Human-Centered Design for a Women's Health Screening Tool: Participant Experiences.
CONCLUSIONS: Although a promising option and valuable process, the HCD process was not equally comfortable for or accessible to all participants. Community engagement beyond the clinical team is important for improving practices in health screening and health care, but it must be undertaken thoughtfully. PMID: 33005959 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Improving Preventive Care for Women through a Provider Reminder Tool.
CONCLUSIONS: Despite well-established, evidence-based guidelines for screening tests and immunizations effective in reducing cancer-related morbidity and mortality, significant gaps in routine preventive care remain. The HMT may be a provider-friendly and cost-effective reminder tool to enhance the preventive health care of women. PMID: 33005960 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Association of Prepregnancy BMI, Gestational Weight Gain, and Child Birth Weight with Metabolic Dysfunction in Children and Adolescents with Obesity.
CONCLUSIONS: Contrary to previous studies, prepregnancy BMI and GWG were not correlated with metabolic dysfunction. These findings support the need for lifestyle interventions, particularly in reducing sedentary behaviors, in obese children and adolescents. PMID: 33005961 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Use of e-Cigarettes and Development of Respiratory Conditions in Women of Childbearing Age.
CONCLUSION: Policies related to e-cigarettes need to be reevaluated and clearly communicated to improve prevention efforts for women of childbearing age. PMID: 33005962 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

In Search of a Femtor: The Complexities of Female Mentorship in Academic Medicine.
Authors: Lin D PMID: 33005963 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Promoting Wellness and Resiliency: Faculty Development Professionals Respond to a Mass Shooting.
Authors: Mulla ZD, Rosales C, Vazquez E, Rodriguez MA, Plavsic SK PMID: 33005964 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Novel Opiate-Free Anesthetic Technique for Major Urologic Procedures.
Authors: Smith SA, Ghabra H, Dhaifallah DG, Rahnema A, Evans BM, Nossaman BD, Sumrall WD, Bardot SF, Canter DJ Abstract OBJECTIVES: We postulated that an opiate-free (OF) general anesthesia (GA) technique could adequately control a patient's pain without adversely affecting recovery. We compared patients undergoing major urologic procedures with and without opiate-based GA. METHODS: A propensity-matched analysis was performed comparing hospital length of stay, postoperative nausea and vomiting, ileus occurrence, postanesthesia care unit, and total opiate consumption, as well as sedation and hemodynamic variable...
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Streamlining Electronic Medical Records: Remove the Copy-Forward Option.
Authors: Farber BF, Vethantham V, Malhotra P PMID: 33005966 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Discharge against Medical Advice.
Authors: Kolar GJ, Valder ED PMID: 33005967 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Cardiovascular Diseases Health Literacy among Patients, Health Professionals, and Community-Based Stakeholders in a Predominantly Medically Underserved Rural Environment.
This study aimed to examine the prevalence and factors of CVD health literacy (HL) among a sample of patients/caregivers, providers/professionals, and community stakeholders. METHODS: In 2018, data were collected from central Appalachian residents in six states: Kentucky, North Carolina, Ohio, Tennessee, Virginia, and West Virginia. CVD HL status was determined by assessing correct responses to five interrelated questions about basic knowledge of CVD. Multiple logistic regression analyses were used to examine the associations between potential factors and CVD HL status. RESULTS: Of the total respondents (N = 82),
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Fatal and Nonfatal Snakebite Injuries Reported in the United States.
CONCLUSIONS: Although rare, nonfatal snakebites in this study resulted in an estimated average of 9192 annual visits to EDs (roughly 1 visit per hour) and an average of 6 fatal snakebites per year. Epidemiologic data on snakebite injuries provide healthcare providers, public health officials, and veterinarians with information on populations at risk for snakebites, species of snakes likely to be encountered, and guidance for prevention efforts. PMID: 33005969 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Arboviruses and Their Vectors.
Authors: Madewell ZJ PMID: 33005970 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

