Changes in Proportions of Emergency Department Patients with Mental Illness Noted in the National Hospital Ambulatory Medical Care Survey, 2012-2015.
CONCLUSIONS: The rate and types of mental health patients coming to the ED are still on the rise. This is coupled with a lack of mental health infrastructure to address the needs and diagnoses that continue to be seen in the ED. States may need increased, targeted funding for mental health outside the increase in coverage via the Patient Protection and Affordable Care Act to slow the rate of mental health patients seen in the ED. PMID: 32016432 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Assessment of the Need for Immediate Trauma Team Presence for Infants Presenting in Cardiac Arrest.
CONCLUSIONS: Infant OHCA had poor outcomes, with trauma as a rare etiology. In the absence of external signs of injury or known injury mechanism, immediate trauma team presence was not beneficial for these infants during the initial resuscitation phase. PMID: 32016433 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Increasing Comfort with Sensory Processing Difficulties in the Prehospital Setting: Pre-Post Study of Education and Sensory Tools in EMS Providers.
CONCLUSIONS: Sensory training can be an effective method for EMS providers to increase comfort levels in taking care of patients with sensory difficulties. Further research with larger sample sizes is needed to confirm/refute these findings. PMID: 32016434 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Sex Differences in the Association between Local Government Spending and Mortality: Evidence from Tennessee.
CONCLUSIONS: This study provides further evidence that local government spending plays a role in addressing and improving population health and suggests that public spending can have differential effects within a population. PMID: 32016435 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Changes in Health and Well-Being during Residents' Training.
This study aimed to demonstrate and quantify changes to trainees' wellness and health habits during the course of their first 2 years of graduate medical education. METHODS: A longitudinal survey study of postgraduate year 1 trainees at the Cleveland Clinic was administered at 3 time points: the initial survey during orientation week, a second survey at 1 year, and a final survey at 2 years. RESULTS: Of the 170 trainees contacted, 59 (35%) completed the initial survey and 34 (58%) completed the first follow-up survey. Between the initial survey and the first follow-up survey, respondents reported that their health ...
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Utilization of Healthcare Resources by HIV-Positive Children in the United States: A National Perspective.
CONCLUSIONS: The results suggest that pediatric patients who were HIV positive were significantly older, from lower-income areas, and members of minority groups. They underwent more procedures during hospitalization, incurred more than twice the total cost, stayed in the hospital twice as long, and had statistically higher in-hospital mortality than children who were HIV negative. As we continue to explore effective and judicious treatment options for patients who are HIV positive, our national estimates of resource utilization can be used to conduct a more detailed examination of current medical practices and specific pat...
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Epilepsy and Physical Activity in US Adults.
Authors: Churilla JR, Boltz AJ, Johnson TM, Richardson MR Abstract OBJECTIVES: To examine the prevalence of self-reported aerobic leisure-time physical activity (LTPA) and muscle-strengthening activity (MSA) participation using a representative sample of US adults (18 years old and older) with a seizure disorder or epilepsy. METHODS: Data from the 2010, 2013, and 2015 National Health Interview Survey cycles were used to examine the prevalence and odds of meeting the 2018 PA guidelines with a nationally representative sample of US adults. Descriptive analyses and logistic regression were used in calculating esti...
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Same-Admission Cholecystectomy Compared with Delayed Cholecystectomy in Acute Gallstone Pancreatitis: Outcomes and Predictors in a Safety Net Hospital Cohort.
CONCLUSIONS: Our findings support existing evidence that DC is associated with a significantly increased risk of recurrent biliary events and pancreatitis. Furthermore, we report a 56% adherence to the current guidelines for SAC and report that the most common reason for not undergoing SAC was the absence of surgical consultation. We conclude that ensuring SAC in eligible patients should be a priority for safety net hospitals because it may help decrease hospital costs in the long term, and active efforts should be made to identify patients who may be less likely to receive SAC. PMID: 32016439 [PubMed - in process] (So...
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Prevalence and Clinical Impact of Atrial Fibrillation in Patients with Pulmonary Embolism.
