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  1. Article ; Online: Management of Capitellar Osteochondritis Dissecans: A Critical Analysis Review.

    Akins, Xavier A / Javid, Kashif / Stone, Austin V

    JBJS reviews

    2024  Volume 12, Issue 4

    Abstract: Osteochondritis dissecans of the capitellum is a localized compromise of bone that may lead to subchondral collapse with articular cartilage damage and loose body formation.» The etiology is multifactorial; proposed mechanisms include repetitive ... ...

    Abstract » Osteochondritis dissecans of the capitellum is a localized compromise of bone that may lead to subchondral collapse with articular cartilage damage and loose body formation.» The etiology is multifactorial; proposed mechanisms include repetitive microtrauma, vascular insufficiency, and genetic predisposition.» Diagnosis is based on patient presentation, clinical examination, diagnostic imaging, and intraoperative findings.» Management is dependent on lesion characteristics, with stable lesions amenable to nonoperative treatment and unstable lesions managed with surgical intervention.» Adolescent athletes can expect a return to their preinjury level of activity or competition following indicated surgical intervention.
    MeSH term(s) Adolescent ; Humans ; Osteochondritis Dissecans/diagnostic imaging ; Osteochondritis Dissecans/etiology ; Osteochondritis Dissecans/therapy ; Treatment Outcome ; Elbow Joint/diagnostic imaging ; Elbow Joint/surgery ; Elbow Joint/pathology ; Radiography ; Magnetic Resonance Imaging
    Language English
    Publishing date 2024-04-18
    Publishing country United States
    Document type Journal Article
    ISSN 2329-9185
    ISSN (online) 2329-9185
    DOI e24.00020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Health Outcomes of Kansas City's Vulnerable Patients Following Shutdown: An Assessment of Blood Pressure Among Sojourner Health Clinic Patients.

    Qureshi, Fahad / Varghese, Kevin / Javid, Kashif / Narayanan, Srivats / Kraemer, Edwin

    Cureus

    2022  Volume 14, Issue 9, Page(s) e29057

    Abstract: Background In downtown Kansas City, patients who face homelessness or unstable housing situations may have been negatively affected by the shutdown of Sojourner Health Clinic (SOJO), a free student-run clinic that provides primary care predominantly to ... ...

    Abstract Background In downtown Kansas City, patients who face homelessness or unstable housing situations may have been negatively affected by the shutdown of Sojourner Health Clinic (SOJO), a free student-run clinic that provides primary care predominantly to these patients. Research shows that blood pressure (BP) increases within weeks or months of interruption of antihypertensive therapy, especially in patients with advanced age and polypharmacy. Therefore, this study will examine how patients' blood pressure changed after the closure of Sojourner Health Clinic. Methods The study population consists of Sojourner Health Clinic patients who were seen both before March 2020 (shutdown) and during/after July 2020 (clinic reopening). Participants are selected at random. No additional data is collected outside of routine treatment for this institutional review board (IRB)-exempt project. A study coordinator reviews charts via Sojourner electronic medical record (EMR) and collects the latest BP available before March 2020 and the first BP available during/after July 2020. No identifying information is collected. The mean systolic pressures, mean diastolic pressures, and mean arterial pressures (MAP) are compared via paired t-test for statistical significance. Results There was a statistically significant decrease in patients' MAP and diastolic BP after the closure of the clinic. However, there was not a statistically significant change found in patients' systolic BP. The clinical significance of these results is limited by the minimal magnitude of change. Conclusions These findings run counter to our expectations since we believed that the closure of Sojourner Health Clinic would correlate with worsened markers of health, such as blood pressure control. It may be possible that the sampled patients turned to other sources for health maintenance and antihypertensive therapy during clinic closure. Future studies could explore these possibilities.
    Language English
    Publishing date 2022-09-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.29057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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