College Students' Knowledge, Attitudes, and Beliefs about the 2017-2018 H3N2 Influenza Virus and Vaccination.
Authors: Oliver AP, Ford MA, Bass MA, Barnard M Abstract OBJECTIVES: To observe the state of knowledge, attitudes, and beliefs regarding the effectiveness of the 2017-2018 H3N2 influenza virus vaccine in a representative sample of college students and determine how many students experienced flu-like symptoms, whether vaccinated or unvaccinated. METHODS: In March 2018, a 19-item survey related to the 2017-2018 flu virus vaccine was e-mailed to a random sample of 4961 rural southeastern university undergraduate and graduate students. A total of 634 students participated. RESULTS: Among 634 respondents, 37.5% ...
Source: Southern Medical Journal - October 3, 2020 Category: General Medicine Tags: South Med J Source Type: research

Effect of Payor-Mandated Review of Prescription Drug Monitoring Program on Opioid Prescriber Rates.
Authors: Schumann SO, Zhang J, McCauley JL, Heidari K, Ball SJ Abstract OBJECTIVE: To evaluate the effect of a 2016 South Carolina payor mandate to query the state prescription drug monitoring program (PDMP) before prescribing controlled substances on the rate of opioid prescribers in South Carolina. METHODS: South Carolina PDMP datasets from 2010-2017 were evaluated using interrupted time series regression to compare changes in the rate of opioid prescribers before and after the 2016 mandate. The rate of opioid prescribers was defined as the number of prescribers who prescribed class II to IV opioids on any on...
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Global Health Lessons from a District Hospital.
Authors: Morikawa MJ PMID: 32885256 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Understanding Income and Health Inequities in the Deep South.
Authors: Mandelbaum J PMID: 32885257 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Voting Rights in the Era of COVID-19.
Authors: Nusbaum NJ PMID: 32885258 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Cystic Fibrosis and COVID-19.
Authors: Chapman KD, Moffett KS PMID: 32885259 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Prediction of Functional Limitations in Balance after Tests of Tandem Walking and Standing Balance in Older Adults.
CONCLUSIONS: The data suggest that some older adults may have subtle musculoskeletal impairments that may be indicated by simple balance tests. A finding on these tests may indicate the need for further workup for balance-related problems. These quick, inexpensive tests can be administered by ancillary staff and may add important information to the initial visit and annual follow-up visits. PMID: 32885260 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Implications of Frailty among Men with Implantable Cardioverter Defibrillators.
This study sought to determine the prevalence of frailty, based on quantitative assessment, and assessed its potential impact on outcomes among community-dwelling men with ICDs. METHODS: A total of 124 ICD-treated men presenting for a routine device clinic appointment between May and October 2016 underwent frailty assessment consisting of three components: shrinking (weight loss ≥5% during the past year), weakness (inability to rise from a chair without using their arms), and self-reported poor energy level. Patients who had no components were considered robust, those with 1 component were intermediate stage, and th...
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Travel Histories in Children: How Well Do Interns and Medical Students Do?
Authors: Blakemore S, Hofto ME, Shah N, Gaither SL, Chilukuri P, Tofil NM Abstract OBJECTIVE: To evaluate the knowledge of obtaining travel histories in medical students and interns. METHODS: Medical students and interns participated in a high-fidelity pediatric simulation with two cases (malaria or typhoid fever) that hinged on travel history. After the simulation, appropriate methods of obtaining travel histories were discussed. Participants completed surveys regarding their previous education and comfort with obtaining travel histories. If and how a travel history was obtained was derived from simulation obs...
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Segmental Withdrawal During Screening Colonoscopy Does Not Increase Adenoma Detection Rate.
Authors: Avalos DJ, Jia Y, Zuckerman MJ, Michael M, Gonzalez-Martinez J, Mendoza-Ladd A, Garcia CJ, Sunny J, Delgado VC, Hernandez B, Dwivedi AK, Mallawaarachchi IV, Dodoo C, Othman MO Abstract OBJECTIVES: The aim of this study was to compare a standard versus segmental withdrawal during screening colonoscopy and its effect on the adenoma detection rate (ADR). METHODS: We performed a single-center clinical trial of average-risk patients 50 years of age and older undergoing screening colonoscopy. Patients were randomized into four groups: a standard withdrawal of at least 6 or 8 minutes and a segmental withdrawa...
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Attending an Alcoholics Anonymous Meeting: A Pilot Study of an Experiential Learning Activity on the Family Medicine Clerkship.
CONCLUSIONS: Attendance at a single AA meeting increased students' awareness of community resources, including AA, for patients who abuse or misuse alcohol. Because students also reported increased perceived self-confidence regarding explaining AA to patients and assessing patients for alcohol addiction, attendance at an AA meeting has the potential to affect future patient care. PMID: 32885264 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Assessment of Written Feedback for Emergency Medicine Residents.
Authors: Hahn B, Waring ED, Chacko J, Trovato G, Tice A, Greenstein J Abstract OBJECTIVES: An essential component of resident growth is a learning environment with high-quality feedback. Criteria have been developed for characterizing and assessing written feedback quality in internal medicine residents by Jackson et al. Our primary goal was to describe feedback characteristics and assess the quality of written feedback for emergency medicine (EM) residents. Our secondary goals were to evaluate the relation between feedback quality and objective outcome measures. METHODS: This retrospective study was conducted ...
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Self-Directed Learning among Internal Medicine Residents in the Information Age.
CONCLUSIONS: Although the resident learning environment and resource use are changing, residents engage in as much or more time in SDL as in previous studies, with a large proportion occurring during clinical service. Understanding residents' current SDL habits will better prepare educators to support and guide our trainees. PMID: 32885266 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

