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The Generous Reimbursement of Non-Physician Clinical Services: Part 2: An Indication for Non-Physician Education Reforms. 非医生临床服务的慷慨报销:第二部分:非医师教育改革的启示。
Pub Date : 2024-05-01
Gary Gaddis
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引用次数: 0
Physician Organizing: Trends and Takeaways. 医生组织:趋势与启示。
Pub Date : 2024-05-01
Trecia Moore, Mary-Ann P Czak
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引用次数: 0
New MSMA Members! MSMA 新会员!
Pub Date : 2024-05-01
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引用次数: 0
Recipients of the 50-Year Physician Pin. 50 年医师徽章获得者。
Pub Date : 2024-05-01
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引用次数: 0
Managing the Mother-Baby Dyad Affected by Substance Disorder: A Statewide Quality Collaborative Initiative. 管理受药物紊乱影响的母婴组合:全州质量合作计划。
Pub Date : 2024-05-01
Kimberly Spence, Alison Williams

Neonatal abstinence syndrome (NAS)/Neonatal opioid withdrawal syndrome (NOWS) and substance abuse disorder (SUD) rates are undeniably linked with the outcomes of mothers and babies. This essential relationship emphasizes the importance of quality improvement work done jointly, treating mother and infant as a dyad, not as separate entities. In 2020 the Missouri Hospital Association (MHA) partnered with Show-Me ECHO, a state-funded telehealth project, to initiate a state-wide quality improvement (QI) project to improve and standardize care delivery to the mother-baby dyad affected by SUD. Fourteen hospitals participated across the state of Missouri from January 2021 through December 2022. Through the ECHO model and technical implementation support, 100% of collaborative participating birth centers implemented a non-pharmacologic policy for the care of the substance-exposed newborn. In addition, maternal SUD screening increased by 67.3% (57.5% to 96.2%), infant transfer rates were reduced by 24%, and safe care discharge plans increased by 37% for infants and 144% for mothers. Further, the collaboration between MHA and the Show-Me ECHO demonstrates the feasibility of cross-sector efforts to create synergy to improve and standardize the care of the mother-infant dyad affected by SUD.

新生儿禁欲综合症(NAS)/新生儿阿片类药物戒断综合症(NOWS)和药物滥用障碍(SUD)的发病率与母婴的预后有着不可否认的联系。这种基本关系强调了共同开展质量改进工作的重要性,将母亲和婴儿作为一个整体而非独立的个体来对待。2020 年,密苏里州医院协会(MHA)与州政府资助的远程医疗项目 Show-Me ECHO 合作,启动了一项全州范围的质量改进(QI)项目,以改进和规范为受 SUD 影响的母婴双方提供的护理服务。从 2021 年 1 月到 2022 年 12 月,密苏里州共有 14 家医院参与了该项目。通过 ECHO 模式和技术实施支持,100% 的合作参与出生中心都实施了非药物政策,以护理受药物影响的新生儿。此外,产妇 SUD 筛查率提高了 67.3%(从 57.5% 提高到 96.2%),婴儿转院率降低了 24%,婴儿安全护理出院计划提高了 37%,母亲安全护理出院计划提高了 144%。此外,MHA 与 Show-Me ECHO 之间的合作也证明了跨部门工作的可行性,即创造协同效应以改善和规范受 SUD 影响的母婴二人护理。
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引用次数: 0
MSMA Elects Leadership: 2024-2025. MSMA 选举领导层:2024-2025 年。
Pub Date : 2024-05-01
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引用次数: 0
Hemophilia Gene Therapy: Another Blessing or Another Curse? 血友病基因疗法:另一种祝福还是另一种诅咒?
Pub Date : 2024-05-01
John Puetz

Medical therapies for hemophilia patients over the past 60 years have included several blessings and a curse. The long-sought cure with gene therapy may have finally arrived. Unfortunately, preclinical animal models are now raising concerns for genotoxicity with gene therapy. Although no cancers have been detected in humans, it may be a few decades before we know if gene therapy for hemophilia is another blessing, or another curse.

在过去的 60 年里,血友病患者的医疗疗法可谓几家欢喜几家愁。人们长期寻求的基因疗法可能终于到来了。遗憾的是,临床前的动物模型现在引起了人们对基因疗法遗传毒性的担忧。虽然尚未在人类身上发现癌症,但要知道血友病的基因疗法是福是祸,可能还需要几十年的时间。
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引用次数: 0
Diabetes and Dyslipidemia Screening in Pediatric Practice. 儿科实践中的糖尿病和血脂异常筛查。
Pub Date : 2024-05-01
Jordyn Huston, Deepti Sudhakar, Poornaashri Malarvannan, Riya Aradhyula, Amy L Clark

The incidence of diabetes and hyperlipidemia are increasing at rapid rates in children. These conditions are associated with increased risk of macrovascular and microvascular complications causing major morbidity and mortality later in life. Early diagnosis and treatment can reduce the lifelong risk of complications from these diseases, exemplifying the importance of screening in the pediatric population. The following article presents a summary of the current guidelines for diabetes and hyperlipidemia screening in pediatric patients.

儿童糖尿病和高脂血症的发病率正在快速上升。这些疾病会增加大血管和微血管并发症的风险,导致日后严重的发病率和死亡率。早期诊断和治疗可降低这些疾病并发症的终生风险,这充分体现了筛查在儿科人群中的重要性。下文概述了当前儿科糖尿病和高脂血症筛查指南。
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引用次数: 0
Creating State-Funded Residency Programs: How They Did It in Rural Indiana. 创建州资助的住院医师培训项目:印第安纳州农村地区是如何做到的。
Pub Date : 2024-05-01
Albert L Hsu, Lacey E Raper, Amanda E Hul, Eric A Millican
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引用次数: 0
Alliance Installs 2024-2025 President. 联盟任命 2024-2025 年主席。
Pub Date : 2024-05-01
Donna Corrado
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引用次数: 0
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Missouri medicine
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