SMJ // June 2018, Volume 111 - Issue 6

Invited Commentary

Commentary on “Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky”

The article “Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky”1 in this issue of the Southern Medical Journal describes the disparity in National Cancer Comprehensive Network (NCCN) guideline adherence in the economically depressed region of the United States known…

Original Article

Telerheumatology: The VA Experience

Objectives: We sought to characterize the correlation between diagnoses made during telerheumatology and face-to-face visits and to document patients’ satisfaction with telerheumatology visits. Methods: This quality assurance study of the use of telerheumatology evaluated new patients referred to a Veterans Affairs rheumatology clinic. Patients were seen at a community clinic…

Original Article

OPEN: Effects of Long-Term Combination LT4 and LT3 Therapy for Improving Hypothyroidism and Overall Quality of Life

Objectives: Hypothyroidism results in decreased mood and neurocognition, weight gain, fatigue, and many other undesirable symptoms. The American Association of Clinical Endocrinologists, the American Thyroid Association (ATA), and The Endocrine Society recommend levothyroxine (LT4) monotherapy as the treatment for hypothyroidism; however, after years of monotherapy, some patients continue to experience…

Original Article

Resident Perceptions of Competency and Comfort Before and After Telemedicine-ICU Implementation

Objectives: The purpose of this study was to examine the impact telemedicine in the intensive care unit (ICU) has on the competency, satisfaction, and education of resident physicians. Methods: Telemedicine in the ICU was implemented in 2014 at a community hospital with 24 family medicine residents. Comfort with the performance…

Original Article

Public CPR and AED Knowledge: An Opportunity for Educational Outreach in South Carolina

Objectives: Sudden cardiac arrest (SCA) remains a significant cause of morbidity and mortality, and the key to increased survival is emergent bystander intervention. A growing body of evidence has shown that timely bystander-initiated cardiopulmonary resuscitation (CPR) and defibrillation are significantly correlated with an increased likelihood of survival. Despite these demonstrated…

Original Article

A Look Through Time: Historical Analysis of Obstetrics and Gynecology Texts Highlights Changes in Medicine

Objective: Our objective was to analyze systematically the preface and foreword of each edition of Williams Obstetrics and Te Linde’s Operative Gynecology to gain insight into historical changes in medicine. Methods: The preface and foreword from 24 editions of Williams Obstetrics and 11 editions of Te Linde’s Operative Gynecology were…

Original Article

Brucellosis in Adults and Children: A 10-Year Case Series at Two Large Academic Hospitals in Houston, Texas

Objectives: Brucellosis is one of the most common zoonoses worldwide. Most cases in the United States occur among travelers or immigrants from endemic regions, mostly Central America. In this study, we aimed at describing and comparing the epidemiology and clinical presentation of brucellosis in pediatric and adult patients at two…

Letter to the Editor

Improving Medical Students’ Perceptions of Older Adults by Engaging Older Military Veterans in Recreational Activities

To the Editor: The aging of the US population has led to a shortage of physicians in geriatrics to care for the 30% of older adults who should be seen by a geriatrician.1 To compound this deficit, few physicians are choosing to specialize in this field.

Letter to the Editor

On “Improving Medical Students’ Perceptions of Older Adults by Engaging Older Military Veterans in Recreational Activities”

To the Editor: I would like to commend Mr Jue and his medical student colleagues at the University of Miami School of Medicine, who, along with their faculty mentor, Dr van Zullen, have addressed the important issue of medical student comfort with older adult patients.

Original Article

Cost-Effectiveness Analysis of Early vs Late Diagnosis of HIV-Infected Patients in South Carolina

Objectives: It is anticipated that early diagnosis, linkage to care, initiation of antiretroviral therapy (ART), and retention in care would lead to reduced opportunistic infections, reduction in human immunodeficiency virus–related morbidity and mortality and reduced rates of HIV transmission. This would be expected to lead to a reduction in the…

Original Article

Practice Pattern Variation in Pediatric Eosinophilic Esophagitis in the Carolinas EoE Collaborative: A Research Model in Community and Academic Practices

Objectives: Differences in the initial management of pediatric eosinophilic esophagitis (EoE) by practice setting have not been well characterized. We aimed to characterize these differences for sites in the Carolinas EoE Collaborative (CEoEC), a multicenter network of academic and community practices. Methods: We performed a retrospective cohort study of pediatric…

Original Article

Contraceptive Practices, Preferences, and Barriers Among Abortion Clients in North Carolina

Objectives: Abortion clinics provide an ideal setting for women to receive contraceptive care because the women served may not have other contacts with the health system and are at risk for unintended pregnancies. The objective of this study was to understand practices, preferences, and barriers to use of contraception for…

Original Article

Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky

Objectives: Adherence to National Comprehensive Cancer Network (NCCN) guidelines for ovarian cancer treatment improves patient outcomes. The aim of this study was to assess disparities associated with ovarian cancer treatment in the state of Kentucky and central Appalachia. Methods: Data on patients diagnosed as having ovarian cancer from 2007 through…

Invited Commentary

Commentary on “Resident Perceptions of Competency and Comfort Before and After Telemedicine-ICU Implementation”

Telemedicine in the intensive care unit (ICU) was first described by Grundy and colleagues in the 1980s.1 Using two-way audiovisual technology, centers that house practitioners (intensivists, advance practice providers, and critical care nurses) are connected to hospitals serving critically ill patients.

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