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Southern Medical Journal

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https://www.readbyqxmd.com/read/27911976/demographic-and-clinical-characteristics-of-a-predominantly-hispanic-population-with-inflammatory-bowel-disease-on-the-us-mexico-border
#1
Antonio Mendoza Ladd, Yi Jia, Christine Yu, Sherif Elhanafi, Alok Dwivedi, Jiayang Liu, Giangqing Song, Mark Hall, Marc J Zuckerman
OBJECTIVES: Information regarding Hispanics with inflammatory bowel disease (IBD) is scarce. In this study we aimed to describe a predominantly Hispanic population with IBD in a city located along the US-Mexico border and to identify clinical or demographic differences between Hispanics and non-Hispanics. METHODS: Retrospective cohort analysis of patients with IBD between 2003 and 2013 at a tertiary care center. Information collected included age, sex, ethnicity, diagnosis, diagnosis status (new vs old), endoscopic extent of disease (EOD), extraintestinal manifestations, medical treatment, and surgeries performed...
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911975/transfusion-requirements-in-esrd-patients-admitted-with-gi-hemorrhage-undergoing-inpatient-endoscopy
#2
Conor McCartney, Shrihari Santosh, Setu Patolia, Sadashiv Santosh
OBJECTIVES: To date there are no studies evaluating the utilization of blood products in patients with end-stage renal disease (ESRD) with gastrointestinal (GI) hemorrhage. This study estimated transfusion needs and determined predictors available at the time of admission for patients with ESRD admitted to a university hospital with GI bleeding requiring inpatient endoscopy. METHODS: A retrospective chart review was performed on all patients with ESRD who underwent inpatient endoscopy for suspected GI bleeding between 2009 and 2015...
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911974/commentary-on-prevalence-of-osteopenia-and-osteoporosis-in-patients-with-noncystic-fibrosis-bronchiectasis
#3
Brandi Newsome
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911973/prevalence-of-osteopenia-and-osteoporosis-in-patients-with-noncystic-fibrosis-bronchiectasis
#4
Nathan Diehl, Margaret M Johnson
OBJECTIVE: The objective of our study was to define the prevalence of osteoporosis and osteopenia in patients with noncystic fibrosis bronchiectasis (NCFB). METHODS: We conducted a retrospective chart review of all patients with physician-diagnosed NCFB evaluated at Mayo Clinic Florida between January 1, 2011 and June 3, 2013. RESULTS: A total of 113 patients with physician-diagnosed NCFB and confirmatory findings on computed tomography scan were identified...
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911972/integrating-behavioral-health-into-pediatric-primary-care-implications-for-provider-time-and-cost
#5
Natasha Gouge, Jodi Polaha, Rachel Rogers, Amy Harden
OBJECTIVES: Integrating a behavioral health consultant (BHC) into primary care is associated with improved patient outcomes, fewer medical visits, and increased provider satisfaction; however, few studies have evaluated the feasibility of this model from an operations perspective. Specifically, time and cost have been identified as barriers to implementation. Our study aimed to examine time spent, patient volume, and revenue generated during days when the on-site BHC was available compared with days when the consultant was not...
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911971/commentary-on-association-between-maternal-perceived-psychological-stress-and-fetal-telomere-length
#6
Michael S Cardwell
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911970/association-between-maternal-perceived-psychological-stress-and-fetal-telomere-length
#7
Hamisu M Salihu, Lindsey M King, Chiaka Nwoga, Arnut Paothong, Anupam Pradhan, Phillip J Marty, Rana Daas, Valerie E Whiteman
OBJECTIVE: Our study aimed to investigate the association between maternal-perceived psychological stress and fetal telomere length. METHODS: We recruited women in labor upon hospital delivery admission. Based on responses to the Perceived Stress Scale, we categorized participants as having "high," "normal," or "low" perceived stress. We collected umbilical cord blood samples (N = 71) and isolated genomic DNA from cord blood leukocytes using quantitative polymerase chain reaction...
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911969/perceptions-of-the-exercise-is-medicine-initiative-in-a-geographically-defined-deep-south-population
#8
Allison Nooe, Rita Morgan, M Allison Ford, Paul D Loprinzi
OBJECTIVES: To examine the population's perceptions of the Exercise Is Medicine (EiM) initiative, as well as factors that influence the accurate perception of the EiM. METHODS: Participants (N = 179; 24 primary care advanced-level practitioners, 79 exercise science students, and 76 people from the general population) residing in Oxford, Mississippi, were surveyed for this study. RESULTS: Only 34.7% of advanced-care practitioners, 20.2% of students, and 19...