Authors: Yang Y, Liu B, Taylor J, Huang Z, Gupta S, Thumma S, Wu L, Wang S, Everett G Abstract OBJECTIVES: Atrial fibrillation (AF) has been suggested as a cause for pulmonary embolism (PE). We aimed to explore the prevalence and clinical impact of AF in patients with PE. METHODS: Using the 2012-2014 National (Nationwide) Inpatient Sample database, we identified "adult patients with PE" as the principal discharge diagnosis. The identified admissions were stratified into two cohorts based on the presence or absence of AF. We used multivariable regression models to evaluate in-hospital mortality, length...
Source: Southern Medical Journal - February 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Poverty and Health in Tennessee.
CONCLUSIONS: This study highlights the fact that lower income is associated with significantly worse health outcomes in Tennessee and reinforces the importance of economic development, specifically, and addresses the social determinants, more generally, in helping to improve Tennessee's overall health statistics. PMID: 31897491 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Procedural Anxiety, Pain Catastrophizing, and Procedure-Related Pain during EGD and Colonoscopy.
CONCLUSIONS: This study shows that catastrophizing thoughts account for between-subject differences in endoscopy pain. Rumination and helplessness but not magnification explain how procedural anxiety may evolve in a painful endoscopy experience. To the extent that one can address catastrophizing thoughts, endoscopy pain can be mitigated, especially for patients who are difficult to sedate. PMID: 31897492 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Single-Institution Experience of Synovial Sarcoma.
CONCLUSIONS: Nonextremity disease and large size of tumor at presentation may have contributed to the disparity in institutional outcomes from the national averages. The advanced presentation of synovial sarcoma remains a significant challenge in improving patient survival. PMID: 31897493 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Chest Radiography Should Be Requested Only on Admission Based on Clinical Grounds.
CONCLUSIONS: Admission CXRs in patients without respiratory tract symptoms or findings are unwarranted except perhaps in older adult patients with comorbidities and an unclear admitting diagnosis. PMID: 31897494 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Characteristics of Pediatric Patients With Retained Bullet Fragments and Need for Follow-Up Blood Lead Monitoring.
Authors: Fleenor T, Haupt J, Richard K, Nichols M, Shah N Abstract OBJECTIVES: Multiple case reports of lead toxicity related to retained bullet fragments in pediatric patients sustaining gunshot wound have been published. The purpose of the present study was to determine whether the demographic and clinical characteristics of gunshot wounds (GSWs) could be classified high/low risk and whether routine blood lead monitoring is necessary in these patients. METHODS: A single-center prospective case series of pediatric GSW patients presenting to the emergency department (ED). The data points that were collected and...
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Uterine Corpus Malignancies in Appalachia Kentucky: Incidence, Survival, and Related Health Disparities.
Authors: Johnson MS, Tucker TC, Chen Q, Huang B, DeSimone CP, Miller RW, Baldwin LA, Fredericks TI, Burgess BT, Ueland FR Abstract OBJECTIVES: Uterine cancer is the nation's most common gynecologic malignancy, but it is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). Our aim was to assess the frequency, distribution, and survival of uterine corpus malignancies in KY, and specifically the differences between Appalachia (AP) and non-Appalachia (NAP) KY. METHODS: This population-based cohort study used Surveillance, Epidemiology, and End Results data and the Kentucky Cancer...
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma.
CONCLUSIONS: Our data demonstrate that there is a seasonal variation in the diagnosis of EoE, with more cases diagnosed in the spring months. These findings relate to the increase in aeroallergens and pollen distribution during the spring months in Oklahoma. PMID: 31897497 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Statewide Regional Campus Development: Academic Medicine's Response to US Physician Shortages.
Authors: Wood EA, Martin KR, Wallach PM PMID: 31897498 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Wellness Programs in an Academic Practice: Lessons Learned.
Authors: Marshall JM, Johnson QL PMID: 31897499 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "Wellness Programs in an Academic Practice: Lessons Learned".