US Dermatology Resident Responses about the COVID-19 Pandemic: Results from a Nationwide Survey.
CONCLUSIONS: Dermatology residents were affected negatively by COVID-19 in regard to their well-being, clinical training, and education. Several areas of improvement were identified that could improve our preparedness for a second wave of the virus. PMID: 32885267 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Psychiatric Morbidities among COVID-19 Survivors.
Authors: Doppalapudi L, Lippmann S PMID: 32885268 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Erratum: Proportion and Characterization of Co-infections of HIV and Hepatitis C or Hepatitis B among People with HIV in Alabama, 2007-2016: Erratum.
Authors: Available N Abstract [This corrects the article DOI: 10.14423/SMJ.0000000000001104.]. PMID: 32885269 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2020 Category: General Medicine Tags: South Med J Source Type: research

Expanding Telehealth Capacity during COVID-19 May Have Long-Term Benefits for Rural Health Centers.
Authors: Mandelbaum J PMID: 32747961 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Responding to COVID-19: Perspectives on Curricular Changes in a Rural Medical School.
Authors: Crumb L, Campbell KM, Crowe A, Harris JA, Acheampong C, Little J Abstract Coronavirus disease 2019 (COVID-19) rapidly led to global human devastation, including multiple deaths, sicknesses, and financial reverberations across many individuals and communities. As COVID-19 gained its foothold in the United States, medical school administrators, faculty, and students had to undergo rapid change to mitigate the disease spread, putting all parties in dubious situations. Medical school administrators had to make swift and judicious decisions that would best serve the student body and the diverse patient populati...
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

The Medical Ethics of Poor Supervision.
Authors: Fisher JF PMID: 32747963 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Toward a New Ethic in Global Health Practice: Perspectives from Central America.
Authors: Ventres W PMID: 32747964 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Narrative Medicine Rounds: Promoting Student Well-Being during the Third Year of Medical School.
CONCLUSIONS: There was significant overlap in the themes related to strategies for personal well-being and those for patient care. Students were able to identify multiple, specific strategies to promote their own future well-being. These findings suggest that even a brief narrative medicine session may have an impact on students' understanding of strategies to prevent burnout and improve future patient care. PMID: 32747965 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Moral Dilemma of a Physician and Mother in the Midst of the COVID-19 Pandemic.
Authors: Rosanel S, Fogel J PMID: 32747966 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Exploring Knowledge, Beliefs, and Attitudes about Teen Pregnancy among Latino Parents in Arkansas.
CONCLUSIONS: Our findings indicate that based on attitudes toward sexual health, interventions should be tailored to certain groups based on children's sex and age and to parents who had children as teens themselves. Educational materials should emphasize the strengths of Latino culture, such as family values and desire for children to attain a college degree and economic stability before bearing children. PMID: 32747967 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Patient and Hospital Characteristics of Newborns with Neonatal Withdrawal Syndrome.
CONCLUSIONS: Since 2000, the number of infants treated for NWS in the US neonatal intensive care units has increased fivefold, accounting for an estimated $1.5 billion in annual hospital expenditures. The high hospital resource usage among NWS neonates raises the possibility that care for expectant mothers who use opiates and their newborns may be able to be delivered in a more efficient and effective manner. Because the majority of the study population was covered by Medicaid programs, state policy makers should be mindful of the impact the opioid crises continue to have on expectant mothers and their infants. PMID: 3...
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Presentation with Anosmia and Ageusia: Possible Hidden Carriers of COVID-19.
Authors: Iran-Pour E, Tavabi AA, Seifi A PMID: 32747969 [PubMed - indexed for MEDLINE] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Association of Renal Clearance with Cerebral White Matter Vascular Disease in Hospitalized Veterans With and Without Delirium.
CONCLUSIONS: The association between stages 2 through 5 of chronic kidney disease and WLM support the role of kidney function as a potential risk factor for WML in older adult military veterans. The Cockcroft-Gault formula is an important renal index of suspected WML and renal stages 2 through 5, superior to the MDRD-6 and MDRD-4, respectively, in association with WML in older adult military veterans. PMID: 32747970 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Social Norms and Self-Management Ability among Uninsured Primary Care Patients.
CONCLUSIONS: The findings of this study suggest the association between social norms and self-management ability and its impact on health among low-income, uninsured primary care patients. Self-management ability is important for maintaining health. Providing intervention programs on self-management skills should focus on not only individual behaviors but also social norms that affect their health behaviors. PMID: 32747971 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Erratum: Effects of Preoperative WBC Count on Post-CABG Surgery Clinical Outcome: Erratum.
Authors: Available N Abstract [This corrects the article on p. 305 in vol. 113.]. PMID: 32747972 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - August 13, 2020 Category: General Medicine Tags: South Med J Source Type: research

