Assessment of the Need for Immediate Trauma Team Presence for Infants Presenting in Cardiac Arrest

CME Article: Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma

Objectives: Eosinophilic esophagitis (EoE) is characterized by upper gastrointestinal tract symptoms in association with esophageal mucosal biopsy specimens containing ≥15 intraepithelial eosinophils per high-power field. The etiology of EoE remains unclear, but an immunologic response to various foods and aeroallergens has been implicated. Seasonal variation has been reported in...

Uterine Corpus Malignancies in Appalachia Kentucky: Incidence, Survival, and Related Health Disparities

Objectives: Uterine cancer is the nation’s most common gynecologic malignancy, but it is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). Our aim was to assess the frequency, distribution, and survival of uterine corpus malignancies in KY, and specifically the differences between Appalachia (AP) and non-Appalachia...

Characteristics of Pediatric Patients With Retained Bullet Fragments and Need for Follow-Up Blood Lead Monitoring

Objectives: Multiple case reports of lead toxicity related to retained bullet fragments in pediatric patients sustaining gunshot wound have been published. The purpose of the present study was to determine whether the demographic and clinical characteristics of gunshot wounds (GSWs) could be classified high/low risk and whether routine blood...

When to Worry about Cancer: Concurrent Carcinoma and Recurrence in Borderline Ovarian Tumors

Objectives: The objectives of this study were to identify and assess the factors associated with concurrent carcinoma and recurrence in women with epithelial borderline ovarian tumors.Methods: The cancer and pathology databases at a tertiary care academic cancer center were queried for all borderline ovarian tumors from 2005 to 2015....

Role of Physician Gender in the Modern Practice of Obstetrics and Gynecology: Do Obstetrician-Gynecologists Perceive Discrimination from their Sex?

Objectives: It is unclear whether obstetrician-gynecologists (OBGYNs) experience gender discrimination as a result of patient and organizational gender preferences. Our objective was to evaluate whether the gender preference for OBGYNs resulted in perceptions of discrimination by the physician while simultaneously assessing their patients’ views for choosing their OBGYN.Methods: A...

Teen Driving Education in a Pediatric Emergency Department: Effectiveness of a Toolkit

Objectives: In the United States, the leading cause of death for adolescents aged 16 to 24 years is motor vehicle crashes, with Alabama ranked as the second-worst state in the nation for teen driving deaths. We sought to determine the efficacy of teenage driving education within the setting of...

Commentary on “Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky”

In this issue of the Southern Medical Journal, Thornberry and colleagues asked 28 physicians and nurses in Kentucky’s Appalachian region to answer a 69-item questionnaire1 about the Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and...

Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky

Objectives: This study assessed providers’ present practices and perceived needs in Appalachian Kentucky to identify the standard of care and implementation of expert recommendations for managing pediatric obesity.Methods: Questionnaire data were gathered from 28 providers at a pediatric obesity continuing medical education workshop in eastern Kentucky. We assessed current...

Enhanced vs Standard Parents as Teacher Curriculum on Factors Related to Infant Feeding among African American Women

Objectives: To determine the comparative impact of the standard Parents as Teachers (PAT) to the nutrition and physical activity enhanced version (PATE) of the perinatal educational curriculum on compliance with infant feeding recommendations and changes in maternal infant feeding knowledge and beliefs.Methods: Women at least 18 years of age,...

Improving Transitions of Care for Healthy Adolescents and Young Adults

Objectives: To explore the gaps in care within the transition process from pediatric to adult medicine for healthy and noncomplex adolescents and young adults and to highlight the importance of identifying and adapting interventions to improve transitions for this population.Methods: Three researchers independently completed searches in PubMed, PsychINFO, and...

A Simulation Course Focusing on Forensic Evidence Collection Improves Pediatric Knowledge and Standardizes Curriculum for Child Abuse

Objectives: Our hypothesis was that pediatric residents and medical students who participated in a structured forensic evidence collection course would have improved knowledge of prepubertal evidence collection practices and pubertal genital anatomy.Methods: The course curriculum included a forensic evidence collection video created by the sexual assault nurse examiner directors....

Comment on “Propofol Versus Dexmedetomidine for Procedural Sedation in a Pediatric Population”

The utilization and standards of practice for pediatric deep sedation have undergone multiple changes during the last 20 to 30 years. The key drivers of change include growth inimaging and surgical procedures along with desires to better alleviate patient stress related to anxiety or pain, improve procedural performance of...

Healthcare Access, Pregnancy Intention, and Contraceptive Practices Among Reproductive-Aged Women Receiving Opioid Agonist Therapy in Northeast Tennessee

Objectives: Women with substance use disorders often experience unique challenges to obtaining contraception and adhering to user-dependent methods. As a result, this at-risk population of women tends to have higher than average rates of unintended pregnancy. The objective of this study was to describe contraceptive use, pregnancy intentions, and...

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...

SMA’s Women’s Health Resources

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...

Commentary on “Incidence of Pediatric Cervical Spine Injuries in Iraq and Afghanistan”

In 2003, Colonel John B. Holcomb, a US Army general surgeon deployed to Iraq, noted the complete disconnect between the various steps of trauma care for his patients and recognized the critical need for an organized trauma care system.1 The result of this realization was the creation in 2004...

OPEN: Incidence of Pediatric Cervical Spine Injuries in Iraq and Afghanistan

Objective: Military providers frequently treat civilians, including pediatric patients. Cervical spine injuries in pediatric trauma patients occur infrequently, with limited data on the incidence. The aim of this study was to describe the incidence of cervical spine injuries in pediatric patients in Iraq and Afghanistan.Methods: We queried the Department...

Veronica Piziak, Navigating Insulin-Based Therapy for Type 2 Diabetes