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Southern Medical Journal

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https://www.readbyqxmd.com/read/28464184/on-battlefield-acupuncture-is-it-ready-for-widespread-dissemination
#1
Daniel G Federman
No abstract text is available yet for this article.
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464183/physician-satisfaction-in-treating-medically-unexplained-symptoms
#2
Simon G Brauer, John D Yoon, Farr A Curlin
OBJECTIVES: To determine whether treating conditions having medically unexplained symptoms is associated with lower physician satisfaction and higher ascribed patient responsibility, and to determine whether higher ascribed patient responsibility is associated with lower physician satisfaction in treating a given condition. METHODS: We surveyed a nationally representative sample of 1504 US primary care physicians. Respondents were asked how responsible patients are for two conditions with more-developed medical explanations (depression and anxiety) and two conditions with less-developed medical explanations (chronic back pain and fibromyalgia), and how much satisfaction they experienced in treating each condition...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464182/why-is-reverse-takotsubo-reverse
#3
Daniela Rosu, Sameh Askandar, Rami N Khouzam
OBJECTIVES: Takotsubo cardiomyopathy (TTC) is an acute cardiac syndrome simulating myocardial infarction that is characterized by transient wall motion abnormalities in the absence of coronary artery obstruction. Reverse TTC (rTTC) is a recently described variant of TTC. This review defines and compares both forms of TTC, stating their resemblances and differences. METHODS: We conducted a search of the MEDLINE database. Forty-one cases of rTTC met our eligibility criteria and were summarized in a synthesis of the demographic features, clinical characteristics, and laboratory studies...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464181/utility-of-hemoccult-testing-before-therapeutic-anticoagulation-in-venous-thromboembolism
#4
Ryan Urbas, Marwan Badri, Nicole E Albert, Catherine Prince, Barani Mayilvaganan
OBJECTIVES: Fecal occult blood testing (FOBT) is performed routinely before starting therapeutic anticoagulation in patients despite it never being validated to predict gastrointestinal bleeding (GIB) risk. Our objective was to determine the utility in checking the guaiac FOBT test (gFOBT) before initiating therapeutic anticoagulation in patients with a new diagnosis of venous thromboembolism (VTE). METHODS: This was a retrospective chart review that examined patients with a diagnosis of VTE admitted during a 2-year period in one mid-sized tertiary care center...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464180/comorbidity-is-a-competing-factor-for-disease-recurrence-postnephrectomy
#5
Lael Reinstatler, Zachary Klaassen, Rabii Madi, Martha K Terris, Kelvin A Moses
OBJECTIVE: There is a relation between tumor stage and grade with the risk of cancer recurrence in patients undergoing surgical treatment for kidney cancer. The association of patient comorbidity with disease recurrence is less well characterized. The objective of this study was to explore the association between comorbidity and the recurrence of kidney cancer. METHODS: We performed a retrospective analysis of 263 patients who received a partial or radical nephrectomy from January 1, 2000 through April 30, 2013...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464179/physician-order-entry-clerical-support-improves-physician-satisfaction-and-productivity
#6
Erin Contratto, Katherine Romp, Carlos A Estrada, April Agne, Lisa L Willett
OBJECTIVES: To examine the impact of clerical support personnel for physician order entry on physician satisfaction, productivity, timeliness with electronic health record (EHR) documentation, and physician attitudes. METHODS: All seven part-time physicians at an academic general internal medicine practice were included in this quasi-experimental (single group, pre- and postintervention) mixed-methods study. One full-time clerical support staff member was trained and hired to enter physician orders in the EHR and conduct previsit planning...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464178/standardized-physician-administered-patient-centered-discharge-protocol-improves-patients-comprehension
#7
Jennifer W Caceres, Scott M Alter, Richard D Shih, Jimmy D Fernandez, Frederick K Williams, Richard Paley, William Benda, Lisa M Clayton
OBJECTIVES: Patients are 30% less likely to be readmitted or visit the emergency department if they have a clear understanding of their discharge instructions. A standardized approach to a hospital discharge plan has not been universally implemented, however. Our goal was to increase patients' comprehension of discharge instructions by implementing a standardized patient-centered discharge planning protocol that uses a physician team member to explain these plans. METHODS: This was a prospective study that included all of the patients discharged from an inpatient medical teaching service in a community-based hospital during the study period...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464177/hospital-readmissions-from-patients-perspectives
#8
Beril Cakir, Stephanie Kaltsounis, Katherine D' Jernes, Sara Kopf, Julea Steiner
OBJECTIVES: Healthcare expenditures in the United States have increased exponentially and hospital care accounts for one-third of these costs. Approximately 18% of hospitalized Medicare beneficiaries are being readmitted to the hospital within 30 days. Engaging patients in the discharge process can help better identify patients' postdischarge needs and implement more effective readmission prevention strategies. The objective of our study was to identify the factors that contribute to hospital readmission as seen from patients' perspectives in a large urban community hospital...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464176/breast-feeding-leptin-adiponectin-ratio-and-metabolic-dysfunction-in-adolescents-with-obesity