Acknowledging and Addressing COVID-19 Health Disparities in the American South.
Authors: Mandelbaum J PMID: 32617588 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Reflections on the Hippocratic Oath and Declaration of Geneva in Light of the COVID-19 Pandemic.
Authors: Packianathan S, Vijayakumar S, Roberts PR, King M PMID: 32617589 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making.
Authors: Engels R, Graziani C, Higgins I, Thompson J, Kaplow R, Vettese TE, Massart A Abstract OBJECTIVES: Code status specifies the action that healthcare providers should take in the event of cardiac arrest. Studies have shown, however, that patients with do-not-resuscitate/do-not-intubate (DNR/DNI) orders have worse outcomes and do not consistently receive the standard of care. Several studies have demonstrated that physicians behave differently toward patients with DNR/DNI orders, but little research exists into whether DNR/DNI status affects the practice of other members of the care team. Our objective was to ...
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making".
Commentary on "Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making". South Med J. 2020 Jul;113(7):337 Authors: Holt GR PMID: 32617591 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

The Minority Doctors We Create.
Authors: Campbell KM, Braxton MM PMID: 32617592 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Who's Flying the Plane?
Authors: Friedlander PL, Doukas DJ, Kahn MJ PMID: 32617593 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Salary Disparities in Academic Urogynecology: Despite Increased Transparency, Men Still Earn More Than Women.
CONCLUSIONS: Salaries are higher for male urogynecologists than female urogynecologists, even when accounting for variables such as academic rank and leadership roles. Physician compensation is complex; the differences observed may be due to variables that are not captured in this study. Nevertheless, the magnitude of disparity found in our study warrants further critical assessment of potential biases within the field. PMID: 32617594 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Early Colectomy Saves Lives in Toxic Megacolon Due to Clostridium difficile Infection.
Authors: Ahmed N, Kuo YH Abstract OBJECTIVE: The purpose of the study was to evaluate whether early colectomy in patients who have toxic megacolon due to Clostridium difficile colitis reduces mortality. METHODS: The study was performed using the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2016. All patients 18 to 89 years of age who underwent colectomy for toxic megacolon resulting from C. difficile colitis were included in the study. Other variables included in the study were patient demography, comorbidities, and outcomes. Patients who underwent colectomy b...
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Earlier Onset of Depression and Suicide Rates.
Authors: Sher L PMID: 32617596 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research

Increased Prevalence in Alzheimer Disease in the Northeast Tennessee Region of the United States.
CONCLUSIONS: Increased prevalence of AD among inhabitants in the NTR and identified barriers to early screening or diagnosis in the management of AD were identified. Access to early screening techniques must be prioritized in deprived areas within the NTR. Healthcare providers and medical professionals in the NTR must be well equipped with the required training and resources to respond adequately to the increasing prevalence of AD. PMID: 32617597 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - July 5, 2020 Category: General Medicine Tags: South Med J Source Type: research