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Southern Medical Journal

Alfio Proietto, Francesco Nucera, Gaetano Caramori
No abstract text is available yet for this article.
September 2018: Southern Medical Journal
Muhammad K Zaman, Rabin Shrestha
OBJECTIVES: Transbronchial needle aspiration (TBNA) is a widely used sampling technique for diagnosis and staging of lesions centered around bronchoscopically accessible airways. We report our single-institution experience of complications associated with conventional TBNA (C-TBNA) performed in 606 consecutive cases. METHODS: Electronic medical records with bronchoscopy log data of C-TBNAs performed from January 2003 to December 2016 were assessed. All of the cases were included for a review of complications related to the performance of C-TBNA...
September 2018: Southern Medical Journal
Appathurai Balamurugan, Martha Phillips, James P Selig, Holly Felix, Kevin Ryan
OBJECTIVES: We conducted a cross-sectional study to assess the association between healthcare system factors and death from acute myocardial infarction (AMI), in terms of access (distance to the hospital, mode of transportation), availability (emergency medical services, hospitals), and capability (emergency medical services' 12-lead electrocardiogram capability, continuous percutaneous coronary intervention [PCI] and cardiothoracic surgical services), after accounting for individual and environmental factors...
September 2018: Southern Medical Journal
Tibor Fülöp, Christian A Koch, Lindsey T Norris, Betzaida Rodríguez, Tibor Szarvas, Zsolt Lengvárszky, Éva Csongrádi, Mehul P Dixit
OBJECTIVES: Uric acid (UA) control may be insufficient in chronic kidney disease (CKD) patients in the current era. It is unclear, however, whether this is the result of environmental effects, patient anthropometrics or insufficient dosing of medical therapy (allopurinol). METHODS: We have collected data on multiple clinical and laboratory parameters of 114 CKD clinic patients attending the nephrology clinic of the University of Mississippi Medical Center with an estimated glomerular filtration rate <45 mL · min-1 · 1...
September 2018: Southern Medical Journal
Christopher Ortiz, Nancy U Rondeau, Lisa E Moore, Zuber D Mulla
OBJECTIVES: To determine the effect of maternal age (MA) and paternal age (PA) on the risk of gestational hypertension, preeclampsia, and eclampsia in women who delivered on the Texas-Mexico border. METHODS: A cohort study using birth certificate data (singleton pregnancies, years 2005-2010) from El Paso County, Texas, was conducted. Six parental age-exposure categories were created with MA 20 to 34 years and PA younger than 35 years serving as the referent. A directed acyclic graph was created...
September 2018: Southern Medical Journal
Neil J Nusbaum, Judith Peratrovich
No abstract text is available yet for this article.
September 2018: Southern Medical Journal
Pavela G Bambekova, Chirag A Buch, Chelsea Mendonca, Amr Arar, Alireza Mirahmadizadeh, Ali Seifi
OBJECTIVE: This study aimed to identify differences in perceptions between healthcare and non-healthcare personnel when it comes to wearing scrubs in non-healthcare settings. METHODS: An anonymous survey with 11 closed-ended questions sent via e-mail to healthcare students and employees at The University of Texas Health San Antonio and non-healthcare students and employees at The University of Texas at San Antonio. The answers were scored from 1 to 5 for each question, with a total score ranging from 11-55...
September 2018: Southern Medical Journal
Jennifer Townsend, Kittane Srinivas Vishnupriya, Eili Klein, Brian Spoelhof, Jonathan Zenilman
Supplemental digital content is available in the text.
September 2018: Southern Medical Journal
Robert Goldszer, Navid Ajabshir, Luigi Cubeddu, Haley Watsky, Tarang Kheradia, Michael Dalley
OBJECTIVE: To evaluate the time that residents spend on clinical computing. METHODS: Our electronic health record system was used to record clinical computing time. Residents were unaware that we were tracking their time. Prior studies have reported computing times by watching the users. We evaluated residents in internal medicine, general surgery, and emergency medicine. The postgraduate year 1 (PGY1) and PGY3 residents were evaluated in July 2016 and January 2017...
September 2018: Southern Medical Journal
Amir Kazory, Zareen Zaidi
OBJECTIVES: Team-based learning (TBL) is an active learning strategy that is used increasingly in medical education to promote critical thinking, knowledge application, teamwork, and collaboration. The aim of this study was to assess the students' perspective on the utility of TBL compared with traditional lectures. METHODS: We used a validated TBL student assessment instrument comprising three subscales studying accountability, preference for lecture or TBL, and student satisfaction...
September 2018: Southern Medical Journal
Julia F Costich
No abstract text is available yet for this article.
