Suicide Simulation in Primary Care
CONCLUSIONS: Practicing this crucial but somewhat rare primary care mental health emergency for all interns was possible when structured monthly. Feedback was extremely positive, with learners' feeling more prepared postsimulation. Our simulation experience also allows supervisors to assess intern's individual abilities to communicate in a difficult patient scenario which is an important physician competency as defined by the Accreditation Council for Graduate Medical Education.PMID:33655304 | DOI:10.14423/SMJ.0000000000001217 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Candice Dye Sai Krishna Surapa Raju Abigail Dy Stacy L Gaither Nancy M Tofil Source Type: research

How Does Black History Help Doctors? Addressing Cultural Competency through Cinemeducation at a Diverse Medical School
CONCLUSIONS: These findings suggest that brief videos focused on the history of culturally distinct populations may be a successful pedagogical strategy to introduce physicians to the communities they serve and improve provider knowledge.PMID:33655305 | DOI:10.14423/SMJ.0000000000001225 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Sonjia Kenya BreAnne Young Janielle Taylor Olveen Carrasquillo Erin Marcus Joan St Onge Source Type: research

Loss of Meaning at Work Associated with Burnout Risk in Academic Medicine
CONCLUSIONS: Work-related burnout was inversely proportional to reported meaning at work in an academic medical center.PMID:33655306 | DOI:10.14423/SMJ.0000000000001220 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Erick Messias Victoria Flynn Molly Gathright Carol Thrush Timothy Atkinson Puru Thapa Source Type: research

Epidemiology, Clinical Features, and Outcomes of Hospitalized Adults with COVID-19: Early Experience from an Academic Medical Center in Mississippi
CONCLUSIONS: Our study adds evidence that Black patients appear to be overrepresented in those hospitalized with and those who die from COVID-19, likely a manifestation of adverse social determinants of health. These findings should help guide preventive interventions targeting groups at higher risk of acquiring and developing severe COVID-19 disease.PMID:33655307 | PMC:PMC7904045 | DOI:10.14423/SMJ.0000000000001222 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Jose Lucar Mary Joyce B Wingler David A Cretella Lori M Ward Courtney E Sims Gomillia Nicholas Chamberlain Luis A Shimose James B Brock Jessie Harvey Andrew Wilhelm Lance T Majors Joshua B Jeter Maria X Bueno Svenja Albrecht Bhagyashri Navalkele Leandro A Source Type: research

Pregnancy Risk Screening and Counseling for Women Veterans: Piloting the One Key Question in the Veterans Healthcare Administration
CONCLUSIONS: Veterans identify reproductive needs via the OKQ screening tool, but provider documentation did not reflect changes in care following training. Further study is necessary to develop an optimal, patient-centered tool and implementation plan to support women veterans in their reproductive goals.PMID:33655308 | DOI:10.14423/SMJ.0000000000001218 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Lori M Gawron Sara Simonsen Morgan M Millar Jessica Lewis-Caporal Shardool Patel Rebecca G Simmons Source Type: research

Bedside Manner 2020: An Inventory of Best Practices
This article assembles an inventory of best bedside practices for inpatient care. Eight best bedside practices were identified by reviewing the literature, collecting the personal experiences of the authors, and consulting a group of attendings whom the authors regarded as exemplary clinicians. This inventory is presented with the goal of expanding clinicians' repertoire of best practices and encouraging explicit teaching of these practices to optimize care.PMID:33655309 | DOI:10.14423/SMJ.0000000000001216 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Sami Abuqayyas Christopher Yurosko Ambreen Ali Christopher Rymer James K Stoller Source Type: research

