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Missouri Medicine

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https://www.readbyqxmd.com/read/27443048/state-of-the-association-presidential-address
#1
John O Stanley
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443047/over-prescribed-medications-under-appreciated-risks-a-review-of-the-cognitive-effects-of-anticholinergic-medications-in-older-adults
#2
REVIEW
Daniel M I Britt, Gregory S Day
Anticholinergic medications are associated with adverse cognitive effects in cognitively normal and impaired individuals, with a greater magnitude of effect observed in individuals with preexisting cognitive impairment due to Alzheimer disease.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443046/plastic-surgery-after-massive-weight-loss
#3
REVIEW
Samer W Cabbabe
Bariatric surgery rates have increased in the United States concurrent with the rise in obesity. As a result of the massive weight loss from these surgeries, patients are left with a different set of functional and cosmetic issues related to excess skin. Plastic surgery has evolved to treat these unique issues faced by this patient population and has demonstrated beneficial effects. This article will provide an overview of the options available to massive weight loss patients to treat specifically affected area of the body...
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443045/preoperative-evaluation-of-the-surgical-patient
#4
Frederick T O'Donnell
Primary care physicians and specialists are frequently involved in the care of surgical patients. Changes in reimbursement have prompted re-examination of preoperative testing and health care expenditures. Physicians have additional incentives to improve health care delivery and reduce costs. The perioperative surgical home concept involves coordinating all aspects of patient care, including behavioral modifications, during the perioperative period. Evidence-based guidelines on preoperative evaluation are available to assist practitioners in managing cardiovascular disease, and communicating surgical risks...
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443044/melior-via-a-better-way-to-integrate-and-restore-movement-into-orthopedic-rehabilitation
#5
Brandon Hetzler, Brian Mahaffey
Movement develops uniformly and predictably in all normal newborns and infants. The genetic roadmap for every complex movement that will ever be performed is written intoevery infant's nervous system and develops from these basic ingredients: unlimited mobility, an undeveloped nervous system, primal reflexes, and breathing. Following an injury, surgery or trauma, restoring movement is the same as learning movement only with slightly differing parameters. The principles, however, remain the same and can be used to improve orthopedic rehabilitation...
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443043/retinopathy-of-prematurity-a-review-of-current-screening-guidelines-and-treatment-options
#6
REVIEW
Emily C Broxterman, Denise A Hug
With advancements in neonatal intensive care units, the early detection of retinopathy of prematurity in premature infants is extremely important. It is critical for physicians to recognize children at risk and ensure they receive appropriate screening and monitoring. This article will discuss risk factors, screening guidelines, classification and treatment of this disease in premature infants.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443042/substance-use-in-women-of-reproductive-age
#7
Jackie Herzberg, Breton Barrier, Debra J Sprague, Daniel C Vinson
Using anonymous exit questionnaires in a university OB/GYN clinic, of 165 pregnant women reporting on drinking prior to pregnancy, 26% screened positive for hazardous or harmful drinking. Among 153 non-pregnant women age 50 or younger, 39% screened positive. Of those, 85% had no plans to change their alcohol consumption, as most believed their drinking levels were not risky; 80% had a significant risk of becoming pregnant, but 85% believed pregnancy was unlikely.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443041/septic-shock-secondary-to-a-urinary-tract-infection-with-pediococcus-pentosaceus
#8
Amneet Han, Jeet Mehta, Rebecca R Pauly
We present a case of a urinary tract infection secondary to Pediococcus pentosaceus causing septic shock and acute kidney injury in a 70-year-old male. We demonstrate successful treatment with a 10-day course of piperacillin/tazobactam. Recently, Pediococci have been found to be the cause of opportunistic infections in humans. This has posed a challenge to treating infections caused by this species because it has been found to be resistant to multiple antibiotics, including glycopeptides.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443040/life-after-medicine-a-time-to-smell-the-roses
#9
Douglas B Bogart
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443039/innovative-curriculum-prepares-medical-students-for-a-lifetime-of-learning-and-patient-care
#10
Bruce Dubin
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443038/a-symbol-of-commitment-mu-school-of-medicine-expansion-reflects-medical-school-s-mission
#11
Linda Headrick, Weldon Webb, Derek Thompson
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443037/7-lessons-learned-during-a-military-career
#12
Michael L O'Dell
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443036/the-devil-in-the-details
#13
Alexander R Hover
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443035/john-wennberg-md-the-influential-doctor-who-blames-physicians-and-fee-for-service-medicine-for-the-high-cost-of-health-care-obama-care-is-based-on-his-research
#14
https://www.readbyqxmd.com/read/27443034/the-drawbacks-of-rate-your-doctor-medical-transparency
#15
EDITORIAL
Mathew S Isaac
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27443033/-we-get-by-with-a-lot-of-help-from-our-friends-honoring-missouri-medicine-s-editorial-board-editors
#16
EDITORIAL
John C Hagan
No abstract text is available yet for this article.
May 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27311226/a-retrospective-study-on-infant-bed-sharing-in-a-clinical-practice-located-in-an-urban-cluster
#17
Patricia J Norton, Kathrene D Valentine
OBJECTIVES: This retrospective study evaluates infant bed-sharing at a Missouri family practice with OB care. METHODS: After Institutional Review Board (IRB) approval, data were extracted from the first four well-child visits of 2374 infants between Sept. 2003 and Dec. 20 11. RESULTS: Bed-sharing decreased after 2005 (25%, 39%, respectively, p = 0.000). For infants who bed-shared, the frequency of bed-sharing did not decline. CONCLUSIONS: Nearly 20% of infants bed-share before the first visit; safe sleep prenatal education is warranted...
March 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27311225/undifferentiated-connective-tissue-disease-mixed-connective-tissue-disease-and-overlap-syndromes-in-rheumatology
#18
REVIEW
Peri Hickman Pepmueller
Autoimmune diseases often have overlapping symptoms and laboratory somewhat unfamiliar to the non-rheumatologist. Characteristic signs, symptoms, and autoantibodies define specific connective tissue diseases. Some patients have some characteristic symptoms, but cannot be definitively classified. Still other patients meet criteria for more than one specific connective tissue disease. These patients can be confusing with regard to diagnosis and prognosis. Clarification of each patient's condition can lead to improved patient care...
March 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27311224/evaluating-the-limping-child-a-rheumatology-perspective
#19
REVIEW
Reema Syed
Children often present to health care providers for evaluation of limp. Having the knowledge of the different causes of leg pains both in the acute and chronic settings will help in diagnosis, treatment, and referrals to subspecialists in a timely manner. Taking a detailed history and completing a thorough evaluation will help hone in on the underlying cause. This article will review important causes of limp from the rheumatologist's viewpoint.
March 2016: Missouri Medicine
https://www.readbyqxmd.com/read/27311223/inflammatory-myopathies
#20
REVIEW
Rama Bandlamudi Atluri
Idiopathic inflammatory myopathies are relatively rare diseases. Polymyositis and dermatomyositis are more common in women than men (2:1 ratio), while inclusion body myositis is twice as common in men. Inflammatory myopathies are a heterogeneous group of chronic systemic autoimmune diseases with an annual incidence of two to five cases per million, characterized by muscle inflammation and progressive muscle weakness. There are three major diseases which includes Dermatomyositis (DM) including a distinct juvenile subtype (JDM), Polymyositis (PM), and Inclusion Body Myositis...
March 2016: Missouri Medicine
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