September 2018: Southern Medical Journal
James M Hunter, Wendy Walters
OBJECTIVES: Many patients lose the capacity to make medical decisions because of severe illness or the effects of sedation or anesthesia. Most states in the United States designate the next of kin (NOK) as a default surrogate decision maker (SDM), but this may not always reflect patient preferences. Our objective was to determine how frequently the default SDM matched the patient's preferred SDM, and whether patients knew who would serve as their SDM should they become incapacitated. METHODS: We used a cross-sectional survey to determine whom patients believed would make decisions on their behalf, patients' relationship to their preferred SDM, how frequently their NOK was their preferred SDM, and how frequently patients' beliefs about SDM determination were accurate...
September 2018: Southern Medical Journal
George F Handzo
No abstract text is available yet for this article.
September 2018: Southern Medical Journal
Jonathan Lio, Hyo Jung Tak, Yan Duan, Farhan Dadani, Basil Ali, John D Yoon
OBJECTIVES: This study examined the relation between physicians' religious characteristics and working for medically underserved populations or in religiously oriented practices. METHODS: Secondary data analysis of 2009-2010 national survey of 896 primary care physicians (PCPs) and 312 psychiatrists. Predictors included physicians' religious characteristics. RESULTS: Adjusted response rates among eligible physicians were 63% (896 of 1427) for PCPs and 64% (312 of 487) for psychiatrists...
September 2018: Southern Medical Journal
Saleh Nazzal, Arnon Blum
Clinicians have attempted to find early preclinical physical diagnosis signs to detect vascular diseases at the preclinical stage and to prevent clinical deterioration in time. An interesting example of such signs is the Frank sign, which was first described by Dr Sonders T. Frank in 1973. Our goal was to summarize the clinical trials and observational studies that had examined the association between the Frank sign and cardiovascular diseases. Summarizing the 57 studies we found showed that this association could be used for early diagnosis of coronary and vascular diseases in the preclinical stage and that they were found in different populations around the world...
August 2018: Southern Medical Journal
Miriam Zylberglait Lisigurski, Marlena Fernandez, Binna Chokshi, Nader Lamaa, Hamid Feiz
No abstract text is available yet for this article.
August 2018: Southern Medical Journal
Aaron M Smith, Jacob Carlson, Ashley B Bartels, Cody B McLeod, Michael S Golinko
OBJECTIVE: Dog bite injuries are encountered frequently in emergency departments and can cause significant morbidity. The objective of this study was to explore the associations between the multiple variables at play during these occurrences (eg, the patient's age, the bite location, the bite severity, the dog's relationship with the patient, the breed of dog). METHODS: This two-institution study collected and analyzed dog bite data from Arkansas' only Level I trauma centers...
August 2018: Southern Medical Journal
Daniel Barkhuff, Carlos H Nitta, Robert Cobb, Amy A Ernst, Steven J Weiss
OBJECTIVE: Cellulitis is a leading cause of emergency department (ED) visits, with more than 200 cases per 100,000 people per year. Although many risk factors have been identified, including edema, skin breakdown, and penetrance of the skin, there are few data available on whether personal hygiene habits (bathing and clean clothes) are associated with increased risk for soft tissue infection. Studies looking at chlorhexidine baths in the intensive care unit to prevent soft tissue infections have shown conflicting and limited efficacy...
August 2018: Southern Medical Journal
Samih Raad, Nasser Hanna, Shadia Jalal, Edmond Bendaly, Chen Zhang, Shashank Nuguru, Houssam Oueini, Khalil Diab
OBJECTIVES: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the primary method for the diagnosis and staging of lung cancer. The purpose of this study was to assess the yield of EBUS-TBNA in the subtyping and genotyping of lung adenocarcinoma. METHODS: Sixty-nine patients at Indiana University Hospital and Sidney and Lois Eskenazi Hospital with possible or confirmed lung adenocarcinoma underwent EBUS-TBNA using a 21-gauge Olympus needle without suction...
August 2018: Southern Medical Journal
Jullia A Rosdahl, Mariah Rudd, Robert Benjamin, John S Wiener, Richard Sloane, Audrey Brown, W Robert Lee, David Turner, Rosie Qin, Amber Reck Atwater
OBJECTIVES: Health systems are adopting electronic health records (EHRs). There are few studies on the effects of EHR implementation on graduate medical education. The authors sought to longitudinally assess perceptions of the impact of EHRs on graduate medical education during implementation and 2 years after implementation. METHODS: A survey was distributed to faculty and trainees during the first year (2013) of adoption of the EHR system. A follow-up survey was distributed 2 years later (2015)...
August 2018: Southern Medical Journal
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