Kansas journal of medicine最新文献_第3页

Fractures in the Transgender Population: A Descriptive Study. 跨性别人群骨折：一项描述性研究。

Kansas journal of medicine Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.17161/kjm.vol17.22384

Dylan Wentzel, Cooper Root, Johnathan Dallman, Damon Mar, Kimberly Templeton

{"title":"Fractures in the Transgender Population: A Descriptive Study.","authors":"Dylan Wentzel, Cooper Root, Johnathan Dallman, Damon Mar, Kimberly Templeton","doi":"10.17161/kjm.vol17.22384","DOIUrl":"https://doi.org/10.17161/kjm.vol17.22384","url":null,"abstract":"Introduction: While there is some data on the bone health of transgender individuals, less is known about their fracture patterns. The authors of this study aimed to describe the anatomic locations of fractures and the prevalence of select comorbidities among transgender patients who presented with fractures at a single institution.Methods: The authors conducted a retrospective chart review of patients with fractures at a single institution between January 2020 and January 2021. The study examined demographics, fracture locations, and comorbidities for all transgender individuals who sustained fractures.Results: The average age of patients was 35.7 ± 13.2 years. The shoulder and upper arm were the most common fracture sites, accounting for 38% of injuries. Twenty-seven percent of transgender patients presented with multiple fractures. Notably, no lumbar spine fractures were observed in this group. The prevalence of depression was 54%, and hypertension was 19% among transgender patients. Although 85% of fractures were not due to high-energy trauma, none of the patients had a documented history of bone health disorders.Conclusions: This study provides insights into the fracture patterns among transgender individuals at a single institution, highlighting a tendency toward low-energy fractures in a relatively young population. Further research, including age-matched comparative studies, is needed to better understand bone health and fracture risk in transgender patients.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 6","pages":"142-145"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934303","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

Dissecting Cellulitis of the Scalp. 头皮夹层蜂窝织炎。

Kansas journal of medicine Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.17161/kjm.vol17.22560

Sandra Jaroonwanichkul, Anand Rajpara

引用次数: 0

How Many Trauma Admissions Require Acute Trauma Team Interventions? 有多少创伤入院需要急性创伤小组干预？

Kansas journal of medicine Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.17161/kjm.vol17.22152

Bradon Bitter, Amy Terry, Stephen D Helmer, Karson R Quinn, James M Haan

{"title":"How Many Trauma Admissions Require Acute Trauma Team Interventions?","authors":"Bradon Bitter, Amy Terry, Stephen D Helmer, Karson R Quinn, James M Haan","doi":"10.17161/kjm.vol17.22152","DOIUrl":"https://doi.org/10.17161/kjm.vol17.22152","url":null,"abstract":"Introduction: The aim of this study was to assess the percentage of trauma patients admitted and receiving intervention, and to identify which of these interventions were performed by non-trauma specialists.Methods: The authors conducted a retrospective chart review of all adult patients who presented to the trauma service between January 2019 and June 2019. Collected data included demographics, trauma activation level, total interventions performed, interventions performed by the trauma team, interventions performed by subspecialty teams, and isolated injuries requiring orthopedic, neurosurgical, or other specialized care. Descriptive analyses were used to evaluate the data.Results: The authors reviewed a total of 287 patient charts. Of these, 111 patients (38.7%) underwent operative intervention. Seventy-five patients (26.1%) received operative intervention from the orthopedic surgery team, 16 patients (5.6%) from the neurosurgery team, and 14 patients (4.9%) from other subspecialty teams. Only six patients (2.1%) underwent operative intervention by the trauma team.Conclusions: The data suggest that many trauma admissions do not require trauma team interventions. This highlights the potential need to reassess the criteria for admitting trauma patients.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 6","pages":"133-135"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934307","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

Clinical Efficacy of Ultrasound-guided Iliopsoas Corticosteriod Injection for Hip Pain. 超声引导髂腰肌注射皮质类固醇治疗髋部疼痛的临床疗效。