Esophageal Cancer: An Updated Review
South Med J. 2021 Mar;114(3):161-168. doi: 10.14423/SMJ.0000000000001226.ABSTRACTThe incidence of esophageal cancer (EC) is on the rise. With the distinct subtypes of adenocarcinoma and squamous cell carcinoma comes specific risk factors, and as a result, people of certain regions of the world can be more prone to a subtype. For example, squamous cell carcinoma of the esophagus has the highest incidence in eastern Africa and eastern Asia, with smoking being a major risk factor, whereas adenocarcinoma is more prevalent in North America and western Europe, with gastroesophageal reflux disease being a leading risk factor. Wit...
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Michael DiSiena Alexander Perelman John Birk Houman Rezaizadeh Source Type: research

Alpha-Gal Allergy as a Cause of Intestinal Symptoms in a Gastroenterology Community Practice
CONCLUSIONS: Clinicians practicing in the region of the Lone Star tick habitat need to be aware that patients with IgE to alpha-gal can manifest with isolated abdominal pain and diarrhea, and these patients respond well to dietary exclusion of mammalian products.PMID:33655311 | DOI:10.14423/SMJ.0000000000001223 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Nathan E Richards Robert D Richards Source Type: research

Sex Differences in Stroke Hospitalization Incidence, 30-Day Mortality, and Readmission in a Regional Medical Center in the Southwestern United States
CONCLUSIONS: Men experienced higher stroke hospitalization incidence, although women exhibited higher 30-day mortality. Age composition explained sex differences in mortality, but higher male stroke hospitalization incidence represents a larger public health issue that suggests the need for behavioral change at the population level. No meaningful sex differences emerged in treatment, mortality, or readmission.PMID:33655312 | DOI:10.14423/SMJ.0000000000001221 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Jeff A Dennis Yan Zhang Fangyuan Zhang Noah De La Cruz Greg Hannabas Nan Mi Source Type: research

Effects of Norepinephrine Infusion on Cutaneous Surface Temperatures of the Distal Extremities
CONCLUSIONS: Norepinephrine use was associated with greater core-to-fingertip temperature gradients and were more pronounced in the toes compared with the fingers.PMID:33655313 | DOI:10.14423/SMJ.0000000000001219 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Keitaro Nakamoto Paulina R Skaff Brian H McCully Todd W Gress Farid B Mozaffari David A Denning Source Type: research

Tale of the Frail: Understanding Frailty in Cirrhosis
South Med J. 2021 Mar;114(3):186-191. doi: 10.14423/SMJ.0000000000001224.ABSTRACTFrailty is a dynamic condition that results in increased vulnerability to health stressors. Often associated with older adults, frailty is not limited to the geriatric population, although aging and disease burden often go hand in hand. This syndrome is recognized increasingly as an important factor in healthcare costs, rate of adverse outcomes, and overall resource utilization. Frailty may be reversible to a degree, and thus appropriate recognition affords a focus for efficient intervention. Notably, frailty is becoming increasingly relevant ...
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Faruq Pradhan Natasha Narang Michael Fallon Source Type: research

Point-of-Care Ultrasound for Posterior Shoulder Dislocation: A Better Standard than X-Ray?
South Med J. 2021 Mar;114(3):192. doi: 10.14423/SMJ.0000000000001215.NO ABSTRACTPMID:33655315 | DOI:10.14423/SMJ.0000000000001215 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Wen Cheng Huang Karen Chia Wen Chu Yuan-Pin Hsu Source Type: research

Suicide Simulation in Primary Care
CONCLUSIONS: Practicing this crucial but somewhat rare primary care mental health emergency for all interns was possible when structured monthly. Feedback was extremely positive, with learners' feeling more prepared postsimulation. Our simulation experience also allows supervisors to assess intern's individual abilities to communicate in a difficult patient scenario which is an important physician competency as defined by the Accreditation Council for Graduate Medical Education.PMID:33655304 | DOI:10.14423/SMJ.0000000000001217 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Candice Dye Sai Krishna Surapa Raju Abigail Dy Stacy L Gaither Nancy M Tofil Source Type: research

