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Medical University of South Carolina

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https://www.readbyqxmd.com/read/28170316/medical-university-of-south-carolina-telestroke-a-telemedicine-facilitated-network-for-stroke-treatment-in-south-carolina-a-progress-report
#1
Sami Al Kasab, Robert J Adams, Ellen Debenham, David J Jones, Christine Ann Holmstedt
BACKGROUND: Patients in rural communities lack access to acute stroke therapies. Rapid administration of lytic therapy increases the likelihood of favorable functional outcome in acute ischemic stroke (AIS). At the Medical University of South Carolina (MUSC), we implemented a Web-based telestroke program that allows patients presenting with AIS at a rural hospital to receive expert stroke consultation within minutes. This increases their chances of receiving lytic therapy, and therefore increases the likelihood of good functional outcome...
February 7, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28146243/effect-of-a-brief-memory-updating-intervention-on-smoking-behavior-a-randomized-clinical-trial
#2
Lisa J Germeroth, Matthew J Carpenter, Nathaniel L Baker, Brett Froeliger, Steven D LaRowe, Michael E Saladin
Importance: Recent research on addiction-related memory processes suggests that protracted extinction training following brief cue-elicited memory retrieval (ie, retrieval-extinction [R-E] training) can attenuate/eradicate the ability of cues to elicit learned behaviors. One study reported that cue-elicited craving among detoxified heroin addicts was substantially attenuated following R-E training and through 6-month follow-up. Objective: To build on these impressive findings by examining whether R-E training could attenuate smoking-related craving and behavior...
February 1, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28145946/emergency-medical-technician-training-during-medical-school-benefits-for-the-hidden-curriculum
#3
Rebecca Russ-Sellers, Thomas H Blackwell
PROBLEM: Medical schools are encouraged to introduce students to clinical experiences early, to integrate biomedical and clinical sciences, and to expose students to interprofessional health providers and teams. One important goal is for students to gain a better understanding of the patients they will care for in the future and how their social and behavioral characteristics may affect care delivery. APPROACH: To promote early clinical exposure and biomedical integration, in 2012 the University of South Carolina School of Medicine Greenville incorporated emergency medical technician (EMT) training into the curriculum...
January 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28102533/hospital-incident-command-first-responders-or-receiving-centers
#4
Brian Fletcher, Amanda Knight, Brandy Pockrus, Matthew J Wain, Kathy Lehman-Huskamp
OBJECTIVES: (1) Propose a conceptual model of an alternative hospital incident management system (HIMS) that integrates concepts used by emergency operations centers (EOCs). (2) Compare HIMS to the standard hospital incident command system (HICS) model. DESIGN: A quasi-experimental study was performed. Two identical tabletop incident scenarios were presented, one utilizing HICS and one using HIMS. Participants completed postexercise surveys for each tabletop. Surveys contained both knowledge and satisfaction questions...
April 2016: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/28089474/what-happened-to-the-complication-the-importance-of-acs-nsqip-pediatric-in-optimizing-quality-improvement-initiatives-for-resident-education
#5
Bennett W Calder, Joseph V Sakran, Christian J Streck, Robert A Cina
OBJECTIVE: Morbidity and Mortality (M&M) conference is considered the golden hour of surgical education. Most training programs lack standardized methods to evaluate self-reported outcomes and contributions to resident education. The purpose of this study was to determine whether residents underreport pediatric postoperative complications thereby limiting a comprehensive educational opportunity and the ability to adequately perform quality improvement during M&M conference. DESIGN: A retrospective analysis of resident reports submitted to the M&M committee at an academic medical center was conducted over 1 year...
January 12, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28060172/applications-of-burow-s-grafts-in-the-reconstruction-of-mohs-micrographic-surgery-defects
#6
Anastasia Benoit, Brian C Leach, Joel Cook
BACKGROUND: Surgical defects in anatomically challenging locations, such as near free margins or crossing cosmetic subunits, may present reconstructive challenges to the dermatologic surgeon. For selected defects, Burow's grafts may produce functional and aesthetic results in a single operative session. OBJECTIVE: To describe the applications of the Burow's graft technique for the repair of defects after Mohs micrographic surgery. METHODS: An institutional review board-approved retrospective database review of surgical defects repaired with Burow's grafting after Mohs micrographic surgery at the Medical University of South Carolina was performed...
December 29, 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27998880/social-media-use-among-living-kidney-donors-and-recipients-survey-on-current-practice-and-potential
#7
Abby Swanson Kazley, Bashir Hamidi, Wendy Balliet, Prabhakar Baliga
BACKGROUND: In the United States, there is a national shortage of organs donated for transplant. Among the solid organs, most often kidneys are donated by living donors, but the lack of information and complicated processes limit the number of individuals who serve as living kidney donors. Social media can be a tool for advocacy, educating the public about the need, process, and outcomes of live kidney donors, yet little is known about social media use by kidney transplant patients. OBJECTIVE: The purpose of this study was to examine the social media use of potential kidney transplant patients and their willingness to use social media and their networks to advocate and educate about living kidney donation...
