Kansas journal of medicine最新文献

{"title":"Social Determinants of Health in a Kansas Community Health Center.","authors":"Randall B Schmidt, Faith M Butler","doi":"10.17161/kjm.vol17.21220","DOIUrl":"10.17161/kjm.vol17.21220","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored the connection between social determinants and patient self-rated health at Health Ministries Clinic (HMC) in a rural Kansas community. Community health centers, like HMC, strive to deliver comprehensive care that addresses patients' social needs.</p><p><strong>Methods: </strong>The authors employed a convenience sampling method to survey HMC patients with appointments from September to December 2018. The authors analyzed the data using Chi-square tests and descriptive statistics in RStudio, considering p <0.05 as significant.</p><p><strong>Results: </strong>Among 200 patient responses, education, income, employment, and insurance status were negatively correlated with self-rated health. Notably, 86.2% of college or graduate school graduates reported positive health ratings, compared to 40% of those who did not finish high school (χ²(12, N = 185) = 25.75, p = 0.012). Lower income individuals (income <$34,000 per year) consistently rated their health poorer than their higher income counterparts (χ²(12, N = 174) = 23.96, p = 0.021). Patients without insurance or with public insurance (Medicaid/ CHIP) perceived their health as worse than those on private health insurance and Medicare (χ²(12, N = 137) = 35.67, p <0.001).</p><p><strong>Conclusions: </strong>Our findings suggest that low educational attainment, income, and lack of health insurance are associated with barriers to healthcare, resulting in poor health outcomes and chronic disease among those with lower socioeconomic status. This underscores the strong association between social determinants and self-rated health among HMC patients. These results can be used by other clinics to assess the needs of their patient population and enhance community health initiatives.</p>","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"61-63"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302333","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":"Trends of Hospitalizations and In-Hospital Outcomes for Traumatic Cardiac Injury in United States.","authors":"Harsh Mehta, Zaid Gheith, Saad Amin, Prakash Acharya, Emmanuel Daon, Peter Downey, Eric Hockstad, Mark Wiley, Gregory Muehlebach, George Zorn, Matthew Danter, Kamal Gupta","doi":"10.17161/kjm.vol17.21442","DOIUrl":"10.17161/kjm.vol17.21442","url":null,"abstract":"<p><strong>Introduction: </strong>Traumatic cardiac injury (TCI) poses a significant risk of morbidity and mortality, yet there is a lack of population-based outcomes data for these patients.</p><p><strong>Methods: </strong>The authors examined national yearly trends, demographics, and in-hospital outcomes of TCI using the National Inpatient Sample from 2007 to 2014. We focused on adult patients with a primary discharge diagnosis of TCI, categorizing them into blunt (BTCI) and penetrating (PTCI) cardiac injury.</p><p><strong>Results: </strong>A total of 11,510 cases of TCI were identified, with 7,155 (62.2%) classified as BTCI and 4,355 (37.8%) as PTCI. BTCI was predominantly caused by motor vehicle collisions (66.7%), while PTCI was mostly caused by piercing injuries (67.4%). The overall mortality rate was 11.3%, significantly higher in PTCI compared to BTCI (20.3% vs. 5.9%, χ²(1, N = 11,185) = 94.9, p <0.001). Additionally, 21.5% required blood transfusion, 19.6% developed hemopericardium, and 15.9% suffered from respiratory failure. Procedures such as heart and pericardial repair were more common in PTCI patients. Length of hospitalization and cost of care were also significantly higher for PTCI patients, W(1, N = 11,015) = 88.9, p <0.001).</p><p><strong>Conclusions: </strong>Patients with PTCI experienced higher mortality rates than those with BTCI. Within the PTCI group, young men from minority racial groups and low-income households had poorer outcomes. This highlights the need for early and specialized attention from emergency and cardiothoracic providers for patients in these demographic groups.</p>","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302334","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":"Challenges in Anesthetic Management in a 25-Year-Old Patient with Ichthyosis.","authors":"Emily Sarnacki, David Petrie, Ayaan Parikh, William L Krogman","doi":"10.17161/kjm.vol17.22020","DOIUrl":"10.17161/kjm.vol17.22020","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"67-68"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302328","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":"Factors Affecting Parental Intent to Vaccinate Against COVID-19 in the United States.","authors":"Leah Duncan, David Baalmann, Colleen Loo-Gross, Jared Regehr, Francis Martin, Ronan Mcghie, Kevin McKaughan, Samuel Ofei-Dodoo","doi":"10.17161/kjm.vol17.21895","DOIUrl":"10.17161/kjm.vol17.21895","url":null,"abstract":"<p><strong>Introduction: </strong>The topic of childhood vaccinations has become increasingly contentious, sparking debate, and creating challenging decisions for parents. This study aimed to explore the factors influencing COVID-19 vaccination decisions for parents of unvaccinated children and identify the most common reasons for not vaccinating children against COVID-19 in the U.S.</p><p><strong>Methods: </strong>Authors analyzed data from Phase 3.7, Week 53 of the United States Census Bureau's Household Pulse Survey (N = 68,504), collected from January 4 to January 16, 2023. Standard descriptive statistics and adjusted odds ratio (aOR) were used to analyze the data.