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911968/see-me-differently
#9
Randy Glick
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911967/the-value-of-physical-examination-a-new-conceptual-framework
#10
Junaid Zaman, Abraham Verghese, Andrew Elder
The physical examination defines medical practice, yet its role is being questioned increasingly, with statistical comparisons of diagnostic accuracy often the sole metric used against newer technologies. We set out to highlight seven ways in which the physical examination has value beyond diagnostic accuracy to reaffirm its place in the core skills of a physician and guide future research, teaching, and curriculum design. We show that this more comprehensive approach to the physical examination of its "utility" beyond that of reaching a diagnosis can be beneficial to both doctor and patient...
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911966/point-of-care-ultrasound-in-internal-medicine-challenges-and-opportunities-for-expanding-use
#11
John Kugler
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911965/the-other-sylvian-fissure-exploring-the-divide-between-traditional-and-modern-bedside-rounds
#12
Stephen W Russell, Brian T Garibaldi
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911964/patient-centered-teaching-in-a-technology-dominated-era
#13
Joost Frenkel, H Carrie Chen, Olle Ten Cate
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911963/teaching-evidence-based-physical-diagnosis-six-bedside-lessons
#14
Steven McGee
Evidence-based physical diagnosis is an essential part of the bedside curriculum. By using the likelihood ratio, a simple measure of diagnostic accuracy, teachers can quickly adapt this approach to their bedside teaching. Six recurring themes in evidence-based physical diagnosis are fully reviewed, with examples, in this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911962/bedside-medicine-back-to-the-future
#15
Andrew Elder, Abraham Verghese
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27911961/back-to-the-past-for-the-future-of-medicine-special-series-on-bedside-medicine
#16
G Richard Holt
No abstract text is available yet for this article.
December 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27812720/logiq-e9-shear-wave-elastrography-for-detection-of-liver-fibrosis-in-patients-with-chronic-hepatitis-c-virus
#17
Gary A Abrams, Hira Jamal, William T Deeter, Nirav Patil
OBJECTIVES: Shear wave elastography (SWE) is an emerging technology that assesses hepatic fibrosis. The aim of our study was to determine the diagnostic accuracy of General Electric (GE) Healthcare's LOGIQ E9 SWE in patients with chronic hepatitis C virus using liver biopsy as the reference standard. METHODS: The liver stiffness of 43 subjects with hepatitis C virus was assessed using LOGIQ E9 SWE immediately before they underwent liver biopsy. The Fibrosis-4 Index (FIB-4) and Aspartate Aminotransferase-to-Platelet Index (APRI) were calculated, and the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were determined...
November 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27812719/secondary-stroke-prevention-in-nonvalvular-atrial-fibrillation
#18
Rahul H Damani, Jose I Suarez
Approximately 750,000 US adults per year experience a stroke. On average, the annual risk for future ischemic stroke (secondary stroke) after an initial ischemic stroke or transient ischemic attack is approximately 3% to 4%. Cardioembolic strokes account for 20% to 25% of all strokes, with nonvalvular atrial fibrillation (NVAF) considered one of the main sources of embolism; this explains up to half of all cardioembolic strokes. We present the risk factors for stroke in NVAF, risk stratification, a diagnosis of NVAF, and treatment and prevention of stroke in NVAF...
November 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27812718/pancreatic-cancer-survival-outcomes-at-a-tertiary-medical-center-based-on-sex-and-geographic-location
#19
Anjana Sathyamurthy, Harleen Chela, Bhupinder Romana, Mohamad Yousef, Jessica Winn, Richard Madsen, Matthew Bechtold, Akwi W Asombang
OBJECTIVES: To describe the survival outcomes of patients with histologically proven primary pancreatic cancer based on geographic location and sex. METHODS: We conducted a retrospective review of medical records from 2009 through 2013 of patients with pancreatic cancer using International Classification of Diseases, Ninth Revision code 157.9 and International Statistical Classification of Diseases, 10th Revision code C 25.9. The variables extracted included demographics, date of diagnosis, mode of diagnosis, duration, treatment methods, family history, history of chronic pancreatitis, and diabetes mellitus...
November 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27812717/bone-mineral-density-and-vitamin-d-levels-in-hiv-treatment-na%C3%A3-ve-african-american-individuals-randomized-to-receive-hiv-drug-regimens
#20
Paul P Cook, Alexandra Te Stang, Lia R Walker, Shaw M Akula, Fiona J Cook
OBJECTIVES: Treatment of human immunodeficiency virus (HIV)-infected patients with tenofovir disoproxil fumarate is associated with a decrease in bone mineral density (BMD). Treatment with efavirenz is associated with vitamin D deficiency. We compared the effects of efavirenz, emtricitabine, and tenofovir disoproxil fumarate (EFV/FTC/TDF) with the effects of raltegravir, darunavir, and ritonavir (RAL/DRV/r) on BMD and 25-hydroxyvitamin D (25[OH]D) levels in HIV-infected, antiretroviral treatment-naïve African American subjects...
November 2016: Southern Medical Journal
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