kjm.vol18.22422

Yang-Seon Kim, Aruna Deepthi Markonda Patnaik, Paul Teran, Pratik Pandey, Stephanie Kuhlmann, Julian Dedeaux, Kari Harris

{"title":"Cloth Mask with Window as an Alternative to Opaque Mask for Students with Speech, Language, and Hearing Deficits for Infection Risk Mitigation.","authors":"Yang-Seon Kim, Aruna Deepthi Markonda Patnaik, Paul Teran, Pratik Pandey, Stephanie Kuhlmann, Julian Dedeaux, Kari Harris","doi":"10.17161/kjm.vol18.22422","DOIUrl":"https://doi.org/10.17161/kjm.vol18.22422","url":null,"abstract":"Introduction: Visualization of oral movements and facial expressions is essential for learning, development, and communication, especially among students receiving speech and language services. This study aimed to assess the effectiveness of cloth masks with transparent windows as an alternative to opaque masks in mitigating the risk of droplet-transmitted infectious diseases.Methods: Researchers measured the filtration efficiency of various medical and non-medical masks, both with and without transparent windows. A testing pipe, fitted with the selected masks, was used to deliver particulate matter (PM) at an airflow velocity mimicking human breathing. Particle size and airflow were measured using three real-time particle monitors positioned upstream and downstream of the masks. Filtration efficiency was then calculated for each of the eight masks.Results: Mask efficiency varied based on build quality and material. Filtration efficiency for the four face masks with transparent windows ranged from 28.6% to 90%, with the single-layer mask performing the worst. All multi-layer masks with windows achieved filtration efficiencies greater than 70% for all particle sizes tested (1, 2.5, and 10 microns), exceeding that of the opaque cotton masks and approaching the filtration levels of surgical masks.Conclusions: Given the high filtration efficiency of cloth masks with transparent windows, the authors conclude that these masks can reduce the transmission of SARS-CoV-2 and other droplet-transmitted infectious diseases while also improving communication for individuals with speech, language, and/or hearing impairments.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652863","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