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Report of the American Medical Association Interim Meeting. 美国医学协会临时会议报告。
Pub Date : 2025-11-01
Charles W Van Way
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引用次数: 0
Autism Spectrum Disorder: Nature vs. Nurture. 自闭症谱系障碍:先天与后天。
Pub Date : 2025-11-01
Joel C Eissenberg

Autism Spectrum Disorder (ASD) is associated with a variety of inherited disorders, but most diagnoses have no identifiable genetic etiology. There has been a significant increase in the incidence of ASD diagnoses in the past three decades. The now-discredited vaccine theory of ASD causation has driven concerns over environmental exposures that may or may not lead to ASD. Here, I discuss the evidence for an underlying genetic basis for ASD, the evidence that environmental inputs could play a significant role ASD and potential treatments for associated symptoms.

自闭症谱系障碍(ASD)与多种遗传性疾病有关,但大多数诊断没有可识别的遗传病因。在过去的三十年里,自闭症谱系障碍的发病率有了显著的增长。现在已经不可信的ASD疫苗理论引起了人们对环境暴露可能导致或可能不会导致ASD的关注。在这里,我讨论了ASD潜在遗传基础的证据,环境输入可能在ASD和相关症状的潜在治疗中发挥重要作用的证据。
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引用次数: 0
Navigating Liability in Virtual Care: Risk Management Strategies for Physicians in a Rapidly Evolving Landscape. 导航责任在虚拟护理:风险管理策略的医生在一个快速发展的景观。
Pub Date : 2025-11-01
Kimberly Chew, Colleen Pert, Kathleen Snyder
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引用次数: 0
Missouri Medicine Moments The 2025 Chronicle. 密苏里医学时刻2025纪事。
Pub Date : 2025-11-01
John C Hagan
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引用次数: 0
Embracing Opportunities, Making Choices, and Focusing on the Mission. 拥抱机遇,做出选择,专注于使命。
Pub Date : 2025-11-01
Karen Edison
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引用次数: 0
Long COVID: What is it? Who has it? What Are Treatment Resources in Missouri? 长COVID:它是什么?它在谁手里?密苏里州有哪些治疗资源?
Pub Date : 2025-11-01
Abby L Cheng, Ryan Barker, David von Nordheim, Amy McQueen

As we pass the five-year mark since the COVID-19 pandemic hit, the prevalence of persistent (and often disabling) symptoms from the SARS-CoV-2 virus is estimated to be on par with the prevalence of heart disease. Yet, these Long COVID symptoms can masquerade as other conditions and/or normal aging, so it is believed that Long COVID is under-diagnosed and, as a result, under-treated. Although there is not yet a true cure for Long COVID, many patients benefit substantially from rehabilitation strategies, medications, and social support resources that are available in Missouri. The purpose of this article is to review the definition and epidemiology of Long COVID, provide practical guidance for Long COVID assessment and management especially in the primary care setting, and increase awareness of regional resources for people in Missouri who are living with Long COVID and for the clinicians who are caring for them.

自2019冠状病毒病大流行以来,我们已经度过了五年的时间,据估计,SARS-CoV-2病毒持续(通常是致残)症状的流行程度与心脏病的流行程度相当。然而,这些长冠状病毒症状可以伪装成其他疾病和/或正常衰老,因此人们认为长冠状病毒未得到充分诊断,因此治疗不足。虽然目前还没有真正治愈Long COVID的方法,但许多患者从密苏里州提供的康复策略、药物和社会支持资源中受益匪浅。本文的目的是回顾长冠状病毒的定义和流行病学,为长冠状病毒的评估和管理提供实用指导,特别是在初级保健环境中,并提高密苏里州长冠状病毒感染者和照顾他们的临床医生对区域资源的认识。
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引用次数: 0
Missouri's 2026 Legislative Session: A Pivotal Year for Physician-Led Care. 密苏里州2026年立法会议:医生主导护理的关键一年。
Pub Date : 2025-11-01
Rachel Bauer, Jacob Scott
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引用次数: 0
New MSMA Members! MSMA新会员!
Pub Date : 2025-11-01
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引用次数: 0
Brain Implants in the Age of Artificial Intelligence. 人工智能时代的大脑植入物。
Pub Date : 2025-11-01
Bornali Kundu, Jamir Pleitez

Brain implants are routinely used to treat movement disorders and other network disorders such as obsessive-compulsive disorder. Closed-loop intracranial brain stimulation systems can now detect neural biomarkers of disease in real-time and therapeutically stimulate the brain based on these signals. Research devices can measure neural data on the order of single neurons and transform these data, via machine learning algorithms, into cursor movements and keyboard clicks, so that a quadriplegic patient can control a robotic arm. It is still a challenge to find the important brain signals of interest, that encode a patient's intentions or needs. Furthermore, the ethics of developing devices that allow for human cognitive and physical enhancement should be a part of societal discussion. The hope is that artificial intelligence (AI) will continue to advance neurotechnology's role in human health.

脑部植入通常用于治疗运动障碍和其他网络障碍,如强迫症。闭环颅内脑刺激系统现在可以实时检测疾病的神经生物标志物,并根据这些信号对大脑进行治疗性刺激。研究设备可以测量单个神经元的神经数据,并通过机器学习算法将这些数据转换为光标移动和键盘点击,这样四肢瘫痪的病人就可以控制机械臂。找到重要的大脑信号仍然是一个挑战,这些信号编码了病人的意图或需求。此外,开发允许人类认知和身体增强的设备的伦理应该成为社会讨论的一部分。希望人工智能(AI)将继续推进神经技术在人类健康中的作用。
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引用次数: 0
Running-Related Silent Atrial Flutter Presenting as a Stroke: A Marathoner's Tale. 与跑步相关的无症状心房扑动表现为中风:马拉松运动员的故事。
Pub Date : 2025-11-01
Philip R Cohen
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引用次数: 0
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Missouri medicine
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