December 20, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27968885/disclosure-of-sexual-orientation-in-men-who-have-sex-with-men-in-china-a-cross-sectional-survey
#8
Weiming Tang, Jessica Mao, Songyuan Tang, Chuncheng Liu, Katie Mollan, Terrence Wong, Ye Zhang, Michael Hudgens, Yilu Qin, Baoli Ma, Meizhen Liao, Bin Yang, Wei Ma, Dianmin Kang, Chongyi Wei, Joseph D Tucker
BACKGROUND: Most men who have sex with men (MSM) in China do not publicly disclose their sexual orientation. This low rate of disclosure may affect sexual behaviours, testing for HIV or other sexually transmitted infections (STIs), and disease transmission. This study examined factors associated with overall sexual orientation disclosure and disclosure to a healthcare professional. METHODS: We did a cross-sectional online survey of MSM in China from September 23, 2014, to October 8, 2014, through three national websites...
October 2016: Lancet
https://www.readbyqxmd.com/read/27928052/feasibility-of-implementing-a-hospital-based-opt-out-tobacco-cessation-service
#9
Georges J Nahhas, Dianne Wilson, Vince Talbot, Kathleen B Cartmell, Graham W Warren, Benjamin A Toll, Matthew J Carpenter, K Michael Cummings
OBJECTIVE: To assess the feasibility and outcomes of implementing a hospital-based "opt-out" tobacco-cessation service. METHODS: In 2014, the Medical University of South Carolina adopted a policy that all hospitalized patients who self-report using tobacco be referred to tobacco-cessation service. This is a descriptive study of a real-world effort to implement guidelines for a hospital-based cessation service consistent with Joint Commission's standards. Between February 2014 and May 2015, 42 061 adults were admitted to the Medical University of South Carolina Hospital...
December 7, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/27774444/changes-in-urine-microalbumin-to-creatinine-ratio-in-children-with-sickle-cell-disease-over-time
#10
Ibrahim F Shatat, Suparna Qanungo, Shannon Hudson, Marilyn A Laken, Susan M Hailpern
BACKGROUND: Approximately 20% of children with sickle cell disease (SCD) have microalbuminuria (MA). Very little is known about the progression of MA in children and young adults with SCD. METHODS: In this study, we analyzed 5-year EMR data of 373 children [with ≥2 microalbumin-to-creatinine (MA/Cr) ratio measurements] followed at the Medical University of South Carolina to determine the rate, direction, magnitude, and predictors of MA/Cr change over time. RESULTS: Age range was 1-22 years; mean 10...
2016: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/27732916/correlation-of-seizure-frequency-and-medication-down-titration-rate-during-video-eeg-monitoring
#11
Sami Al Kasab, Rachael A Dawson, Jorge L Jaramillo, Jonathan J Halford
OBJECTIVE: The three important questions in video-EEG monitoring are (1) whether it is productive to monitor patients with low outpatient seizure frequency, (2) whether rapid down-titration of antiepileptic drugs (AEDs) during EMU admission helps generate more recorded seizures, and (3) how long a patient who has not yet had a seizure should be monitored in the EMU. This study aimed to answer these three questions. METHODS: Preadmission seizure frequency, times of AED administration, and times of seizure occurrence were collected on all adult patients admitted to the EMU at the Medical University of South Carolina (MUSC) between 2012 and 2014 - a total of 439 patients...
October 9, 2016: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/27678421/jcl-roundtable-managing-lipid-disorders-in-young-women
#12
REVIEW
William Virgil Brown, Pamela B Morris, Robert A Wild
The roundtable discussion in this issue will focus on the problems faced by young women with lipid disorders. This is often the source of confusion for the patient and physician because the myth continues that young women do not have complications of atherosclerosis as a result of elevated blood cholesterol. The essential role of women in bearing children during the early years of adulthood also produces difficult decisions because the mother and fetus are usually experiencing similar exposure to therapeutic regimens...
September 2016: Journal of Clinical Lipidology
https://www.readbyqxmd.com/read/27526118/isott-from-the-beginning-a-tribute-to-our-deceased-members-icons
#13
Duane F Bruley, E E Thiessen
ISOTT was founded by Drs. Duane F. Bruley and Haim I. Bicher in the state of South Carolina, USA in 1973. The symposium was jointly held at Clemson University (Clemson, SC, USA) and the Medical College of South Carolina (Charleston, SC, USA), which are geographically located 260 miles apart. This venue resulted from Dr. Bruley's (Clemson University) wish to have a meeting on Oxygen Transport to Tissue and with it to honor the research collaboration between the two universities and Dr. Melvin H. Knisely's accomplishments on studies regarding "blood sludging" in the microcirculation...
2016: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/27489016/connecting-education-to-quality-engaging-medical-students-in-the-development-of-evidence-based-clinical-decision-support-tools
#14
Elizabeth A Crabtree, Emily Brennan, Amanda Davis, Jerry E Squires
PROBLEM: Evidence-based practice (EBP) skills are crucial for delivering high-quality patient care. It is essential that medical students learn EBP concepts through a practical, in-depth research project. To date, literature on preparing students in this manner is limited. APPROACH: In academic year 2014-2015, the Medical University of South Carolina's (MUSC's) Center for Evidence-Based Practice (now known as the Value Institute) partnered with College of Medicine faculty to revitalize the undergraduate medical student EBP curriculum...
