Kansas journal of medicine最新文献_第8页

Common Post-Viral Sequalae: Onychomadesis in Setting of Giannoti Crosti Syndrome. 常见的病毒后 Sequalae：Giannoti Crosti 综合征中的 Onychomadesis。

Kansas journal of medicine Pub Date : 2023-12-31 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21033

De'mond Glynn, Manal Hassan, Punam P Shastri

引用次数: 0

Moral Injury Among Transplant Providers: Evaluating the Effects of Training in End-of-Life Counseling. 移植医生的道德伤害：评估临终咨询培训的效果。

Kansas journal of medicine Pub Date : 2023-12-31 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21171

Hannah S David, Tarris Rosell, Dorothy Hughes

{"title":"Moral Injury Among Transplant Providers: Evaluating the Effects of Training in End-of-Life Counseling.","authors":"Hannah S David, Tarris Rosell, Dorothy Hughes","doi":"10.17161/kjm.vol16.21171","DOIUrl":"10.17161/kjm.vol16.21171","url":null,"abstract":"Introduction: Ethical issues are pervasive in healthcare, but few specialties rival the moral complexity of transplant medicine. Transplant providers must regularly inform patients that they are no longer eligible to receive a potentially life-saving operation and the stress of these conversations poses a high risk of moral injury. Training in end-of-life counseling (EOLC) has proven to significantly reduce provider stress and burnout. The purpose of this study was to determine whether training in EOLC reduces levels of moral injury among transplant providers.Methods: This was a mixed methods study. We interviewed 10 patient participants and administered a survey to staff in the solid organ transplant department at the University of Kansas Health System. Respondents indicated whether they had received training in EOLC and completed the standardized Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP). A two-sample, one-sided t-test compared levels of moral injury between trained and untrained staff. Subsequently, we conducted semi-structured interviews with transplant providers, then performed inductive coding followed by thematic network analysis.Results: Thirty-seven percent (14/38) of respondents reported a moral injury score at or above the threshold for psychosocial dysfunction associated with moral injury. Analysis revealed no difference in moral injury scores between the trained and untrained groups (p = 0.362, power (1-β) = 0.842). Thematic network analysis demonstrated high-level themes of \"challenges\", \"training\", and \"stress relief\".Conclusions: Our study demonstrated a concerning prevalence of moral injury among transplant staff and suggested that EOLC training did not significantly mitigate the threat of moral injury.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"16 ","pages":"324-327"},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10829853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652421","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

Hold off That Olanzapine! The Development of Neuroleptic Malignant Syndrome in a Dehydrated Pediatric Patient. 别用奥氮平一名脱水的儿科患者出现神经性恶性综合征。

Kansas journal of medicine Pub Date : 2023-12-31 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21303

Maryam Tariq, Danielle N Wentzel, Joshua B Beggs

引用次数: 0

Unveiling the Mystery: Correlating Physical Findings with Endoscopy to Diagnose an Uncommon Lesion. 揭开神秘的面纱：将体格检查结果与内窥镜检查相结合，诊断不常见的病变。

Kansas journal of medicine Pub Date : 2023-12-31 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21074

Hitanshu Dave, Aastha Bharwad, Lana Hattar, Nathan Tofteland

引用次数: 0

Recurrent Breast Angiosarcoma. 复发性乳腺血管肉瘤

Kansas journal of medicine Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21273

Allison M Coy, Mark C Meyer

引用次数: 0

Human Parechovirus Associated Critical Illness in Neonates and Infants: Case Series and Review of Literature. 新生儿和婴儿与人类帕雷奇病毒相关的危重症：病例系列和文献综述。

Kansas journal of medicine Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21190

Aimee Daccache, Kate Waldeck, Jacob T Kilgore, Mariana Lanata, Robert R Wittler, Nisha Agasthya

引用次数: 0

Lipoic Acid as a Trigger for NELL-1 Positive Membranous Nephropathy. 硫辛酸是 NELL-1 阳性膜性肾病的触发器

Kansas journal of medicine Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.20996

Rayane Nassar, Salam A Kadhem, Mohammed Shakir

引用次数: 0

'Just the Way it Was': Perspectives on Sexual Harassment in Medical School and #MeToo of Women Graduating Prior to 1975. 就像过去那样"：1975年之前毕业的女性对医学院性骚扰和#MeToo的看法》。

