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Southern Medical Journal

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https://read.qxmd.com/read/30708381/outcomes-in-patients-with-left-ventricular-assist-devices-pacemakers-and-implantable-cardioverter-defibrillators-undergoing-single-balloon-enteroscopy
#1
Brijesh Patel, Ashok Shiani, Andrea C Rodriguez, Seth Lipka, Ashley H Davis-Yadley, Kirbylee K Nelson, Roshanak Rabbanifard, Ambuj Kumar, Patrick G Brady
OBJECTIVES: Obscure overt gastrointestinal bleeding can be challenging to evaluate in patients with electronic cardiac devices such as continuous flow left ventricular assist devices (LVADs), pacemakers (PPMs), and implantable cardioverter defibrillators (ICDs). Limited data exist on the utility and safety of single balloon enteroscopy (SBE) in patients with cardiac devices. We aimed to evaluate the safety, efficacy, diagnostic, and therapeutic outcomes of the aforementioned devices in patients undergoing SBE...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708380/an-underappreciated-and-prolonged-drug-interaction-leads-to-ineffective-anticoagulation
#2
Kelly C Rogers, Daniel W Neu, Melanie C Jaeger, Rahman Shah, Shannon W Finks
A poorly understood significant drug-drug interaction compounded by ineffective communication among providers at times of care transition most likely contributed to multiple thromboembolic events in an 81-year-old patient. Increased awareness of drug interactions with direct oral anticoagulants (DOACs), as well as improved communication among inpatient and outpatient providers at the time of discharge is essential in maximizing efficacy and safety outcomes in patients requiring chronic anticoagulation. When rifampin is coadministered with apixaban, a reduction in apixaban exposure results in decreased efficacy and increased risk for thromboembolic events...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708379/imaging-in-acute-pyelonephritis-utilization-findings-and-effect-on-management
#3
Cason Pierce, Angela Keniston, Richard K Albert
OBJECTIVES: To determine the frequency, timing, and types of imaging obtained in patients with a discharge diagnosis of acute pyelonephritis, and how often imaging findings affect therapy. METHODS: This was a retrospective chart review of 1062 adults with a diagnosis of acute pyelonephritis discharged from an urban, safety-net hospital between January 1, 2008 and December 31, 2012. From the 739 patients selected after exclusions, we determined the number and proportion of patients imaged within the first 24 hours of admission, stratified by risk factors for pyelonephritis complications, and the frequency of positive findings leading to invasive interventions...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708378/cancer-risk-awareness-among-uninsured-primary-care-patients
#4
Akiko Kamimura, Samin Panahi, Naveen Rathi, Shannon Weaver, Jeanie Ashby
OBJECTIVES: Underserved populations are at risk of low cancer risk awareness. The purpose of this study was to examine cancer risk awareness and lifestyle issues among uninsured primary care patients in the United States. METHODS: Data were collected using a self-administered survey from May to July 2017 of adult free clinic patients (N = 506) who spoke English or Spanish. RESULTS: The following factors were associated with higher levels of cancer risk awareness: higher educational attainment, better self-perceived health, and having a family history of cancer...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708377/can-c-reactive-protein-be-used-to-predict-acute-septic-arthritis-in-the-adult-population
#5
Luke Thornton, Neal Ormsby, Victoria Allgar, Glyn Thomas
OBJECTIVES: The objective of this study was to establish whether C-reactive protein (CRP) could be used to predict native joint septic arthritis (SA) in the adult population. METHODS: All patients who underwent native joint aspiration in accident and emergency settings between April 2012 and September 2016 were identified from laboratory microbiology records. Patients were divided into three groups for analysis: patients with SA, patients with crystal arthropathy, and patients with normal or osteo/inflammatory arthritic joints...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708376/commentary-on-strengthening-rural-states-capacity-to-prepare-for-and-respond-to-emerging-infectious-diseases-2013-2015
#6
Mary Jane Burton
No abstract text is available yet for this article.
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708375/strengthening-rural-states-capacity-to-prepare-for-and-respond-to-emerging-infectious-diseases-2013-2015
#7
Scott Santibañez, Kimberly Spencer Bellis, Allison Bay, Christina L Chung, Kristy Bradley, Deborah Gibson, Alvin Shultz
No abstract text is available yet for this article.
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708374/healthcare-disparities-in-people-with-disabilities-is-there-a-cure
#8
Carolyn Ann Smith
No abstract text is available yet for this article.
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708373/the-importance-of-health-and-social-services-spending-to-health-outcomes-in-texas-2010-2016
#9
J Mac McCullough, Jonathon P Leider
OBJECTIVES: Public health and social services spending have been shown to improve health outcomes at the county level, although there are significant state and regional variations in such spending. Texas offers an important opportunity for examining nuances in the patterns of association between local government health and social services spending and population health outcomes. The primary objectives of this study were to describe local investments in education, health, and social services at the county-area level for all of Texas from 2002 through 2012 and to examine how changes in local investment over time were associated with changes in health outcomes...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708372/curing-health-care-by-adding-value-how-about-a-physical-examination
#10
Robert C Goldszer
No abstract text is available yet for this article.
