http://archie.kumc.edu:80/handle/2271/220 The Kansas Journal of Medicine (KMJ) publishes original research, reviews, commentaries, and case studies on all aspects of clinical medicine, health care delivery, health policy, and medical education. Tue, 21 May 2013 09:17:39 GMT 2013-05-21T09:17:39Z http://archie.kumc.edu:80/handle/2271/1137 Erratum: Knowledge and Attitudes of Physicians in Kansas Regarding Domestic Minor Sex Trafficking Berg, Gina M Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1137 2013-02-22T00:00:00Z Berg, Gina M http://archie.kumc.edu:80/handle/2271/1136 Use Caution in Draining Effusions in Patients with Liver Disease Pal, Aroop; Spencer-Gardner, Luke Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1136 2013-02-22T00:00:00Z Pal, Aroop Spencer-Gardner, Luke http://archie.kumc.edu:80/handle/2271/1135 Bronchial Carcinoid as a Cause of Hemoptysis Bhanot, Deepa; Akidiva, Samuel; Hagan, Stephen F Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1135 2013-02-22T00:00:00Z Bhanot, Deepa Akidiva, Samuel Hagan, Stephen F http://archie.kumc.edu:80/handle/2271/1134 Mitomycin Induced Pulmonary Veno-Occlusive Disease in a Patient with Carcinoma of the Breast Khalid, Haroon; Damjanov, Ivan; Latham, Heath Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1134 2013-02-22T00:00:00Z Khalid, Haroon Damjanov, Ivan Latham, Heath http://archie.kumc.edu:80/handle/2271/1133 Mycoplasma Pneumoniae Requiring Mechanical Ventilation Harrison, Michael F; Rodriguez, Mark; Arsene, Camelia Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1133 2013-02-22T00:00:00Z Harrison, Michael F Rodriguez, Mark Arsene, Camelia http://archie.kumc.edu:80/handle/2271/1132 Spinal Dural Arteriovenous Fistula with Bilateral Lateral Sacral Arterial Supply and Embolization Lerner, David J; Samson, Michel; Holloway, William; Akhtar, Naveed Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1132 2013-02-22T00:00:00Z Lerner, David J Samson, Michel Holloway, William Akhtar, Naveed http://archie.kumc.edu:80/handle/2271/1131 Validation of a Modified CD-RISC: Including Previously Unaccounted for Resilience Variables Dong, Frank; Ablah, Elizabeth; Nelson, Clarice; Shah, Sapna; Khan, Ahsan Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1131 2013-02-22T00:00:00Z Dong, Frank Ablah, Elizabeth Nelson, Clarice Shah, Sapna Khan, Ahsan Background. Resilience is considered as the capacity to overcome adversity. Identifying psychiatric patients with lower resilience scores may assist mental health or other healthcare professionals in tailoring treatment to patients’ needs. The original 25-item Connor-Davidson Resilience Scale (CD-RISC) has been used widely to measure resilience. However, the factor structure of CD-RISC in the original paper has not been replicated in subsequent studies. We sought to modify the original 25-item CD-RISC to achieve a stable factor structure. Methods. The original 25-item CD-RISC was modified to include three new items, and most original items were revised for clarity and relevance for respondents, to achieve a more precise and accurate response. A few items were deleted based on empirically driven modifications. A total of 266 respondents were obtained from a university-based psychiatric outpatient clinic and hospital psychiatric outpatient clinic. An exploratory factor analysis was conducted. Results. A four-dimension factor structure was identified using this data set. One item, “have to act on hunch” was deleted from the factor analysis due to weak correlation with the other variables. The instrument had excellent internal consistency (Cronbach’s Alpha = 0.94). Conclusions. The modified 27-item CD-RISC achieved a stable factor structure and high internal consistency, and generated a more interpretable result than the original CD-RISC. http://archie.kumc.edu:80/handle/2271/1130 Examining Communication and Patient Recall in a Family Medicine Residency Ebberwein, Christopher; Woods, Nikki Keene; Terrell, Holly Allen; Boyce, Mary; Reyes, Jared; Chesser, Amy Fri, 22 Feb 2013 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1130 2013-02-22T00:00:00Z Ebberwein, Christopher Woods, Nikki Keene Terrell, Holly Allen Boyce, Mary Reyes, Jared Chesser, Amy Background. Understanding key aspects of effective physician-patient communication could benefit residency education and improve patient comprehension of health information. Discrepancies between what physicians say and what patients understand can reduce quality of care (e.g., patient adherence and satisfaction), making it imperative to know when gaps in patient understanding exist. The objective of this study was to identify residents’ efforts to assess patient understanding and the degree to which patients recalled information and instructions provided in the medical encounter. Methods. Residents and patients were observed in routine medical encounters in a Midwestern family medicine residency center. Patients were surveyed immediately following the encounter for recall of information and recommendations from the encounter, satisfaction with physician communication, and health literacy. Results. A total of 21 physician-patient encounters were observed. An inverse relationship was noted (Spearman’s rho = -0.43, N = 21, p = 0.05) between number of topics discussed during the encounter and the percentage of information recalled. Conclusions. Patient recall was related inversely to the number of topics covered by resident physicians. These results challenge physicians and medical educators to study and employ further those elements of physician-patient communication that enhance patient recall and understanding. http://archie.kumc.edu:80/handle/2271/1120 Midwifery in Kansas McDaniel, Astrid; Goldberg, Lynette R; Powers, Nancy G Tue, 27 Nov 2012 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1120 2012-11-27T00:00:00Z McDaniel, Astrid Goldberg, Lynette R Powers, Nancy G http://archie.kumc.edu:80/handle/2271/1119 Mycobacterium Bovis BCG Strain Osteomyelitis Masquerading as Spinal Metastasis from Bladder Cancer Chuda, Ravindra; Poddutoori, Padma; Van Veldhuizen, Peter Tue, 27 Nov 2012 00:00:00 GMT http://archie.kumc.edu:80/handle/2271/1119 2012-11-27T00:00:00Z Chuda, Ravindra Poddutoori, Padma Van Veldhuizen, Peter