Commentary on "Wellness Programs in an Academic Practice: Lessons Learned". South Med J. 2020 Jan;113(1):49-50 Authors: Hunter BN, Holt GR PMID: 31897500 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - January 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost.
Authors: Hrycko A, Tiwari V, Vemula M, Donovan A, Scibelli C, Joshi K, Visintainer P, Stefan MS Abstract OBJECTIVES: Admitted patients boarding in the emergency department (ED) while awaiting inpatient beds represent a bottleneck in patient flow. We sought to examine the impact on patient flow and potential for cost savings by an active management of boarded ED medical admissions by a hospitalist-led team, which included a hospitalist, an advanced practitioner, and a case manager. METHODS: This was a retrospectively conducted analysis of a quality improvement pilot intervention implemented at a large tertiary c...
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost".
Commentary on "A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost". South Med J. 2019 Dec;112(12):604 Authors: Ernst AA PMID: 31796967 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Emergency Medicine Resident-Driven Point of Care Ultrasound for Suspected Shoulder Dislocation.
This study was conducted in the ED of an academic teaching hospital in Miami, Florida. It consisted of a short in-service educational intervention on how to perform and interpret POCUS, followed by an open, prospective convenience sample study in patients with clinical suspicion of shoulder dislocation. Twenty EM residents, with no prior shoulder scanning training, participated in the study. In all of the cases, the findings of the shoulder US were compared with radiographs, which were considered the reference standard. EM residents enrolled patients, and obtained and interpreted the shoulder US images. RESULTS: Sevent...
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically.
CONCLUSIONS: Career changer medical students show a small, persistent academic lag in the first 2 years of medical school and on USMLE Step 1 scores. By USMLE Step 2 the difference disappears. Similar undergraduate grade point averages and Medical College Admission Test scores suggest that science exposure, not ability may explain these differences. An unexpected finding is the number of career changer students is not increasing proportional to the proliferation of postbaccalaureate programs in the United States. This study may benefit student advisors and residency directors, and, it is hoped, provide reassurance to caree...
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically".
Commentary on "How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically". South Med J. 2019 Dec;112(12):617-618 Authors: Hsu LL PMID: 31796970 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Spirituality of Physicians.
Authors: Thangathurai D, Vitug S, Ravi V PMID: 31796971 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Editor's Response.
Authors: Holt GR PMID: 31796972 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Dietary Supplement Use is High among Individuals with Parkinson Disease.
CONCLUSIONS: The results of this study demonstrate a high prevalence of dietary supplement use among individuals with PD, in addition to a wide variety of supplements being taken. This study's findings also indicate the need for better dialog between patients and healthcare practitioners regarding the use of dietary supplements. PMID: 31796973 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Social Support for Physical Activity for High Schoolers in Rural Southern Appalachia.
CONCLUSION: This study identifies opportunities and practical ways for families and schools to provide, build, and strengthen supports for PA among adolescents in rural Appalachia. PMID: 31796974 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

When to Worry about Cancer: Concurrent Carcinoma and Recurrence in Borderline Ovarian Tumors.
CONCLUSIONS: Epithelial borderline ovarian tumors often co-exist with carcinoma and occur more frequently in postmenopausal women, in women with elevated CA-125, and in tumors with nonserous histology. The presence of any of these factors should alert clinicians to the potential need for comprehensive staging at the time of surgery. The recurrence of borderline tumors is associated with nonwhite race, concurrent carcinoma, and residual disease at initial surgery. PMID: 31796975 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky.
CONCLUSIONS: There remains a significant need for education and guidance regarding the implementation of expert recommendations for addressing pediatric obesity in Appalachian Kentucky. Providers reported needing multiple community resources, including improved physical education programs, access to community recreation centers, additional referral resources for multidisciplinary care, and additional training in motivational techniques. We discuss the implications for disseminating and implementing expert recommendations in rural eastern Kentucky, with an emphasis on the roles of behavioral health experts. PMID: 316827...
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky".
