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SMJ Article | Original Article

Perioperative Resumption of Direct Oral Anticoagulants: Review of the Mayo Clinic Experience

Objective: We aimed to review recommendations for the postoperative resumption of direct oral anticoagulants (DOACs) and report complications 30 days postoperatively. Methods: We retrospectively reviewed patients receiving DOAC therapy who underwent preoperative evaluations from January 1, 2015 through May 30, 2018. We noted days that DOAC therapy was withheld, postoperative...

Posted in: Neurology10

SMJ Article | Perspectives

Biopsychosocial Exercise Prescription for Weight Control: A Frontline Perspective

Overweight and obesity affect more than one-third of the world’s population.1,2 Should current trends continue, it is projected that an estimated 38% of the world’s adult population will be overweight and another 20% will be obese by 2030.3 In the United States, projections based on recent trends forecast that nearly...

SMJ Article | Original Article

Clinical Characteristics and Outcomes of Patients Hospitalized for COVID-19 Pneumonia Who Developed Bradycardia

Objective: To assess the clinical characteristics and clinical outcomes of bradycardic patients with coronavirus disease 2019 (COVID-19) pneumonia. Methods: The electronic medical records of 221 consecutive patients hospitalized for COVID-19 pneumonia between June and September 2020 were retrospectively reviewed. Patient characteristics, electrocardiographic data, and clinical and laboratory information were retrospectively...

Posted in: Cardiovascular Disease12 Infectious Disease34

SMJ Article | Original Article

Outcomes of Idiopathic Pulmonary Fibrosis Improve with Obesity: A Rural Appalachian Experience

Objectives: Obesity can be an independent predictor of fibrosis in tissues, including the liver, heart, and skin. We evaluated a rural Appalachian cohort of idiopathic pulmonary fibrosis (IPF) for its relation to obesity. Methods: Using American Thoracic Society 2018 diagnostic guidelines, an IPF cohort was systematically identified at an Appalachian...

Posted in: Pulmonary Disease6

SMJ Article | Original Article

CME Article: Risk of Silent Myocardial Infarction in Prediabetic Patients: A Case-Control Study in a Veteran Population

Objectives: In the management of cardiovascular disease, it is important to identify patients at risk early on, to provide interventions to prevent the disease and its complications. The goal of our study was to investigate the association between glucose levels and silent myocardial infarction (SMI) among patients, who consisted of...

Posted in: Cardiovascular Disease12 Endocrinology, Diabetes, and Metabolism7

SMJ Article | Perspectives

A Deadly Thrombotic Microangiopathy Syndrome without Schistocytosis

Establishing a diagnosis of thrombotic microangiopathy (TMA) is not always straightforward, and significant vigilance and a low threshold of suspicion are necessary on the part of the clinician. A delayed or misdiagnosis may result in patient harm in the form of organ failure or even death. TMA is clinically diagnosed...

Posted in: Hematology9

SMJ Article | Original Article

Physicians’ Total Burden of Occupational Stressors: More than Threefold Increased Odds of Burnout

Objectives: To assess the relation between total job stressor burden and physician burnout, identifying potentially contributory modifiable stressors, using a comprehensive, theory-based instrument created for physicians by physicians. Methods: From 2018 to 2019, we conducted a cross-sectional study in a public teaching hospital in India. Of 305 clinically active physicians,...

Posted in: Mental Health17

SMJ Article | Original Article

A Multicenter Curricular Intervention to Address Resident Knowledge and Perceptions of Personal Finance

Objectives: We evaluated internal medicine residents’ confidence and knowledge of personal finance, perceptions of burnout, and relations between these issues before and after an educational intervention. Methods: We surveyed internal medicine residents at two university-based training programs in 2018. We developed and implemented a curriculum at both sites, covering topics...

SMJ Article | Original Article

HIT-It or Quit It: Heparin-Induced Thrombocytopenia Testing Appropriateness Using 4T Scoring and Inappropriate Testing Cost Analysis

Objectives: The American Society of Hematology’s 4T scoring system is a validated tool to assess a patient’s probability of having heparin-induced thrombocytopenia (HIT) before testing is performed. There is no benefit to testing patients with a low probability 4T score for HIT. This study aimed to assess for inappropriate HIT...

Posted in: Hematology9

SMJ Article | Original Article

Racial/Ethnic Disparities in the Incidence of Epithelial Ovarian Cancer in Florida by Histology, 2001–2015: Analysis of Trends

Objectives: Because the population in Florida is 25.6% Hispanic, it is possible to evaluate the influence of race and ethnicity within clinically relevant subgroups of women with epithelial ovarian cancer (EOC), including histology and tumor grade. This study explores racial/ethnic disparities in the incidence of EOC in Florida by histology...

Posted in: Ovarian Disorders And Female Reproductive Health2 Ovarian Disorders2

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