How Does Black History Help Doctors? Addressing Cultural Competency through Cinemeducation at a Diverse Medical School
CONCLUSIONS: These findings suggest that brief videos focused on the history of culturally distinct populations may be a successful pedagogical strategy to introduce physicians to the communities they serve and improve provider knowledge.PMID:33655305 | DOI:10.14423/SMJ.0000000000001225 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Sonjia Kenya BreAnne Young Janielle Taylor Olveen Carrasquillo Erin Marcus Joan St Onge Source Type: research

Loss of Meaning at Work Associated with Burnout Risk in Academic Medicine
CONCLUSIONS: Work-related burnout was inversely proportional to reported meaning at work in an academic medical center.PMID:33655306 | DOI:10.14423/SMJ.0000000000001220 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Erick Messias Victoria Flynn Molly Gathright Carol Thrush Timothy Atkinson Puru Thapa Source Type: research

Epidemiology, Clinical Features, and Outcomes of Hospitalized Adults with COVID-19: Early Experience from an Academic Medical Center in Mississippi
CONCLUSIONS: Our study adds evidence that Black patients appear to be overrepresented in those hospitalized with and those who die from COVID-19, likely a manifestation of adverse social determinants of health. These findings should help guide preventive interventions targeting groups at higher risk of acquiring and developing severe COVID-19 disease.PMID:33655307 | DOI:10.14423/SMJ.0000000000001222 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Jose Lucar Mary Joyce B Wingler David A Cretella Lori M Ward Courtney E Sims Gomillia Nicholas Chamberlain Luis A Shimose James B Brock Jessie Harvey Andrew Wilhelm Lance T Majors Joshua B Jeter Maria X Bueno Svenja Albrecht Bhagyashri Navalkele Leandro A Source Type: research

Pregnancy Risk Screening and Counseling for Women Veterans: Piloting the One Key Question in the Veterans Healthcare Administration
CONCLUSIONS: Veterans identify reproductive needs via the OKQ screening tool, but provider documentation did not reflect changes in care following training. Further study is necessary to develop an optimal, patient-centered tool and implementation plan to support women veterans in their reproductive goals.PMID:33655308 | DOI:10.14423/SMJ.0000000000001218 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Lori M Gawron Sara Simonsen Morgan M Millar Jessica Lewis-Caporal Shardool Patel Rebecca G Simmons Source Type: research

Bedside Manner 2020: An Inventory of Best Practices
This article assembles an inventory of best bedside practices for inpatient care. Eight best bedside practices were identified by reviewing the literature, collecting the personal experiences of the authors, and consulting a group of attendings whom the authors regarded as exemplary clinicians. This inventory is presented with the goal of expanding clinicians' repertoire of best practices and encouraging explicit teaching of these practices to optimize care.PMID:33655309 | DOI:10.14423/SMJ.0000000000001216 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Sami Abuqayyas Christopher Yurosko Ambreen Ali Christopher Rymer James K Stoller Source Type: research

Esophageal Cancer: An Updated Review
South Med J. 2021 Mar;114(3):161-168. doi: 10.14423/SMJ.0000000000001226.ABSTRACTThe incidence of esophageal cancer (EC) is on the rise. With the distinct subtypes of adenocarcinoma and squamous cell carcinoma comes specific risk factors, and as a result, people of certain regions of the world can be more prone to a subtype. For example, squamous cell carcinoma of the esophagus has the highest incidence in eastern Africa and eastern Asia, with smoking being a major risk factor, whereas adenocarcinoma is more prevalent in North America and western Europe, with gastroesophageal reflux disease being a leading risk factor. Wit...
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Michael DiSiena Alexander Perelman John Birk Houman Rezaizadeh Source Type: research

Alpha-Gal Allergy as a Cause of Intestinal Symptoms in a Gastroenterology Community Practice
CONCLUSIONS: Clinicians practicing in the region of the Lone Star tick habitat need to be aware that patients with IgE to alpha-gal can manifest with isolated abdominal pain and diarrhea, and these patients respond well to dietary exclusion of mammalian products.PMID:33655311 | DOI:10.14423/SMJ.0000000000001223 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Nathan E Richards Robert D Richards Source Type: research

