DigitalCommons@KCU (Kansas City Univ.)
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Advancing Dermatologic Equity for Individuals With Autism Through Awareness and Structural Reform
Get PDFAutism spectrum disorder (ASD), a neurodevelopmental condition affecting communication, social interaction, and sensory processing, has seen a marked increase in prevalence over the past two decades. Dermatologists are increasingly encountering patients with ASD, many of whom face compounded challenges due to mobility issues, such as reliance on wheelchairs, as well as sensory hypersensitivities and communication barriers. Despite the growing demand for specialized care, advocacy for accessible dermatologic health for individuals with ASD remains insufficient. This literature review highlights the challenges faced by this population, including higher susceptibility to certain dermatologic conditions and the significant barriers to effective clinical evaluation and management. By identifying key gaps in care, this review advocates for the implementation of sensory-aware practices, such as adapting clinical environments, employing tailored communication strategies, and designing individualized treatment plans. Furthermore, it emphasizes the critical role of dermatologists, researchers, and policymakers in championing systemic changes that address these barriers and promote equitable access to care. Through a commitment to advocacy and innovation, dermatology can better meet the needs of individuals with ASD and contribute to advancing skin health equity on a global scale
Infection Prevention and Antibiotic Stewardship in Dentistry: Partnering for a Safer Future
No full textParental Influence on Youth Cannabis Use: The Interplay Between Disapproval and Warmth
Get PDFPurpose: Family environment plays an essential role in youth development. This study sought to examine the intersection effects of parental disapproval and parent–child warm relationships on youth cannabis use behaviors.
Methods: Data were drawn from the youth sample of the 2022 National Survey on Drug Use and Health (NSDUH) study. Multivariable hierarchical models were performed to examine the associations of parental disapproval of offspring’s cannabis use and youth current (past 30-day) cannabis use and past-year DSM-5 cannabis use disorder (CUD), incrementally adjusting for sociodemographic factors, youth substance use behaviors, and family/environment influences.
Results: Among a nationally representative sample of 11,969 youths aged 12–17 years old, 6.0 % reported current cannabis use and 5.2 % reported past-year CUD. Parental disapproval of youth cannabis use differed by parental warmth, age, sex, and race/ethnicity, and it was a strong protective factor against both current cannabis use (AOR[95 % CI] = 0.26[0.18–0.37]) and past-year CUD (AOR[95 % CI] = 0.30[0.20–0.44]) in the fully adjusted models. In addition, reporting their parent as being “warm” all the time (vs. seldom/never), and perceiving harmfulness of cannabis use (high vs. low) were associated with lower odds of youth cannabis use, while being non-Hispanic Black (vs. White), older (vs. younger), using tobacco or alcohol currently, and having peers who use cannabis were associated with higher odds of cannabis use.
Conclusions and relevance: Parental disproval in a warm family environment is protective of youth against cannabis use. Multifaceted interventions involving parents and youth, as well as parental knowledge of the harmfulness of cannabis use, might lessen the impact of youth cannabis use
Atypical Intra-articular Osteoid Osteoma Mimicking Slipped Capital Femoral Epiphysis: A Rare Diagnostic and Therapeutic Challenge in a Pediatric Patient
Get PDFThis case report describes a complex diagnostic challenge in a 10-year-old male presenting with persistent and progressively worsening hip pain. The initial clinical suspicion centered on slipped capital femoral epiphysis (SCFE), a common orthopedic condition in adolescents often associated with obesity and characterized by displacement of the femoral head at the growth plate. Standard radiographs suggested potential epiphyseal abnormalities, raising concerns for SCFE. However, subsequent advanced imaging revealed a 1 cm lytic lesion in the femoral neck with surrounding sclerosis, a classic radiologic feature of osteoid osteoma, thereby confirming the diagnosis.
The patient underwent successful treatment with CT-guided radiofrequency ablation (RFA) with adjunctive perilesional cryotherapy and intraoperative nonsteroidal anti-inflammatory drug (NSAID) infusion, resulting in rapid pain relief and expedited recovery. This case underscores the diagnostic overlap between SCFE and osteoid osteoma, as both conditions can manifest with hip pain and restricted range of motion in pediatric patients. It emphasizes the critical role of advanced imaging modalities, such as magnetic resonance imaging (MRI) and computed tomography (CT), in distinguishing between these two entities, particularly when initial radiographs are inconclusive
Bike Helmet on a Stem
No full textWhat started as a painting of an orchid quickly bloomed into a reminder of my recently stolen bicycle. Replacing it remains one of many tasks on a to-do list that grows like a weed and is as hard to manage as keeping an orchid alive