Kansas journal of medicine Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.20961

Anne Walling, Morgan Gillam, Kari Nilsen

{"title":"'Just the Way it Was': Perspectives on Sexual Harassment in Medical School and #MeToo of Women Graduating Prior to 1975.","authors":"Anne Walling, Morgan Gillam, Kari Nilsen","doi":"10.17161/kjm.vol16.20961","DOIUrl":"https://doi.org/10.17161/kjm.vol16.20961","url":null,"abstract":"Introduction: The purpose of this study was to assess gender-based mistreatment during medical education recalled by women who attended medical school between 1948 and 1975 and their perspectives on the #MeToo movement.Methods: Methods included a qualitative analysis of video-recorded structured interviews.Results: The 37 participants graduated in classes of 2-20% women. They described pervasive, multi-faceted gender-based mistreatment during training. Twenty (54%) disclosed personal experience of serious sexual mistreatment. Interviewees stressed that attitudes and behaviors toward women and trainees, now regarded as unacceptable, were previously widely accepted or tolerated. The majority (86%) expressed overall positive opinions of their training. Twenty-eight (76%) supported the #MeToo movement, four (11%) had negative opinions, and five (13.5%) were ambivalent or unwilling to comment. Seventeen (46%) were concerned that #MeToo damaged working relationships, twelve (32%) were concerned about overreach, and eight (22%) about false accusations.Conclusions: This group of older female physicians reported extensive experience of gender-based mistreatment and strong support of #MeToo. Nevertheless, about one quarter of the group did not support the #MeToo movement and even supporters expressed high rates of concern about the movement going too far, falsely accusing men of inappropriate behavior, and damaging working relationships. The interviewees did not want their medical training to be characterized as entirely negative, or to be portrayed as victims.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"16 ","pages":"280-285"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10705056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815779","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

Impact of JayDoc Free Clinic on Emergency Department Usage in Kansas City. JayDoc 免费诊所对堪萨斯城急诊室使用率的影响。

Kansas journal of medicine Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21392

Ethan Kallenberger, Eilidh Chowanec, Andrew Pirotte

{"title":"Impact of JayDoc Free Clinic on Emergency Department Usage in Kansas City.","authors":"Ethan Kallenberger, Eilidh Chowanec, Andrew Pirotte","doi":"10.17161/kjm.vol16.21392","DOIUrl":"https://doi.org/10.17161/kjm.vol16.21392","url":null,"abstract":"Introduction: JayDoc Free Clinic (JayDoc) serves medical needs of uninsured patients in the Kansas City metropolitan area. It is known that patients who have access to primary care are less likely to visit their local Emergency Department (ED) for non-emergent needs. However, it is not well described if JayDoc lowers usage of The University of Kansas Health System (TUKHS) ED. This is the first study to assess the patient referral process between TUKHS ED and JayDoc.Methods: The authors administered a voluntary survey to every patient triaged at JayDoc, even if they were ultimately not accepted for a visit. Items on the questionnaire included health insurance status, primary language, and access to a primary care physician. The authors included questions on the usage of TUKHS ED in the last 12 months.Results: Seventy-three patients completed the questionnaire. Approximately 10% of respondents reported they visited the ED in the last 12 months and received a referral to JayDoc from staff. However, authors observed no statistically significant difference in the proportion of new patients who used the ED in the last 12 months compared to that of returning patients.Conclusions: Results of this study demonstrated an existing referral system between JayDoc and TUKHS ED. However, the authors could not conclude that JayDoc reduces non-emergent ED visits among its patient population. Future initiatives will include further education to ED providers to increase the number of patients being referred to JayDoc.","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"16 ","pages":"286-288"},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10705050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815775","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

Suspected Hyperkalemia-Induced Cardiac Arrest and Recovery Following Succinylcholine Use in a Trauma Patient. 一名外伤患者疑因高钾血症引发的心脏骤停和使用琥珀胆碱后的恢复情况。

Kansas journal of medicine Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.17161/kjm.vol16.21009

Anton Rogachov, Collin Kitzerow, John Peterson, James Walker

引用次数: 0