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Southern Medical Journal

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https://www.readbyqxmd.com/read/29298372/multidisciplinary-perioperative-management-of-pulmonary-arterial-hypertension-in-patients-undergoing-noncardiac-surgery
#1
José L Díaz-Gómez, Juan G Ripoll, Isabel Mira-Avendano, John E Moss, Gavin D Divertie, Ryan D Frank, Charles D Burger
OBJECTIVES: To describe the effect of implementing a contemporary perioperative pulmonary hypertension (PH)-targeted protocol in patients with pulmonary arterial hypertension (PAH) undergoing noncardiac surgery (NCS). METHODS: The data of consecutive patients with PAH diagnosed by right heart catheterization who underwent NCS between January 1, 2006 and February 9, 2016 were reviewed. Patient demographics, etiology of PAH, clinical features, diagnostic data, utilization of PH-specific medications, and trend of perioperative complications rate were recorded during the study period...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298371/femorofemoral-crossover-bypass-graft-has-excellent-patency-when-performed-with-evar-for-aaa-with-uiod
#2
Akinfemi A Akingboye, Bijendra Patel, Frank W Cross
OBJECTIVES: To compare the durability of the crossover femorofemoral bypass graft (CFFBG) in combination with aorto-uni-iliac stent graft (AUIS) for abdominal aortic aneurysm with the durability of CFFBG used in the treatment of unilateral iliac occlusive disease (UIOD). METHODS: We analyzed the clinical records of 69 patients who underwent CFFBG from 1992 until 2010. Group I consisted of 34 patients who received CFFBGs in combination with AUIS. Group II consisted of 35 patients treated with CFFBG for UIOD...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298370/eradication-rate-of-helicobacter-pylori-on-the-us-mexico-border-using-the-urea-breath-test
#3
Roy P Liu, Roberta Romero, Jerzy Sarosiek, Christopher Dodoo, Alok K Dwivedi, Marc J Zuckerman
OBJECTIVES: Helicobacter pylori is prevalent worldwide, especially in Latin America. Triple and quadruple antibiotic therapies have been relatively effective; however, resistance has emerged in recent years. The treatment success rate of these regimens on the border of the United States and Mexico is unknown. Our study attempted to determine eradication rates of two major regimens based on urea breath test (UBT) results in patients previously diagnosed as having H. pylori in a single center in El Paso, Texas, a city on the geographic border with Mexico...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298369/measuring-adherence-to-hepatitis-c-direct-acting-antiviral-medications-using-the-vas-in-an-hcv-treatment-clinic
#4
Mary Jane Burton, Andrew C Voluse, Amee B Patel, Deborah Konkle-Parker
OBJECTIVES: To implement the widespread treatment of hepatitis C virus (HCV), validated self-report measures to assess medication adherence are needed for monitoring patients who are prescribed HCV direct-acting antivirals (DAAs). The Visual Analog Scale (VAS) is an efficient and well-validated tool for measuring adherence to antiretrovirals in human immunodeficiency virus populations. This study compared VAS scores with pill counts and serum levels of HCV RNA in a sample of HCV-infected veterans prescribed DAAs...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298368/a-brief-drug-class-review-considerations-for-statin-use-toxicity-and-drug-interactions
#5
James M Wooten
For approximately 30 years, statins have been effectively used to control cholesterol, thereby reducing the morbidity and mortality associated with cardiovascular disease. Evidence-based recommendations regarding how these drugs are dosed and used have changed significantly through the years. There are seven statins approved for use in the United States, and although the mechanism of action pertaining to cholesterol reduction is the same for all statins, each has its own specific pharmacologic profile. One unique aspect of statin dosing is understanding the potential drug interactions associated with statin use; interactions can occur with all statins, but the mechanism and type of interaction can vary significantly among drugs...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298367/e-cigarette-toxicity
#6
Gulay Tegin, Hema Madhuri Mekala, Simrat Kaur Sarai, Steven Lippmann
Tobacco smoking is the most preventable cause of morbidity and mortality. In just a few short years, electronic cigarettes (e-cigarettes) have become increasingly popular, especially for younger individuals. Many people believe that e-cigarettes are safe. The inhaled aerosols of e-cigarettes contain numerous potential toxicities, some of which could be dangerous for health with long-term use. The safety of prolonged aerosol exposure is not known. The use of e-cigarettes as a harm-reduction tool at stopping tobacco smoking is not uniformly successful...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298366/getting-it-rite-impact-of-a-dedicated-hospital-medicine-curriculum-for-residents