Kansas journal of medicine Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.17161/kjm.vol17.22757

Jordan Smith, Patrick Brennan, Kevin Klug, Andrew St Porter, Paul Cleland, Leah Duncan, Samuel Ofei-Dodoo

{"title":"Clinical Efficacy of Ultrasound-guided Iliopsoas Corticosteriod Injection for Hip Pain.","authors":"Jordan Smith, Patrick Brennan, Kevin Klug, Andrew St Porter, Paul Cleland, Leah Duncan, Samuel Ofei-Dodoo","doi":"10.17161/kjm.vol17.22757","DOIUrl":"https://doi.org/10.17161/kjm.vol17.22757","url":null,"abstract":"Introduction: Iliopsoas bursitis and tendinopathy are common causes of hip pain and major contributors to snapping hip syndrome, which affects 5-10% of the general population. These conditions often are treated with conservative measures, including corticosteroid injections into the iliopsoas bursa. However, the clinical effectiveness of such injections has not been well studied. Through this study, the authors evaluated the efficacy of ultrasound-guided corticosteroid injections into the iliopsoas bursa.Methods: The study included 68 patients diagnosed with iliopsoas tendinopathy, iliopsoas bursitis, or snapping hip syndrome (coxa saltans), all of whom received corticosteroid injections into the iliopsoas bursa as a standard treatment. A single-sample, non-experimental design was employed, with participants completing assessments of pain, mechanical symptoms, physical function, activity level, and total hip score at baseline, and again at three- and six-month post-injection. Data were collected from January 1, 2023, to April 1, 2024, and changes in the outcome measures were analyzed using repeated measures ANOVA.Results: Participants showed significant improvements in pain, mechanical symptoms, physical function, and activity level at both three-month and six-month follow-ups. Additionally, overall hip scores improved statistically by the end of the study.Conclusions: Our data suggest that ultrasound-guided corticosteroid injections into the iliopsoas bursa can effectively improve physical function, enhance the ability to perform daily activities and physical tasks, and reduce disability associated with iliopsoas tendinopathy. Further research with a longer follow-up period and more rigorous controls is warranted to confirm these findings and assess the long-term benefits and potential risks of the procedure.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 6","pages":"146-149"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934287","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 Case Report of a Mediastinal Granuloma Related to Histoplasmosis with Streptococcus dysgalactiae Subspecies equisimilis Superinfection Resulting in Abscess and Subsequent Pericarditis in a Pediatric Patient. 小儿患者纵膈肉芽肿与组织胞浆菌病合并异乳链球菌亚种重叠感染导致脓肿并继发心包炎1例报告。

Kansas journal of medicine Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.17161/kjm.vol17.22341

Jessica L Emoto, Robert R Wittler

引用次数: 0

Type 1 Diabetes Mellitus in Movies: The Hollywood Effect. 电影中的1型糖尿病：好莱坞效应。

Kansas journal of medicine Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.17161/kjm.vol17.22385

