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Southern Medical Journal

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https://www.readbyqxmd.com/read/29100231/erratum-development-of-a-flipped-medical-school-dermatology-module-erratum
#1
None Available
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100230/authors-response
#2
Tamunoinemi Bob-Manuel, Sameh Askandar, Rami N Khouzam
Supplemental digital content is available in the text.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100229/on-why-is-reverse-takotsubo-reverse
#3
John E Madias
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100228/red-cell-width-an-emerging-and-novel-biomarker-of-systemic-inflammation
#4
Sarah Jaroudi, Ahmad Alazzeh, Alan N Peiris
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100227/utility-of-the-shock-index-for-risk-stratification-in-patients-with-acute-upper-gastrointestinal-bleeding
#5
Supannee Rassameehiran, Jirapat Teerakanok, Sakolwan Suchartlikitwong, Kenneth Nugent
OBJECTIVES: Patients with upper gastrointestinal bleeding (UGIB) frequently require hospitalization, and a small but significant percentage of these patients have adverse outcomes. Risk-scoring tools can help clinicians organize care and make predictions about outcomes. The shock index (heart rate divided by systolic blood pressure) has been used in multiple acute disorders and has the potential to identify patients with UGIB who are at risk for adverse outcomes. METHODS: We retrospectively reviewed the electronic medical records of patients admitted with UGIB between January 1, 2012 and December 31, 2015...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100226/subclinical-atherosclerosis-among-young-and-middle-aged-adults-using-carotid-intima-media-thickness-measurements
#6
Deborah L Jones, Violeta J Rodriguez, Maria L Alcaide, Nicole Barylski, Digna Cabral, Tatjana Rundek, Stephen M Weiss, Mahendra Kumar
OBJECTIVES: The presence of atherosclerotic plaque in the carotid arteries is a strong predictor of cardiovascular disease (CVD). Research and data on CVD risk have been derived primarily from individuals aged 55 years or older, and assessment of CVD risk among young and middle-aged adults seldom has been studied. The use of ultrasonography to measure carotid intima-media thickness (IMT) and carotid plaque appears to have utility to detect subclinical atherosclerosis in asymptomatic adults...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100225/acute-pancreatitis-etiology-pathology-diagnosis-and-treatment
#7
Shirin Majidi, Adam Golembioski, Stephen L Wilson, Errington C Thompson
Acute pancreatitis is a fascinating disease. In the United States, the two most common etiologies of acute pancreatitis are gallstones and excessive alcohol consumption. The diagnosis of acute pancreatitis is made with a combination of history, physical examination, computed tomography scan, and laboratory evaluation. Differentiating patients who will have a benign course of their pancreatitis from patients who will have severe pancreatitis is challenging to the clinician. C-reactive protein, pro-calcitonin, and the Bedside Index for Severity of Acute Pancreatitis appeared to be the best tools for the early and accurate diagnosis of severe pancreatitis...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100224/commentary-on-using-pill-identification-calls-to-poison-centers-as-a-marker-of-drug-abuse-at-three-texas-military-bases
#8
David B Liss
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100223/using-pill-identification-calls-to-poison-centers-as-a-marker-of-drug-abuse-at-three-texas-military-bases
#9
Patrick C Ng, Joseph K Maddry, Daniel Sessions, Douglas J Borys, Vikhyat S Bebarta
OBJECTIVES: Opioid abuse is a growing problem in civilian communities, and it has developed in the military as well. Telephone calls to poison centers requesting pill identification (ID) is a marker of drug abuse. This study identifies the number of pill ID calls made to the poison centers from areas containing and surrounding three Texas military bases during an 8-year period. METHODS: We performed a retrospective observational study identifying calls to certified poison centers in Texas from 2002 to 2009 that identified hydrocodone tablets and other pain medications...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100222/trends-in-abortion-incidence-and-availability-in-north-carolina-1980-2013
#10
Jeniece Alvey, Amy G Bryant, Siân Curtis, Ilene S Speizer, S Philip Morgan, Rebecca Tippett, Jennifer C Hodgkinson, Krista Perreira
OBJECTIVES: Abortion incidence has declined nationally during the last decade. In recent years, many states, including North Carolina, have passed legislation related to the provision of abortion services. Despite the changing political environment, there is no comprehensive analysis on past and current trends related to unintended pregnancy and abortion in North Carolina. METHODS: This study is a secondary analysis of vital registration data made publicly available by the North Carolina State Center for Health Statistics...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100221/treatment-na%C3%A3-ve-hiv-infected-patients-have-fewer-gut-homing-%C3%AE-7-memory-cd4-t-cells-than-healthy-controls
#11
Nada Fadul, Jacob Couturier, Xiaoying Yu, Claudia Kozinetz, Roberto Arduino, Dorothy E Lewis
OBJECTIVES: The integrin α4β7 is the gut-homing receptor for lymphocytes. It also is an important co-receptor for human immunodeficiency virus (HIV) via glycoprotein (gp)120 binding. Depletion of gut cluster of differentiation (CD)4 T cells is linked to chronic inflammation in patients with HIV; however, measuring CD4 cells in the gut is invasive and not routine. As such, establishing a peripheral marker for CD4 depletion of the gut is needed. We hypothesized that α4β7 CD4 T cells are depleted in the peripheral blood of treatment-naïve patients with HIV compared with healthy controls...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100220/conjoint-treatment-a-novel-approach-to-target-the-syndemic-conditions-of-trauma-substance-abuse-and-hiv-in-women-living-with-hiv
