Missouri medicine
-
Brachial plexus injuries can be difficult to diagnose and manage. A combination of injury history, as well as radiology, electrodiagnostics, and physical exam skills can aid in this diagnosis. While some patients will regain function spontaneously, many require surgical reconstruction. Surgical options have changed with technological advances in microsurgery, and the availability of long-term outcome data following plexus reconstruction.
-
Despite the widespread knowledge that tobacco use causes death and debilitating disease, tobacco control efforts in Missouri remain inadequate. No other health issue combines the prevalence, lethality, and neglect of tobacco addiction. ⋯ Successful tobacco control efforts change society by creating an environment in which nonsmoking is the norm and quitting smoking is supported. This paper concludes that it is time for medicine and public health professionals to communicate, collaborate, and assume leadership in reducing the health burden of tobacco use in Missouri.
-
Patients with advanced heart and lung disease experience exacerbations resulting in hospitalizations and interventions the patient may not desire. Strategies are needed that address end of life issues, honor preferences, and improve care without increasing cost. This study examines the impact on hospitalization and care cost of an integrated system of end of life care and interdisciplinary home care for mid-Missouri veterans with advanced congestive heart failure or chronic obstructive pulmonary disease.