Original Article

Falls from Tree Stands Have Become the Leading Cause of Deer Hunting Accidents in Pennsylvania

Objectives: This study aimed to describe, using a statewide trauma registry, the incidence, trends, and injuries for tree stand falls while deer hunting in Pennsylvania. Methods: Falls from tree stands were abstracted from the Pennsylvania Trauma Systems Foundation registry (1990–2017) and combined with the number of licensed deer hunters, deer…

Original Article

CME Article: Forgone Care among LGBTQ and Non-LGBTQ Americans during the COVID-19 Pandemic: The Role of Health, Social Support, and Pandemic-Related Stress

Objectives: In this study, we explore the role of Coronavirus Disease 2019 pandemic-related stress, social support, and health on unmet healthcare needs during the Coronavirus Disease 2019 pandemic, particularly among lesbian, gay, bisexual, transgender, and queer plus (LGBTQ+) adults. Methods: We collected data using a self-administered online survey of US…

Posted in: Infectious Disease129

Original Article

CME Article: Safety of Nonvitamin K Antagonists Compared with Warfarin in Patients with Atrial Fibrillation and End-Stage Kidney Disease

Objectives: This study evaluated the occurrence of major bleeding following the initiation of oral anticoagulation therapy in patients with end-stage kidney disease (ESKD) in a community teaching hospital. Methods: This was a single-center retrospective study that enrolled patients admitted to the study hospital with ESKD and who received oral anticoagulation…

Posted in: Nephrology and Urology21

Review Article

Pathophysiology and Management of Neurogenic Pulmonary Edema in Patients with Acute Severe Brain Injury

Acute brain injury (ABI) consists of any acquired insult to the brain and is a significant cause of morbidity and mortality worldwide. Approximately 20% to 30% of patients with ABI develop a lung injury called neurogenic pulmonary edema (NPE), and its development often results in poor outcomes. This article provides…

Posted in: Acute Respiratory Distress Syndrome (Ards)1

Original Article

Bioactive Knee Sleeve for Osteoarthritis: A Small Cohort Study

Objectives: Osteoarthritis (OA) is one of the most prevalent musculoskeletal ailments worldwide. Numerous conservative therapies exist, but evidence for such treatments remains conflicting. Recently, there has been growing interest surrounding bioactive sleeves for managing knee arthritis; however, the literature on their efficacy for relieving pain and improving function in the…

Posted in: Osteoarthritis1

Original Article

Storm Surfing Fatalities

Objectives: Tropical storms and hurricanes often produce ocean wave conditions that attract surfers. The risk for serious injury or death from “storm surfing” has not yet been described in the medical literature. This study aimed to quantify deaths attributable to storm surfing along the coasts of North America and the…

Original Article

Sustaining the Intrinsic Motivations of the “Good Physician”: A Content Analysis of Medical Students’ and Physicians’ Responses from Two National Surveys

Objective: Physician motivation has been described as the reason, purpose, and force that drives people to pursue their work, and motivating factors include those that are intrinsic or extrinsic to the work. Social forces may contribute to motivational disparities between medical school and actual practice. Methods: A secondary data analysis…

Original Article

Preparing Residents to Respond to Incidences of Gender Discrimination and Sexual Harassment: An Interactive Workshop

Objectives: Gender discrimination and sexual harassment are common in academic medicine. There are limited data on how to prepare medical trainees to respond to these incidents. The objective of this work was to understand the experience of residents with sexual harassment and to evaluate the impact of a low-cost educational…

Original Article

Reasons for Visits to the Dermatologist Stratified by Race

Objectives: The aim of this study was to examine, from the patient’s perspective, the most common reasons for seeking medical attention for skin disease and how this varies among different races. Methods: We conducted a cross-sectional analysis on the National Ambulatory Medical Care Survey between 2007 and 2018, the most…

Posted in: Dermatology10

Original Article

Knowledge of Teenagers and Young Adults about COVID-19 and Compliance with Social Distancing Guidelines

Objectives: Understanding the coronavirus disease 2019 (COVID-19) knowledge and personal preventive behaviors of younger individuals is important as it can affect not only their own health but also the health of other potentially more vulnerable individuals. The aims of this study were to explore the knowledge of teenagers and young…

Posted in: Infectious Disease129

Perspectives

Optimal Treatment for Patients with Heart Failure with Preserved Ejection Fraction

In light of recent studies, how can providers approach and offer optimal care to patients with heart failure with preserved ejection fraction (HFpEF)? As evidenced by years of research, there is clear guidance to treat patients with heart failure with reduced ejection fraction (HFrEF). The data model the benefits of…

Review Article

Increasing Nasal Tip Projection Using Structural Grafts: A Review of Outcomes

Key Points Nasal tip projection increased significantly using either columellar strut grafts (CSGs) or septal extension grafts (SEGs). More patients suffered postoperative complications after receiving SEGs than CSGs. For patient satisfaction, 4.5% of patients reported they were not satisfied aesthetically after rhinoplasty when using CSGs, whereas 5.5% reported dissatisfaction with…

Original Article

We Need You Here! Predictors of Job Placement and Practice among New Mexico Family Medicine Residents

Objectives: Primary health care (PHC) is essential for a well-functioning health system. Although PHC has been shown to have adverse effects on health outcomes, many barriers prevent adequate access, including a shortage of primary care physicians. In New Mexico, 32 of 33 counties are designed as primary care health professional…

Letter to the Editor

Clinical Stages of Lymphedema Based on the Therapeutic Response and Maintenance of the Results

To the Editor: Lymphedema is a clinical condition stemming from a failure in the lymphatic system that compromises the formation or drainage of lymph. There are several clinical classifications based on epidemiological findings, clinical stages, the severity of the edema, and the age at which primary lymphedema emerges.1,2

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