April 2018, Volume 111 - Issue 4

A Social-Ecological Review of Cancer Disparities in Kentucky

Sharon D. Rodriguez, MHA, Nathan L. Vanderford, PhD, MBA, Bin Huang, DrPH, MS, Robin C. Vanderpool, DrPH

Abstract: Cancer continuously ranks among the top 10 leading causes of death in the United States. The burden of cancer is particularly elevated in the Commonwealth of Kentucky and its 54-county Appalachian region, where cancer is the leading cause of death. Kentucky’s high rates...

(pp 213-219)

Comparison of Children’s Menu Items at Full- and Quick-Service Restaurants

Mona A. Eissa, MD, PhD, Katherine Hearne, MPH, RDN, Nora Saavedra, MD

Abstract: Objectives: The proportion of food consumed by children from restaurants tripled during the last 4 decades and that coincided with the increased rate of obesity. Despite the presence of data linking quick-service (QS) food consumption to poor diet quality, studies comparing...

(pp 192-197)

Importance of Interdisciplinary Medical Education: A Frontline Perspective

Aman Pandey, BS, MS4, Jennifer S. Jackson, MD

Abstract: What do you get when a physician, nurse, social worker, and physical therapist walk into a patient’s room? No, this is not the start of some joke, but rather just a regular day at the hospital. I often think about one of my first trauma call nights as a...

(pp 209-210)

Engagement in an Online Cultural Competency Training

Jordan Crocker, MD, MS, F. Stanford Massie, MD, Carlos A. Estrada, MD, MS

Abstract: Objectives: Engagement with online cultural competency training has not been well studied. We examined knowledge, attitudes, and skills differences among medical students, physicians, and other professionals in an online cultural competency education program. Methods: A...

(pp 199-202)

Single-Center Retrospective Study of Risk Factors and Predictive Value of Framingham Risk Score of Patients with ST Elevation Myocardial Infarction

Sohail Ikram, MD, Ajay Pachika, MD, Henrike Schuster, MD, Aman Ghotra, MD, Laura Dotson, RT(R), RCIS, Shoaib Akbar, MD, Abdur Rahman Khan, MD

Abstract: Objectives: The objective of this study was to identify risk factors and clinical profile of the patients presenting with ST elevation myocardial infarction (STEMI). We further evaluated the utility of the Framingham Risk Score (FRS) in the accurate identification of these...

(pp 226-229)

Improving Underrepresented Minority in Medicine Representation in Medical School

Kendall M. Campbell, MD, Naomi C. Brownstein, PhD, Helen Livingston, EdD, José E. Rodríguez, MD

Abstract: Objectives: Despite the efforts of various leading organizations in medical education, representation of black students in US medical schools has declined since the mid-1990s. The Florida State University College of Medicine (FSUCOM) has undertaken efforts to increase black...

(pp 203-208)

Commentary on “Importance of Interdisciplinary Medical Education: A Frontline Perspective”

G. Richard Holt, MD, MSE, MPH, MABE, DBioethics

Abstract: In this issue of the Southern Medical Journal, Aman Pandey, a medical student under the mentorship of Dr Jennifer Jackson, presents a perspective on the importance of interdisciplinary medical education preparatory to the responsibility for clinical care of patients.1 I...

(pp 211-212)

On “Diagnosis of Child Maltreatment: A Family Medicine Physician’s Dilemma”

Arne H. Graff, MD

Abstract: To the Editor: I recently had an opportunity to read the article ‘‘Diagnosis of Child Maltreatment: A Family Medicine Physician’s Dilemma,’’ by Eniola and Evarts,1 which appeared in the May 2017 issue of the Southern Medical Journal. Having practiced in family...

(pp 198)

Provider Variation in Antibiotic Prescribing and Outcomes of Respiratory Tract Infections

Mahesh Manne, MD, MPH, Abhishek Deshpande, MD, PhD, Bo Hu, PhD, Aditi Patel, MD, Glen B. Taksler, PhD, Anita D. Misra-Hebert, MD, MPH, Stacey E. Jolly, MD, MAS, Andrei Brateanu, MD, Robert W. Bales, MD, Michael B. Rothberg, MD, MPH

Abstract: Objectives: Inappropriate antibiotic use for respiratory tract infection (RTI) is an ongoing problem linked to the emergence of drug resistance and other adverse effects. Less is known about the prescribing practices of individual physicians or the impact of physician...

(pp 235-242)

Measuring Functional Status in Hospitalized Older Adults Through Electronic Health Record Documentation

Liron Sinvani, MD, Andrzej Kozikowski, PhD, Vidhi Patel, MS, Colm Mulvany, BS, Christopher Smilios, MPH, Guang Qiu,MD, Meng Zhang, PhD, Gisele Wolf-Klein, MD, Renee Pekmezaris, PhD

Abstract: Objectives: Hospitalization-associated disability affects up to 60% of older adults; however, standardized measures of function are not routinely used and documented. We sought to determine whether nursing documentation in electronic medical records can be used to determine...

(pp 220-225)

Clinical Context and Detection of the Murmur of Advanced Aortic Stenosis

Ajoe John Kattoor, MD, Anusha Shanbhag, MD, Annette Abraham, MBBS, Srikanth Vallurupalli,MD

Abstract: Objectives: Auscultation is an important clue to the presence of aortic stenosis (AS). We sought to assess the effect of symptom status, prior knowledge of diagnosis, and other patient factors on murmur detection. Methods: Patients with moderate-to-severe AS by...

(pp 230-234)

Postponing Childbearing and Fertility Preservation in Young Professional Women

Emily G. Hurley, MD, Ilana B. Ressler, MD, Samantha Young, MD, April Batcheller, MD, Michael A. Thomas, MD, Krystene B. DiPaola, MD, Julie Rios, MD

Abstract: Objectives: To evaluate young women’s awareness of ovarian reserve testing and oocyte cryopreservation (OC) and assess how testing ovarian reserve may affect the desire for fertility preservation. Methods: Three questionnaire-based observational studies were conducted...

(pp 187-191)