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Journal South Med J

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Value of Troponin in Predicting Hospital Mortality of Older Adult Patients without Suspected Acute Coronary Syndromes.

Zvi Shimoni, Paul Froom, Jochanan Benbassat,

<h4>Objectives</h4>Some authors have recommended troponin measurement to stratify patient mortality risk, but it is unclear whether troponin values add to age and routine admission laboratory tests in the prediction of in-hospital mortality of older adult patients without suspected acute coronary syndrome (ACS). The aim of our study was to determine ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):603-606]

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An Approach to Faculty Development for Underrepresented Minorities in Medicine.

Juan Robles, Tanya Anim, Maria Harsha Wusu, Krys E Foster, Yury Parra, Octavia Amaechi, Kari-Claudia Allen, Jose E Rodríguez, Kendall M Campbell, Dmitry Tumin, Judy Washington,

<h4>Objectives</h4>The diversity of the US physician workforce lags significantly behind the population, and the disparities in academic medicine are even greater, with underrepresented in medicine (URM) physicians accounting for only 6.8% of all US medical school faculty. We describe a "for URM by URM" pilot approach to faculty development for ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):579-582]

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Immune Checkpoint Inhibitor-Related Pulmonary Toxicity: A Comprehensive Review, Part II.

Hazim Bukamur, Akram Alkrekshi, Heather Katz, Mohamed Alsharedi, Yousef R Shweihat, Nancy J Munn,

The development of immune checkpoint inhibitors (ICIs) has changed the treatment paradigm for cancer. The ICIs nivolumab, pembrolizumab, and cemiplimab target programmed cell death protein 1, and durvalumab, avelumab, and atezolizumab target programmed death ligand 1. Ipilimumab targets cytotoxic T lymphocyte-associated antigen-4. Used as monotherapy or in combination, they have ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):614-619]

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Could Clinician Sensitivity to Cultural and Historical Considerations Help Reduce COVID-19 Deaths among Blacks?

David Kountz, Fatima Rodriguez, Veronica Vital, Setu Vora, Ryan Gough, Jessica Seyfried,

South Med J (Southern medical journal)
[2021, 114(9):591-592]

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Best Practices for Survey Use in Medical Education: How to Design, Refine, and Administer High-Quality Surveys.

Tanya Nikiforova, Andrea Carter, Emmanuelle Yecies, Carla L Spagnoletti,

Surveys are a frequently used method to collect data in medical education research. As such, it behooves medical educators involved in scholarly work to understand the best practices in the selection, development, implementation, and reporting of surveys used when conducting research and curriculum development projects. This review article prepares the ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):567-571]

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Association between Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers and Lung Cancer.

Scott A Helgeson, Mark R Waddle, Rebecca C Burnside, Yalew T Debella, Augustine S Lee, Charles D Burger, Zhuo Li, Patrick W Johnson, Neal M Patel,

<h4>Objectives</h4>Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are the most commonly prescribed antihypertensives, with prior studies identifying a possible association between long-term use and increased rates of lung cancer. This study evaluated this potential association in a large population using propensity matching.<h4>Methods</h4>This was a population-based cohort study in ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):607-613]

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Association of Intrinsic Motivating Factors and Joy in Practice: A National Physician Survey.

Matthew Du, Hyo Jung Tak, John D Yoon,

<h4>Objectives</h4>In response to the need to identify positive measures that more accurately describe physician wellness, this study seeks to assess the validity of a novel joy in practice measure using validated physician well-being measures and test its association with certain intrinsic and extrinsic motivators.<h4>Methods</h4>Secondary data analysis using a nationally representative ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):583-590]

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Analysis of the Effects of COVID-19 Mask Mandates on Hospital Resource Consumption and Mortality at the County Level.

Steven G Schauer, Jason F Naylor, Michael D April, Brandon M Carius, Ian L Hudson,

<h4>Objectives</h4>Coronavirus disease 2019 (COVID-19) threatens vulnerable patient populations, resulting in immense pressures at the local, regional, national, and international levels to contain the virus. Laboratory-based studies demonstrate that masks may offer benefit in reducing the spread of droplet-based illnesses, but few data are available to assess mask effects via executive ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):597-602]

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Physicians-in-Training: From Digital Devices to Digital Amnesia.

