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Southern Medical Journal

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https://www.readbyqxmd.com/read/28679019/adequately-addressing-pediatric-obesity-challenges-faced-by-primary-care-providers
#1
Marilou Shreve, Allison Scott, Kelly Vowell Johnson
OBJECTIVE: To assess the challenges primary care providers encounter when providing counseling for pediatric patients identified as obese. METHODS: A survey assessed the current challenges and barriers to the screening and treatment of pediatric obesity for providers in northwest Arkansas who provide care to families. The survey consisted of 15 Likert scale questions and 4 open-ended questions. RESULTS: Time, resources, comfort, and cultural issues were reported by providers as the biggest barriers in screening and the treatment of pediatric obesity...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679018/underdiagnosis-and-lower-rates-of-office-visits-for-overweight-obese-pediatric-patients-in-rural-compared-with-urban-areas
#2
Christine SanGiovanni, James McElligott, Kristen Morella, William Basco
OBJECTIVES: This study compared the number of children enrolled in Medicaid in rural and urban areas of South Carolina with an overweight/obesity diagnosis and the mean rates of office visits with overweight/obesity diagnosed. METHODS: Medicaid claims data from 2012 for children in three South Carolina counties, categorized as urban, rural high resource, and rural low resource, were used to identify those who had been diagnosed as being overweight/obese during any encounter...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679017/a-comparison-of-qtc-intervals-in-alcohol-withdrawal-patients-versus-acute-coronary-syndrome-patients
#3
Timothy Chu, Keith Azevedo, Amy A Ernst, Dusadee Sarangarm, Steven J Weiss
OBJECTIVES: Patients with an alcohol use disorder experiencing acute intoxication or withdrawal may be at risk for electrocardiograph (ECG) abnormalities, including prolongation of repolarization (long QTc [corrected QT]) that may contribute to arrhythmias and may be associated with a threefold increase in the likelihood of sudden cardiac events. Patients with acute coronary syndrome may have prolonged QTc as well. To our knowledge, no previous studies have compared the QTc of ACS with acute ethanol (EtOH) withdrawal syndromes in the emergency department (ED)...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679016/stroke-hospital-characteristics-in-the-florida-puerto-rico-collaboration-to-reduce-stroke-disparities-study
#4
Maria A Ciliberti-Vargas, Hannah Gardener, Kefeng Wang, Chuanhui Dong, Li Yi, Jose G Romano, Mary Robichaux, Salina P Waddy, Ulises Nobo, Sandra Diaz-Acosta, Tatjana Rundek, Michael F Waters, Ralph L Sacco
OBJECTIVES: Although disparities in stroke care and outcomes have been well documented nationally, state-based registries to monitor acute stroke care in Florida (FL) and Puerto Rico (PR) have not been established. The FL-PR Collaboration to Reduce Stroke Disparities (CReSD) was developed to evaluate race-ethnicity and regional disparities in stroke care performance. The objective of this study was to assess and compare hospital characteristics within a large quality improvement registry to identify characteristics associated with better outcomes for acute ischemic stroke care...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679015/association-between-weight-change-health-outcomes-and-mortality-in-older-residents-in-long-term-care
#5
Wei Zhou, Andrzej Kozikowski, Renee Pekmezaris, James Lolis, Barbara Tommasulo, Joanna Fishbein, Gisele Wolf-Klein
OBJECTIVES: Despite the numerous health risks associated with being overweight, the effect of weight loss on health and longevity remains controversial, particularly in older adults. We explored the association among weight changes, health outcomes, and mortality in older residents of a skilled nursing facility. METHODS: A 6-year retrospective chart review of residents of a long-term care facility was conducted, collecting monthly weights in addition to the clinical and demographic data of all residents for at least 1 year...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679014/commentary-on-impact-of-consultation-on-hospital-outcomes-and-resource-utilization-for-patients-with-acute-congestive-heart-failure
#6
Michael A Ferguson
No abstract text is available yet for this article.
