October 2019, Volume 112 - Issue 10

Improving Transitions of Care for Healthy Adolescents and Young Adults

Shannon Leung, MD, MPH, Mason Walgrave, MD, Sarah Mennito, MD, MSCR

Abstract: Objectives: To explore the gaps in care within the transition process from pediatric to adult medicine for healthy and noncomplex adolescents and young adults and to highlight the importance of identifying and adapting interventions to improve transitions for this...

(pp 501-511)

Enhanced vs Standard Parents as Teacher Curriculum on Factors Related to Infant Feeding among African American Women

Lisa Tussing-Humphreys, PhD, MS, RD, Jessica L. Thomson, PhD, Melissa Goodman, PhD, Alicia Landry, PhD, RD

Abstract: Objectives: To determine the comparative impact of the standard Parents as Teachers (PAT) to the nutrition and physical activity enhanced version (PATE) of the perinatal educational curriculum on compliance with infant feeding recommendations and changes in maternal infant...

(pp 512-519)

Implementation of Case Conferences to Improve Interprofessional Collaboration in Resident Continuity Clinic

Tanya Nikiforova, MD, MS, Carla L. Spagnoletti, MD, MS, Scott D. Rothenberger, PhD, Kwonho Jeong, MS, Peggy B. Hasley, MD, MHSc

Abstract: Objectives: Residents must be trained in skills for interprofessional collaboration and team-based care in the outpatient setting, and successful models are needed to achieve this aim. A longitudinal curriculum was developed to enhance residents’ knowledge of...

(pp 520-525)

Teaching Medical Students in the Rural Setting Long Term: Physicians’ Attitudes and Perceptions

John Wheat, MD, MPH, John Brandon, MD, Melissa Cox, PhD, Scott Thomas, MD, Susan Guin, MSN, James Leeper, PhD

Abstract: Objectives: The University of Alabama School of Medicine Tuscaloosa Regional Campus conducted a 2-month block in rural family practice, but committed to expanding to an 8-month longitudinal rural curriculum. We wanted to explore how rural physicians feel about teaching...

(pp 526-530)

CME Article: A More Directive Living Will for Older Adult Patients with End-Stage Medical Conditions?

Jack DePriest, MD, MACM, Priyanka Jagannath, MD, Michael Iannetti, MD, Suzanne Kemper, MPH

Abstract: Objectives: Many older adult patients want to be treated aggressively for reversible conditions, even when their current quality of life is limited; however, most standard living wills focus on the very end of life and provide little guidance to acute care providers (ACPs)...

(pp 531-534)

Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis

Dilpreet K. Singh, MD, Jasdeep Badwal, MD, Ritika Vankina, MD, Santhi Gokaraju, MD, Jennifer Friderici, MS, Scott Halista, MD, Tara Lagu, MD, MPH

Abstract: Objectives: Anti-cyclic citrullinated peptide antibody (ACPA) has excellent specificity and prognostic value in patients with early rheumatoid arthritis (RA). The American College of Rheumatology included ACPA in their 2010 classification criteria for RA, but we hypothesize...

(pp 535-538)

Commentary on “Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis”

Kam A. Newman, MD, MohamadOmid Edrissian, MD

Abstract: Rheumatoid arthritis (RA) is a chronic systemic autoimmune inflammatory disorder of unknown etiology, for which delay in diagnosis and treatment may cause irreversible structural joint damage in affected individuals. A large body of evidence supports that early diagnosis...

(pp 539-540)

Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography

Srijan Tandukar, MD, Helbert Rondon-Berrios, MD, MS, Steven D. Weisbord, MD, MSc

Abstract: Objectives: Recent studies have questioned whether intravascular iodinated contrast remains an independent cause of acute kidney injury (AKI). We sought to assess whether iodinated contrast administered during coronary angiography is an independent cause of AKI.Methods: We...

(pp 541-546)

Sports-Injury Encephalopathy

Angeline Prabhu, MD, Bilal Abaid, MD, Samreen Fathima, MD, Shivani Naik, MD, Steven Lippmann, MD

Abstract: Sports-related encephalopathies are a growing concern among athletes who have experienced head trauma. Anxiety is heightened for the public and especially among parents of children playing contact sports. The most common neuropsychological conditions are concussions and...

(pp 547-550)

Venous Thromboembolism: Are NOACs the Right Initial Drug of Choice for Unprovoked Venous Thromboembolism?

Ahmed K. Pasha, MD, Anupa Baral, MD, Muhammad Umer Siddiqui, MD

Abstract: To the Editor: Venous thromboembolism (VTE) is a common vascular disorder affecting approximately 500,000 people each year in the United States.1 With the advent of novel oral anticoagulants (NOACs), the treatment of VTE has been revolutionized, especially of provoked deep...

(pp 551)