Original Article

Preexposure Prophylaxis for HIV Prevention in a Rural Southern Clinic

Objectives: Little is known about implementing preexposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) in the rural US South, where most HIV infections occur. To investigate how to better reach the at-risk population in rural eastern North Carolina (ENC), the characteristics and clinical courses of those receiving PrEP from our…

Posted in: Infectious Disease104 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection13

Original Article

Relationship between Perceived Quality of Prenatal Care and Maternal/Infant Health Outcomes

Key Points Women who perceived higher quality of prenatal care were significantly less likely to have a preterm birth relative to women who reported lower quality care. Women who reported (any) medical jargon during their prenatal visits were less likely to have a normal birth weight baby. Women who reported…

Posted in: Obstetrics and Gynecology39

Original Article

CME Article: Comparison of Robotic and Laparoscopic Colectomies Using the 2019 ACS NSQIP Database

Objectives: Robot-assisted laparoscopic surgeries (RLSs) have become increasingly common in the past decade alongside conventional laparoscopic surgeries (CLSs). In general, RLSs have been reported to be superior to CLSs; therefore, we compared both methods among patients undergoing an elective colectomy for differences in perioperative factors and postoperative complications. Methods: A…

Posted in: Colonic And Anorectal Disease8

Review Article

Atrial Fibrillation and Cardiovascular Risk Assessment among COVID-19 Patients Using Different Scores

Since the advent of severe acute respiratory syndrome-coronavirus-2 in December 2019, millions of people have been infected and succumbed to death because of this deadly virus. Cardiovascular complications such as thromboembolism and arrhythmia are predominant causes of morbidity and mortality. Different scores previously used for atrial fibrillation (AF) identification or…

Posted in: Infectious Disease104

Original Article

Using Fictional Medical Television Programs to Teach Interprofessional Communication to Graduating Fourth-Year Medical Students

Objectives: Effective interprofessional (IP) communication is crucial to high-quality patient care, but significant obstacles remain regarding implementing IP communication curricula for undergraduate medical students. As such, as part of a bootcamp required for University of Pittsburgh graduating medical students in 2021, we developed and evaluated a workshop using clips from…

Original Article

Prevalence of Novel Pedagogical Methods in the Radiology Education of Medical Students

Objectives: Radiology education is essential in medical school; however, developing an integrated and comprehensive curriculum remains a challenge. Many novel methods have been implemented with varying outcomes. In this study, the authors sought to examine published pedagogical methods of radiology instruction and query US academic faculty members on their current…

Original Article

Geographic Access to Primary Healthcare Services among Latinos/as/x in Western Alabama

Objectives: Alabama’s Latino/a/x population grew 278% from 2000 to 2018. Tuscaloosa County, located in the largely rural region of western Alabama, also experienced a significant influx of Latino/as/x during this time frame. Geographic healthcare access (GHA) to primary care and hospitals is crucial for immigrant Latino/as/x to care for their…

Original Article

Impact of Benzodiazepine Use on Length of Stay and 30-Day ED Visits among Hospitalized Hematopoietic Stem Cell Transplant Recipients

Objectives: This study assesses the impact of benzodiazepine (BNZ) use on length of stay (LOS) and 30-day emergency department (ED) visits after hematopoietic stem cell transplant (HSCT). Methods: Adult patients (18 years and older) who underwent an allogeneic or an autologous HSCT from 2015 to 2018 at the study site…


Know Your Guidelines Series: The ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease Review

Gastroesophageal reflux disease (GERD) is the reflux of gastric contents into the esophagus. It accounts for 17.5% of all digestive diseases in the ambulatory setting,1 with prevalence in North America of 8.8% to 25.9%.2 The direct and indirect healthcare costs of GERD total $9.3 billion annually in the United States.3…

Posted in: Gastroenterology38

Original Article

CME Article: Epidemiology and Characteristics of North American Crotalid Bites Reported to the National Poison Data System 2006–2020

Objectives: North American pit viper, or crotalid bites, remain a low-incidence and potentially high-consequence medical event. Although the venom of these snakes is known to cause tissue, hematologic, and neurologic toxicity, the published literature on North American crotalid bites remains limited. The National Poison Data System, the data repository for…

Original Article

Intermediate or Intensive Care Unit Admission across Race and Ethnicity

Objectives: The aim of this study was to assess the association between race and ethnicity and admission to intermediate (IMCUs) or intensive care units (ICUs) among hospitalized patients. Methods: Using Florida hospital discharge data from the Agency for Healthcare Research and Quality–sponsored State Inpatient Database in 2017, we assessed the…

Review Article

A Narrative Review of the Pathophysiology and Treatment of Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a genetic autosomal dominant disorder of the heart muscle that is characterized by left ventricular hypertrophy and sudden cardiac death. It is the most common inherited cardiac disease. HCM is defined by sarcomeric mutations that result in fibrosis of the heart, affecting contraction. In most cases,…

Original Article

Evaluation of a Multifaceted Protocol in Reducing Unnecessary Telemetry Monitoring across a Large Healthcare System

Objectives: Telemetry is frequently overused in hospitals. The goal of this study was to evaluate a telemetry protocol aimed at decreasing inappropriate telemetry utilization across four different hospitals within a large healthcare system by modifying the electronic telemetry order to incorporate the 2017 American Heart Association practice guidelines on the…

Original Article

Addressing the ACGME Competency of Communicating with the Public through the Use of TEDx Talks

Objectives: Competency-based public communication skills are not systematically taught in most medical curricula, reflecting a gap between medical knowledge and holistic patient care as trainees transition into clinicians. We sought to investigate the efficacy of technology, entertainment, and design (TED) talks in postgraduate year (PGY) training programs. Methods: The authors…

Original Article

Contraception Use and Pregnancy Outcomes for Alabama Medicaid Enrollees: A Baseline Analysis Using 2012–2017 Data

Objectives: Access to the full range of contraceptive methods, including long-acting reversible contraception (LARC), is key for preventing unintended pregnancies and improving health outcomes. In 2019, Alabama Medicaid started paying for LARC devices for postpartum women. In anticipation of evaluating the impact of this programmatic change, we conducted a baseline…

Posted in: Obstetrics and Gynecology39 Family Planning & Reproductive Health10
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