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679013/impact-of-consultation-on-hospital-outcomes-and-resource-utilization-for-patients-with-acute-congestive-heart-failure
#7
Zoltan Varga, Syed Ali Rafay Sabzwari, Khalid Abusaada
OBJECTIVES: Consultation is an important tool for acquiring subspecialty support when managing patients with acute congestive heart failure (CHF). The effect of consultation on hospital outcomes and resource utilization in CHF is unknown. The objectives of our study were to determine the effect of consultation on outcomes in CHF and to evaluate factors affecting the frequency of consultation. METHODS: Our study was a retrospective cohort study of patients admitted to Florida Hospital Orlando for CHF between January 1, 2011 and December 31, 2013...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679012/rural-religious-leaders-perspectives-on-their-communities-health-priorities-and-health
#8
Nancy E Schoenberg, Mark Swanson
OBJECTIVES: In traditionally underserved communities, faith-based interventions have been shown to be effective for health promotion. Religious leaders-generally the major partner in such interventions-however, are seldom are consulted about community health priorities and health promotion preferences. These insights are critical to ensure productive partnerships, effective programming, and sustainability. METHODS: Mixed-methods surveys were administered in one of the nation's most under-resourced regions: rural Appalachia...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28679011/commentary-on-factors-influencing-injury-severity-of-bicyclists-involved-in-crashes-with-motor-vehicles-bike-lanes-alcohol-lighting-speed-and-helmet-use
#9
https://www.readbyqxmd.com/read/28679010/factors-influencing-injury-severity-of-bicyclists-involved-in-crashes-with-motor-vehicles-bike-lanes-alcohol-lighting-speed-and-helmet-use
#10
Kelsey Helak, Dietrich Jehle, Daniel McNabb, Amanda Battisti, Steward Sanford, Mary Claire Lark
OBJECTIVES: In 2014, 726 bicyclists were killed and an additional 50,000 were injured in crashes with motor vehicles. The number of cyclists in the United States is increasing, and as a result there has been a call for more bike lanes. We examined the difference in the severity of injury of bicyclists involved in motor vehicle crashes when riding in the traffic lane compared with riding in a bike lane or on a paved shoulder. We also controlled for other safety factors, including alcohol use, travel speed, posted speed, helmet usage, and lighting conditions to determine their impact on bicyclist safety...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575905/association-of-white-matter-lesions-cerebral-atrophy-intracranial-extravascular-calcifications-and-ventricular-communicating-hydrocephalus-with-delirium-among-veterans
#11
Mark B Detweiler, Rathnakara M Sherigar, Geoffrey Bader, Kelly Sullivan, Arline Kenneth, Naciye Kalafat, Pavan Reddy, Brian Lutgens
OBJECTIVES: The literature regarding the underlying neuropathogenesis of delirium on head computed tomography (CT) is limited. The aim of this research was to investigate, using case-control retrospective chart review, the association of white matter lesions (WML), cerebral atrophy, intracranial extravascular calcifications, and ventricular-communicating hydrocephalus in older adult military veterans with and without delirium hospitalized in a Veterans Affairs Medical Center. METHODS: Head CT scans were examined for WML, atrophy, and intracranial extravascular calcifications globally in the cortex, subcortex (frontal, temporal, parietal, occipital lobes), basal ganglia (globus pallidus, caudate, putamen), and internal capsule, in addition to the presence of ventricular-communicating hydrocephalus...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575904/commentary-on-do-mixed-flora-preoperative-urine-cultures-matter
#12
R Keith Huffaker
No abstract text is available yet for this article.
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575903/do-mixed-flora-preoperative-urine-cultures-matter
#13
COMPARATIVE STUDY
Michael R Polin, Amie Kawasaki, Cindy L Amundsen, Alison C Weidner, Nazema Y Siddiqui
OBJECTIVES: To determine whether mixed-flora preoperative urine cultures, as compared with no-growth preoperative urine cultures, are associated with a higher prevalence of postoperative urinary tract infections (UTIs). METHODS: This was a retrospective cohort study. Women who underwent urogynecologic surgery were included if their preoperative clean-catch urine culture result was mixed flora or no growth. Women were excluded if they received postoperative antibiotics for reasons other than treatment of a UTI...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575902/can-computers-be-made-to-respect-the-art-of-medicine
#14
Neil J Nusbaum
No abstract text is available yet for this article.