#7
Doris Lin, Chirayu Shah, Steffanie Campbell, Jeffrey T Bates, Erica Lescinskas
OBJECTIVE: The goal of this study was to improve resident confidence in inpatient care and knowledge in hospital medicine topics with a newly developed rotation and curriculum called the Resident Inpatient Training Experience. METHODS: This study was a prospective observational study completed by postgraduate year-2 (PGY-2) internal medicine residents in two affiliated hospitals. Forty-six PGY-2 residents each rotated on the Resident Inpatient Training Experience service for 1 month and completed a pre- and postrotation confidential online survey...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298365/associations-of-prepregnancy-morbid-obesity-and-prenatal-depression-with-gestational-weight-gain
#8
Hema Chagarlamudi, Juhee Kim, Edward Newton
OBJECTIVES: Pregnancy outcomes and infant growth and development are influenced by various prenatal and postnatal factors. Gestational weight gain (GWG) is an important indicator of pregnancy management and outcomes. Information about the interaction between prenatal obesity and depression on GWG among low-income women is limited. There also is a lack of information about morbid obesity and GWG. The purpose of this study was to examine the associations of prepregnancy weight status, including morbid obesity as a separate group, and prenatal depression with GWG using electronic medical records in an academic prenatal clinic serving a largely low-income population...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298364/comprehension-of-pelvic-organ-prolapse-and-urinary-incontinence-in-southern-appalachian-women
#9
Danielle Hobdy, R Keith Huffaker, Beth Bailey
OBJECTIVES: Despite their growing prevalence, pelvic floor disorders (PFDs) remain undertreated and not well understood by patients, with treatment disparities noted in specific subgroups of women. The goal of the present study was to determine the basic understanding of PFDs of women in the southern Appalachian region of the United States, to determine factors that predict knowledge, and to explore the possible disparities in seeking access to care among women in this region who reported symptoms...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298363/dietary-and-nutrition-recommendations-in-pediatric-primary-care-a-call-to-action
#10
Sayward E Harrison, Deborah Greenhouse
Rapid increases in childhood obesity reflect widespread changes in diet and physical activity, which are of significant concern because obesity increases a child's risk for negative health outcomes and frequently creates a pathway to adult obesity. Diet and nutrition play a key role in maintaining energy balance and preventing weight gain; therefore, they are obvious targets for obesity prevention efforts. Primary care providers are in an optimal position to convey messages about healthy eating to children and families, and specific guidelines exist for how to incorporate diet and nutrition prevention into primary care...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298362/helmets-matter-kentucky-motorcycle-crash-victims-seen-at-a-tennessee-trauma-center
#11
George M Testerman, Daniel C Prior, Tamie D Wells, William C Sumner, Jeffrey T Johnston, Sarah E Rollins, Jeremy M Meyer
OBJECTIVES: Motorcycle helmet laws vary by state, with Kentucky requiring helmets only for younger riders. We hypothesized that motorcyclists injured in Kentucky and seen at a Tennessee trauma center would be more likely to be unhelmeted, have more severe head injuries, and sustain more fatal injuries than those injured in Tennessee or Virginia. METHODS: A Trauma Registry review of 729 injured motorcyclists from January 2005 through June 2015 examined state location of crash, demographics, helmet use, and clinical outcomes...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29298361/association-between-perceived-discrimination-and-emergency-department-use-among-safety-net-patients-in-the-southwestern-united-states
#12
Kimberly R Enard, Lucinda Nevarez, Deborah M Ganelin
OBJECTIVES: Patients' perceptions of how they are treated in their interactions with the healthcare system represent important and valid measures of healthcare quality that may influence health utilization, outcomes, and costs. Perceived discrimination or the sense of being treated unfairly is an important patient perception known to adversely affect health, but the relation of such perceptions to health-seeking behaviors related to low-acuity emergency department (ED) use is unclear...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29197318/erratum-ems-patients-and-walk-in-patients-presenting-with-severe-sepsis-differences-in-management-and-outcome-erratum
#13
None Available
No abstract text is available yet for this article.
