Medical malpractice reform was not included in the final version of the Patient Protection and Affordable Care Act (PPACA) enacted in 2010, but most physicians desire a change to the current malpractice resolution system. With the July 2012 decision by the US Supreme Court ruling the PPACA constitutional, now is…
Primary care in the United States is in a deepening crisis as physician shortages and reduced patient access loom. The healthcare reform law enacted by the US Congress in 2010 will improve the coverage for uninsured and underinsured people and will indirectly address some of the cost problems of the…
In this issue of Southern Medical Journal, Dr Amir Kaissi addresses a fundamental concern of healthcare providers and patients—the projected shortage of physicians to care for the millions of newly insured patients who will enter the traditional access modes for health care in the United States under the Patient Protection…
Dr Holt Mr Duhaime, Mr Villarreal, and Mr Young are excellent examples of the important role of physician’s assistants in the US healthcare delivery system and of the success of the physician/physician’s assistant team concept of patient care. These individuals have had extensive experience in providing health care in a…
Objective: The aim of our study was to examine the 30-day and 1-year survival rate for patients undergoing percutaneous coronary artery intervention (PCI) of unprotected left main (ULM) stenosis by the presence (acute myocardial infarction [AMI] group) or absence (non-AMI group) of AMI at the time of hospital admission. Methods:…
Objectives: Among adolescent mothers, pregnancy prevention self-efficacy developed during pregnancy may predict the use of contraception following delivery. Communication between patients and their primary care providers (PCPs) is important for adherence to physician recommendations and may be associated with pregnancy prevention self-efficacy. Depression, which is common among adolescent mothers, has…
Teen births have continued to decline during the past 18 years, reaching an all-time low of 34.3 births per 1000 girls aged 15 to 19 years based on 2010 birth data.1 A baby born to a teenage mother is more likely to live in poverty, be abused or neglected, be…
Diseases of elderly adults are becoming increasingly important as life expectancy gradually rises worldwide. To promote healthy aging, it is important to understand the skin changes associated with aging. This review focuses on the special considerations for some of the more common dermatological disorders in elderly adults and examines presentation,…
Alcohol withdrawal is a common clinical condition that has a variety of complications and morbidities. The manifestations can range from mild agitation to withdrawal seizures and delirium tremens. The treatments for alcohol withdrawal include benzodiazepines, anticonvulsants, beta-blockers and antihypertensives. Although benzodiazepines are presently a first-line therapy, there is controversy regarding…
Proton pump inhibitors (PPIs) are one of the most commonly prescribed classes of medications in the United States. By inhibiting gastric H+/K+ adenosine triphosphatase via covalent binding to the cysteine residues of the proton pump, they provide the most potent acid suppression available. Long-term PPI use accounts for the majority…
Carisoprodol is a centrally acting skeletal muscle relaxant of which meprobamate, a controlled substance, is the primary active metabolite. The abuse of carisoprodol has increased dramatically in the last several years. A withdrawal syndrome occurs in some patients who abruptly cease carisoprodol intake. The symptoms of this syndrome are similar…
To the EditorObesity has surpassed starvation on a global scale of disease. It is the leading chronic disease in the United States, with 34% of American adults considered obese and 74% of American adults weighing more than their ideal body weight.1 Elevated body weight is associated with more illness and…
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