Kansas journal of medicine最新文献_第5页

Pigmented Villonodular Synovitis: A Critical Review. 色素绒毛结节性滑膜炎：一个重要的回顾。

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.21831

Christopher D Bernard, Jacob L Rooker, Tucker D Morey, Rachel E Long, Kyle R Sweeney, Benjamin C Powers, Bryan G Vopat

引用次数: 0

What's the Leading Point? A Benign Polypoid Mass Behind the Trouble. 引导点是什么？病灶背后是良性息肉样肿块。

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.22233

Aastha Bharwad, Chase Branstetter, Lawrence Zhou, Nathan Tofteland

引用次数: 0

Foot-strike Hemolysis: A Scoping Review of Long-Distance Runners. 足部溶血：长跑运动员的范围综述。

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.22146

Austin Gartner, Nicholas Dombrowski, Nick Lowe, Vafa Behzadpour, Rosey Zackula

{"title":"Foot-strike Hemolysis: A Scoping Review of Long-Distance Runners.","authors":"Austin Gartner, Nicholas Dombrowski, Nick Lowe, Vafa Behzadpour, Rosey Zackula","doi":"10.17161/kjm.vol17.22146","DOIUrl":"10.17161/kjm.vol17.22146","url":null,"abstract":"Objective: To investigate the role that foot-strike hemolysis plays in sports-related anemia in marathon and ultramarathon runners.Data sources: PubMed, Embase, Cochrane, Grey literature.Study selection: Inclusion criteria consisted of human studies with runners completing a sanctioned race of marathon distance or greater, with outcomes measured by pre- and post-race hematological assessments.Data extraction: Three independent reviewers systematically extracted data from selected studies. Data included age, sex, height, weight, best marathon time, and pre- and post-race outcomes for complete blood count, reticulocyte count, and iron studies. The evaluation of potential bias was conducted using the Methodological Index for Nonrandomized Studies (MINORS) criteria.Data synthesis: The literature search yielded 334 studies, of which nine met the inclusion criteria, encompassing data from 267 runners. The majority (88%, 236 out of 267) were male, with a weighted mean age of 37 years (SD 8.2). The reticulocyte count demonstrated a 16% increase between pre- and post-race measurements, although still within normal limits, while haptoglobin levels were reduced by 21%. Hemoglobin, hematocrit, and RBC count values remained within accepted normal limits.Conclusions: Changes in reticulocyte count and haptoglobin levels suggest transient foot-strike hemolysis; however, hemoglobin and hematocrit levels did not change notably. It is unclear whether these associations are influenced by differences in runner demographics, running experience, or race characteristics. Further studies should evaluate hemolytic changes while matching participants by demographic characteristics, level of running experience, and specific marathon course characteristics. Additionally, research should analyze whether intravascular hemolysis occurs at race distances shorter than 42.2 km.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 5","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934234","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 Series of Concomitant Falls and COVID-19 Infection Among Older Adults. 老年人并发跌倒和COVID-19感染病例系列

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.21817

Marisa-Nicole Zayat, Micah Vander Griend, Nathan Flescher, Kelly Lightwine, Hayrettin Okut, Elizabeth Ablah, James Haan

{"title":"A Case Series of Concomitant Falls and COVID-19 Infection Among Older Adults.","authors":"Marisa-Nicole Zayat, Micah Vander Griend, Nathan Flescher, Kelly Lightwine, Hayrettin Okut, Elizabeth Ablah, James Haan","doi":"10.17161/kjm.vol17.21817","DOIUrl":"https://doi.org/10.17161/kjm.vol17.21817","url":null,"abstract":"Introduction: Few studies have examined the hospital course and patient outcomes among elderly trauma patients with COVID-19 and traumatic fall-related injuries. This study aimed to describe patient characteristics and hospital outcomes for older adults who sustained fall-related injuries and were concurrently infected with COVID-19.Methods: A retrospective chart review was conducted for patients aged 65 years and older who were admitted to a single Level 1 trauma center with fall-related injuries between March 3, 2020 and March 3, 2021.Results: Of the 807 patients who presented with fall-related injuries during the study period, 16% (n = 128) were tested for COVID-19, and 17% (n = 22) of those tested positive. After excluding one patient, 21 patients were included in the analysis. Common comorbidities among these patients included hypertension (86%, n = 18), dyslipidemia (57%, n = 12), and diabetes (43%, n = 9). Upon admission, 62% (n = 13) of patients exhibited respiratory symptoms such as cough, shortness of breath, and hypoxemia, while approximately 24% (n = 5) were asymptomatic for COVID-19 at presentation. Complications included unplanned intensive care unit or operating room visits (29%, n = 6). COVID-19-related complications included acute hypoxic respiratory failure (67%, n = 14) and pneumonia (43%, n = 9). In-hospital mortality was 19% (n = 4).Conclusions: During the height of the COVID-19 pandemic, 17% of elderly patients admitted to a single Level 1 trauma center for fall-related injuries were concurrently infected with COVID-19. These patients experienced a high frequency of complications and in-hospital mortality. Therefore, COVID-19 should be recognized as a severe and potentially lethal comorbidity among older adults who sustain fall-related injuries.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 5","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934215","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 Successful Treatment of Ipilimumab Plus Nivolumab (IPI-NIVO)-Induced Sialadenitis with Coconut Oil. 椰子油成功治疗Ipilimumab + Nivolumab （IPI-NIVO）诱导的涎腺炎1例报告。