Sex Differences in Stroke Hospitalization Incidence, 30-Day Mortality, and Readmission in a Regional Medical Center in the Southwestern United States
CONCLUSIONS: Men experienced higher stroke hospitalization incidence, although women exhibited higher 30-day mortality. Age composition explained sex differences in mortality, but higher male stroke hospitalization incidence represents a larger public health issue that suggests the need for behavioral change at the population level. No meaningful sex differences emerged in treatment, mortality, or readmission.PMID:33655312 | DOI:10.14423/SMJ.0000000000001221 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Jeff A Dennis Yan Zhang Fangyuan Zhang Noah De La Cruz Greg Hannabas Nan Mi Source Type: research

Effects of Norepinephrine Infusion on Cutaneous Surface Temperatures of the Distal Extremities
CONCLUSIONS: Norepinephrine use was associated with greater core-to-fingertip temperature gradients and were more pronounced in the toes compared with the fingers.PMID:33655313 | DOI:10.14423/SMJ.0000000000001219 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Keitaro Nakamoto Paulina R Skaff Brian H McCully Todd W Gress Farid B Mozaffari David A Denning Source Type: research

Tale of the Frail: Understanding Frailty in Cirrhosis
South Med J. 2021 Mar;114(3):186-191. doi: 10.14423/SMJ.0000000000001224.ABSTRACTFrailty is a dynamic condition that results in increased vulnerability to health stressors. Often associated with older adults, frailty is not limited to the geriatric population, although aging and disease burden often go hand in hand. This syndrome is recognized increasingly as an important factor in healthcare costs, rate of adverse outcomes, and overall resource utilization. Frailty may be reversible to a degree, and thus appropriate recognition affords a focus for efficient intervention. Notably, frailty is becoming increasingly relevant ...
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Faruq Pradhan Natasha Narang Michael Fallon Source Type: research

Point-of-Care Ultrasound for Posterior Shoulder Dislocation: A Better Standard than X-Ray?
South Med J. 2021 Mar;114(3):192. doi: 10.14423/SMJ.0000000000001215.NO ABSTRACTPMID:33655315 | DOI:10.14423/SMJ.0000000000001215 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Wen Cheng Huang Karen Chia Wen Chu Yuan-Pin Hsu Source Type: research

Suicide Simulation in Primary Care
CONCLUSIONS: Practicing this crucial but somewhat rare primary care mental health emergency for all interns was possible when structured monthly. Feedback was extremely positive, with learners' feeling more prepared postsimulation. Our simulation experience also allows supervisors to assess intern's individual abilities to communicate in a difficult patient scenario which is an important physician competency as defined by the Accreditation Council for Graduate Medical Education.PMID:33655304 | DOI:10.14423/SMJ.0000000000001217 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Candice Dye Sai Krishna Surapa Raju Abigail Dy Stacy L Gaither Nancy M Tofil Source Type: research

How Does Black History Help Doctors? Addressing Cultural Competency through Cinemeducation at a Diverse Medical School
CONCLUSIONS: These findings suggest that brief videos focused on the history of culturally distinct populations may be a successful pedagogical strategy to introduce physicians to the communities they serve and improve provider knowledge.PMID:33655305 | DOI:10.14423/SMJ.0000000000001225 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Sonjia Kenya BreAnne Young Janielle Taylor Olveen Carrasquillo Erin Marcus Joan St Onge Source Type: research

Loss of Meaning at Work Associated with Burnout Risk in Academic Medicine
CONCLUSIONS: Work-related burnout was inversely proportional to reported meaning at work in an academic medical center.PMID:33655306 | DOI:10.14423/SMJ.0000000000001220 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Erick Messias Victoria Flynn Molly Gathright Carol Thrush Timothy Atkinson Puru Thapa Source Type: research