Commentary on "Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky". South Med J. 2019 Nov;112(11):560-561 Authors: Anchondo IM PMID: 31682735 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Teen Driving Education in a Pediatric Emergency Department: Effectiveness of a Toolkit.
CONCLUSIONS: The majority of participants enrolled were not aware of the Alabama GDL law, which has been in place since 2002. More than 97% of those surveyed were given new information during the education session. There is a strong need for further public education regarding the law and safe driving habits. Sixty-one percent of respondents believe that the teen curfew is earlier than the present curfew. The authors believe that this shows support for revising the curfew in the present law to an earlier time. Nighttime driving restrictions starting at 10 pm or earlier have been shown to result in greater reductions in moto...
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Role of Physician Gender in the Modern Practice of Obstetrics and Gynecology: Do Obstetrician-Gynecologists Perceive Discrimination from their Sex?
Authors: Turrentine M, Ramirez M, Stark L, Snead C, Schulkin J Abstract OBJECTIVES: It is unclear whether obstetrician-gynecologists (OBGYNs) experience gender discrimination as a result of patient and organizational gender preferences. Our objective was to evaluate whether the gender preference for OBGYNs resulted in perceptions of discrimination by the physician while simultaneously assessing their patients' views for choosing their OBGYN. METHODS: A survey assessed whether OBGYNs' perceptions of patients and employers' preferences for gender in selecting an OBGYN affected their clinical practice and resulted...
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Curriculum Enrichment Across the Medical Education Continuum Using e-Delphi and the Community Priority Index.
CONCLUSIONS: The integrated e-Delphi-CPI system identified the highest ranked options across all of the domains and established comparability across cohorts. We recommend the e-Delphi-CPI system to advance medical curriculum enrichment processes. PMID: 31682738 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Patients and Guns: Florida Physicians Are Not Asking.
CONCLUSIONS: Faculty miss opportunities to prevent gun violence despite acknowledging that it is important to do so. More than 40% of the physicians who were surveyed do not counsel at-risk patients about gun safety, citing a lack of knowledge, a persisting belief that asking patients about guns in Florida is illegal, worry about negative patient reactions, and time limitations. Inaction persists despite increased awareness and activism by physicians regarding gun violence. A wider availability of continuing medical education opportunities to learn about firearms counseling should be considered. PMID: 31682739 [PubMed ...
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Frequency of β-Blocker Use Following Exacerbations of COPD in Patients with Compelling Indication for Use.
CONCLUSIONS: Nearly one-third of patients with compelling indications for β-blockers were not prescribed the therapy at discharge. PMID: 31682740 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Impact of β-Lactam Allergies on Antimicrobial Selection in an Outpatient Setting.
CONCLUSIONS: Patients with documented β-lactam allergies are at high risk of receiving nonpreferred and inappropriate antibiotics, and many reactions likely do not reflect true allergies. These data emphasize the negative impact of the "β-lactam allergy" label and the importance of reassessing allergies. PMID: 31682741 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Scratching the Surface of the Antivaccination Phenomenon.
Authors: Alhasan F, Makki L, Lippmann S PMID: 31682742 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2019 Category: General Medicine Tags: South Med J Source Type: research

Improving Transitions of Care for Healthy Adolescents and Young Adults.
CONCLUSIONS: The literature is limited regarding transitions of care from pediatric to adult medicine for healthy and noncomplex adolescents and young adults. Areas for intervention were identified from these studies and have yet to be explored. Additional research is needed to overcome transition obstacles and to tailor interventions to help healthy and noncomplex adolescents and young adults at this vulnerable time of their lives. PMID: 31583409 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Enhanced vs Standard Parents as Teacher Curriculum on Factors Related to Infant Feeding among African American Women.
CONCLUSIONS: Findings suggest the need for further intervention focused on translating knowledge into action to improve diets of weaning infants in this region of the United States. PMID: 31583410 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Implementation of Case Conferences to Improve Interprofessional Collaboration in Resident Continuity Clinic.