Kansas journal of medicine Pub Date : 2024-09-05 eCollection Date: 2024-09-01 DOI: 10.17161/kjm.vol17.22394

Colin P Slaymaker, Gary C Doolittle

引用次数: 0

Large Left Atrial Myxoma Discovered During Restaging of Breast Cancer. 乳腺癌重新分期时发现巨大左心房肌瘤

Kansas journal of medicine Pub Date : 2024-07-24 eCollection Date: 2024-01-01 DOI: 10.17161/kjm.vol17.21274

Elio Junior Feghali, Rhythm Vasudeva, Edwin Feghali, Jeremy Deutsch

引用次数: 0

New and Improved Kansas Journal of Medicine: Perspective from the Editor-in-Chief. 全新改版的《堪萨斯医学杂志》：主编的视角。

Kansas journal of medicine Pub Date : 2024-07-24 eCollection Date: 2024-01-01

Samuel Ofei-Dodoo

引用次数: 0

Multiple Myeloma with Concurrent Pericardial Effusion. 并发心包积液的多发性骨髓瘤

Kansas journal of medicine Pub Date : 2024-06-04 eCollection Date: 2024-01-01 DOI: 10.17161/kjm.vol17.21630

Kale G Mills, Hasan Jaber, Ali S Jahansooz, Elizabeth A Ablah

引用次数: 0

Influence of Bone Cement Augmentation on Complications in Cephalomedullary Nail Fixation of Geriatric Intertrochanteric Hip Fractures. 骨水泥增强对老年髋臼转子间骨折头髓内钉固定并发症的影响

Kansas journal of medicine Pub Date : 2024-06-04 eCollection Date: 2024-01-01 DOI: 10.17161/kjm.vol17.21608

Jake M Bianco, Nathan W Whitsell, Thomas J McCormack, Randall L Lais, Bradley R Dart, Brandon R Scott, Rosalee E Zackula, Chad M Corrigan

{"title":"Influence of Bone Cement Augmentation on Complications in Cephalomedullary Nail Fixation of Geriatric Intertrochanteric Hip Fractures.","authors":"Jake M Bianco, Nathan W Whitsell, Thomas J McCormack, Randall L Lais, Bradley R Dart, Brandon R Scott, Rosalee E Zackula, Chad M Corrigan","doi":"10.17161/kjm.vol17.21608","DOIUrl":"10.17161/kjm.vol17.21608","url":null,"abstract":"Introduction: The purpose of this study was to determine if augmentation of the helical blade with polymethylmethacrylate bone cement decreases the rates of varus cut-out and medial perforation in geriatric intertrochanteric hip fracture fixation.Methods: This was a retrospective comparative cohort study at two urban Level I trauma centers. Patients with an intertrochanteric hip fracture (classified as AO 31A1-3) who were treated with the TFN-Advanced Proximal Femoral Nailing System (TFNA) from 2018 to 2021 were eligible for the study. Medical records and post-operative radiographs were reviewed to determine procedure complications and reoperations.Results: Of the 179 patients studied, cement augmentation (CA) was used in 93 patients (52%) and no cement augmentation (NCA) was used in 86 (48%). There were no significant differences between group demographics and fracture reduction grades. Varus cut-out occurred three times in the CA group and five times in the NCA group (p = 0.48). Medial perforation occurred three times, all in the NCA group (p = 0.11). The most frequent complication was symptomatic blade lateralization from fracture collapse, with eight occurrences in the CA group compared with two in the NCA group (p = 0.10). There were 10 reoperations in the CA group and 9 in the NCA group (p = 0.99). The most common reason for reoperation was varus cut-out and the most common revision procedure was hip arthroplasty.Conclusions: Intertrochanteric hip fractures treated with the TFNA fixation system with and without cement augmentation have similar complication profiles and reoperation rates.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"57-60"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302330","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

Integrating Trauma-Informed Care into the University of Kansas School of Medicine Utilizing the Curriculum, a Student Interest Group, and Community Partnerships. 利用课程、学生兴趣小组和社区合作，将创伤知情护理融入堪萨斯大学医学院。

Kansas journal of medicine Pub Date : 2024-06-04 eCollection Date: 2024-01-01 DOI: 10.17161/kjm.vol17.21695

Anna S Trofimoff, Felicia Jones, Cole L Bird, Morgan Wood, Kelly Bisel, Erin Bider, Albert Poje

引用次数: 0