February 2018, Volume 111 - Issue 2

Implementation of a New Guideline and Educational Sessions to Reduce Low-Value Continuous Pulse Oximetry Among Hospitalized Patients

Scott A. Helgeson, MD, Andree H. Koop, MD, Andrew M. Harrison, PhD, Jordan C. Ray, MD, Gaja F. Shaughnessy, MD, Christopher L. Brett, MD, Lauren F. Cornell, MD, Cammi L. Bowman, MSN, RN, M. Caroline Burton, MD

Abstract: Objectives: The use of continuous pulse oximetry (CPOX) is ubiquitous among hospitalized patients, despite limited evidence that it improves clinical outcomes. The objective of this study was to reduce the use of CPOX among hospitalized patients in the nonintensive care...

(pp 87-92)

Authors’ Response

Judith Regan, MD, JD

Abstract: To the Editor: The letter to the editor from representatives of the American Association of Physician Assistants (AAPA) in response to our article ‘‘Improving Mental Health Services Through Physician Assistants: Legislation in Several Southern States’’ apparently...

(pp 82)

On “Improving Mental Health Services Through Physician Assistants: Legislation in Several Southern States”

Keisha L. Pitts, JD, Stephanie Radix, JD

Abstract: To the Editor: The American Academy of Physician Assistants wishes to express concern regarding the article by Buchbinder and colleagues published in the April 2017 issue of the Southern Medical...

(pp 81)

Development and Implementation of an Inpatient Otolaryngology Consultation Service at an Academic Medical Center

Matthew G. Huddle, MD, Nyall R. London, MD, PhD, C. Matthew Stewart, MD, PhD

Abstract: Objectives: To design and implement a formal otolaryngology inpatient consultation service that improves satisfaction of consulting services, increases educational opportunities, improves the quality of patient care, and ensures sustainability after implementation. Methods:...

(pp 118-122)

Hospital Readmission Rates Following AMI: Potential Interventions to Improve Efficiency

Jennifer T. Nguyen, BS, Kairav Vakil, MD, Selcuk Adabag, MD, Anders Westanmo, PharmD, Richard Madlon-Kay, MD, Areef Ishani, MD, Santiago Garcia, MD, Edward O. McFalls, MD, PhD

Abstract: Objectives: Quality of care utilization measures for patients admitted to the hospital with an acute myocardial infarction (AMI) include length of stay (LOS) and 30-day readmission rates. Our aim was to test whether efforts resulting in reduced LOS in patients diagnosed as...

(pp 93-97)

History of Music Therapy and Its Contemporary Applications in Cardiovascular Diseases

Maria Rosa Montinari, PhD, Simona Giardina, PhD, Pierluca Minelli, MPH, Sergio Minelli, MD

Abstract: Contrary to what is commonly believed, music therapy is an old cure, the use of which is lost in the mists of time. Music always has been perceived to have particular healing powers, and the entire history of civilization contains aspects that link music to physical and...

(pp 98-102)

Commentary on “Development and Implementation of an Inpatient Otolaryngology Consultation Service at an Academic Medical Center”

Philip G. Chen, MD

Abstract: Stewart and colleagues should be commended for their article in this issue of the Southern Medical Journal, which attempts to shed light on many unanswered questions regarding the roles of an inpatient consult service and advanced practice providers (APPs) in an academic...

(pp 123-124)

Risk Factors for Failure in Complicated Intraabdominal Infections

Bryan P. White, PharmD, Jamie L. Wagner, PharmD, Katie E. Barber, PharmD, S. Travis King, PharmD, Kayla R. Stover, PharmD

Abstract: Objectives: Approximately 20% of patients with complicated intraabdominal infections (cIAIs) fail therapy. The purpose of this study was to identify risk factors for clinical failure in patients with cIAIs. Methods: International Classification of Diseases, Ninth Revision...

(pp 125-132)

Assessing Correlation of Residency Applicants’ Interview Dates With Likelihood of Matching

Sameer Avasarala, MD, Elizabeth Thompson, , Sarah Whitehouse, MA, Sean Drake, MD

Abstract: The timing of an interview in relation to the recruitment season does not appear to have an effect on the likelihood of an applicant matching into a particular program among 11...

(pp 83-86)

Vision Screening in Adults Across the Life Span

Helen S. Cohen, EdD, OTR, Jasmine Stitz, MS, Haleh Sangi-Haghpeykar, PhD, Susan P. Williams, MD

Abstract: Vision screening is quick, inexpensive, and easily performed by ancillary staff, and it may provide the physician with useful additional information for treatment...

(pp 109-112)

Cognitive Behavioral Therapy in the Treatment of Insomnia

James Haynes, MD, Malissa Talbert, MD, Steven Fox, MD, Elizabeth Close, MD

Abstract: Insomnia disorder is present in as much as 30% of the general adult population. Given the significant adverse effects of pharmacotherapy, cognitive behavioral therapy (CBT) has been found to be an effective alternative in individuals with insomnia. CBT for insomnia (CBTi)...

(pp 75-80)

Differences Between Snakebites with Concomitant Use of Alcohol or Drugs and Single Snakebites

Joann Schulte, DO, MPH, Kurt C. Kleinschmidt, MD, Kristina Domanski, MD, Eric Anthony Smith, MSIS, Ashley Haynes, MD, Brett Roth, MD

Abstract: Objectives: Published reports have suggested that the concurrent use of alcohol or drugs occurs among some snakebite victims, but no national assessment of such data exists. Methods: We used data from US poison control centers collected during telephone calls in calendar...

(pp 113-117)

Association of Anemia with Outcomes of Acute Heart Failure

Ahmad Halawa, MD, M. Caroline Burton, MD, Michael J. Maniaci, MD, Brian P. Shapiro, MD, Daniel S. Yip, MD, David O. Hodge, , Emily R. Vargas, , Nancy Dawson, MD

Abstract: Objectives: Anemia is common in patients presenting with acute congestive heart failure (CHF); when hemoglobin (HGB) declines to low levels, it can result in worse outcomes. The aim of this study was to determine a level of HGB on admission or discharge that affects...

(pp 103-108)