March 2018, Volume 111 - Issue 3

Commentary on “Awareness and Knowledge Among Internal Medicine Resident Trainees for Dose Adjustment of Analgesics and Neuropsychotropic Medications in CKD”

Gunjan Garg, MD, Julie Wright Nunes, MD, MPH

Abstract: Research highlights that there is a need to reinforce nephrology-specific education in medical trainees.1 Similar to many internal medicine subspecialties, nephrology continues to evolve with respect to the treatment and management of complex patients—in this case, those...

(pp 163-164)

The Inaccuracy of Accuracy

Anthony C. Breu, MD

Abstract: When Sharon and I learned that she was pregnant with our first child, everything was new and exciting. With this development came our first real experiences as a patient and as a patient’s spouse, and with that, came the testing, including first-trimester screening for...

(pp 166-167)

Commentary on “Prevalence of HCV Infection in Adults with Congenital Heart Disease and Treatment with Direct Antiviral Agents”

Duraisamy Balaguru, MD

Abstract: Advances in heart surgery in the past 50 years have provided a high level of survival in children born with congenital heart defects. The estimated number of adults living with repaired, unrepaired, or as-yet-unrecognized congenital heart defects exceeds 1.4...

(pp 142-143)

Prevalence of HCV Infection in Adults with Congenital Heart Disease and Treatment with Direct Antiviral Agents

Ajay Reddy Gade MBBS, Manisha Patel MD, Donna R. West MSN, Gary A. Abrams MD

Abstract: Objectives: Hepatitis C virus (HCV) infection affects >3% of the US population, which over time can lead to cirrhosis and hepatocellular carcinoma. The lack of a reliable screening method for HCV before 1992 resulted in a higher prevalence of the virus in adults with...

(pp 137-141)

Standardized Hypertension Management to Reduce Cardiovascular Disease Morbidity and Mortality Worldwide

Pragna Patel, MD, MPH, Pedro Ordunez, MD, PhD, Kenneth Connell, MBBS, PhD, Dan Lackland, DrPH, Donald DiPette, MD

Abstract: Cardiovascular diseases (CVDs) are the leading cause of death globally. In 2013, CVDs were responsible for approximately 17 million deaths worldwide (32%), with >75% occurring in low- and middle-income countries...

(pp 133-136)

Awareness and Knowledge Among Internal Medicine Resident Trainees for Dose Adjustment of Analgesics and Neuropsychotropic Medications in CKD

Chadi Y. Saad, MD, Joshua Fogel, PhD, Sofia Rubinstein, MD

Abstract: Objectives: Errors in drug dosing lead to poor patient outcomes and are common in patients with chronic kidney disease (CKD). Because the majority of patients with CKD are being treated by physicians specializing in internal medicine, we studied the awareness and knowledge...

(pp 155-162)

Association of the Length of the Third Stage of Labor and Blood Loss Following Vaginal Delivery

Nader Z. Rabie, MD, Songthip Ounpraseuth, PhD, Dawn Hughes, MD, Patrick Lang, MD, Micah Wiegel, MD, Everett F. Magann, MD

Abstract: Objectives: The length of the third stage of labor is correlated with blood loss following a vaginal delivery. We aimed to accurately measure blood loss following a vaginal delivery and examine the relation between blood loss and length of the third stage of labor. Methods:...

(pp 178-182)

Endobronchial Lesions in Patients Presenting with Hemoptysis

Amik Sodhi, MD, Dipen Kadaria, MD, April Practice McDonald, MD, Adnan Khan, MD, Krishna Gannamraj, MD, Muthiah Muthiah, MD

Abstract: Objectives: The aim of this study was to determine the incidence of endobronchial lesions in patients presenting with hemoptysis. We also aimed to characterize features that would predict whether bronchoscopy would be useful. Methods: A retrospective chart review was...

(pp 151-154)

Delayed Emergence in Pediatric Patients with Neurologic Disease Presenting for Ambulatory Surgery

Khaled Dajani, MD, Mohammed Almualim, MD, Akshay Menon, MD, Jacqueline Volpi-Abadie, MD, Kierstin Lund, MD

Abstract: Objectives: Management of pediatric patients with neurological diagnoses can be challenging for anesthesiologists. We sought to determine whether preexisting neurologic disease could serve as an intrinsic risk factor for prolonged emergence. Methods: Following institutional...

(pp 168-172)

Women’s Health Curriculum for Medical Students

Maryam Sattari, MD, MS, Erinn Cooke, MD, Elizabeth Vorhis, MD, Julia Marshall, MD, Karen Daily, DO

Abstract: Objectives: Knowledge of women’s health is important for physicians in various specialties, but training often is inadequate. The objective of this project was to develop, implement, and evaluate a women’s health curriculum for medical students at the University of...

(pp 183-186)

Risk-Reducing Salpingectomy Versus Standard Tubal Sterilization: Lessons From Offering Women Options for Interval Sterilization

Matthew L. Zerden, MD, MPH, Tara Castellano, MD, Kemi M. Doll, MD, MS, Gretchen S. Stuart, MD, MPHTM, M. Cris Munoz, MD, Kim A. Boggess, MD

Abstract: Objectives: In women receiving sterilization, the removal of the entire fallopian tube, a procedure referred to as a risk-reducing salpingectomy (RRS), reduces subsequent ovarian cancer risk compared with standard tubal sterilization procedures. There are limited data on...

(pp 173-177)

Video Decision Aids in End-of-Life Care: Is There a Role with Older Adult Patients?

Rajesh Nair, BSc, MD

Abstract: To the Editor: Advance care planning (ACP) is a process that enables patients to make decisions about their future endof-life (EOL) care and provide directions to healthcare providers (HCPs) when a person is not in a position to communicate his or her own wishes. For the...

(pp 165)

Diverticular Disease: The Old, the New, and the Ever-Changing View

Michael S. DiSiena, MD, John W. Birk, MD

Abstract: Our understanding of diverticular disease has evolved significantly during the last 25 years, and as such, a reexamination is in order. We performed a literature search for the years 1960–2017 of PubMed, Medline, and Google Scholar for updates regarding the epidemiology,...

(pp 144-150)