Missouri medicine最新文献

Easy access to streaming news and sensational headlines has transformed society's exposure to traumatic narratives. From personal stories on social media platforms to news articles about violence in communities, patients and their caregivers may not recognize their exposure as traumatic nor recognize their psychological sequalae as unhealthy. In addition, youth with trauma-related mental health symptoms are not consistently identified in pediatric primary care clinics. Due to the increase in proximity to traumatic stories, healthcare providers working with youth require additional skills designed to engage patients and families in conversations about exposure to violence via technology and symptoms of vicarious trauma. This article aims to summarize current understanding of vicarious trauma via technology, the impact of vicarious trauma on youth, and provide best practices to improve providers' ability to disseminate evidence-based guidance.

Recent advancements in pharmacologic treatment of obesity and metabolic disease with nutrient-stimulated hormones (NuSH), particularly Semaglutide and Tirzepatide, have been revolutionary, showing weight reduction results comparable to some surgical options. This is especially promising as, despite the proven efficacy and safety of metabolic/bariatric surgery (MBS), its utilization has remained quite limited. This review article discusses the current literature on the comparative effectiveness of these two treatments and their impact on comorbidities such as type 2 diabetes mellitus (DM2) and cardiovascular disease. While weight reduction with these NewSH's (sic) appears similar to a sleeve gastrectomy, though significantly less than gastric bypass, MBS remains the gold standard treatment for patients with more severe obesity especially those with higher cardiometabolic disease burden.

With the rapid and ever-evolving growth of both digital media platforms and mental health concerns in youth, parents and practitioners are faced with the challenge of critically evaluating the effects of digital media use on youth development.1 Despite popular culture's narrow focus on the risks, research has established both positive and negative effects of youth digital media use.2,3 In contrast to interventions primarily focused on screen time limits, the goal of this article is to propose a framework for healthy digital habits rooted in a social-ecological model, called the Multisystemic Model of Digital Habits. This framework considers the intersection of the digital environment, family environment, and individual factors when examining digital media use by youth. Using this framework, practical recommendations are offered, including strategies to evaluate media use and guidance on encouraging healthy digital habits with consideration for unique family and individual needs.

Bullying remains a widespread social issue in the United States (US). Those who bully, are bullied, or witness bullying may experience negative emotional and physical consequences.1 To address the gap in accessible youth bullying interventions, Children's Mercy Kansas City partnered with Sporting Kansas City to develop Red Card KC, a bullying awareness program focusing on the impact of bystanders in bullying situations. The program is delivered to school and community partners through interactive assemblies educating youth on recognizing bullying, managing bullying situations, and standing up against bullying. Red Card KC has also partnered with schools to recognize and celebrate students who show kindness within their schools and communities. By targeting bystanders in bullying situations, the Red Card KC program empowers youth to come together in the fight against bullying.