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In the News. 新闻
Missouri medicine
Pub Date : 2023-11-01
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引用次数: 0
Missouri Medicine 2023 Milestones & Moments. 密苏里医学 2023 里程碑和重要时刻。
Missouri medicine
Pub Date : 2023-11-01
John C Hagan
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引用次数: 0
Awareness Under Anesthesia. 麻醉状态下的意识
Missouri medicine
Pub Date : 2023-11-01
Furqaan Sadiq, Jessica Bauerle

You begin to hear distant rock music playing, people conversing about their weekend. Then the scalpel is requested-incision. Pain sends you reeling and you attempt to muster a scream. No one seems to hear you and you are unable to lift a finger. The scenario is so rare that numerous movies have been made about awareness under anesthesia. Awareness under anesthesia is a rare event, however, it is a complication that no one ever desires to occur. We will explore how frequent awareness is during surgery, what risk factors are involved, and what tools anesthesia providers utilize to ensure everyone undergoing surgery is adequately anesthetized.

你开始听到遥远的摇滚音乐，人们在谈论他们的周末。然后，手术刀被要求开刀。疼痛让你浑身发抖，你试图发出尖叫。似乎没有人听到你的声音，你也无法抬起一根手指。这种情况非常罕见，以至于拍摄了大量关于麻醉状态下的意识的电影。麻醉状态下的意识觉醒是一种罕见的情况，但却是任何人都不希望发生的并发症。我们将探讨在手术过程中出现意识障碍的频繁程度、涉及哪些风险因素以及麻醉提供者使用哪些工具来确保接受手术的每个人都得到充分麻醉。
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引用次数: 0
Investing in the Future of Medicine. 投资未来医学。
Missouri medicine
Pub Date : 2023-11-01
Lancer G Gates
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引用次数: 0
ACL Injuries in Soccer Players: Prevention and Return to Play Considerations. 足球运动员的前十字韧带损伤：预防和重返赛场注意事项。
Missouri medicine
Pub Date : 2023-11-01
Husam Nawas, Hunter Fleming, Steven Purcell

Soccer is the most popular sport in the world, with an estimated 270 million people, or 4% of the world's population, currently playing.1 Soccer has recently enjoyed an elevated profile with the US women's national team competing in the 2023 World Cup. Meanwhile, there is regional excitement with Kansas City selected as a host city of the upcoming 2026 men's World Cup (logo left). Knee injuries, particularly ACL tears, are common in soccer and can lead to extensive time away from sport. Increasing emphasis is being placed on reducing soccer related injuries as well as improving outcomes when returning players back to competitive play.

足球是世界上最受欢迎的运动，据估计，目前有 2.7 亿人在踢足球，占世界人口的 4%。1 最近，随着美国女子国家队参加 2023 年世界杯，足球的地位得到了提升。与此同时，堪萨斯城被选为即将到来的 2026 年男子世界杯的主办城市（徽标左侧），这在当地也引起了强烈反响。膝关节损伤，尤其是前十字韧带撕裂，在足球运动中很常见，可能导致长时间无法参加运动。人们越来越重视减少与足球相关的损伤，以及改善球员重返赛场后的治疗效果。
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引用次数: 0
Thanks You for Your Support! 感谢您的支持！
Missouri medicine
Pub Date : 2023-11-01
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引用次数: 0
Effects of Ketogenic Diet Intervention on Metabolic Acidosis in Patients with Obesity and Chronic Kidney Disease. 生酮饮食干预对肥胖症和慢性肾病患者代谢性酸中毒的影响
Missouri medicine
Pub Date : 2023-11-01
Reuben J R De Almeida, Fouad Jaber, Rawan Rajab, Mallak Zatreh, Peminda Cabandugama, Nada Bader

In this study, we found no significant acid-base changes after six weeks of ketogenic diet in patients with obesity with Chronic kidney disease) 2 or 3. A ketogenic diet was well tolerated overall with no gross changes to serum creatinine, anion gap, serum, or venous bicarbonate, or albumin. We were limited by a small sample size, and we did not confirm whether patients achieved a biochemical ketogenic state.

在这项研究中，我们发现患有慢性肾脏病（2 级或 3 级）的肥胖患者在接受六周生酮饮食后，酸碱度没有发生明显变化。生酮饮食的总体耐受性良好，血清肌酐、阴离子间隙、血清或静脉碳酸氢盐或白蛋白均无明显变化。由于样本量较小，我们无法确认患者是否达到了生化酮状态。
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引用次数: 0
Report of the American Medical Association Interim Meeting. 美国医学协会临时会议报告。
Missouri medicine
Pub Date : 2023-11-01
Charles W Van Way
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引用次数: 0
Screen Use and Social Media "Addiction" in the Era of TikTok: What Generalists Should Know. TikTok 时代的屏幕使用和社交媒体 "成瘾"：通才应知》。
Missouri medicine
Pub Date : 2023-11-01
Kevin Y Xu, Tiffany Tedrick, Jessica A Gold

While the term "screen addiction" or "social media addiction" is gaining steam in the popular media, preclinical, clinical, and population health research have not caught up with regards to the diagnosis and treatment of unhealthy screen use. The overarching goal of this article is to provide broad clinical tips to generalists, working outside the mental health specialty, on the evaluation and treatment of unhealthy screen exposure in children and young adults. We will clarify the difference between addiction and overuse, and why this distinction matters. Recognizing that screens are here to stay in the post-COVID era, we will provide guidance on how to reduce potential harms associated with screen exposure without necessarily requiring people to abstain or stop using screens.

虽然 "屏幕成瘾 "或 "社交媒体成瘾 "这一术语在大众媒体上越来越流行，但临床前、临床和人群健康研究在诊断和治疗不健康的屏幕使用方面还没有跟上。本文的总体目标是为从事心理健康专业以外工作的普通医生提供广泛的临床建议，帮助他们评估和治疗儿童和青少年不健康的屏幕接触。我们将阐明成瘾与过度使用之间的区别，以及这种区别的重要性。我们认识到，在后 COVID 时代，屏幕将继续存在，因此我们将就如何减少与屏幕接触相关的潜在危害提供指导，而不一定要求人们禁用或停止使用屏幕。
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引用次数: 0
Looking into the Legislative Session Crystal Ball. 展望立法会议水晶球。
Missouri medicine
Pub Date : 2023-11-01
Jacob Scott, Rachel Bauer
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引用次数: 0
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