January 2020, Volume 113 - Issue 1

Poverty and Health in Tennessee

Kate Beatty, PhD, MPH, Olivia Egen, MPH, John Dreyzehner, MD, MPH, Randy Wykoff, MD, MPH&TM

Abstract: Objectives: Understanding the impact of poverty on health can inform efforts to target social programs and regional economic development. This study examined the effects of poverty on health among the 95 counties of Tennessee.Methods: All of the counties of Tennessee were...

(pp 1-7)

Procedural Anxiety, Pain Catastrophizing, and Procedure-Related Pain during EGD and Colonoscopy

Marco Lauriola, PhD, Manuela Tomai, PhD, Rossella Palma, MD, Gaia La Spina, MA, Anastasia Foglia, MA, Cristina Panetta, MD, Marilena Raniolo, MD, Stefano Pontone, MD, PhD

Abstract: Objectives: Although sedatives and analgesic drugs defuse anxiety and relieve pain, digestive endoscopy still is uncomfortable and painful for some patients. Identifying patients who tolerate digestive endoscopy less well remains difficult. The present study evaluated the...

(pp 8-15)

Single-Institution Experience of Synovial Sarcoma

Amy Farkas, MD, Seth T. Lirette, PhD, Youssef Al Hmada, MD, Anderson B. Collier, MD, Jennifer Barr, MD, Srinivasan Vijayakumar, MD, Vani Vijayakumar, MD

Abstract: Objectives: The purpose of this study was to investigate the patient population and outcomes of synovial sarcoma at a single institution.Methods: A retrospective review of the medical records of 28 patients with synovial sarcoma diagnosed from 1992 to 2017 was performed....

(pp 16-19)

Chest Radiography Should Be Requested Only on Admission Based on Clinical Grounds

Zvi Shimoni, MD, Michal Rosenberg, MD, Leeor Amit, MD, Paul Froom, MD

Abstract: Objectives: To determine the clinical utility and adverse consequences of routine admission chest x-ray (CXR) findings in patients with and without respiratory complaints and/or an abnormal chest examination.Methods: In this prospective cohort study in an internal medicine...

(pp 20-22)

Characteristics of Pediatric Patients With Retained Bullet Fragments and Need for Follow-Up Blood Lead Monitoring

Todd Fleenor, MD, Joshua Haupt, MD, Kathleen Richard, MD, Michele Nichols, MD, Nipam Shah, MBBS, MPH

Abstract: Objectives: Multiple case reports of lead toxicity related to retained bullet fragments in pediatric patients sustaining gunshot wound have been published. The purpose of the present study was to determine whether the demographic and clinical characteristics of gunshot...

(pp 23-28)

Uterine Corpus Malignancies in Appalachia Kentucky: Incidence, Survival, and Related Health Disparities

Marian Symmes Johnson, MD, Thomas C. Tucker, PhD, Quan Chen, PhD, Bin Huang, PhD, Christopher P. DeSimone, MD, Rachel W. Miller, MD, Lauren A. Baldwin, MD, Tricia I. Fredericks, MD, Brian T. Burgess, MD, Frederick R. Ueland, MD

Abstract: Objectives: Uterine cancer is the nation’s most common gynecologic malignancy, but it is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). Our aim was to assess the frequency, distribution, and survival of uterine corpus malignancies...

(pp 29-36)

CME Article: Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma

Kinjal Suryawala, MD, Sirish Palle, MD, Muhammad A. Altaf, MD

Abstract: Objectives: Eosinophilic esophagitis (EoE) is characterized by upper gastrointestinal tract symptoms in association with esophageal mucosal biopsy specimens containing ≥15 intraepithelial eosinophils per high-power field. The etiology of EoE remains unclear, but an...

(pp 37-41)

Statewide Regional Campus Development: Academic Medicine’s Response to US Physician Shortages

Elena A. Wood, MD, PhD, Kathryn R. Martin, PhD, Paul M. Wallach, MD

Abstract: Based on data from the Association of American Medical Colleges (AAMC), the United States will experience a shortage of up to 122,000 physicians by 2032, affecting patient care across the nation.1 In 2006, the AAMC recommended a 30% increase in US medical school enrollment...

(pp 42-45)

Wellness Programs in an Academic Practice: Lessons Learned

Julie M. Marshall, MD, Quinn L. Johnson, MD

Abstract: The development of wellness programs in many groups is increasingly common as institutions work to address the issue of burnout and employee performance. Academic programs face a unique challenge establishing wellness plans because of the varied professional roles of...

(pp 46-48)

Commentary on “Wellness Programs in an Academic Practice: Lessons Learned”

Benjamin N. Hunter, MD, G. Richard Holt, MD, MSE, MPH, MABE, DBioethics

Abstract: We commend the authors of the Perspective entitled “Wellness Programs in an Academic Practice: Lessons Learned,” for highlighting the importance of resident wellness and for developing positive efforts to promote resilience in their resident cadre.1 The present climate...

(pp 49-50)