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Southern Medical Journal

Christina Terrell, Kanwar Brar, Sharon Nuss, Rif S El-Mallakh
OBJECTIVES: There is a dearth of data regarding the use of emergency interventions in dedicated emergency psychiatric service settings, and reliable data are needed. This article describes the frequency and duration of the use of seclusion and restraint for imminent or existing agitation, aggression, or violence in a dedicated emergency psychiatric service located within an academic university hospital and staffed by sufficient numbers of trained personnel. METHODS: We performed a retrospective chart review of 6 months' visits to a dedicated emergency psychiatric service...
November 2018: Southern Medical Journal
Panagiota Kitsantas, Lavanya Nirmalraj
OBJECTIVE: The purpose of this study was to examine the association between respiratory syncytial virus (RSV) infection in early infancy and health conditions such as asthma and respiratory allergies at 6 years of age in a cohort of US children born at term with no medical issues at birth. METHODS: Data (1542 records) from the Infant Feeding Practices Study II and the Year Six Follow-Up study were used in the analysis. Descriptive statistics and logistic regression were conducted to estimate the magnitude and direction of potential associations between children's health conditions such as asthma, hay fever, or respiratory allergy, and RSV infection during infancy...
November 2018: Southern Medical Journal
Alan H Appelbaum, Jeffrey K Zuber, Roberto Levi-D'Ancona, Harris L Cohen
OBJECTIVES: To demonstrate and confirm the presence of three anatomic zones of the vagina (a superficial sphincteric zone; a central wedge shaped transition zone; and a deep, expanded forniceal zone) using pelvic magnetic resonance imaging with contrast distention of the vagina. METHODS: A total of 107 consecutive female pelvic magnetic resonance imaging scans using vaginal contrast distention were retrospectively reviewed. The images were observed for the three-zone configuration...
November 2018: Southern Medical Journal
Jessica Patrizi, Taral R Sharma
No abstract text is available yet for this article.
November 2018: Southern Medical Journal
Maryam Sattari
No abstract text is available yet for this article.
November 2018: Southern Medical Journal
Apoorva Kumar, Jai Mathur
No abstract text is available yet for this article.
November 2018: Southern Medical Journal
Brittany Ange, Elena A Wood, Andria Thomas, Paul M Wallach
OBJECTIVES: Medical school implementation of a pass/fail grading system offers the opportunity for a reduction in student stress and anxiety and the creation of a less competitive environment, leading to an improvement in overall well-being. Some critics of a pass/fail system have raised concerns of a decrement in academic performance. The purpose of this research project was to determine whether medical students at the Medical College of Georgia experienced a significant change in academic performance when graded using a pass/fail grading system rather than a tiered grading system in the year 1 curriculum...
November 2018: Southern Medical Journal
Connor Drake, Caroline Meade, Sharon K Hull, Ashley Price, Ralph Snyderman
OBJECTIVES: This study describes the feasibility of implementing personalized health planning (PHP) within shared medical appointments (SMAs) for patients with type 2 diabetes mellitus. The PHP-SMA approach was designed to synergize the benefits of SMAs with those of PHP, enabling greater patient engagement focused on meeting individualized therapeutic goals in a group setting. METHODS: Patients were assigned randomly to a PHP-SMA or a standard eight-session SMA series...
November 2018: Southern Medical Journal
Rushikesh Shah, Emad Qayed
OBJECTIVES: Gastrointestinal (GI) bleeding is a major comorbidity in patients with left ventricular assist devices (LVADs). The study aim was to estimate the rate of hospital readmissions for GI bleeding in patients with LVADs using a nationally representative database. Additionally, we evaluated the etiologies, costs, endoscopy utilization, mortality, and predictors of GI bleeding readmissions in these patients. METHODS: We analyzed data from the National Readmissions Database (NRD) from 2010 through 2014...
November 2018: Southern Medical Journal
Ashley Oliver, Mark Wong, Chelsea Sanchez
Cirrhosis affects millions of people around the world and is associated with increased morbidity and mortality. Spontaneous bacterial peritonitis (SBP) is a common complication of liver disease with cirrhosis and accounts for up to 30% of infections in patients with cirrhosis. Patients with a history of SBP and those deemed to be at high risk often are prescribed antibiotics to reduce the incidence of SBP. Fluoroquinolones and sulfamethoxazole-trimethoprim are commonly used antibiotics for long-term prevention for these specified populations; however, these antibiotics are associated with several adverse effects and interactions that may be harmful to patients...