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708371/signed-sealed-delivered-increasing-patient-notification-of-test-results-in-an-internal-medicine-resident-continuity-clinic
#11
William Benton, Erin D Snyder, Carlos A Estrada, Teresa J Bryan
OBJECTIVES: Informing patients of their test results is an important patient safety issue, yet many physicians perform dismally in this regard. Residents often face additional barriers to communicating test results to patients. We wanted to determine whether streamlining the notification process, communicating expectations, and having residents audit their performance would increase result notification rates. METHODS: We used a quasi-experimental design, and a single-group before-and-after intervention...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708370/commentary-on-what-attracts-medical-students-to-primary-care-a-nominal-group-evaluation
#12
Jacob A Mitchell, José E Rodríguez
No abstract text is available yet for this article.
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708369/what-attracts-medical-students-to-primary-care-a-nominal-group-evaluation
#13
Gustave Weiland, Kathryn Cox, Mary Katherine Sweeney, Michael Belue, Erin D Snyder, William D Curry, H Hughes Evans, B Earl Salser, Carlos A Estrada
OBJECTIVE: To examine the perceptions of first-year medical students on their experiences in primary care. METHODS: Nominal group technique sessions were conducted with first-year medical students for 5 years. Questions were designed to evaluate primary care experiences and the role of primary care physicians. The questions explored what would make them consider primary care, what would detract from it, and what primary care has to offer that no other specialty can...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708368/comparison-of-medical-student-communication-skills-measured-by-standardized-patients-during-an-osce-and-by-faculty-during-an-in-hospital-encounter
#14
Mary Lacy, Leonard Noronha, Yuridia Leyva, John Rush Pierce
OBJECTIVES: At our institution, learner communication skills during an objective structured clinical examination (OSCE) are measured by standardized patients (SPs) using the New Mexico Clinical Communication Scale (NM-CCS). Faculty physicians also conduct a direct observation of a clinical encounter (DOCE) to observe students' interactions with real hospitalized patients. The objective of this study was to determine whether students have similar communication skills scores with real patients as compared with SPs...
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30708367/addressing-mental-health-needs-among-physicians
#15
Katherine Buck, Aaron Grace, Tina Runyan, Lauren Brown-Berchtold
No abstract text is available yet for this article.
February 2019: Southern Medical Journal
https://read.qxmd.com/read/30608636/healthcare-professionals-and-in-flight-medical-emergencies-resources-responsibilities-goals-and-legalities-as-a-good-samaritan
#16
Pascal Joseph de Caprariis, Angela de Caprariis-Salerno, Claudia Lyon
Common in-flight emergencies include syncope, respiratory symptoms, nausea/vomiting, cardiac symptoms, and seizures. Flight conditions, such as changes in air pressure and humidity, can exacerbate existing chronic medical conditions. In 2017, US airlines carried 849.3 million passengers. Undoubtedly, there were many requests for in-flight medical assistance. Whenever a medical event occurs, it is standard procedure that an announcement be made by a flight attendant, requesting medical personnel to identify themselves...
January 2019: Southern Medical Journal
https://read.qxmd.com/read/30608635/clinical-utility-of-routine-chest-x-rays-during-the-initial-stabilization-of-trauma-patients
#17
David Ong, Michael Cheung, Peter Cuenca, Steven Schauer
OBJECTIVES: The Advanced Trauma Life Support (ATLS) course encourages the use of chest x-ray (CXR) to identify injuries that may change clinical management during the initial stage of trauma resuscitations. Several studies have failed to show benefit for the routine use of CXR without a clinical indication, however. We sought to validate these findings by determining the incidence of clinically significant findings discovered on a portable single-view CXR during the initial stabilization of trauma patients at a Level 1 trauma center...
January 2019: Southern Medical Journal
https://read.qxmd.com/read/30608634/ebola-101
#18
Faysal Alhasan, Sonali Salunkhe, Steven Lippmann
No abstract text is available yet for this article.
January 2019: Southern Medical Journal
https://read.qxmd.com/read/30608633/commentary-on-evaluation-of-patients-for-zika-virus-infection-in-a-travel-clinic-in-the-southeast-united-states-2016
#19
Pablo Guisado-Vasco
No abstract text is available yet for this article.
January 2019: Southern Medical Journal
https://read.qxmd.com/read/30608632/evaluation-of-patients-for-zika-virus-infection-in-a-travel-clinic-in-the-southeast-united-states-2016
#20
Javier Valle, Stephanie M Eick, Jessica K Fairley, Jesse J Waggoner, Richard A Goodman, Eli Rosenberg, Henry M Wu
OBJECTIVES: Zika virus is an emerging infection that has posed vexing challenges to the US public health system. Improved characterization of patients with possible and confirmed infection is needed to better understand risks for infection in US travelers and to inform evolving evaluation guidelines. METHODS: We performed a retrospective electronic health record review of patients evaluated for Zika virus infection at an academic travel clinic in Atlanta, Georgia, from January 1 through August 31, 2016...
January 2019: Southern Medical Journal
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