January 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27485509/intervention-to-improve-quality-of-life-for-african-american-lupus-patients-iqan-study-protocol-for-a-randomized-controlled-trial-of-a-unique-a-la-carte-intervention-approach-to-self-management-of-lupus-in-african-americans
#15
Edith M Williams, Kate Lorig, Saundra Glover, Diane Kamen, Sudie Back, Anwar Merchant, Jiajia Zhang, James C Oates
BACKGROUND: Systemic Lupus Erythematosus (lupus) is a chronic autoimmune disease that can impact any organ system and result in life-threatening complications. African-Americans are at increased risk for morbidity and mortality from lupus. Self-management programs have demonstrated significant improvements in health distress, self-reported global health, and activity limitation among people with lupus. Despite benefits, arthritis self-management education has reached only a limited number of people...
August 2, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27484194/prevalence-and-assessment-of-traumatic-brain-injury-in-prison-inmates-a-systematic-prisma-review
#16
C S Allely
OBJECTIVES: The primary objectives of the present systematic PRISMA review were: (1) to explore the range of prevalence of TBI in offenders and whether this is higher than in a control sample; (2) to determine which screening measures are available and evaluate the evidence on these; and, lastly, (3) to evaluate whether prevalence of TBI is associated with increased prevalence of other health conditions and/or offending behaviour. METHODS: The present systematic PRISMA review explores the peer-reviewed literature published since 2005 which has investigated TBI in incarcerated populations using five databases (CINAHL, MEDLINE, PsycARTICLES, Psychology and Behavioral Sciences Collection, PsycINFO) in addition to separate searches conducted on 'Google Scholar' using specific search criteria...
2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27465847/incorporation-of-a-physical-education-and-nutrition-program-into-neurosurgery-a-proof-of-concept-pilot-program
#17
Alejandro M Spiotta, Kyle M Fargen, Sarah L Denham, Megan E Fulton, Ryan Kellogg, Emily Young, Sunil Patel, Raymond D Turner
BACKGROUND: Balancing the demands of a busy medical career with personal wellness can be daunting, and there is little education on these principles available to physicians in training. OBJECTIVE: To implement a voluntary wellness initiative in our neurosurgery department to promote healthy lifestyle choices. This report details the baseline data collected as part of this quality improvement initiative. METHODS: The wellness initiative was implemented in July 2015 and available to all faculty and resident physicians in the Department of Neurological Surgery in collaboration with the Medical University of South Carolina Wellness Center...
October 2016: Neurosurgery
https://www.readbyqxmd.com/read/27349633/a-prism-of-excellence-the-charleston-veterans-administration-nursing-academic-partnership
#18
D Nicole Coxe, Brian T Conner, Joy Lauerer, Janice Skipper, Janet York, Mary Fraggos, Gail W Stuart
BACKGROUND: The Veterans Administration (VA) has been committed to academic affiliate training partnerships for nearly 70 years in efforts to enhance veteran-centric health care. One such effort, the VA Nursing Academy (VANA) program, was developed in 2007 in response to the nationwide nursing shortage and began as a five-year pilot with funding competitively awarded to 15 partnerships between local VA medical centers and schools of nursing. The VANA program evolved into the VA Nursing Academic Partnership (VANAP) program following the initial pilot...
September 2016: Nursing Outlook
https://www.readbyqxmd.com/read/27343543/acute-care-utilization-in-patients-with-concurrent-mental-health-and-complex-chronic-medical-conditions
#19
Karen Abernathy, Jingwen Zhang, Patrick Mauldin, William Moran, Mac Abernathy, Elisha Brownfield, Kimberly Davis
OBJECTIVES: Patients with coexisting mental health disorder and chronic disease are more at risk for poor outcomes, including increased acute care utilization. This study was performed to assess the association of mental health disorders on acute care utilization (emergency department [ED] use, hospitalization, and rehospitalization within 30 days) using disease clustering. METHODS: A retrospective cohort analysis was performed on 10 408 patients. Adult patients >18 years of age were included in the study if they were seen at least twice in University Internal Medicine primary care clinic at the Medical University of South Carolina from October 10, 2010 through September 30, 2013...
October 2016: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27311804/radiologic-pathologic-correlation-an-advanced-fourth-year-elective-how-we-do-it
#20
Matthew Hartman, Jan Silverman, Laura Spruill, Jeanne Hill
Traditionally, the radiology elective has been designed to teach medical students the fundamentals of radiologic interpretation. When questioned, many students state that they want to take a radiology elective so they can "interpret images." For the students on radiology, rotation/elective education was often passive, consisting of didactic conferences and observational shadowing of radiologists as they interpreted images. Students had only a superficial appreciation of how radiologists interacted with clinical services, multidisciplinary teams, and pathology...
July 2016: Academic Radiology
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