February 2016, Volume 109 - Issue 2

Cardiovascular Disease Risk Factors in Hispanic Adolescents in South Texas

Sharon P. Cooper, PhD, Eva M. Shipp, PhD, Deborah J. del Junco, PhD, Charles J. Cooper, MS, Leonelo E. Bautista, MD, DrPH, Jeffrey Levin, MD, MS

Abstract: Objectives: Despite a national crisis of increased prevalence of obesity and type 2 diabetes mellitus in adolescents, especially among Hispanics, there is a paucity of data on health indicators among farmworker adolescents and their peers. The main aim of this study was to...

(pp 130-136)

Commentary on “Senior Medical Student Mock Interview Program in Pediatrics”

Patricia G. McBurney, MD, MSCR

Abstract: The National Residency Matching Program, or ‘‘the Match,’’ has become increasingly competitive as the number of US medical students has grown without comparable expansion of postgraduate positions.1 In fact, 3% of US seniors who applied exclusively to pediatrics...

(pp 107)

Hepatic Dysfunction in Patients Receiving Intravenous Amiodarone

Ali Hashmi, MD, Nicole R. Keswani, PharmD, Sharon Kim, MD, David Y. Graham, MD

Abstract: Objectives: Amiodarone is a commonly used antiarrhythmic drug. Hepatotoxicity following chronic oral administration occurs in 1% to 3% of patients. Hepatotoxicity following intravenous (IV) administration is infrequent but may be associated with dramatic increases in serum...

(pp 83-86)

10 Practice Recommendations in Adult Vaccination Administration

Benjamin J. Oldfield, MD, Rosalyn W. Stewart, MD, MS

Abstract: Although the provision of immunoprophylaxis to children has become routine in the practice of pediatric preventive care, the same is not true in adult primary care. Contributing to this problem is a lack of knowledge among providers of adult preventive care. This review...

(pp 87-90)

A Multidisciplinary Approach to Castleman Disease of the Neck

Alexandra A. Shams, BS, Mostafa M. Ahmed, MD, Nicholas J. Scalzitti, MD, Della L. Howell, MD, Jordan M. Hall, MD, John L. Ritter, MD, Stephen C. Maturo, MD

Abstract: Castleman disease (CD) is a rare lymphoproliferative disorder that occurs in adults and rarely in the pediatric population. The disease is characterized by slowly enlarging masses that can form anywhere within the lymphatic system. It is an uncommon cause of a neck mass in...

(pp 78-82)

Changes in Nonosteoporotic Bone Density and Subsequent Fractures in Women

Alfred K. Pfister, MD, Christine A. Welch, MS, Molly John, MD, Mary K. Emmett, PhD

Abstract: Objectives: Osteopenia is considerably more common than osteoporosis and accounts for most of the fracture burden in women older than 50 years. It is uncertain when to initiate treatment in osteopenia. We sought to determine in women with osteopenia what effect...

(pp 118-123)

Iatrogenic Subclinical Hyperthyroidism Does Not Promote Weight Loss

Rohit Kedia, DO, Alicia Lowes, DO, Sarah Gillis, MD, Ronald Markert, PhD, Thomas Koroscil, MD, PhD

Abstract: Objectives: Among patients who have undergone total thyroidectomy, do those with thyroid cancer being kept iatrogenically subclinical hyperthyroid (SCH) differ from euthyroid patients in long-term weight change? Methods: In a retrospective study, medical records identified...

(pp 97-100)

Pediatric Dyslipidemia: Recommendations for Clinical Management: Erratum

None Available

Abstract: In the article that published on page 7 of the January 2015 issue, incorrect data were provided in Table...

(pp 137)

Patient Satisfaction with Bedside Teaching Rounds Compared with Nonbedside Rounds

Jason Ramirez, MD, Jason Singh, MD, Adrienne A. Williams, PhD

Abstract: Objectives: Many barriers have been cited in reference to why bedside teaching rounds have decreased in frequency during graduate medical education. One perceived barrier to the use of bedside teaching rounds is a fear of it causing patient discomfort or dissatisfaction....

(pp 112-115)

Senior Medical Student Mock Interview Program in Pediatrics

Sara Multerer, MD, Becky Carothers, MD, Pradip D. Patel, MD, Craig Ziegler, MS, Michael Rowland, PhD, Deborah Winders Davis, PhD

Abstract: Objectives: Residency interviews play an integral part in medical residency placement. We aimed to develop and evaluate a mock interview program for fourth-year medical students interested in a pediatric specialty. Methods: A mock interview program for fourth-year medical...

(pp 101-106)

Newborn Congenital Malformations Associated With Prenatal Exposure to Drugs in Kentucky, 2009–2013

Terry L. Bunn PhD, Betty J. Ouyang MD, Svetla Slavova PhD

Abstract: Objectives: This study examined associations between prenatal drug exposures and congenital organ system malformation diagnoses in newborns (at birth) and infants (hospitalizations after birth up to 30 days of age) in Kentucky. Methods: Data were obtained from Kentucky...

(pp 124-129)

Does Alkaline Colonic pH Predispose to Clostridium difficile Infection?

Purba Gupta, MD, Stanley Yakubov, MD, Kevin Tin, MD, Diego Zea, MD, Olga Garankina, MD, Monica Ghitan, MD, Edward K. Chapnick, MD, Peter Homel, PhD, Yu Shia Lin, MD, Michael M. Koegel, MD

Abstract: Objectives: Clostridium difficile caused nearly 500,000 infections and was associated with approximately 29,000 deaths in 2011, according to data from the Centers for Disease Control and Prevention. C. difficile is a bacterium that causes diarrhea and, often, severe illness...

(pp 91-96)

Multidisciplinary Clinical Case Study

G. Richard Holt, MD, MSE, MPH, MABE, DBioethics

Abstract: This issue of the Southern Medical Journal (SMJ) introduces a new format for case reports that emphasizes and requires multidisciplinary and interprofessional content. After a 5-year moratorium on unidimensional and single specialty case reports, we believe that the...

(pp 77)

Ambulatory Morning Report: A Case-Based Method of Teaching EBM Through Experiential Learning

Gina L. Luciano, MD, Paul F. Visintainer, PhD, Reva Kleppel, MSW, MPH, Michael B. Rothberg, MD, MPH

Abstract: Objectives: Evidence-based medicine (EBM) skills are important to daily practice, but residents generally feel unskilled incorporating EBM into practice. The Kolb experiential learning theory, as applied to curricular planning, offers a unique methodology to help learners...

(pp 108-111)

Commentary on “Patient Satisfaction with Bedside Teaching Rounds Compared with Nonbedside Rounds”

Daniel Glenn Federman, MD, Naseema Merchant, MD

Abstract: Despite the rapidly evolving medical landscape, many of us remain firmly entrenched in the philosophy prevalent at the time we trained--that patients admitted to the hospital will be highly satisfied if we make a rapid and correct diagnosis, initiate prompt and...

(pp 116-117)