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575901/dissemination-approaches-to-participating-primary-care-providers-in-a-quality-improvement-program-addressing-opioid-use-in-central-appalachia
#15
Roberto Cardarelli, Charlotte Sue Workman, Sarah Weatherford, Stacey Whanger, Dana E King
OBJECTIVES: Practice-based research networks (PBRNs) have been described as new clinical laboratories for primary care research and dissemination. PBRNs, however, have struggled to disseminate research results in a meaningful way to participating providers and clinics. METHODS: The Central Appalachia Inter-Professional Pain Education Collaborative was developed to work with PBRN clinics using quality improvement methods, deliver statewide continuing education activities to address the issue of opioid use in patients with chronic pain, and develop a multimodal mechanism to disseminate project results to clinics and participating providers...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575900/commentary-on-effects-of-a-12-month-educational-intervention-on-clinicians-attitudes-practices-regarding-the-screening-spiritual-history
#16
Michael P McCarthy
No abstract text is available yet for this article.
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575899/effects-of-a-12-month-educational-intervention-on-clinicians-attitudes-practices-regarding-the-screening-spiritual-history
#17
Harold G Koenig, Kathleen Perno, Alaattin Erkanli, Ted Hamilton
OBJECTIVES: Patients' spiritual values, beliefs, and preferences are identified in outpatient medical settings by the taking of a screening spiritual history (SSH). We report the impact of an educational/training program on the attitudes/practices of physicians (MDs) and midlevel practitioners (MLPs). METHODS: A convenience sample of 1082 MDs or MLPs in outpatient practices was approached to participate in a 12-month educational/training program in this single-group experimental study...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575898/colon-cancer-screening-in-concierge-practice
#18
Elizabeth Nguyen, Shivani Mehta, Scott W Yates, M Keith Schrader, Michael C Martin
OBJECTIVES: This study evaluated the effectiveness of the Center for Executive Medicine (CEM) concierge primary care practice on preventive colorectal cancer (CRC) screening rates relative to local and national comparator data. METHODS: We performed an electronic medical record search encompassing our entire patient population who are between the ages of 50 and 75 years to determine the rate of CRC screening. We compared this rate with the average rate of Medicare Advantage plans reported by our Independent Physician Association (IPA) in 2015 and national health plans reported by the National Committee for Quality Assurance in 2014...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575897/effect-of-diet-liberalization-on-bowel-preparation
#19
COMPARATIVE STUDY
Danny J Avalos, Daniel A Sussman, Luis F Lara, Fayez S Sarkis, Fernando J Castro
OBJECTIVES: Precolonoscopy dietary regimens often are restricted to clear liquids; however, the superiority of a clear liquid diet (CLD) for bowel preparation quality is ambiguous. We performed a meta-analysis of randomized trials comparing bowel preparation outcomes between a low-residue diet (LRD) or regular diet (RD) compared with a CLD. METHODS: MEDLINE, clinicaltrials.gov, Cochrane Central Register, Scopus, Embase, Cumulative Index to Nursing and Allied Health Literature, and the Web of Science databases were used to conduct a search for randomized controlled trials from 1976 to March 2015...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28575896/pirfenidone-and-nintedanib-for-treatment-of-idiopathic-pulmonary-fibrosis
#20
REVIEW
Gayathri Sathiyamoorthy, Sameep Sehgal, Rendell W Ashton
Idiopathic pulmonary fibrosis is one of the most common entities of the family of disorders known as the interstitial lung diseases. It is a chronic, progressive, and often-fatal disease with a median survival time of 3 to 5 years. In 2014 the US Food and Drug Administration approved pirfenidone and nintedanib, two antifibrotic agents for the treatment of idiopathic pulmonary fibrosis. Because these are the only drugs approved that can alter the course of this rare but fatal disease, this article reviews the major studies that led to the approval of these drugs and examines the indications for treatment and the expected outcomes of therapy...
June 2017: Southern Medical Journal
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