Epidemiology, Clinical Features, and Outcomes of Hospitalized Adults with COVID-19: Early Experience from an Academic Medical Center in Mississippi
CONCLUSIONS: Our study adds evidence that Black patients appear to be overrepresented in those hospitalized with and those who die from COVID-19, likely a manifestation of adverse social determinants of health. These findings should help guide preventive interventions targeting groups at higher risk of acquiring and developing severe COVID-19 disease.PMID:33655307 | DOI:10.14423/SMJ.0000000000001222 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Jose Lucar Mary Joyce B Wingler David A Cretella Lori M Ward Courtney E Sims Gomillia Nicholas Chamberlain Luis A Shimose James B Brock Jessie Harvey Andrew Wilhelm Lance T Majors Joshua B Jeter Maria X Bueno Svenja Albrecht Bhagyashri Navalkele Leandro A Source Type: research

Pregnancy Risk Screening and Counseling for Women Veterans: Piloting the One Key Question in the Veterans Healthcare Administration
CONCLUSIONS: Veterans identify reproductive needs via the OKQ screening tool, but provider documentation did not reflect changes in care following training. Further study is necessary to develop an optimal, patient-centered tool and implementation plan to support women veterans in their reproductive goals.PMID:33655308 | DOI:10.14423/SMJ.0000000000001218 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Lori M Gawron Sara Simonsen Morgan M Millar Jessica Lewis-Caporal Shardool Patel Rebecca G Simmons Source Type: research

Bedside Manner 2020: An Inventory of Best Practices
This article assembles an inventory of best bedside practices for inpatient care. Eight best bedside practices were identified by reviewing the literature, collecting the personal experiences of the authors, and consulting a group of attendings whom the authors regarded as exemplary clinicians. This inventory is presented with the goal of expanding clinicians' repertoire of best practices and encouraging explicit teaching of these practices to optimize care.PMID:33655309 | DOI:10.14423/SMJ.0000000000001216 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Sami Abuqayyas Christopher Yurosko Ambreen Ali Christopher Rymer James K Stoller Source Type: research

Esophageal Cancer: An Updated Review
South Med J. 2021 Mar;114(3):161-168. doi: 10.14423/SMJ.0000000000001226.ABSTRACTThe incidence of esophageal cancer (EC) is on the rise. With the distinct subtypes of adenocarcinoma and squamous cell carcinoma comes specific risk factors, and as a result, people of certain regions of the world can be more prone to a subtype. For example, squamous cell carcinoma of the esophagus has the highest incidence in eastern Africa and eastern Asia, with smoking being a major risk factor, whereas adenocarcinoma is more prevalent in North America and western Europe, with gastroesophageal reflux disease being a leading risk factor. Wit...
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Michael DiSiena Alexander Perelman John Birk Houman Rezaizadeh Source Type: research

Alpha-Gal Allergy as a Cause of Intestinal Symptoms in a Gastroenterology Community Practice
CONCLUSIONS: Clinicians practicing in the region of the Lone Star tick habitat need to be aware that patients with IgE to alpha-gal can manifest with isolated abdominal pain and diarrhea, and these patients respond well to dietary exclusion of mammalian products.PMID:33655311 | DOI:10.14423/SMJ.0000000000001223 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Nathan E Richards Robert D Richards Source Type: research

Sex Differences in Stroke Hospitalization Incidence, 30-Day Mortality, and Readmission in a Regional Medical Center in the Southwestern United States
CONCLUSIONS: Men experienced higher stroke hospitalization incidence, although women exhibited higher 30-day mortality. Age composition explained sex differences in mortality, but higher male stroke hospitalization incidence represents a larger public health issue that suggests the need for behavioral change at the population level. No meaningful sex differences emerged in treatment, mortality, or readmission.PMID:33655312 | DOI:10.14423/SMJ.0000000000001221 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Jeff A Dennis Yan Zhang Fangyuan Zhang Noah De La Cruz Greg Hannabas Nan Mi Source Type: research

