Objective: Online curricula are used increasingly for educating physicians, and evaluating educational outcomes can help improve their effectiveness. It is unknown how specific educational outcomes associate with each other among learners using online curricula. We set out to study how two educational outcomes, learner satisfaction and knowledge, and the learner’s…
Sisson and colleagues offer value to higher education academicians in their article in this issue of the Southern Medical Journal.1 This article focuses on the use of online learning among medical residents, but the components of learner satisfaction can be translated to the traditional classroom or any learning environment.
Objectives: To maintain adequate nutrition for patients who are in need, enteral feeding via nasogastric tube (NGT) is necessary. Although the literature suggests the safety of continued NGT feeding at a gastric residual volume of <400 mL, inconsistencies in withholding tube feeding based on residual volume have been observed in…
Objective: Respiratory syncytial virus (RSV) has been identified as an important cause of lower respiratory tract disease in infants. In patients at high risk, prevention is attempted through immunoprophylaxis with palivizumab. In 2008, as a result of revisions to the American Academy of Pediatrics’ guidelines, South Carolina Medicaid reduced the…
Objectives: Fatal falls cause more than 15,000 deaths per year in the United States. Despite this, the circumstances surrounding fatal falls in elderly adults are poorly understood. It is unknown whether these circumstances differ across ethnicities, although Hispanic American individuals are at reduced risk for fatal falls. This study sought…
Background: Limited attention is directed to the potential conflicts of interest (COI) of the authors of practice guidelines writing groups of professional medical societies (PMS) and industry. The objective of this study was to report the proportion of authors with potential COI among guidelines writing groups of PMS. Methods: A…
“The more things change the more they stay the same” is a saying that explains the ongoing issues of reporting potential conflicts of interest within medicine. The Institute of Medicine (IOM) defines conflict of interest as a “set of circumstances that create a risk that professional judgment or actions requiring…
Objectives: Small cell lung cancer (SCLC) is the most rapidly progressive form of lung cancer, and delays in treatment may increase the tumor burden. We determined the time from abnormal radiograph to diagnosis and treatment for patients with SCLC and investigated the effect of emergent presentation, stage, radiographic findings, and…
Americans may not receive the care that meets their clinical needs, and the disparity between increasing understanding of disease development and progression and action and initiation of treatment is extremely wide. These disconcerting facts have come to the forefront of healthcare delivery in the last several decades, and they inform…
Background: Cardiac-specific troponin (Tn) serum concentrations have proved to be important diagnostic and prognostic markers for acute myocardial infarction. Elevated levels in the setting of noncardiac diseases such as intracerebral hemorrhage also may provide useful prognostic information regarding outcome. Methods: A systematic review of the English-language medical literature was performed…
Telaprevir and boceprevir have received US Food and Drug Administration approval for use as triple therapy with pegylated interferon and ribavirin in genotype 1 chronic hepatitis C virus (HCV) infection. Clinical trials of these agents included few African Americans, despite the overwhelming need for improved therapies in this racial group….
Life expectancy for Americans has increased dramatically since 1900, as have the available pharmacotherapeutic options. Unfortunately, pharmacotherapy mishaps occur commonly in the older adult population. This problem greatly affects the morbidity and mortality of elderly patients and greatly increases healthcare costs. To improve patient care among elderly adults, healthcare practitioners…
To the Editor:Aycock and Kass pointed out in their review article regarding abnormal urine color, published in the January 2012 issue of the Southern Medical Journal,1 that any abnormal discoloration of the urine, although typically benign, can be distressing for patients and relatives as well as puzzling to healthcare professionals….
To the Editor:We are pleased that our article1 could be viewed as a useful tool for clinicians who encounter patients with urine discoloration. Dr Chong2 is indeed correct that the purple discoloration from purple urine bag syndrome seems to occur from staining of the polymer used in making a Foley…
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