July 2019, Volume 112 - Issue 7

CME Article: Retrospective Analysis of the Effect of Postdischarge Telephone Calls by Hospitalists on Improvement of Patient Satisfaction and Readmission Rates

Mengli Xiao, MS, Catherine A. St. Hill, DVM, PhD, Marc Vacquier, MS, Love Patel, MD, Pamela Mink, PhD, Karl Fernstrom, MPH, Justin Kirven, MD, Jessica Jeruzal, BA, David Beddow, MD

Abstract: Objectives: The influence of postdischarge telephone call interventions preventing hospital readmissions is unclear. A novel approach of the discharging hospitalist providing this intervention may improve overall patient satisfaction. Our objective was to assess the impact...

(pp 357-362)

Outcomes of Patients Hospitalized for Severe Acute Alcoholic Hepatitis

Leonard Noronha, MD, Erin FitzGerald, DO, J. Rush Pierce, MD, MPH

Abstract: Objectives: Severe acute alcoholic hepatitis is a serious condition in individuals who consume significant quantities of alcohol. We aimed to identify risk factors for short-term mortality with this illness.Methods: Patients with severe acute alcoholic hepatitis admitted to...

(pp 363-368)

OPEN: Effect of Local Smoke-Free Ordinances on Smoking Prevalence in Kentucky, 2002–2009

W. Jay Christian, PhD, MPH, Courtney J. Walker, BA, Bin Huang, DrPH, MS, Ellen J. Hahn, PhD, RN, FAAN

Abstract: Objectives: Many local communities in Kentucky, a state with one of the highest smoking prevalence rates in the United States, have enacted smoke-free ordinances that prohibit smoking in workplaces and enclosed buildings open to the public. Research has shown that such...

(pp 369-375)

The Costs of Applying to Residency: One Institution’s Efforts to Increase Transparency

Andrew W. Kuhn, BA, Ryan T. Jarrett, BA, David R. Scudder, BS, Daniel E. Pereira, BS, Amy E. Fleming, MD, MHPE, Brian C. Drolet, MD

Abstract: Objectives: To provide students at our own institution with more accurate and granular data regarding the costs associated with applying for residency.Methods: We created an electronic survey with >28 different fields delineating the costs associated with applying for...

(pp 376-381)

Healthcare Access, Pregnancy Intention, and Contraceptive Practices Among Reproductive-Aged Women Receiving Opioid Agonist Therapy in Northeast Tennessee

Edward Leinaar, MPH, Leigh Johnson, MD, MPH, Ruby Yadav, DrPH, Abir Rahman, MPH, Arsham Alamian, PhD, MSc

Abstract: Objectives: Women with substance use disorders often experience unique challenges to obtaining contraception and adhering to user-dependent methods. As a result, this at-risk population of women tends to have higher than average rates of unintended pregnancy. The objective...

(pp 382-386)

Prevalence of Systemic Hypertension Among HIV-Infected and HIV-Uninfected Young Adults in Baltimore, Maryland

Patrick Ryscavage, MD, William Still, MS, Vimbai Nyemba, MD, Kristen Stafford, PhD

Abstract: Objectives: Adults with perinatally acquired human immunodeficiency virus (PHIV) infection may be at increased risk for nonacquired immunodeficiency syndrome (AIDS) diseases, including systemic hypertension (HTN). The purpose of this study was to examine the prevalence of...

(pp 387-391)

An Updated Approach to Evaluation and Treatment of Helicobacter pylori Infection

Benjamin R. Lloyd, MD, David A. Leiman, MD, MSHP

Abstract: Helicobacter pylori is a chronic bacterial infection that can lead to peptic ulcer disease, chronic gastritis, and gastric cancer. Its prevalence in the United States is lower than in most of the world, although specific populations are at particular risk for...

(pp 392-398)

Commentary on “An Updated Approach to Evaluation and Treatment of Helicobacter pylori Infection”

Patrick G. Brady, MD

Abstract: This issue of the Southern Medical Journal contains an important and timely review of Helicobacter pylori diagnosis and treatment.1 Since its discovery in 1983, H. pylori infection has been found to be the main cause of peptic ulcer disease, chronic gastritis, gastric...

(pp 399-400)

Choice of Intravenous Crystalloid Fluid and Mortality in Critically Ill Adult Patients

Christopher D. Jackson, MD, Shawn B. Patel, MD, Matthew B. Haltom, MD, Praneet S. Iyer, MD, Marwan A. Odeesh, MD, Robert W. Bradsher, MD, Sehrish Kamal, MD, Ankur Seth, MD

Abstract: Objectives: Intravenous balanced crystalloid fluid therapy may improve mortality and other outcomes in critically ill adult patients, but data are conflicting. We conducted a meta-analysis and literature review to evaluate the impact of intravenous balanced crystalloid, as...

(pp 401-405)

Assessing the Availability of Pharmacotherapy Options for Tobacco Cessation in Tennessee’s Substance Use Facilities

John Boatner, DSW, David Patterson, PhD, Freida Herron, DSW, William Nugent, PhD, Timothy Rice, MD

Abstract: Objectives: Smoking is deadly and exacerbates comorbid health conditions, especially among those with co-occurring substance use disorders. Tennessee does not require substance abuse treatment facilities to concurrently provide tobacco-cessation treatment options or limit...

(pp 406-411)

A Dose-Response Analysis of Crystalloid Administration during Esophageal Resection

Morgan Smith, MBBS, Bobby Nossaman, MD

Abstract: Objectives: The purpose of this retrospective study was to investigate the role of intraoperative crystalloid administration on postoperative hospital length of stay (phLOS) and on the incidence of previously reported adverse events in 100 consecutive patients who underwent...

(pp 412-418)

Commentary on “A Dose-Response Analysis of Crystalloid Administration during Esophageal Resection”

Kyle J. Kalkwarf, MD

Abstract: In this issue of the Southern Medical Journal, Smith and Nossaman retrospectively examined patient records for 100 consecutive esophageal surgeries to assess intraoperative intravenous fluid with outcomes.1 They found a dose-response relation associating intraoperative...

(pp 419)