Ali Seifi, Michelle Rodriguez, Seyedmohammad Jafari,

South Med J (Southern medical journal)
[2021, 114(9):577-578]

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Oxygen Supplementation in COPD Exacerbation with Hypoxia and Hypercapnia: What Does the Evidence Show?

Biplab K Saha, Alyssa Bonnier, Woon H Chong,

South Med J (Southern medical journal)
[2021, 114(9):620-622]

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Early Impacts of the COVID-19 Pandemic on Telehealth Patterns in Primary Care, Mental Health, and Specialty Care Facilities in Texas.

Omolola E Adepoju, Minji Chae, M Femi Ayadi, Omar Matuk-Villazon, Winston Liaw,

<h4>Objectives</h4>Since the onset of the coronavirus disease 2019 (COVID-19) pandemic, many US clinics have shifted some or all of their practice from in-person to virtual visits. In this study, we assessed the use of telehealth among primary care and specialty clinics, by targeting healthcare administrators via multiple channels.<h4>Methods</h4>Using an online ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):593-596]

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Telemetry Overuse and the Effect of Educational and Electronic Health Record-Based Interventions on an Academic Internal Medicine Ward.

Peter Caldwell, Logan Davies, Martin White, P Adam Kelly, Jonathan Orner,

<h4>Objectives</h4>Guidelines for appropriate use of telemetry recommend monitoring for specific patient populations; however, many hospitalized patients receive telemetry monitoring without an indication. Clinical data and outcomes associated with nonindicated monitoring are not well studied. The objectives of our study were to evaluate the impact of an education and an order ... Read more >>

South Med J (Southern medical journal)
[2021, 114(9):572-576]

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COVID-19 Pandemic Origins: Bioweapons and the History of Laboratory Leaks.

Dacre Knight,

South Med J (Southern medical journal)
[2021, 114(8):465-467]

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SMA's 2021 Inaugural Physicians-in-Training Leadership Conference Abstract Presentations.

None Available,

South Med J (Southern medical journal)
[2021, 114(8):]

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Impact of Depressive Symptomology on Pain and Function during Recovery after Total Joint Arthroplasty.

Lauren A Beaupre, Sung H Kang, Gian S Jhangri, Tyson Boettcher, C Allyson Jones,

<h4>Objectives</h4>To determine the effect of preoperative depressive symptoms on patient-reported function and pain following total joint arthroplasty (TJA) after controlling for potential confounding factors; how depressive symptoms changed after TJA; and the impact of postoperative depressive symptoms on recovery.<h4>Methods</h4>A prospective cohort study undertaken in a metropolitan region in Canada enrolled ... Read more >>

South Med J (Southern medical journal)
[2021, 114(8):450-457]

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Commentary on "COVID-19 Pandemic Origins: Bioweapons and the History of Laboratory Leaks".

G Richard Holt,

South Med J (Southern medical journal)
[2021, 114(8):468-469]

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Improving the Quality of Inpatient Discharge Instructions: An Evaluation and Implementation of Best Practices.

Benjamin A Rodwin, Victor P Bilan, Craig G Gunderson, Naseema B Merchant,

<h4>Objectives</h4>Little is known about whether improving the quality of written discharge instructions can result in improved readmission rates and whether there are differences in the quality of discharge instructions based on provider and patient characteristics. We set out to determine provider characteristics associated with high quality discharge instructions and whether ... Read more >>

South Med J (Southern medical journal)
[2021, 114(8):445-449]

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COVID-19 Patient Acceptance to Monoclonal Antibody Infusion: A Single Medical Center Experience.

Angie Ton, Dawn Francis, Leigh Speicher,

South Med J (Southern medical journal)
[2021, 114(8):464]

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Developing a Transitions of Care Elective for Medical Students during the COVID-19 Pandemic and Beyond.