November 2018: Southern Medical Journal
Per H Gundtoft, Anne K Kristensen, Mikkel Attrup, Jette W Vobbe, Torben Luxhøi, Flemming G Rix, Per Hölmich, Lilli Sørensen
OBJECTIVES: The objective of this study was to estimate the prevalence of undiagnosed diabetes mellitus in patients with newly diagnosed frozen shoulder (FS) and study whether diabetes mellitus increases the severity of FS disease. METHODS: Patients with newly diagnosed FS were consecutively included in this case-control study. Patients who were not already diagnosed as having diabetes mellitus were invited to be tested with the hemoglobin A1c blood sample test...
November 2018: Southern Medical Journal
Virginia L Valentin, Wayne Sanderson, Susan Westneat, Eric Durbin
OBJECTIVE: The purpose of this study was to assess for any associations between individual and social factors and late-stage melanoma in Kentucky from 1995 to 2013. METHODS: The study combines three datasets: individual-level data from the Kentucky Cancer Registry, census tract-level data from the US Census, and county-level physician licensure data from the Kentucky Department for Public Health. The study population is described by all cases, early stage, and late stage...
November 2018: Southern Medical Journal
Manasi Soni, Violeta J Rodriguez, Suat Babayigit, Deborah L Jones, Mahendra Kumar
OBJECTIVES: Racial minorities are at greater risk of cardiovascular disease (CVD), and CVD is the primary cause of mortality among human immunodeficiency virus (HIV)-infected individuals. Cocaine use also has been associated with hypertension. This study examined the contribution of lifestyle factors to systolic, diastolic, and mean arterial pressure (MAP) among people living with HIV and cocaine users from racially and ethnically diverse backgrounds. METHODS: Participants (N = 401: 213 men, 188 women) aged 18 to 50 years with no history of CVD were recruited from South Florida...
November 2018: Southern Medical Journal
Kelly R Warren, Bernard H Eichold, Elizabeth Morrissette
No abstract text is available yet for this article.
November 2018: Southern Medical Journal
Cassandra Acheampong, Kendall M Campbell, José E Rodríguez
No abstract text is available yet for this article.
October 2018: Southern Medical Journal
Robert Zylstra
No abstract text is available yet for this article.
October 2018: Southern Medical Journal
Lauren Penwell-Waines, Mark Greenawald, David Musick
No abstract text is available yet for this article.
October 2018: Southern Medical Journal
Sanjay Bhandari, Ramesh Kumar Pandey, Sumit Dahal, Muhammad Shahreyar, Binod Dhakal, Pinky Jha, Thangam Venkatesan, Kia Saeian
OBJECTIVE: The risk of Clostridium difficile infection (CDI) has not been well studied in patients with lymphoma. We thus sought to determine the risk of CDI in hospitalizations with lymphoma along with its trend, outcomes, and predictors using a large database. METHODS: Hospital discharge data from the Nationwide Inpatient Sample (NIS) from 2007 to 2011 were used for the study. Using the International Classification of Diseases, Ninth Revision, Clinical Modification codes, all adult patients aged 18 years or older having a primary diagnosis of lymphoma were queried for the presence of CDI as any of the secondary diagnoses...
October 2018: Southern Medical Journal
Peter Giacobbi, Patrick Cushing, Alexis Popa, Treah Haggerty, Adam Hansell, Cara Sedney
OBJECTIVE: To compare mobile health (mHealth) usage by residents of West Virginia with national estimates. METHODS: Pew Research Center data from its Internet and American Life Project were accessed for secondary data analysis. These data, available to the public, are a probability sample of Internet use in the United States, differences in use based on selected variables (eg, education, household income), and how usage affects the lives of Americans. Using SAS software, diagnostics were performed on the data, revealing that the variables of interest were prepared and represented without any need for information...
October 2018: Southern Medical Journal
Daniel G Federman, Krishnan Radhakrishnan, Lysette Gabriel, Lorie M Poulin, Jeffrey D Kravetz
OBJECTIVE: To obtain preliminary data on the short- and intermediate-term effects of battlefield acupuncture (BFA) on self-reported pain intensity in a relatively large cohort of veterans to assess whether a more comprehensive clinical trial evaluation is warranted. METHODS: The treatment, in an outpatient group setting, consisted of up to five auricular semipermanent needles inserted into each ear at prespecified points. Efficacy of treatment was measured by self-reported pain, using the Defense and Veterans Pain Rating Scale, just before treatment and at posttreatment days 0, 1, 7, and 30...
October 2018: Southern Medical Journal
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