#9
Nicole L Mihalopoulos, Brittney M Urban, Julie M Metos, Alfred H Balch, Paul C Young, Kristine C Jordan
OBJECTIVES: Increased adiposity increases leptin and decreases adiponectin concentrations, resulting in an increased leptin:adiponectin ratio (LAR). In adults, components of the metabolic syndrome and other cardiometabolic risk factors, what we classify here as "metabolic dysfunction," are associated with both a high LAR and a history of being breast-fed. The relation among breast-feeding, LAR, and degree of metabolic dysfunction in obese youth is unknown. The purpose of our pilot study was to explore this relation and estimate the effect size of the relations to determine the sample size needed to power future prospective studies...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464175/risky-teen-driving-in-a-rural-southern-state
#10
Kathy Monroe, William Hardwick, Victoria Lawson, Elizabeth Nichols, Michele Nichols, William D King
OBJECTIVE: Alabama is one of the five US states with the highest teen driving mortality. We recruited teen drivers to participate in a questionnaire regarding high-risk driving behaviors. METHODS: Teens were recruited from a large county school system to participate in a voluntary anonymous survey. Questions were taken in part from the National Youth Risk Behavior Survey. Descriptive statistics and odds ratios with 95% confidence intervals were calculated. RESULTS: A total of 1023 teen drivers participated (46% boys, 47% African American, 39% white, 6% Latino, and 7% other)...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464174/inverse-correlation-of-lymphoid-leukemia-incidence-and-anemia-prevalence-among-preschool-children
#11
Frank D Groves
OBJECTIVE: The relation between the prevalence of anemia and incidence of childhood acute lymphoblastic leukemia was explored using international cross-sectional data as well as US time-series data. METHODS: Lymphoid leukemia incidence rates for various countries from the International Agency for Research on Cancer were regressed on anemia prevalence rates from the World Health Organization in a cross-sectional analysis. Four decades of acute lymphoblastic leukemia incidence (from the Surveillance, Epidemiology, and End Results Program cancer registries) and anemia prevalence (from the National Health and Nutrition Examination Survey) also were examined in a time-series analysis...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464173/diagnosis-of-child-maltreatment-a-family-medicine-physician-s-dilemma
#12
Kehinde Eniola, Lori Evarts
OBJECTIVES: Cases of child maltreatment (CM) in the United States remain high, and primary care providers lack the confidence and training to diagnose these cases. This study provides recommendations to improve family medicine physicians' confidence in diagnosing CM. METHODS: We e-mailed an electronic survey to family medicine residents and physicians practicing in the United States. Responses were collected during August and September 2015. Respondents were asked about their familiarity and competence level regarding the diagnosis of CM...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464172/initial-experience-of-a-primary-urgent-care-clinic-curriculum-and-subspecialty-lectureship-series-implementation-in-a-los-angeles-county-hospital
#13
Harsh Agrawal, Anna Martinez, Elizabeth R Volkmann, Oleg Melamed, Soma Wali
OBJECTIVES: Urgent care clinics are extremely busy in the University of California-Los Angeles (UCLA) County hospital system. We determined that residents and medical students in the internal medicine residency program who are rotating through these clinics did not receive enough teaching during their rotation. We decided to create and implement an urgent care curriculum and lectures to help achieve structure for the rotation. The goal of this series was to educate and assist residents in the primary care setting to comfortably manage subspecialty conditions, help reduce the already-overwhelmed county subspecialty referral system, and promote learning...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28464171/development-of-a-flipped-medical-school-dermatology-module
#14
Joshua Fox, David Faber, Solomon Pikarsky, Chi Zhang, Richard Riley, Alex Mechaber, Mark O'Connell, Robert S Kirsner
OBJECTIVES: The flipped classroom module incorporates independent study in advance of in-class instructional sessions. It is unproven whether this methodology is effective within a medical school second-year organ system module. We report the development, implementation, and effectiveness of the flipped classroom methodology in a second-year medical student dermatology module at the University of Miami Leonard M. Miller School of Medicine. METHODS: In a retrospective cohort analysis, we compared attitudinal survey data and mean scores for a 50-item multiple-choice final examination of the second-year medical students who participated in this 1-week flipped course with those of the previous year's traditional, lecture-based course...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28376532/sleep-duration-and-c-reactive-protein-in-us-adults
#15
Michael R Richardson, James R Churilla
OBJECTIVE: To use gender-stratified logistic regression analysis to examine the associations between elevated C-reactive protein (CRP; >3-10 mg/L) and sleep duration. METHODS: The study sample included male (n = 5033) and female (n = 4917) adult (20 years old and older) participants in the 2007-2010 National Health and Nutrition Examination Survey. Sleep duration was categorized as short (≤6 hours/day), adequate (7-8 hours/day), or long (≥9 hours/day). Logistic regression models were adjusted for age, race, smoking status, physical activity, and waist circumference...