Effects of Norepinephrine Infusion on Cutaneous Surface Temperatures of the Distal Extremities
CONCLUSIONS: Norepinephrine use was associated with greater core-to-fingertip temperature gradients and were more pronounced in the toes compared with the fingers.PMID:33655313 | DOI:10.14423/SMJ.0000000000001219 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Keitaro Nakamoto Paulina R Skaff Brian H McCully Todd W Gress Farid B Mozaffari David A Denning Source Type: research

Tale of the Frail: Understanding Frailty in Cirrhosis
South Med J. 2021 Mar;114(3):186-191. doi: 10.14423/SMJ.0000000000001224.ABSTRACTFrailty is a dynamic condition that results in increased vulnerability to health stressors. Often associated with older adults, frailty is not limited to the geriatric population, although aging and disease burden often go hand in hand. This syndrome is recognized increasingly as an important factor in healthcare costs, rate of adverse outcomes, and overall resource utilization. Frailty may be reversible to a degree, and thus appropriate recognition affords a focus for efficient intervention. Notably, frailty is becoming increasingly relevant ...
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Faruq Pradhan Natasha Narang Michael Fallon Source Type: research

Point-of-Care Ultrasound for Posterior Shoulder Dislocation: A Better Standard than X-Ray?
South Med J. 2021 Mar;114(3):192. doi: 10.14423/SMJ.0000000000001215.NO ABSTRACTPMID:33655315 | DOI:10.14423/SMJ.0000000000001215 (Source: Southern Medical Journal)
Source: Southern Medical Journal - March 3, 2021 Category: General Medicine Authors: Wen Cheng Huang Karen Chia Wen Chu Yuan-Pin Hsu Source Type: research

Percentage of Black Population and Primary Care Shortage Areas Associated with Higher COVID-19 Case and Death Rates in Georgia Counties.
Authors: Baltrus PT, Douglas M, Li C, Caplan LS, Blount M, Mack D, Gaglioti AH Abstract OBJECTIVES: We hypothesized that the proportion of Black individuals in a county would be associated with higher rates of coronavirus disease 2019 (COVID-19) cases and deaths, even after accounting for other high-risk socioecologic factors such as poverty, population density, and household crowding, and uninsured rates. We also expected that counties designated as primary care health professional shortage areas (PCHPSAs) would be associated with higher COVID-19 death rates, and the lack of primary care access would exacerbate ra...
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Attended Automated Office Blood Pressure Measurement Versus Ambulatory Blood Pressure Monitoring in a Primary Healthcare Setting in Chile.
CONCLUSIONS: Attended AOBP alone may not be sufficient for adequate classification, diagnosis, and management of hypertension in Chile or other countries with similar demographics. PMID: 33537784 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Changes in For-Profit Medication-Assisted Therapy Clinics in an Appalachian City.
CONCLUSIONS: The concept of tapering buprenorphine during pregnancy appears to have become a standard of care for this community, as representatives state it is offered at all of the clinics that were contacted. Representatives from three clinics stated the clinics require tapering, even though national organizations such as the American College of Obstetricians and Gynecologists and the American Society of Addiction Medicine do not recommend this approach. Although patients who have government or other insurance are now able to obtain buprenorphine with no expense at numerous clinics, the high cost for uninsured patients ...
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Young Adult Males' Perspectives of Male Hormonal Contraception.
Authors: Sax MR, Hurley EG, Rossi RA, Thakore S, Hasija A, Sroga-Rios J Abstract OBJECTIVE: To evaluate the willingness of young adult males to use male hormonal contraception and to determine the most desirable formulation. METHODS: An institutional review board-approved survey measuring the willingness to use MHC was dispersed to two distinct populations: University of Cincinnati postgraduate programs and Cincinnati Health Department clinics. Questions on the survey allowed for the collection of demographic characteristics, as well as the preferred method of MHC, and concerns regarding potential adverse effec...
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Improving Fecal Immunochemical Testing Rates for Colon Cancer Screening in the Outpatient Setting.
Authors: Hussain W, Aurand W, Onuorah N, Krstevski G, Markert R, Springer K, Agrawal S Abstract OBJECTIVES: The amount of colorectal cancer (CRC) screening using the noninvasive fecal immunochemical test (FIT) at a federally qualified health center, Five Rivers Health Clinic (Dayton, Ohio), has been low historically. Our quality improvement (QI) project aimed to improve CRC screening adherence in eligible patients who opted for FIT. METHODS: Three hundred ninety-two patients with FIT orders for CRC were screened during an 11-month period. The preintervention group (pre-I) was enrolled from December 1, 2018 to M...
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Psychiatric Comorbidity and Associated Professional Mental Health Utilization among Students in Recovery from Addiction in Southern Collegiate Recovery Communities.
CONCLUSIONS: This pilot study suggests that a significant number of students in southern CRCs have additional psychiatric problems that require professional mental health services. PMID: 33537788 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