Lana M Sandid, K James Kallail, Justin B Moore, Elizabeth Ablah

{"title":"Type 1 Diabetes Mellitus in Movies: The Hollywood Effect.","authors":"Lana M Sandid, K James Kallail, Justin B Moore, Elizabeth Ablah","doi":"10.17161/kjm.vol17.22385","DOIUrl":"https://doi.org/10.17161/kjm.vol17.22385","url":null,"abstract":"Introduction: Type 1 diabetes mellitus (T1D) is one of the most common chronic diseases with childhood onset. Cinematic films and movies can reach populations worldwide and affect their concept of this disease. Through this research, the authors examined the accuracy of movies depicting T1D from childhood into adulthood.Methods: We conducted an internet search of several databases, which resulted in a list of 39 movies from 2000 to 2022 with characters who had diabetes. We ultimately assessed 13 fictional movies. We calculated the percentages of movies that addressed vital aspects of T1D such as disease management, access to care, character development, and complications. We also applied a qualitative approach to assess the depth and accuracy of the portrayal of T1D.Results: Movies portrayed severe but rare diabetes manifestations such as coma. They emphasized access to essential diabetes supplies and the cost of care. It was not until 2020 that movies featured a continuous glucose monitor (CGM) and insulin pumps. They presented female characters as resilient and unaffected by the struggles of their T1D.Conclusions: This sample of fictional movies portrays extreme T1D symptoms and mostly outdated monitoring and treatment technology. It would be beneficial if future movies reflected the advances in closed-loop CGM/insulin pumps. Clinicians should know how the movie industry presents the disease to their patients. Clinicians can use popular movies to start difficult discussions with patients about topics pertinent to the comprehensive care of T1D.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 6","pages":"139-141"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934317","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

Acute Border Zone Infarcts in Hypereosinophilic Syndrome. 高嗜酸性粒细胞综合征的急性边界区梗死。

Kansas journal of medicine Pub Date : 2024-11-15 eCollection Date: 2024-11-01 DOI: 10.17161/kjm.vol17.22464

Hussein Alsadi, Ryan Ash, Kyle Summers, Kyle Werth

引用次数: 0

Do Technical Implementations Help Physicians: An Evaluation of a New Procedure Documentation Tool on Provider Efficiency in the Electronic Health Record. 技术实施对医生有帮助吗：对电子健康记录中提供者效率的新程序文档工具的评估。

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.21681

Patrick Ioerger, Timothy Ryan Smith

{"title":"Do Technical Implementations Help Physicians: An Evaluation of a New Procedure Documentation Tool on Provider Efficiency in the Electronic Health Record.","authors":"Patrick Ioerger, Timothy Ryan Smith","doi":"10.17161/kjm.vol17.21681","DOIUrl":"https://doi.org/10.17161/kjm.vol17.21681","url":null,"abstract":"Introduction: Provider time spent in the electronic health record (EHR) continues to increase, adding stress to an already demanding field. This study quantified the impact of a new EHR procedure documentation tool designed to reduce charting burden.Methods: This retrospective cohort study was conducted at the University of Kansas Health System and involved ambulatory physicians from all hospitals who were granted access to a new procedural documentation tool. Data on time spent per chart and clicks per chart per office visit were gathered from the hospital's EHR system. The cohort also completed a survey regarding their self-perceived efficiency in the EHR and charting burden.Results: The procedure documentation tool was used for 68% (25/37) of eligible procedures at one-month post-implementation. There was no significant difference in minutes per chart between the group that used the tool and the group that did not, although the group using the tool had lower charting time (median difference [MD] = 5.517; 95% CI, -0.283 to 13.317; p = 0.066). A similar trend was seen with clicks per chart, with an MD of 4 (95% CI, -3 to 11; p = 0.25).Conclusions: While the difference was not significant, this study achieved its goal of quantifying the impact of a health information technology (HIT) project and indicates the need for further examination of how to quantify future projects. It lays the groundwork for future evaluation of similar tools and studies.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 5","pages":"100-102"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934230","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

Comment on "Drug-Induced Lupus Following mRNA COVID-19 Vaccination and Monoclonal Antibody Infusion for Treatment of COVID-19 Infection". “mRNA COVID-19疫苗接种和单克隆抗体输注治疗COVID-19感染后药物性狼疮”评论。

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.22328

Hineptch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Central Venous Thrombosis Presenting with an Unknown Etiology: A Case Report. 病因不明的中心静脉血栓形成1例。

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.22434

Mary E Velagapudi, Quinn M Krause, Andrew P Pirotte, Allison M B Lehman, Diandrea M Wynn, Brianna M Empson, Jackson E Moore, Kaitlin Haase, Dominique Williams, Andrew N Pfeffer, Sean Beattie

引用次数: 0