#12
Kristyn Pellecchia, Amelia Roeschlein, Jennifer Lewis, Maria Zuniga
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100219/healthcare-utilization-by-frail-community-dwelling-older-veterans-a-1-year-follow-up-study
#13
Miriam Zylberglait Lisigurski, Yolin A Bueno, Chandana Karanam, Allen D Andrade, Sisir Akkineni, Victor Cevallos, Jorge G Ruiz
OBJECTIVES: Frailty is a prevalent clinical syndrome associated with a high risk of adverse health outcomes, including disability, morbidity, and mortality, that has become a major challenge for the healthcare system. The aim of this prospective study was to determine the level of healthcare utilization in prefrail and frail community-dwelling older military veterans. METHODS: We studied a cohort of community-dwelling older veterans aged 65 years and older 1 year at the Miami Veterans Affairs Medical Center to determine their levels of healthcare utilization...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100218/the-hand-in-project-jump-starting-communication-between-inpatient-and-outpatient-providers
#14
Jürgen L Holleck, Craig G Gunderson, Sheila M Antony, Shaili Gupta, John J Chang, Naseema Merchant, Shin Lin, Daniel G Federman
OBJECTIVES: Communication between hospitalists and primary care providers (PCPs) upon discharge has been much discussed, but the transition from outpatient to inpatient has received less attention. We questioned whether a brief, standardized e-mail from the hospitalist to the PCP upon admission could facilitate information exchange, increase communication, elucidate PCP preferences, and improve outcomes. METHODS: This prospective single-center study with a preintervention-to-postintervention design involved 300 inpatient admissions from June 2015 through October 2015 in the Veterans Affairs Connecticut Healthcare System...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100217/nontraumatic-emergency-laparotomy-surgical-principles-similar-to-trauma-need-to-be-adopted
#15
Deepak Singh-Ranger, Edmund Leung, Mei-Ling Lau-Robinson, Sean Ramcharan, James Francombe
OBJECTIVES: In 2011, the Royal College of Surgeons published Emergency Surgery: Standards for Unscheduled Care in response to variable clinical outcomes for emergency surgery. The purpose of this study was to examine whether different treatment modalities would alter survival. METHODS: All patients who underwent emergency laparotomy between April 2011 and December 2012 at Warwick Hospital (Warwick, UK) were included retrospectively. Information relating to their demographics; preoperative score; primary pathology; timing of surgery; intraoperative details; and postoperative outcome, including 30-day mortality, were collated for statistical analysis...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100216/commentary-on-still-invisible-after-all-these-years
#16
Steven Lippmann
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100215/still-invisible-after-all-these-years
#17
Farrin A Manian
No abstract text is available yet for this article.
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29100214/physician-perspectives-on-long-term-relationships-and-friendships-with-patients-a-national-assessment
#18
Harrison G Hines, Cynthia J Avila, Tanya M Rudakevych, Farr A Curlin, John D Yoon
OBJECTIVES: Shifts in the healthcare environment have introduced challenges to the long-term continuity of the doctor-patient relationship. This study examines whether certain demographic or religious characteristics of physicians are associated with maintaining long-term relationships (LTRs) and/or friendships with their patients and describes physicians' opinions regarding the influence of such patient relationships on health outcomes. METHODS: In 2011, survey responses were obtained from 1289 US physicians from various specialties...
November 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28973710/breast-cancer-survivorship-patient-characteristics-and-plans-for-high-quality-care
#19
REVIEW
Loretta S Loftus, Gerald H Sokol, Christine Laronga
The number of breast cancer survivors has increased and this increase is expected to continue, likely as a result of population and age growth, the implementation of earlier detection strategies, and the development of more effective therapies. Breast cancer treatment requires a multidisciplinary approach with surgery, radiation, chemotherapy, targeted therapy, and hormonal therapy. Breast cancer survivors may develop various long-term adverse effects from these therapies. Care of the survivor may transition eventually to the primary care physician...
October 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28973709/distinguishing-depressive-symptoms-from-similar-cancer-related-somatic-symptoms-implications-for-assessment-and-management-of-major-depression-after-breast-cancer
#20
REVIEW
Lora M A Thompson, Margarita Bobonis Babilonia
Prevalence rates of major depressive disorder (MDD) following breast cancer diagnosis are estimated to be ~5% to >20%, and these rates range from slightly below to somewhat above the expected prevalence rate for MDD in the general population of women in the United States. Women with a history of MDD are at increased risk for recurrence of MDD after breast cancer and need to be monitored closely. To properly diagnose and treat MDD, healthcare providers must be able to recognize depressive symptoms and distinguish them from similar somatic symptoms that are associated with breast cancer and breast cancer treatment...
October 2017: Southern Medical Journal
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