Outcomes of Patients Hospitalized for Severe Acute Alcoholic Hepatitis

Objectives: Severe acute alcoholic hepatitis is a serious condition in individuals who consume significant quantities of alcohol. We aimed to identify risk factors for short-term mortality with this illness.Methods: Patients with severe acute alcoholic hepatitis admitted to our academic medical center from 2010 to 2012 were identified. Demographic features,...

CME Article: Retrospective Analysis of the Effect of Postdischarge Telephone Calls by Hospitalists on Improvement of Patient Satisfaction and Readmission Rates

Objectives: The influence of postdischarge telephone call interventions preventing hospital readmissions is unclear. A novel approach of the discharging hospitalist providing this intervention may improve overall patient satisfaction. Our objective was to assess the impact of postdischarge telephone calls from discharging hospitalists on readmissions and patients’ ratings of hospital...

Patients on Involuntary Hold Status in the Emergency Department

CME Article: Workplace Violence: Experiences of Internal Medicine Trainees at an Academic Medical Center

Objectives: Healthcare professionals are at higher risk for workplace violence (WPV) than workers in other sectors. This elevated risk exists despite the vast underreporting of WPV in the medical setting. The challenge of responding to this risk is compounded by limited empirical research on medical training environments. Understanding trainees’...

Canine-Assisted Therapy in Hospitalized Patients Awaiting Heart Transplantation

Objectives: Patients awaiting heart transplantation can be listed for prolonged periods of time and, as a result, the prevalence of anxiety and depression is high. Our study evaluates the feasibility of canine-assisted therapy (CAT) in this population.Methods: A prospective, multicenter study was performed on all status 1a patients admitted...

Authors’ Response

To the Editor: Mr. Ho and Dr. Ware suggested advising an ill airline passenger regarding the Health Insurance Portability and Accountability Act of 19961 (HIPPA) protection of his or her health information “if circumstances permit” and/or with a surrogate “when feasible.” ” We agree with this recommendation; however, during...

Increasing Prevalence of Chronic Hepatitis C Virus Infection in a Southern Academic Obstetrical Clinic

Objectives: The opioid epidemic has resulted in rising rates of hepatitis C virus (HCV) infection in women of childbearing age. With this changing epidemiology in mind, the Infectious Diseases Society of America/American Association for the Study of Liver Diseases guidelines were updated in 2018 to recommend screening all pregnant...

Holiday Discharges Are Associated with Higher 30-Day General Internal Medicine Hospital Readmissions at an Academic Medical Center

Objective: Academic medical centers face unique challenges in educating physician trainees in effective discharge practices to prevent readmissions. Meanwhile, residents must handle high workloads coupled with frequent rotations to different services. This study aimed to determine whether daily service census, service turnover, time of discharge, and day of discharge...

On “Healthcare Professionals and In-Flight Medical Emergencies: Resources, Responsibilities, Goals, and Legalities as a Good Samaritan”

To the Editor: We read with interest the article by de Caprariis et al that appeared inthe January 2019 issue of the Southern Medical Journal.1 The authors provide anauthoritative review of matters of importance to healthcare professionals who respond to in-flight emergencies, including expected resources on board US commercial...

OPEN: Practical Considerations for the Academic Physician Moving to a New State

Moving from one state to another for a new position or opportunity is a common event for academic physicians. Although moving can be personally and professionally disruptive for everyone, it can be particularly challenging for academic physicians. From practical considerations such as applying for a new state medical license...

Commentary on “Dealing with Surrogate Conflict: A Student’s Perspective”

I would like to commend Drs Su and Fleming for their article “Dealing with Surrogate Conflict: A Student’s Perspective,” which addresses this important aspect of end-of-life decision making, with a particular emphasis on what medical students should understand about the process.1 After all, these challenges of clinical care and...

Dealing With Surrogate Conflict: A Student’s Perspective

Surrogate decision making is a standard arrangement for patients who are unable or unfit to make independent healthcare decisions. Ideally, the surrogate–patient relationship would be current and meaningful, and the participants in it would have recently discussed the patient’s values, preferences, and treatment goals. For patients who have not...

Everyday Leadership: A Combined Resident and Faculty Workshop

Objectives: Historically, physicians have always been viewed as leaders in the healthcare field. Whether they embrace this role, physicians often find themselves in a leadership role, from the clinical setting to an institutional setting. In most cases, this leadership role is taken on without prior training on even the...

Availability of Hospital Resources and Specialty Services for Stroke Care in North Carolina

Objectives: Effective regionalization of acute stroke care requires assessment and coordination of limited hospital resources. We described the availability of stroke-specific hospital resources (neurology specialty physicians and neuro-intensive care unit bed capacity) for North Carolina overall and by region and population density. We also assessed daily trends in...

Predictors of Empathic Compassion: Do Spirituality, Religion, and Calling Matter?

Objective: To determine whether physician spirituality, religion, and sense of calling toward medicine are predictors of self-reported empathic compassion.Methods: We sampled 2000 practicing US physicians from all specialties and used self-reported measures of general and clinical empathic compassion taken from previous studies. Independent variables were single-item measures of calling,...

Summary of Selected Healthcare Encounters among a Selection of Patients with Myotonic Muscular Dystrophy

Objective: Research has not examined the use of health care by patients with myotonic muscular dystrophy (MMD), but it would provide insights into this population, which is prone to comorbidities and high service needs. This study is an analysis of this understudied subgroup, using a unique linked dataset to...

A National Evaluation of Scholarly Activity Requirement in Osteopathic EM Residency Programs: Survey of EM Program Directors

Objectives: The objectives of the study were to determine the percentage of osteopathic emergency medicine (EM) residencies that require an original research project to meet the American Osteopathic Association requirement, describe the resources available to the residents and faculty members to complete their projects, and determine resident and faculty...

CME Article: Patients on Involuntary Hold Status in the Emergency Department

Objectives: Patients requiring involuntary holds are frequently seen in the emergency department (ED). Much of what is known comes from studies of patients at urban academic centers. Our aim was to describe the demographic and clinical characteristics of patients who were evaluated while on involuntary status at a suburban...

Fetal Hemoglobin Modulators May Be Associated With Symptomology of Football Players with Sickle Cell Trait

Objectives: This study investigates whether genetic modifiers previously shown to influence adult fetal hemoglobin (HbF) levels and glucose-6-phosphate dehydrogenase deficiency were associated with variable symptomology in a small sample of collegiate football players with sickle cell trait.Methods: Survey data on self-assessed symptoms and genotype data from five single nucleotide...

Propofol Versus Dexmedetomidine for Procedural Sedation in a Pediatric Population

Objectives: Frequently, infants and children require sedation to facilitate noninvasive procedures and imaging studies. Propofol and dexmedetomidine are used to achieve deep procedural sedation in children. The objective of this study was to compare the clinical safety and efficacy of propofol versus dexmedetomidine in pediatric patients undergoing sedation in...