DigitalCommons@KCU (Kansas City Univ.)
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B.B. Springs, Bowling Green, MO.
Get PDFUndated postcard with photograph of the B.B. Springs Hotel.
The hotel was purchased by three osteopaths, R.H. Williams, C.H. Downing, and H.S. Hain, and opened in 1923 as the Bowling Green Sanitarium and Mineral Water Company, specializing in osteopathic and hydrotherapy. Dr. R.H. Williams also marketed Bowling Green Mineral Water.https://digitalcommons.kansascity.edu/postcards/1035/thumbnail.jp
Osteopathic Hospital - Traverse City, Mich.
Get PDFUndated postcard depicting the Traverse City Osteopathic Hospital on Bay Street in Traverse City, Michigan.https://digitalcommons.kansascity.edu/postcards/1038/thumbnail.jp
When Shortness of Breath Gets Misdiagnosed: Atrial Myxoma Case Report
Get PDFThe vague presentation of an atrial myxoma makes accurate diagnosis difficult. This case report reviews the case of a 54-year-old female who presented to the Emergency Department complaining of shortness of breath and back pain. Prior to her Emergency Department evaluation, she had been given a diagnosis with pneumonia. Upon further evaluation, she was diagnosed with a large left atrial myxoma that was surgically removed via median sternotomy. After recovering from her surgery, the patient had a full resolution of her symptoms. Although the treatment for myxomas has a high success rate of full recovery, the difficulty in diagnosis poses problems for patients and can prolong symptoms due to potential misdiagnosis
Just Below the Surface 4
No full textJust below the surface thrives a city as vibrant and busy as any on land. Here, no more than five feet beneath the waves The diversity of the phyla is unmatched. This city’s inhabitants are both as bizarre as they are wonderful
Chapter 12: Systematic Review and Meta-Analysis
No full textMeta-analyses are often regarded as the gold standard concerning research regarding recommendations and guidelines for the field. Substance misuse research has become increasingly common, with many different findings in the field emerging over the past decade. The need for systematic reviews of this literature has become increasingly important to bolster evidence-based recommendations in the specialty. This chapter focuses on the importance of meta-analyses, acceptable research methods for conducting these studies, valid statistical methods, and common research checklists to accompany the studies when submitting journals for publication. The chapter concludes with examples of meta-analyses of substance misuse risk factors and substance misuse disorders managements that have been published. Current examples of meta-analyses of substance misuse risk factors indicate that unemployed individuals are more likely to be alcohol consumers and smokers, more likely to develop alcohol and drug use disorders than employed individuals, and are at higher risk of developing substance use disorders (SUDs) and at higher risk of relapsing. There is also evidence to suggest that SUDs negatively impact individuals’ employment rates. Current examples of meta-analyses of substance misuse disorder management show that mindfulness treatment reduces the frequency and severity of substance misuse, the intensity of craving for psychoactive substances, and the severity of stress. It also increases rates of posttreatment abstinence from cigarette smoking compared to alternatives. Physical exercise effectively increases the abstinence rate, easing withdrawal symptoms, and reduces anxiety and depression related to substance abuse. Cognitive behavioral therapy is effective at managing alcohol and other SUDs. Psychosocial treatment also effectively manages SUD, with the greatest efficacy for cannabis use and lowest efficacy for polysubstance use
Prevalence and Factors Associated With Vaping Cannabidiol Among US Adolescents
No full textImportance: e-Cigarette use and vaping marijuana (cannabis) are popular among US adolescents. Cannabidiol (CBD) is a compound found in the cannabis plant that has recently increased in use.
Objectives: To examine the prevalence of and factors associated with youths vaping CBD.
Design, setting, and participants: This cross-sectional study included a nationally representative sample of students from middle and high schools (typical age, 11-18 years) in the US from the 2022 National Youth Tobacco Survey, conducted from January to May 2022.
Exposure: Demographic characteristics, harm perception of tobacco use, and vaping behaviors.
Main outcomes and measures: The main outcomes were weighted prevalence and population estimates of ever and current (past 30-day) vaping of CBD overall and by e-cigarette use status. Multivariable logistic regression analyses were conducted to estimate the association of currently vaping CBD with demographic factors and e-cigarette and tobacco use behaviors stratified by current e-cigarette use status.
Results: The study included 28 291 participants (51.1% male; mean [SD] age, 14.5 [2.0] years). Among 2448 current e-cigarette users, 21.3% (95% CI, 18.4%-24.1%) reported any past-month vaping of CBD and 6.3% (95% CI, 4.7%-7.8%) reported that they did not know whether they had vaped CBD. Hispanic e-cigarette users were more likely than their non-Hispanic White peers to report currently vaping CBD (adjusted odds ratio [AOR], 1.9; 95% CI, 1.3-2.8). Current e-cigarette users with higher frequency (≥20 days vs ≤5 days) and longer duration (2-3 years or \u3e3 years vs \u3c1 year) of use were more likely to report currently vaping CBD (frequency: AOR, 1.5 [95% CI, 1.1-1.9]; 2-3 years: AOR, 2.2 [95% CI, 1.2-3.9]; 3 years: AOR, 3.2 [95% CI, 1.7-6.1]). Among 25 091 noncurrent e-cigarette users, 1.2% (95% CI, 1.0%-1.5%) reported currently vaping CBD and 2.3% (95% CI, 2.1%-2.6%) reported that they did not know. High school students (vs middle school students; AOR, 4.2; 95% CI, 2.8-6.1) and gay or lesbian (AOR, 2.9; 95% CI, 1.6-5.4) or bisexual (AOR, 2.7; 95% CI, 1.8-4.0) (vs heterosexual) youths were more likely to report vaping CBD, while those who perceived tobacco as dangerous (vs not dangerous; AOR, 0.4; 95% CI, 0.3-0.6) had lower odds of reporting vaping CBD.
Conclusions and relevance: In this cross-sectional study of US middle and high school students, the prevalence of youths vaping CBD was high, particularly among e-cigarette users and Hispanic and sexual minority populations. The findings suggest that evidence-based educational campaigns, interventions, and public policy changes are needed to reduce the harmful health outcomes possible with vaping CBD among developing youths
Acquired Non-histaminergic Angioedema With C1q Autoantibody and Urticaria: A Case Report
No full textAcquired angioedema (AAE) is a rare disease with life-threatening complications. This pathology has classically been associated with medication use and B cell lymphoproliferative disorders. In this report, we describe a 61-year-old man with a six-year history of angioedema, unrelated to any known triggers or malignancy. Extensive workup has led to a diagnosis of idiopathic nonhistaminergic AAE with normal C1 inhibitor. The patient is currently being treated with lanadelumab, which has resolved the patient’s symptoms. This case provides insight into the onset, exploration, treatment, and outcomes of an extremely rare disease process