CONCLUSIONS: Case-based interprofessional conferences improved residents' knowledge regarding interprofessional care and increased referrals to team members. This curriculum addresses barriers to team-based care experienced by residents in continuity clinic and is adaptable to other clinic settings. PMID: 31583411 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Teaching Medical Students in the Rural Setting Long Term: Physicians' Attitudes and Perceptions.
CONCLUSIONS: These physicians' concerns foment hypotheses about engaging rural physicians in their own unique local networks involving preceptors, students, community, and educational institutions to conduct satisfactory long-term medical education in rural sites. We recommend investigations to substantiate a prevalence among rural physicians of concern about the four roles and to describe various contexts in which these roles produce satisfactory long-term preceptorships, perhaps as best practices in different settings. PMID: 31583412 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

A More Directive Living Will for Older Adult Patients with End-Stage Medical Conditions?
CONCLUSIONS: Our results suggest that it is possible to design a functional advanced directive that better reflects the wishes of the older adult patient who wants to be treated aggressively in selected clinical situations. By more clearly defining these wishes, acute providers (eg, hospitalists, intensivists) can make more informed, patient-centered recommendations to surrogates. PMID: 31583413 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis.
CONCLUSIONS: Most PCPs failed to order diagnostic tests for RA before referring a patient with polyarthritis who eventually received a diagnosis of RA. We also observed delays in diagnosis, with half of the patients waiting>1 year from symptom onset to diagnosis. These findings suggest educational efforts for PCPs should focus on emphasizing earlier diagnostic workups, especially ACPA, in patients suspected to have RA. PMID: 31583414 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis".
Commentary on "Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis". South Med J. 2019 Oct;112(10):539-540 Authors: Newman KA, Edrissian M PMID: 31583415 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography.
CONCLUSIONS: The intravascular administration of iodinated contrast remains an independent cause of AKI. Compared with those with multifactorial AKI, patients with CI-AKI appear to be more likely to experience mild decrements in kidney function that recover completely. PMID: 31583416 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Sports-Injury Encephalopathy.
Authors: Prabhu A, Abaid B, Fathima S, Naik S, Lippmann S Abstract Sports-related encephalopathies are a growing concern among athletes who have experienced head trauma. Anxiety is heightened for the public and especially among parents of children playing contact sports. The most common neuropsychological conditions are concussions and traumatic encephalopathies. Concussions result from brain traumas that can be asymptomatic, but more serious concussions can include loss of consciousness, neurological abnormalities, and/or posttraumatic amnesias. Repetitive concussions lead to persistent brain pathology, known as c...
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Venous Thromboembolism: Are NOACs the Right Initial Drug of Choice for Unprovoked Venous Thromboembolism?
Authors: Pasha AK, Baral A, Siddiqui MU PMID: 31583418 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 5, 2019 Category: General Medicine Tags: South Med J Source Type: research

Patients Threatening Harm to Others Evaluated in the Emergency Department under the Florida Involuntary Hold Act (Baker Act).
CONCLUSIONS: We found that three-fourths of patients expressing homicidal threats also were suicidal. The majority of patients making threats of harm had a specific plan of action to carry out the threat. It is important to screen any patient making homicidal threats for suicidal ideation. If present, there is a need to implement immediate management appropriate to the level of the suicidal threat, for the safety of the patient. Eighty-five percent of patients making a homicidal threat had a previously documented psychiatric disorder, the most common being a depressive disorder. This finding differs from previous studies i...
Source: Southern Medical Journal - September 7, 2019 Category: General Medicine Tags: South Med J Source Type: research

Benefits of Using The Pause after Death in Emergency Departments: A Delphi Study.
CONCLUSION: The Pause is a low-risk, grassroots intervention that can be led by any member of a care team in emergency settings. It offers self-care for the individual and team. It helps emergency providers feel grounded after a death before going to treat another patient. According to our sample, The Pause helps reduce caregiver stress, which may decrease the risk for burnout. Although further research is recommended, we assert that The Pause be used as a standard of care in emergency departments across the United States. PMID: 31485583 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 7, 2019 Category: General Medicine Tags: South Med J Source Type: research