</p><p><strong>Results: </strong>The top three reasons for vaccine hesitancy were concerns about side effects, lack of trust in the vaccine, and the perception that children in the household were not part of a high-risk group. Among respondents, nearly 87% (n = 59,363) reported receiving a COVID- 19 vaccination, and these individuals were more inclined to vaccinate their children across all age groups studied. Additionally, participants with higher levels of education (bachelor's degree or higher) were more likely to vaccinate their children against COVID-19 (aOR = 5.79; 95% CI, 5.43-6.17; p <0.001).</p><p><strong>Conclusions: </strong>Findings from the study suggest that some parents are still concerned about the COVID-19 vaccine and are hesitant to vaccinate their children against the disease. Information and insights from this study allow for a greater understanding of how parents are making this decision nearly three years after the pandemic officially began. Further studies are needed to determine how other factors, such as geographical location, also may affect parental COVID-19 vaccination hesitancy.</p>","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"51-56"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302329","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":"Kounis Syndrome as a Cause of Myocardial Infarction with Nonobstructive Coronary Arteries.","authors":"Justin Helberg, Eric Acosta","doi":"10.17161/kjm.vol17.21486","DOIUrl":"10.17161/kjm.vol17.21486","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"34-35"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869106","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":"Drug-Induced Lupus Following mRNA COVID-19 Vaccination and Monoclonal Antibody Infusion for Treatment of COVID-19 Infection.","authors":"Timothy Nguyen, Stephen Wanjala, Abdul Rahman Akkawi, Kyle Rowe, Basit Malik","doi":"10.17161/kjm.vol17.21515","DOIUrl":"10.17161/kjm.vol17.21515","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"36-38"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856330","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":"Case Report of Serpiginous Rash on Foot in a Patient after Recent Travel to Brazil.","authors":"Jadesola V Akinwuntan, Ariana J Cecil, David L Kaplan","doi":"10.17161/kjm.vol17.21609","DOIUrl":"https://doi.org/10.17161/kjm.vol17.21609","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"43-44"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867973","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":"Airway Management in a Pediatric Patient Presenting with Pierre-Robin Sequence.","authors":"Logan Foster, Declan Foster, Harsh Nathani, William Krogman","doi":"10.17161/kjm.vol17.21529","DOIUrl":"https://doi.org/10.17161/kjm.vol17.21529","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"41-42"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873660","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":"Biomechanical Comparison of Impaction Techniques and Cross-Sectional Femoral Stem Shapes for Cementless Total Hip Arthroplasty.","authors":"Vanessa R Richardson, Alexander C M Chong, Anthony N Brown","doi":"10.17161/kjm.vol17.21522","DOIUrl":"https://doi.org/10.17161/kjm.vol17.21522","url":null,"abstract":"<p><strong>Introduction: </strong>Traditional mallet broaching and stem seating in cementless total hip arthroplasty (THA) can result in femoral stem misalignment, potentially reducing implant longevity. This study aimed to compare the pullout strength of cementless THA femoral stems with different cross-sectional designs achieved through the powered impactor method versus the traditional mallet method.</p><p><strong>Methods: </strong>The authors utilized 24 polyurethane foam femurs and two femoral bone preservation stems with different proximal cross-sectional shapes (double taper: ACTIS^®, size 5; flat taper: TRI-LOCK^®, size 5). A single orthopedic surgeon broached each femur from size 0 to size 5 using either the powered impactor or mallet impaction methods. Broaching time and component implantation times were recorded. A load-to-failure pullout strength test was conducted, and the ultimate pullout load was recorded.</p><p><strong>Results: </strong>The broaching time for the TRI-LOCK^® stem showed a statistically significant difference between the two impaction methods (powered: 37±7 seconds, mallet: 75±29 seconds, F[3, 20] = 4.56, p = 0.002), but no statistically significant difference was detected for the ACTIS^® stem between the two impaction methods (powered: 47±22 seconds, mallet: 59±9 seconds, F[3, 20] = 4.56, p = 0.304). There was a statistically significant difference in pullout strength between the two impaction groups, and this strength was influenced by the implant cross-sectional shape (ACTIS^®: 774±75N versus 679±22N, F(3,20) = 16.38, p = 0.018; TRI-LOCK^®: 616±57N versus 859±85N, F(3, 20) = 16.38, p <0.001).</p><p><strong>Conclusions: </strong>The technique used for femoral bone preparation (powered impactor versus mallet) and the cross-sectional design of the cementless femoral stem are crucial factors that affect initial stem stability and operation time.</p>","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"30-33"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867010","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":"Tumor Stage Mycosis Fungoides with Lymph Node Involvement.","authors":"Kale Mills, Edith Sigler, Mikaela Snell, Jared Regehr, Dennis Moore, Elizabeth Ablah, Lisa Gilbert","doi":"10.17161/kjm.vol17.21453","DOIUrl":"https://doi.org/10.17161/kjm.vol17.21453","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"17 ","pages":"39-40"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869833","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}