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Southern Medical Journal

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https://www.readbyqxmd.com/read/28863227/on-direct-to-physician-journal-marketing
#1
G Richard Holt
No abstract text is available yet for this article.
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863226/idiopathic-thrombocytopenic-purpura-in-individuals-older-than-75-years-a-rare-series
#2
Abrar-Ahmad Zulfiqar
No abstract text is available yet for this article.
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863225/commentary-on-hospital-discharge-disposition-of-stroke-patients-in-the-state-of-tennessee
#3
Michael G Abraham
No abstract text is available yet for this article.
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863224/hospital-discharge-disposition-of-stroke-patients-in-tennessee
#4
Jin S Cho, Zhen Hu, Nancy Fell, Gregory W Heath, Rehan Qayyum, Mina Sartipi
OBJECTIVES: Early determination of hospital discharge disposition status at an acute admission is extremely important for stroke management and the eventual outcomes of patients with stroke. We investigated the hospital discharge disposition of patients with stroke residing in Tennessee and developed a predictive tool for clinical adoption. Our investigational aims were to evaluate the association of selected patient characteristics with hospital discharge disposition status and predict such status at the time of an acute stroke admission...
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863223/management-of-metastatic-spinal-cord-compression
#5
REVIEW
Quaovi Sodji, Joseph Kaminski, Christopher Willey, Nathan Kim, Waleed Mourad, John Vender, Byron Dasher
Cancer metastasis is a key event in tumor progression associated not only with mortality but also significant morbidity. Metastatic disease can promote end-organ dysfunction and even failure through mass effect compression of various vital organs including the spinal cord. In such cases, prompt medical attention is needed to restore neurological function, relieve pain, and prevent permanent damage. The three therapeutic approaches to managing metastatic spinal cord compression include corticosteroids, surgery, and radiation therapy...
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863222/chronic-kidney-disease-in-pregnancy
#6
REVIEW
Abhilash Koratala, Deepti Bhattacharya, Amir Kazory
With the increasing prevalence of chronic kidney disease (CKD) worldwide, the number of pregnant women with various degrees of renal dysfunction is expected to increase. There is a bidirectional relation between CKD and pregnancy in which renal dysfunction negatively affects pregnancy outcomes, and the pregnancy can have a deleterious impact on various aspects of kidney disease. It has been shown that even mild renal dysfunction can increase considerably the risk of adverse maternal and fetal outcomes. Moreover, data suggest that a history of recovery from acute kidney injury is associated with adverse pregnancy outcomes...
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863221/resident-workshop-standardizes-patient-handoff-and-improves-quality-confidence-and-knowledge
#7
Heidi J Murphy, Aryn C Karpinski, Amanda Messer, Julie Gallois, Michelle Mims, Ashley Farge, Lauren Hernandez, Michelle Steinhardt, Chelsey Sandlin
OBJECTIVES: Residency programs are required to instruct residents in handoff; however, a handoff curriculum endorsed by the Accreditation Council for Graduate Medical Education does not exist. Although curricula are available, we preferred to use a curriculum that could be taught quickly, was easy to implement, and used a mnemonic that resembled current practices at our institution. We designed and implemented a novel handoff educational workshop intended to improve resident confidence and performance...
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863220/commentary-on-discussing-advance-care-planning-and-directives-in-the-general-population
#8
Stephen O Sodeke
No abstract text is available yet for this article.
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863219/discussing-advance-care-planning-and-directives-in-the-general-population
#9
Pascal J de Caprariis, Bronwyn Rucker, Claudia Lyon
The concept of end-of-life planning, along with medical and legal issues, has been discussed and has evolved over several years. The 1990 Patient Self-Determination Act and individual states' Department of Health Advance Directive forms helped overcome past problems. Patients with terminal and chronic illness are now able to have their wishes recognized for their future care. Any healthy individual's decision during an advance care planning (ACP) discussion can be adversely affected by various factors; however, multiple barriers-religion, culture, education, and family dynamics-can influence the process...
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863218/commentary-on-assisted-death-and-the-public-good
#10
Florian Bruns
No abstract text is available yet for this article.
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28863217/assisted-death-and-the-public-good
#11
Lydia S Dugdale, Daniel Callahan
No abstract text is available yet for this article.
