January 2018, Volume 111 - Issue 1

Dietary and Nutrition Recommendations in Pediatric Primary Care: A Call to Action

Sayward E. Harrison, PhD, Deborah Greenhouse, MD

Abstract: Abstract: Rapid increases in childhood obesity reflect widespread changes in diet and physical activity, which are of significant concern because obesity increases a child’s risk for negative health outcomes and frequently creates a pathway to adult obesity. Diet and...

(pp 12-17)

E-Cigarette Toxicity?

Gulay Tegin, MD, Hema Madhuri Mekala, MD, Simrat Kaur Sarai, MD, Steven Lippmann, MD

Abstract: Abstract: Tobacco smoking is the most preventable cause of morbidity and mortality. In just a few short years, electronic cigarettes (e-cigarettes) have become increasingly popular, especially for younger individuals. Many people believe that e-cigarettes are safe. The...

(pp 35-38)

Getting it RITE: Impact of a Dedicated Hospital Medicine Curriculum for Residents

Doris Lin, MD, MS, Chirayu Shah, MD, MEd, Steffanie Campbell, MD, Jeffrey T. Bates, MD, Erica Lescinskas, MD

Abstract: Objective: The goal of this study was to improve resident confidence in inpatient care and knowledge in hospital medicine topics with a newly developed rotation and curriculum called the Resident Inpatient Training Experience. Methods: This study was a prospective...

(pp 30-34)

Femorofemoral Crossover Bypass Graft Has Excellent Patency When Performed with EVAR for AAA with UIOD

Akinfemi A. Akingboye, MBBS, MD(Res), Bijendra Patel, MBBS, MS, Frank W. Cross, MBBS, MS

Abstract: Objectives: To compare the durability of the crossover femorofemoral bypass graft (CFFBG) in combination with aorto-uni-iliac stent graft (AUIS) for abdominal aortic aneurysm with the durability of CFFBG used in the treatment of unilateral iliac occlusive disease (UIOD)....

(pp 56-63)

A Brief Drug Class Review: Considerations for Statin Use, Toxicity, and Drug Interactions

James M. Wooten, PharmD

Abstract: Abstract: For approximately 30 years, statins have been effectively used to control cholesterol, thereby reducing the morbidity and mortality associated with cardiovascular disease. Evidence-based recommendations regarding how these drugs are dosed and used have changed...

(pp 39-44)

Association Between Perceived Discrimination and Emergency Department Use Among Safety-Net Patients in the Southwestern United States

Kimberly R. Enard, PhD, Lucinda Nevarez, PhD, LMSW, Deborah M. Ganelin, MHA

Abstract: Objectives: Patients’ perceptions of how they are treated in their interactions with the healthcare system represent important and valid measures of healthcare quality that may influence health utilization, outcomes, and costs. Perceived discrimination or the sense of...

(pp 1-7)

Eradication Rate of Helicobacter pylori on the US–Mexico Border Using the Urea Breath Test

Roy P. Liu, MD, Roberta Romero, DNP, Jerzy Sarosiek, MD, Christopher Dodoo, MS, Alok K. Dwivedi, PhD, Marc J. Zuckerman, MD

Abstract: Objectives: Helicobacter pylori is prevalent worldwide, especially in Latin America. Triple and quadruple antibiotic therapies have been relatively effective; however, resistance has emerged in recent years. The treatment success rate of these regimens on the border of the...

(pp 51-55)

Comprehension of Pelvic Organ Prolapse and Urinary Incontinence in Southern Appalachian Women

Danielle Hobdy, MD, R. Keith Huffaker, MD, Beth Bailey, PhD

Abstract: Objectives: Despite their growing prevalence, pelvic floor disorders (PFDs) remain undertreated and not well understood by patients, with treatment disparities noted in specific subgroups of women. The goal of the present study was to determine the basic understanding of...

(pp 18-22)

Associations of Prepregnancy Morbid Obesity and Prenatal Depression with Gestational Weight Gain

Hema Chagarlamudi, MPH, MHS, Juhee Kim, ScD, MS, Edward Newton, MD

Abstract: Objectives: Pregnancy outcomes and infant growth and development are influenced by various prenatal and postnatal factors. Gestational weight gain (GWG) is an important indicator of pregnancy management and outcomes. Information about the interaction between prenatal...

(pp 23-29)

Measuring Adherence to Hepatitis C Direct-Acting Antiviral Medications: Using the VAS in an HCV Treatment Clinic

Mary Jane Burton, MD, Andrew C. Voluse, PhD, Amee B. Patel, PhD, Deborah Konkle-Parker, PhD

Abstract: Objectives: To implement the widespread treatment of hepatitis C virus (HCV), validated self-report measures to assess medication adherence are needed for monitoring patients who are prescribed HCV direct-acting antivirals (DAAs). The Visual Analog Scale (VAS) is an...

(pp 45-50)

Helmets Matter: Kentucky Motorcycle Crash Victims Seen at a Tennessee Trauma Center

George M. Testerman, MD, Daniel C. Prior, DO, Tamie D. Wells, MS4, William C. Sumner, MS4, Jeffrey T. Johnston, MD, Sarah E. Rollins, MD, Jeremy M. Meyer, MD

Abstract: Objectives: Motorcycle helmet laws vary by state, with Kentucky requiring helmets only for younger riders. We hypothesized that motorcyclists injured in Kentucky and seen at a Tennessee trauma center would be more likely to be unhelmeted, have more severe head injuries, and...

(pp 8-11)

Multidisciplinary Perioperative Management of Pulmonary Arterial Hypertension in Patients Undergoing Noncardiac Surgery

José L. Díaz-Gómez, MD, Juan G. Ripoll, MD, Isabel Mira-Avendano, MD, John E. Moss, MD, Gavin D. Divertie, MD, Ryan D. Frank, MS, Charles D. Burger, MD

Abstract: Objectives: To describe the effect of implementing a contemporary perioperative pulmonary hypertension (PH)–targeted protocol in patients with pulmonary arterial hypertension (PAH) undergoing noncardiac surgery (NCS). Methods: The data of consecutive patients with PAH...

(pp 64-73)