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Southern Medical Journal

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https://www.readbyqxmd.com/read/28158886/resident-and-faculty-perceptions-of-chart-stimulated-recall
#1
Stephen R Holt, Andre N Sofair
OBJECTIVES: Chart-stimulated recall (CSR) is a case-based interviewing technique advocated by the Accreditation Council for Graduate Medical Education as an assessment tool across a variety of clinical competencies, yet resident and faculty perceptions of this exercise have not been reported previously. The authors incorporated a CSR exercise into an internal medicine residency program and sought to assess the perceptions of residents and faculty participants. METHODS: Faculty met weekly with night float residents at the end of their shift...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158885/breaking-bad-delirium-methamphetamine-and-boric-acid-toxicity-with-hallucinations-and-pseudosepsis
#2
Kayla Johnson, Joanna L Stollings, E Wesley Ely
OBJECTIVES: A 30-year-old patient presented with hallucinations and profound shock. He was initially misdiagnosed as having severe sepsis; once ingestions were considered, he was diagnosed as potentially having arsenic toxicity. SUMMARY: The clinical story reveals many instructional lessons that could aid in the evaluation and management of future patients. This man presented with large amounts of blue crystals around his nose and lips from inhaling and eating boric acid (an ant poison) so he could, as he put it, kill the ants "pouring into my mouth and nose and up into my brain...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158884/commentary-on-factors-associated-with-routine-recommendation-of-mammography-for-women-aged-40-to-49-provider-characteristics-and-screening-influences
#3
Albert S Braverman
No abstract text is available yet for this article.
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158883/factors-associated-with-routine-recommendation-of-mammography-for-women-aged-40-49-provider-characteristics-and-screening-influences
#4
Kathryn A Martinez, Abhishek Deshpande, Allison L Ruff, Shari D Bolen, Kathryn Teng, Michael B Rothberg
OBJECTIVES: Despite the US Preventive Services Task Force recommendation against screening mammography in women younger than 50 years, rates remain high, suggesting that screening recommendations may be motivated by other factors. The objective of this study was to understand provider-reported influences on screening recommendations for women 40 to 49 years old at average risk for breast cancer. METHODS: An online survey of primary care providers was conducted at four health centers in Cleveland, Ohio in 2015...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158882/missed-opportunities-for-preventing-perinatal-transmission-of-human-immunodeficiency-virus-florida-2007-2014
#5
Mary Jo Trepka, Soumyadeep Mukherjee, Consuelo Beck-Sagué, Lorene M Maddox, Kristopher P Fennie, Diana M Sheehan, Maithri Prabhakar, Dan Thompson, Spencer Lieb
OBJECTIVES: Despite declining numbers of perinatally exposed infants, an increase in perinatal human immunodeficiency virus (HIV) infections from 2011 to 2013 prompted this study to identify missed perinatal HIV prevention opportunities. METHODS: Deidentified records of children born from 2007 through 2014, exposed to HIV perinatally, and reported to the Florida Department of Health were obtained. Crude relative risks (RRs) and 95% confidence intervals (CIs) for factors associated with perinatal transmission, nondiagnosis of maternal HIV infection, and nonreceipt of antiretroviral medication were calculated...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158881/planning-for-the-next-epidemic
#6
Neil J Nusbaum
No abstract text is available yet for this article.
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158880/timeliness-of-treatment-initiation-and-associated-survival-following-diagnosis-of-non-small-cell-lung-cancer-in-south-carolina
#7
Jarrod T Bullard, Jan M Eberth, Amanda K Arrington, Swann A Adams, Xi Cheng, Ramzi G Salloum
OBJECTIVES: Non-small-cell lung cancer (NSCLC) patient survival depends on a number of factors, including early diagnosis and initiation of treatment. Standard treatment options for patients with NSCLC include surgery, radiation therapy, and chemotherapy. The objective of this study was to evaluate the impact that the initiation of timely treatment has on patient survival among a cohort of privately insured patients with NSCLC in South Carolina. METHODS: Data for the study were retrospectively obtained from the South Carolina Central Cancer Registry and the state health plan Blue Cross and Blue Shield claims...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158879/hereditary-angioedema-implications-of-management
#8
Mohini Pathria, Guha Krishnaswamy, Juan C Guarderas
Hereditary angioedema (HAE) is a genetic condition that is characterized by frequent episodes of localized angioedema. It is a rare disorder that a primary care provider, otolaryngologist, dermatologist, or rheumatologist may encounter only occasionally. This disease is being reviewed because of the significant advances in further understanding the genetics, biology, and therapeutic management surrounding the condition. Histamine-mediated angioedema responds to steroids, antihistamines, and epinephrine, whereas bradykinin-mediated angioedema is resistant to those interventions and requires specialized therapy...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158878/psoriasis-and-cardiomyopathy-a-review-of-the-literature
#9
Taimoor Hashim, Amier Ahmad, Ayesha Chaudry, Rami Khouzam
Psoriasis is an idiopathic chronic immune-mediated skin condition in which the body's immune system undergoes several derangements, including increased antigen presentation by T cells and increased T-helper cell type 1 cytokines, resulting in skin lesions as well as arthritis. Despite that cardiovascular involvement in psoriasis is common and reported in up to 47% of cases, this association is not well recognized by physicians, dermatologists, and cardiologists. Psoriasis is considered the most prevalent autoimmune disease in the United States and affects approximately 7...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158877/association-between-multiple-modifiable-risk-factors-of-cardiovascular-disease-and-hypertension-among-asymptomatic-patients-in-central-appalachia