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29197317/cross-sectional-study-of-the-relation-of-health-literacy-to-primary-language-and-emergency-department-length-of-stay
#14
Dusadee Sarangarm, Amy Ernst, Rachel Horner, Ashley Crum, Steven J Weiss, Yana Zemkova, Kisa King
OBJECTIVES: The primary aim of this study was to determine whether emergency department (ED) length of stay (LOS) or primary language was related to the degree of health literacy of patients. METHODS: Adult English-speaking and Spanish-speaking patients were recruited for the study. Participants completed the Newest Vital Sign (NVS) tool (English and Spanish versions), a 6-question validated scale. Patients with NVS scores of 0 to 3 were considered to be at risk for limited health literacy, whereas those with adequate health literacy were defined as scoring a 4 to 6...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29197316/developing-a-mass-casualty-surge-capacity-protocol-for-emergency-medical-services-to-use-for-patient-distribution
#15
Samuel E Shartar, Brooks L Moore, Lori M Wood
OBJECTIVES: Metropolitan areas must be prepared to manage large numbers of casualties related to a major incident. Most US cities do not have adequate trauma center capacity to manage large-scale mass casualty incidents (MCIs). Creating surge capacity requires the distribution of casualties to hospitals that are not designated as trauma centers. Our objectives were to extrapolate MCI response research into operational objectives for MCI distribution plan development; formulate a patient distribution model based on research, hospital capacities, and resource availability; and design and disseminate a casualty distribution tool for use by emergency medical services (EMS) personnel to distribute patients to the appropriate level of care...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29197315/commentary-on-improving-postoperative-efficiency-an-algorithm-for-expedited-void-trials-after-urogynecologic-surgery
#16
Stephen A Metz
No abstract text is available yet for this article.
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29197314/improving-postoperative-efficiency-an-algorithm-for-expedited-void-trials-after-urogynecologic-surgery
#17
A Rebecca Meekins, Nazema Y Siddiqui, Cindy L Amundsen, Maragatha Kuchibhatla, Alexis A Dieter
OBJECTIVES: To evaluate the relation between voided volume and void trial "success" to create an algorithm that minimizes the need for postvoid residual volume (PVR) assessment in backfill-assisted void trials. METHODS: This article is an ancillary analysis of deidentified data from a randomized trial evaluating prophylactic antibiotics after urogynecologic surgery. Void trials were routinely performed after surgery; voided volumes, PVR, and void trial outcomes were collected...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29197313/variation-in-use-of-prophylactic-antibiotics-in-gynecologic-procedures-before-and-after-an-educational-intervention
#18
Emily Wu, Jessica Langsjoen, Jessica Pruszynski, Thomas J Kuehl, Wilma I Larsen
OBJECTIVES: Guidelines for use of prophylactic antibiotics in gynecologic procedures are outlined by the American Congress of Obstetricians and Gynecologists. There remains, however, a high rate of unindicated administration of antibiotics for surgeries. A retrospective study performed at our institution in 2012-2013 demonstrated that unindicated prophylactic antibiotics were administered over half the time. This study aimed to examine variations in the use of prophylactic antibiotics in patients undergoing gynecologic surgery at Scott and White Memorial Hospital and determine whether an educational intervention to gynecology physicians was associated with a significant decrease in unindicated prophylactic antibiotics...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29197312/development-of-multiple-primary-cancers-in-lung-cancer-patients-appalachian-versus-non-appalachian-populations-of-kentucky
#19
Vira Pravosud, Bin Huang, Thomas Tucker, Nathan L Vanderford
OBJECTIVES: The aim of this study was to investigate whether patients with lung cancer in Appalachian Kentucky are more likely to develop multiple primary cancers than patients in non-Appalachian Kentucky. Additional analyses were conducted to identify other factors that may be associated with an increased hazard of developing multiple primary cancers in patients with lung cancer. METHODS: The data for this retrospective, population-based cohort study of 26,456 primary lung cancer patients were drawn from the Kentucky Cancer Registry...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29197311/radiologists-recommendations-for-additional-imaging-on-inpatient-ct-studies-do-referring-physicians-follow-them
#20
Owen Hanley, Amir Lotfi, Tiara Sanborn, Jennifer L Friderici, Janice Fitzgerald, Poornima Manikantan, Linda Canty, Mihaela S Stefan
OBJECTIVES: Studies have found that recommendations for additional imaging (RAI) accompany up to 31% of index computed tomography (CT) scans. In this study we assessed the frequency with which recommendations are accepted by the referring physician and the impact of AI on case management. METHODS: We performed a cross-sectional study of all index CT scans of the chest, abdomen, and pelvis performed on adult inpatients during a 1-month period at a tertiary medical center...
December 2017: Southern Medical Journal
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