April 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28376531/aleukemic-myeloid-leukemia-cutis-with-a-kikuchi-disease-like-inflammatory-pattern-in-myelodysplastic-syndrome
#16
Michelle Khieu, Alexis Beauvais, Rebecca Matz, Adrian Bersabe, Patrick Brown, Alexander Brown, Eric Fillman, Jordan Hall
Myeloid leukemia cutis (MLC) is a rare disease characterized by the infiltration of neoplastic myeloid, myelomonocytic, or monocytic precursors into the skin, producing clinically nonspecific-appearing papules, nodules, plaques, or purpura that necessitate biopsy for definitive diagnosis. In general, it is considered an extramedullary manifestation of acute myeloid leukemia (AML) similar to myeloid sarcoma, also known as a chloroma. MLC often develops in patients with an established diagnosis of AML and is only rarely seen before the onset of systemic disease...
April 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28376530/autoimmune-neutropenia-updates-etiology-pathology-and-treatment
#17
Wais Afzal, Mohamad Bagher Owlia, Sarfaraz Hasni, Kam A Newman
Autoimmune neutropenia (AIN) is defined as a neutrophil count <1.5 × 10(9)/L caused by increased peripheral destruction of neutrophils from an underlying autoimmune mechanism in which autoantibodies are directed against a patient's own neutrophils. AIN has a multifactorial etiology ranging from an idiopathic primary phenomenon to secondary disorders associated with established autoimmune diseases. Primary AIN is more prevalent in children, generally self-limited, and typically manifests as a sole hematologic abnormality...
April 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28376529/role-of-direct-oral-anticoagulants-in-the-management-of-anticoagulation
#18
Rajiv N Thakkar, Suman W Rathbun, Scott M Wright
For decades, vitamin K antagonists (VKAs) have been the oral treatment of choice for many thromboembolic conditions. The limitations of VKAs include the need for monitoring through blood testing, drug interactions, and narrow therapeutic windows. These shortcomings have led to the development of direct oral anticoagulants. These new oral agents act on specific targets in the coagulation cascade (eg, factor Xa, thrombin) and negate some of the shortcomings of VKAs. This article reviews the roles of dabigatran, rivaroxaban, apixaban, and edoxaban in stroke prevention in nonvalvular atrial fibrillation, for prevention of venous thromboembolism after orthopedic surgery, and in the treatment of venous thromboembolism...
April 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28376528/family-medicine-specific-practice-based-research-network-productivity-and-clinical-and-translational-sciences-award-program-affiliation
#19
Treah Haggerty, Allison M Cole, Jun Xiang, Arch G Mainous, Dean Seehusen
OBJECTIVE: Practice-based research networks (PBRNs) are groups of practices that work together to conduct research. Little is known about the degree to which PBRNs may be achieving success. This is the first general survey of family medicine-based PBRN directors in the United States and Canada to examine research productivity outcomes of PBRNs and explore the association between Clinical and Translational Science Awards (CTSA) program affiliation and PBRN outcomes. METHODS: The Council of Academic Family Medicine Educational Research Alliance conducted the survey and e-mailed it to 102 PBRN directors from the Agency for Healthcare Research and Quality's registration...
April 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28376527/commentary-on-nurturing-competence-and-compassion-in-future-physicians
#20
Rachel Brown
No abstract text is available yet for this article.
April 2017: Southern Medical Journal
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