#10
Hadii M Mamudu, Timir K Paul, Liang Wang, Sreenivas P Veeranki, Hemang B Panchal, Arsham Alamian, Matthew Budoff
OBJECTIVES: The central Appalachian region of the United States is disproportionately burdened with cardiovascular diseases (CVD) and associated risk factors; however, research to inform clinical practice and policies and programs is sparse. This study aimed to examine the association between multiple modifiable risk factors for CVD and hypertension in asymptomatic patients in central Appalachia. METHODS: Between January 2011 and December 2012, 1629 asymptomatic individuals from central Appalachia participated in screening for subclinical atherosclerosis...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158876/predictors-of-the-need-for-therapeutic-intervention-in-older-adult-patients-with-a-nonvariceal-gastrointestinal-bleed
#11
Khalid Abusaada, Xiaoping He, Fnu Asad-Ur-Rahman, Umair Majeed, Evgeny Idrisov, Sameen Khalid, Xiang Zhu, Vladimir Pech, George Everett
OBJECTIVE: Gastrointestinal bleeding (GIB) is a common cause of hospitalization in the older adult population. The aim of the study was to identify factors that are associated with the need for a therapeutic intervention in patients older than 65 years with nonvariceal GIB. METHODS: This is a retrospective cohort study of older adult patients admitted to a tertiary care center between 2009 and 2011 with nonvariceal GIB. The primary outcome was a composite endpoint of inpatient mortality or need for an endoscopic, surgical, or radiologic procedure to control the bleed or to treat the underlying source of the bleed...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28158875/asa-classification-pre-endoscopic-procedures-a-retrospective-analysis-on-the-accuracy-of-gastroenterologists
#12
Shoba Theivanayagam, Kristi T Lopez, Michelle L Matteson-Kome, Matthew L Bechtold, Akwi W Asombang
OBJECTIVES: Before an endoscopic procedure, an evaluation to assess the risk of sedation is performed by the gastroenterologist. To risk stratify based on medical problems, the American Society of Anesthesiologists (ASA) classification scores are used routinely in the preprocedure evaluation. The objective of our study was to evaluate among physicians the ASA score accuracy pre-endoscopic procedures. METHODS: At a single tertiary-care center an institutional review board-approved retrospective study was performed...
February 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052183/human-medicines-inappropriately-used-in-animals-come-at-a-much-lower-cost
#13
David S H Bell
No abstract text is available yet for this article.
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052182/authors-response
#14
Abednego Chibungu, Venkat Gundareddy, Shaker M Eid
No abstract text is available yet for this article.
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052181/on-management-of-cocaine-induced-myocardial-infarction-4-year-experience-at-an-urban-medical-center
#15
John R Richards
No abstract text is available yet for this article.
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052180/advances-in-psoriasis
#16
Jaclyn Smith, Abigail Cline, Steven R Feldman
Psoriasis treatments range from topical treatments and phototherapy to oral systemic medications and injections. Despite good control of the disease when applying appropriate treatments (according to disease severity, insurance parameters, patient preference, and patients' ability to adhere), continued advancements will allow even better symptomatic control, reduced adverse effects, and patient satisfaction. This review aims to assess traditional and new psoriasis treatments and how to apply them in clinical practice...
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052179/sensitivity-for-diagnosing-group-a-streptococcal-pharyngitis-from-manufacturers-is-10-higher-than-reported-in-peer-reviewed-publications
#17
Raj Vachhani, Toral Patel, Robert M Centor, Carlos A Estrada
OBJECTIVES: Meta-analyses based on peer-reviewed publications report a sensitivity of approximately 85% for rapid antigen streptococcus tests to diagnose group A streptococcal (GAS) pharyngitis. Because these meta-analyses excluded package inserts, we examined the test characteristics of rapid antigen streptococcal tests and molecular methods that manufacturers report in their package inserts. METHODS: We included tests available in the US market (Food and Drug Administration, period searched 1993-2015) and used package insert data to calculate pooled sensitivity and specificity...
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052178/commentary-on-battlefield-acupuncture-is-it-ready-for-widespread-dissemination
#18
G Richard Holt
No abstract text is available yet for this article.
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052177/battlefield-acupuncture-is-it-ready-for-widespread-dissemination
#19
Daniel G Federman, Craig G Gunderson
The use of prescription opioids for chronic pain has increased markedly within the past few decades; thus, death rates associated with opioid overdoses have increased dramatically. Nonopioid pharmacologic therapies also are associated with adverse effects. Other pain-abatement modalities such as acupuncture may be useful in the treatment of several painful conditions. Battlefield acupuncture is being promulgated as a potential low-risk, nonpharmacological therapy for pain. In this narrative review we examine the published literature to support battlefield acupuncture...
January 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28052176/commentary-on-reasons-for-chemotherapy-refusal-or-acceptance-in-older-adults-with-cancer
#20
Robert Zylstra
No abstract text is available yet for this article.
January 2017: Southern Medical Journal
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