Sherine Salib, Abi Amadin, W Michael Brode, Clarissa Johnston, Snehal Patel, Michael Pignone,

<h4>Objectives</h4>Health care in the United States is costly, fragmented, and often ineffective. Transitions of care (TOC), particularly from the inpatient to the outpatient setting, is an especially complicated time and one that is potentially fraught with errors that contribute to negative outcomes. The coronavirus 2019 pandemic exacerbated many of these ... Read more >>

South Med J (Southern medical journal)
[2021, 114(8):458-463]

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Biopsychosocial Exercise Prescription for Weight Control: A Frontline Perspective.

Joe H Ghorayeb, Martin D Theriault,

South Med J (Southern medical journal)
[2021, 114(7):438-441]

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Physicians' Total Burden of Occupational Stressors: More than Threefold Increased Odds of Burnout.

Prakhar Goyal, Neeti Rustagi, Karen Belkić,

<h4>Objectives</h4>To assess the relation between total job stressor burden and physician burnout, identifying potentially contributory modifiable stressors, using a comprehensive, theory-based instrument created for physicians by physicians.<h4>Methods</h4>From 2018 to 2019, we conducted a cross-sectional study in a public teaching hospital in India. Of 305 clinically active physicians, 293 were reached ... Read more >>

South Med J (Southern medical journal)
[2021, 114(7):409-415]

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Cesarean Delivery Management of Stillbirth: In-Depth Analysis of 75 Cases in a Rural State.

Abigail M Ramseyer, Julie R Whittington, Everett F Magann, Songthip Ounpraseuth, Wendy N Nembhard,

<h4>Objective</h4>To analyze the characteristics surrounding women who underwent cesarean delivery for stillbirth management in the rural, southern US state of Arkansas.<h4>Methods</h4>This was a planned secondary analysis of a retrospective descriptive study evaluating mode of delivery following the stillbirth of singleton pregnancies without anomalies or aneuploidy delivered in our state between ... Read more >>

South Med J (Southern medical journal)
[2021, 114(7):384-387]

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Risk of Silent Myocardial Infarction in Prediabetic Patients: A Case-Control Study in a Veteran Population.

Eknath Naik, Deepa Dongarwar, Fabio Leonelli, Philip Foulis, Paul Leaverton, Christine Le, Deepika Kulkarni, Koushik Reddy, Amy Alman, Phong Ong, Adam Zoble, Hamisu M Salihu,

<h4>Objectives</h4>In the management of cardiovascular disease, it is important to identify patients at risk early on, to provide interventions to prevent the disease and its complications. The goal of our study was to investigate the association between glucose levels and silent myocardial infarction (SMI) among patients, who consisted of veterans ... Read more >>

South Med J (Southern medical journal)
[2021, 114(7):419-423]

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Racial/Ethnic Disparities in the Incidence of Epithelial Ovarian Cancer in Florida by Histology, 2001-2015: Analysis of Trends.

Ashly Westrick, Matthew Schlumbrecht, Paulo Pinheiro, WayWay Hlaing, Erin Kobetz, Daniel Feaster, Raymond Balise,

<h4>Objectives</h4>Because the population in Florida is 25.6% Hispanic, it is possible to evaluate the influence of race and ethnicity within clinically relevant subgroups of women with epithelial ovarian cancer (EOC), including histology and tumor grade. This study explores racial/ethnic disparities in the incidence of EOC in Florida by histology and ... Read more >>

South Med J (Southern medical journal)
[2021, 114(7):395-400]

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Perioperative Resumption of Direct Oral Anticoagulants: Review of the Mayo Clinic Experience.

Joan M Irizarry Alvarado, Emily K Carpenter, Daniela A Haehn, Natalia Chamorro Pareja, Ismael Carrillo-Martin, Pedro Malavet,

<h4>Objective</h4>We aimed to review recommendations for the postoperative resumption of direct oral anticoagulants (DOACs) and report complications 30 days postoperatively.<h4>Methods</h4>We retrospectively reviewed patients receiving DOAC therapy who underwent preoperative evaluations from January 1, 2015 through May 30, 2018. We noted days that DOAC therapy was withheld, postoperative time until resumption ... Read more >>

South Med J (Southern medical journal)
[2021, 114(7):442-444]

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