Kansas journal of medicine最新文献

{"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}

{"title":"Physician Workforce in Kansas: Where are the Orthopedic Surgeons?","authors":"Dorothy Hughes, Derek Reese, Kim Templeton","doi":"10.17161/kjm.vol17.21124","DOIUrl":"https://doi.org/10.17161/kjm.vol17.21124","url":null,"abstract":"Introduction. Rural patients have greater need but less access to orthopedic surgical care than their urban counterparts. Previous studies have investigated rural surgical care, but this is the first to assess the Kansas orthopedic surgery workforce to identify changes over time and rurality and inform thinking about future workforce composition.      \u0000Methods. The authors analyzed 2009 and 2019 AMA MasterFile and Area Health Resource File (AHRF) data. Using frequencies, percentages, and calculations of orthopedic surgeons per capita, we assessed workforce changes by rurality (Rural Urban Continuum Codes).  \u0000Results. The dataset included 307 orthopedic surgeons; 197 were in both 2009 and 2019. Of these, 165 were in active practice in 2009 and 244 in 2019, an increase of 79 (47.9%). Kansas had smaller proportions of surgeons in rural (non-metro) versus urban (metro) counties in both years. Orthopedic surgeons per capita grew throughout the state, but the increase was smaller in rural counties. There were 11 women orthopedic surgeons in both years, 3.6% of the total 307. Among the 197 surgeons in both years, four (2.0%) were women. No women orthopedic surgeons were in non-metro counties either year.  \u0000Conclusions. Although the Kansas orthopedic surgery workforce grew from 2009 to 2019, rural Kansas remains a surgery desert based on orthopedic surgeons per capita. Further studies could determine whether this trend is similar to that in other rural states and how to attract orthopedic surgeons to rural practice.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140239277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}