SMJ // March 2018, Volume 111 - Issue 3

Invited Commentary

Commentary on “Awareness and Knowledge Among Internal Medicine Resident Trainees for Dose Adjustment of Analgesics and Neuropsychotropic Medications in CKD”

Research highlights that there is a need to reinforce nephrology-specific education in medical trainees.1 Similar to many internal medicine subspecialties, nephrology continues to evolve with respect to the treatment and management of complex patients—in this case, those who have reduced renal function and chronic kidney disease (CKD).

Perspectives

The Inaccuracy of Accuracy

When Sharon and I learned that she was pregnant with our first child, everything was new and exciting. With this development came our first real experiences as a patient and as a patient’s spouse, and with that, came the testing, including first-trimester screening for trisomy 21 (Down syndrome). Sharon had…

Invited Commentary

Commentary on “Prevalence of HCV Infection in Adults with Congenital Heart Disease and Treatment with Direct Antiviral Agents”

Advances in heart surgery in the past 50 years have provided a high level of survival in children born with congenital heart defects. The estimated number of adults living with repaired, unrepaired, or as-yet-unrecognized congenital heart defects exceeds 1.4 million.1

Original Article

Prevalence of HCV Infection in Adults with Congenital Heart Disease and Treatment with Direct Antiviral Agents

Objectives: Hepatitis C virus (HCV) infection affects >3% of the US population, which over time can lead to cirrhosis and hepatocellular carcinoma. The lack of a reliable screening method for HCV before 1992 resulted in a higher prevalence of the virus in adults with congenital heart disease who underwent corrective…

Perspectives

Standardized Hypertension Management to Reduce Cardiovascular Disease Morbidity and Mortality Worldwide

Cardiovascular diseases (CVDs) are the leading cause of death globally. In 2013, CVDs were responsible for approximately 17 million deaths worldwide (32%), with >75% occurring in low- and middle-income countries (LMICs).1

Original Article

Awareness and Knowledge Among Internal Medicine Resident Trainees for Dose Adjustment of Analgesics and Neuropsychotropic Medications in CKD

Objectives: Errors in drug dosing lead to poor patient outcomes and are common in patients with chronic kidney disease (CKD). Because the majority of patients with CKD are being treated by physicians specializing in internal medicine, we studied the awareness and knowledge that internal medicine resident trainees (IMRTs) have regarding…

Original Article

Association of the Length of the Third Stage of Labor and Blood Loss Following Vaginal Delivery

Objectives: The length of the third stage of labor is correlated with blood loss following a vaginal delivery. We aimed to accurately measure blood loss following a vaginal delivery and examine the relation between blood loss and length of the third stage of labor. Methods: This was a prospective observational…

Original Article

Endobronchial Lesions in Patients Presenting with Hemoptysis

Objectives: The aim of this study was to determine the incidence of endobronchial lesions in patients presenting with hemoptysis. We also aimed to characterize features that would predict whether bronchoscopy would be useful. Methods: A retrospective chart review was conducted on 185 consecutive patients who presented with hemoptysis from January…

Original Article

Delayed Emergence in Pediatric Patients with Neurologic Disease Presenting for Ambulatory Surgery

Objectives: Management of pediatric patients with neurological diagnoses can be challenging for anesthesiologists. We sought to determine whether preexisting neurologic disease could serve as an intrinsic risk factor for prolonged emergence. Methods: Following institutional review board approval, we conducted a database search from 2012 to 2015. Included were patients aged…

Original Article

Women’s Health Curriculum for Medical Students

Objectives: Knowledge of women’s health is important for physicians in various specialties, but training often is inadequate. The objective of this project was to develop, implement, and evaluate a women’s health curriculum for medical students at the University of Florida College of Medicine in Gainesville. Methods: After reviewing previous pertinent…

Original Article

Risk-Reducing Salpingectomy Versus Standard Tubal Sterilization: Lessons From Offering Women Options for Interval Sterilization

Objectives: In women receiving sterilization, the removal of the entire fallopian tube, a procedure referred to as a risk-reducing salpingectomy (RRS), reduces subsequent ovarian cancer risk compared with standard tubal sterilization procedures. There are limited data on which surgical procedure women will choose when educated about the benefits of an…

Letter to the Editor

Video Decision Aids in End-of-Life Care: Is There a Role with Older Adult Patients?

To the Editor: Advance care planning (ACP) is a process that enables patients to make decisions about their future endof-life (EOL) care and provide directions to healthcare providers (HCPs) when a person is not in a position to communicate his or her own wishes. For the older adult with multiple…

Review Article

Diverticular Disease: The Old, the New, and the Ever-Changing View

Our understanding of diverticular disease has evolved significantly during the last 25 years, and as such, a reexamination is in order. We performed a literature search for the years 1960–2017 of PubMed, Medline, and Google Scholar for updates regarding the epidemiology, risk factors, and therapies for traditional diverticulitis as well…

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