High Prevalence of Diabetes Mellitus and Mental Illness Among Victims of Sudden Death.
CONCLUSIONS: DM is a common comorbid condition in sudden death victims. Among victims, mental illness is associated with the control of DM. Early management of comorbid mental illnesses may improve the care of patients with DM and reduce the incidence of sudden death. PMID: 33537789 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Maternity Units in Rural Hospitals in North Carolina: Successful Models for Staffing and Structure.
CONCLUSIONS: Innovative staffing models, including family physicians, nurse midwives, and nurse anesthetists, are critical for the survival of rural hospitals that provide vital maternity services in underserved areas. PMID: 33537790 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Systematic Review and Meta-Analysis: Preoperative Vedolizumab and Postoperative Complications in Patients with IBD.
CONCLUSIONS: Preoperative treatment with vedolizumab in patients with IBD undergoing abdominal surgery is not associated with increases in overall or infectious postoperative complications compared with preoperative anti-TNF-α treatment and no preoperative biologic treatment. Large, prospective studies are needed to further assess the impact of preoperative vedolizumab treatment on postoperative complications, particularly with respect to IBD subtype. PMID: 33537791 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Using a Resident-Led School Outreach Program to Improve Knowledge of All-Terrain Vehicle Safety.
CONCLUSIONS: The STARs program dramatically improved short-term ATV safety knowledge, and many participants reported they were likely to subsequently use the safe practices presented. School-based programs, such as STARs, may help increase ATV safety awareness and change behaviors in high-risk age groups. This training may be successfully provided by various motivated individuals, including medical residents. PMID: 33537792 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Supporting Trainees by Addressing Inappropriate Behaviors by Patients.
CONCLUSIONS: Our study highlights that macro- and microaggressions by patients toward IM residents are common. Curricula are needed to equip trainees with tools to appropriately respond during such encounters. PMID: 33537793 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Integrating Women's Health Education into the Internal Medicine Residency Program Curriculum.
CONCLUSIONS: Our study highlighted significant gaps in our WH curriculum. Based on our findings, we redesigned our educational and experiential WH curriculum to augment knowledge, comfort, perceived importance of, and exposure to areas of need. Enhancing education and increasing clinical exposure to fundamental WH issues will promote higher quality care for women patients. PMID: 33537794 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Nutrition Education in Family Medicine Residency Training.
Authors: Sykes JC, Eniola K, Shirley J, Mullis K PMID: 33537795 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research

Recovering Critical Curriculum: Hypothesis-Driven Physical Examination as a Method to Increase Clinical Skills Teaching When Bedside Teaching Remains Limited.
Authors: Cunningham JM, Adams JE PMID: 33537796 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - February 6, 2021 Category: General Medicine Tags: South Med J Source Type: research