September 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771656/transfusion-practice-in-trauma-resuscitation
#12
REVIEW
Ashley M Eckel, John R Hess
Recognition of the acute coagulopathy of trauma and the limits of reconstituting whole blood with conventional blood components has led to a radical change in the way trauma patients with severe injuries are resuscitated. Massive transfusion protocols (MTP) have evolved toward the administration of conventional blood components in fixed ratios. Administration of a 1:1:1 unit ratio of fresh frozen plasma to whole-blood-derived platelets to packed red blood cells is now the most common strategy and the stated goal of directors of >80% of the level I trauma centers in the United States...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771655/management-of-intrauterine-contraception-in-early-pregnancy
#13
Shanthi S Ramesh, Samantha Charm, Alison Kalinowski, Abigail L Liberty, Gretchen S Stuart
OBJECTIVES: Women with rare intrauterine contraception (IUC) failures are advised to have their IUC removed because of the risk of poor obstetric outcomes with a retained IUC. Specifics regarding IUC removal in early pregnancy including techniques for removal, rates of success, and immediate pregnancy outcomes following removal are not well described, however. The objective of this study was to identify women with an IUC in early pregnancy examined at a tertiary care center with the primary objective of describing IUC removal attempts, IUC removal successes, and pregnancy outcomes at 20 weeks following IUC removal...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771654/predictors-of-30-day-mortality-in-hospitalized-patients-with-clostridium-difficile-infection
#14
Jayakrishna Chintanaboina, Seyedehsan Navabi, Kristen Suchniak-Mussari, Benjamin Stern, Simranjit Bedi, Erik B Lehman, Andrew Tinsley
OBJECTIVES: Clostridium difficile infection (CDI) is a significant cause of morbidity and mortality and is the most common nosocomial infection in the United States, with associated annual costs of approximately $3 billion. The epidemiology of CDI has changed with the identification of novel risk factors for incident and recurrent CDI. The aim of this study was to identify the predictors of 30-day mortality in hospitalized patients with CDI. METHODS: We identified all of the patients diagnosed as having CDI from January 2011 to December 2014 at our university-setting hospital...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771653/impact-of-polypharmacy-on-seniors-self-perceived-health-status
#15
Rafia Rasu, Walter Agbor-Bawa, Nahid Rianon
OBJECTIVES: Polypharmacy is common among older patients and is linked to increased risk of adverse health outcomes. This study aimed to explore the association of polypharmacy and self-perceived health status (SPHS) among geriatric patients. METHODS: This cross-sectional analysis of longitudinal observational research used national survey data from 2005-2008. Multivariate logistic regressions examined the likelihood of having a good/poor SPHS and polypharmacy. Medical Expenditure Panel Survey data provided by Agency for Healthcare Research and Quality were used in this study...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771652/the-premedical-curriculum-we-can-do-better-for-future-physicians
#16
Bharat Kumar, Melissa L Swee, Manish Suneja
No abstract text is available yet for this article.
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771651/bedside-rounds-valued-but-not-preferred-perceptions-of-internal-medicine-residents-and-attending-physicians-in-a-diverse-academic-training-program
#17
Naseema B Merchant, Daniel G Federman
OBJECTIVES: Bedside rounds/rounding (BDR) is an important tool for patient-centered care and trainee education. This study aimed at understanding the attitudes toward BDR among residents and attending physicians. METHODS: A survey was conducted using the Qualtrics survey tool. Responses were measured using a five-point Likert scale. RESULTS: The survey was sent to 301 attending physicians and 195 residents. Attending physicians conducted BDR 19% of the time...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771650/mitigating-matthew-5-lessons-to-help-improve-hospital-preparedness-in-a-hurricane
#18
Lancer A Scott, Florence E Hutchison
No abstract text is available yet for this article.
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771649/implementing-a-disaster-preparedness-curriculum-for-medical-students
#19
Edward H Jasper, Gregory K Wanner, Dale Berg, Katherine Berg
OBJECTIVES: Training in disaster medicine and preparedness is minimal or absent in the curricula of many medical schools in the United States. Despite a 2003 joint recommendation by the Association of American Medical Colleges and the Centers for Disease Control and Prevention, few medical schools require disaster training for medical students. The challenges of including disaster training in an already rigorous medical school curriculum are significant. We evaluated medical students' experiences with mandatory disaster training during a 2-year period in a medical university setting...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28771648/survey-of-hospital-employees-personal-preparedness-and-willingness-to-work-following-a-disaster
#20
Jane H Brice, David Gregg, Dalton Sawyer, Julianne M Cyr
OBJECTIVES: Little is known about the personal readiness of hospital staff for disasters. As many as 30% of hospital staff say that they plan not to report for work during a large-scale disaster. We sought to understand the personal disaster preparedness for hospital staff. METHODS: Surveys were distributed to the staff of a large academic tertiary-care hospital by either a paper-based version distributed through the departmental safety coordinators or a Web-based version distributed through employee e-mail services, depending on employee familiarity with and access to computer services...
August 2017: Southern Medical Journal
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