Southern Medical Journal - Southern Medical Association

Perspectives

Worldviews Matter in Medical Practice

Medical providers and patients may hold radically different opinions regarding various medical issues, which may result in subtle or overt conflict between individuals and in the public square. I suggest that one of the primary reasons why people arrive at such divergent opinions on the same issue is a difference…

Posted in: Medicine & Medical Specialties1

Original Article

CME Article: Sleep Patterns and Health Behaviors in Healthcare Students

Objectives: Personal health behavior can influence the academic development of healthcare students. This study was designed to evaluate the personal health behavior, including sleep time, of healthcare students at a large health sciences center.Methods: An anonymous online survey based on standardized questionnaires about sleep, insomnia, depression, alcohol use, and exercise…

Posted in: Mental Health3

Original Article

High Prevalence of Buprenorphine in Prenatal Drug Screens in an Appalachian City

Objectives: To define the magnitude of buprenorphine presence in the urine drug screens of pregnant women and to assess the presence of illicit buprenorphine use versus the presence of prescribed buprenorphine use.Methods: Initial prenatal drug screen results for all pregnant patients in our practice for a 1-year period were analyzed…

Posted in: Obstetrics and Gynecology19 Pregnancy6

Original Article

Characterization of Young Children Presenting to the Emergency Department for Mental Health Complaints

Objectives: From 2011 to 2015, psychiatric emergency department visits among youth in the United States increased 28% and psychiatric visits made up 10% of all pediatric emergency department (ED) visits. Previous research has focused on adolescent mental health, with little characterization of children 10 years of age and younger with…

Posted in: Mental Health3

Original Article

Utilization of Acid Suppression Medication in an Underserved Population

Objectives: Acid suppression therapy (AST), composed of proton pump inhibitors (PPIs), histamine-2 receptor blockers, and antacids, is one of the most common medication groups used in the United States. Long-term AST is concerning, however, because it is linked with an increased risk of community-acquired pneumonia, Clostridium difficile infections, bone fractures,…

Posted in: Gastroenterology11

Original Article

Are Salt Tablets Effective in the Treatment of Euvolemic Hyponatremia?

Objectives: There is limited evidence for the use of salt tablets in the treatment of hyponatremia. This retrospective study evaluated the effectiveness of salt tablet administration in euvolemic hyponatremia.Methods: This was a single-center, retrospective cohort study. Information on patients’ demographics, clinical characteristics, and laboratory data were collected for retrospective review….

Posted in: Endocrinology, Diabetes, and Metabolism9

Original Article

Improving Critical Value Read-Back Failure Rate by Modifying the Notification Procedure

Objectives: The aim of the study was to determine whether a system process change improved successful read-back of critical values by the appropriate provider.Methods: The study implemented a system process change of switching the “first call” physician from the admitting physician to the most recent document writer. Data were compared…

Posted in: Primarily Safety/Quality Improvement1

Original Article

Check-in Kiosks in the Outpatient Clinical Setting: Fad or the Future?

Objectives: Check-in kiosks are increasingly used in health care. This project aims to assess the effects of kiosk use upon check-in duration, point of service (POS) financial returns, and patient satisfaction.Methods: Six kiosks were implemented in a large academic orthopedic clinic, and check-in duration for 8.5 months following implementation and…

Posted in: Quality Health Care, Patient Safety, & Best Practices1

Original Article

Temporal Trends and Geographic Variations in Mortality Rates from Prescription Opioids: Lessons from Florida and West Virginia

Objectives: To explore temporal trends and geographic variations in mortality from prescription opioids from 1999 to 2016.Methods: Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research Multiple Cause of Death files were used to calculate age-adjusted rates and 95% confidence intervals (CIs) and create spatial cluster maps.Results:…

Posted in: Public Health & Environmental Medicine2

Letter to the Editor

Vaping: Safer Than Smoking?

To the Editor: Vaping refers to the act of inhaling an aerosol produced by electronic cigarettes. These devices, also called e-cigarettes, are handheld instruments that heat a fluid to produce an aerosol, which is then inhaled. The fluids usually contain nicotine, a variety of toxic compounds, and sometimes flavorings to…

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