June 2018, Volume 111 - Issue 6

Commentary on “Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky”

Kandace P. McGuire, MD

Abstract: The article “Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky”1 in this issue of the Southern Medical Journal describes the disparity in National Cancer Comprehensive Network (NCCN)...

(pp 342-343)

Telerheumatology: The VA Experience

Tracy U. Nguyen-Oghalai, MD, PhD, Kathy Hunter, DNP, Michael Lyon, MD, MPH

Abstract: Objectives: We sought to characterize the correlation between diagnoses made during telerheumatology and face-to-face visits and to document patients’ satisfaction with telerheumatology visits. Methods: This quality assurance study of the use of telerheumatology evaluated...

(pp 359-362)

OPEN: Effects of Long-Term Combination LT4 and LT3 Therapy for Improving Hypothyroidism and Overall Quality of Life

Anam Tariq, DO, Yijin Wert, MS, Pramil Cheriyath, MD, Renu Joshi, MD

Abstract: Objectives: Hypothyroidism results in decreased mood and neurocognition, weight gain, fatigue, and many other undesirable symptoms. The American Association of Clinical Endocrinologists, the American Thyroid Association (ATA), and The Endocrine Society recommend...

(pp 363-369)

Resident Perceptions of Competency and Comfort Before and After Telemedicine-ICU Implementation

Alexa Summe, DO, Laura Foor, DO, Lauren Hoeck, FSA, Kristen Campbell, JD, Mark Boyd, MD, Mary Ann Barnes, MD

Abstract: Objectives: The purpose of this study was to examine the impact telemedicine in the intensive care unit (ICU) has on the competency, satisfaction, and education of resident physicians. Methods: Telemedicine in the ICU was implemented in 2014 at a community hospital with 24...

(pp 344-347)

Public CPR and AED Knowledge: An Opportunity for Educational Outreach in South Carolina

Lisa M. Petruncio, BS, David M. French, MD, Edward C. Jauch, MD, MS

Abstract: Objectives: Sudden cardiac arrest (SCA) remains a significant cause of morbidity and mortality, and the key to increased survival is emergent bystander intervention. A growing body of evidence has shown that timely bystander-initiated cardiopulmonary resuscitation (CPR) and...

(pp 349-352)

A Look Through Time: Historical Analysis of Obstetrics and Gynecology Texts Highlights Changes in Medicine

Jared T. Roeckner, MD, Amy B. Peebles, MD

Abstract: Objective: Our objective was to analyze systematically the preface and foreword of each edition of Williams Obstetrics and Te Linde’s Operative Gynecology to gain insight into historical changes in medicine. Methods: The preface and foreword from 24 editions of Williams...

(pp 313-316)

Brucellosis in Adults and Children: A 10-Year Case Series at Two Large Academic Hospitals in Houston, Texas

Jose A. Serpa, MD, MS, Sheena Knights, MD, Dimitrios Farmakiotis, MD, Judith Campbell, MD

Abstract: Objectives: Brucellosis is one of the most common zoonoses worldwide. Most cases in the United States occur among travelers or immigrants from endemic regions, mostly Central America. In this study, we aimed at describing and comparing the epidemiology and clinical...

(pp 324-327)

Improving Medical Students’ Perceptions of Older Adults by Engaging Older Military Veterans in Recreational Activities

Joshua S. Jue MD, Zoltan Buchwald MD, Neil P. Larson MD, Stuart M. Sacks MD, Maria H. van Zuilen PhD

Abstract: To the Editor: The aging of the US population has led to a shortage of physicians in geriatrics to care for the 30% of older adults who should be seen by a geriatrician.1 To compound this deficit, few physicians are choosing to specialize in this...

(pp 353)

On “Improving Medical Students’ Perceptions of Older Adults by Engaging Older Military Veterans in Recreational Activities”

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

Abstract: To the Editor: I would like to commend Mr Jue and his medical student colleagues at the University of Miami School of Medicine, who, along with their faculty mentor, Dr van Zullen, have addressed the important issue of medical student comfort with older adult...

(pp 354)

Cost-Effectiveness Analysis of Early vs Late Diagnosis of HIV-Infected Patients in South Carolina

Marlon Rampaul, MBBS, Babatunde Edun, MD, Monetha Gaskin, MPH, Helmut Albrecht, MD, Sharon Weissman, MD

Abstract: Objectives: It is anticipated that early diagnosis, linkage to care, initiation of antiretroviral therapy (ART), and retention in care would lead to reduced opportunistic infections, reduction in human immunodeficiency virus–related morbidity and mortality and reduced...

(pp 355-358)

Practice Pattern Variation in Pediatric Eosinophilic Esophagitis in the Carolinas EoE Collaborative: A Research Model in Community and Academic Practices

Kevin Z. Huang, BS, Elizabeth T. Jensen, MPH, PhD, Hannah X. Chen, BA, Lisa E. Landes, MPH, RD, Kristen A. McConnell, BA, M. Angie Almond, MEd, RD, Douglas T. Johnston, DO, Raquel Durban, MS, RD, Laura Jobe, BS, Carrie Frost, RN, BSN, Sarah Donnelly, DO, Brady Antonio, MD, Anca M. Safta, MD, J. Antonio Quiros, MD, Jonathan E. Markowitz, MD, Evan S. Dellon, MD, MPH

Abstract: Objectives: Differences in the initial management of pediatric eosinophilic esophagitis (EoE) by practice setting have not been well characterized. We aimed to characterize these differences for sites in the Carolinas EoE Collaborative (CEoEC), a multicenter network of...

(pp 328-332)

Contraceptive Practices, Preferences, and Barriers Among Abortion Clients in North Carolina

Amy G. Bryant, MD, MSCR, Ilene S. Speizer, PhD, Jennifer C. Hodgkinson, MA, Alison Swiatlo, MPH, Siân L. Curtis, PhD, Krista Perreira, PhD

Abstract: Objectives: Abortion clinics provide an ideal setting for women to receive contraceptive care because the women served may not have other contacts with the health system and are at risk for unintended pregnancies. The objective of this study was to understand practices,...

(pp 317-323)

Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky

Robert M. Ore, MD, Quan Chen, PhD, Christopher P. DeSimone, MD, Rachel W. Miller, MD, Lauren A. Baldwin, MD, John R. van Nagell, MD, Bin Huang, PhD, Thomas C. Tucker, PhD, M. Symmes Johnson, MD, Tricia I. Fredericks, MD, Frederick R. Ueland, MD

Abstract: Objectives: Adherence to National Comprehensive Cancer Network (NCCN) guidelines for ovarian cancer treatment improves patient outcomes. The aim of this study was to assess disparities associated with ovarian cancer treatment in the state of Kentucky and central Appalachia....

(pp 333-341)

Commentary on “Resident Perceptions of Competency and Comfort Before and After Telemedicine-ICU Implementation”

Christopher D. Jackson, MD

Abstract: Telemedicine in the intensive care unit (ICU) was first described by Grundy and colleagues in the 1980s.1 Using two-way audiovisual technology, centers that house practitioners (intensivists, advance practice providers, and critical care nurses) are connected to hospitals...

(pp 348)