Objectives: Clinical skills instruction is a standard part of medical school curricula, but how institutions address learners who struggle in this area is less clear. Although recommendations for the remediation of clinical skills at an institutional level have been published, how these recommendations are being implemented on a national scale…
At least 9 million people died waiting for the price of antiretroviral therapy to become more affordable to them as the world faced a global outbreak of a new and devastating virus 4 decades ago: the human immunodeficiency virus (HIV), the virus that causes acquired immunodeficiency syndrome.1 In the early…
Objectives: To determine whether metformin is associated with reduced all-cause mortality in older adults with diabetes mellitus as compared with insulin or sulfonylureas, and to evaluate whether the metformin cumulative exposure followed a dose-response relation. Methods: Retrospective cohort study with propensity score matching inveterans 65 years old and older with…
Objectives: West Virginia (WV) is the only state entirely located in Appalachia, a large, mostly rural area in the eastern United States. WV has the highest adult obesity rate in the United States, as well as one of the highest physical inactivity rates. Obesity has been found to be significantly…
Objectives: Cardiovascular disease and stroke risk factor screening and management by primary care providers (PCPs) have a significant impact on their patients’ health. The objective of this study was to investigate the effectiveness of an electronic health record (EHR) cardiovascular disease and stroke risk alert in improving the ability of…
COVID-19 has affected many people all around the world for more than two years now have suffered many long-term consequences which is commonly referred to as long-haulers. Despite multiorgan complaints in long haulers, symptoms related to cognitive functions commonly referred as brain fog are seen in the high risk covid…
Numerous oral and parenteral anticoagulant drugs are now available for clinical use. Understanding the precise pharmacologic properties of each anticoagulant is imperative for those practitioners who prescribe these drugs, including knowing the current recommendations for reversing the anticoagulant effect of each anticoagulant. This review provides a brief description of the…
Objectives: The coronavirus disease 2019 (COVID-19) pandemic has resulted in unprecedented hospitalizations, ventilator use, and deaths. Because of concerns for resource utilization and surges in hospital capacity use, Texas Executive Order GA-29 required statewide mask wear beginning July 3, 2020. Our objective was to compare COVID-19 case load, hospital bed…
Coronavirus disease 2019 (COVID-19) vaccination rates remain insufficient to achieve worldwide herd immunity with respect to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. Two issues are primarily responsible for this. Many countries want to achieve herd immunity through mass vaccination against SARS-CoV-2 virus but do not have the resources…
Objectives: To compare urethral length (UL), as measured by three-dimenstional transvaginal ultrasound, before and after minimally invasive sacrocolpopexy (SCP). Methods: Secondary analysis of a prospective cohort study of women undergoing SCP for prolapse beyond the hymen with or without a concomitant anti-incontinence procedure. Participants underwent ultrasound at baseline and 14…
Objectives: Securing the parturient airway is essential during general anesthesia for cesarean delivery. The purpose of this study was to compare inferior airway views provided by the use of three commonly available laryngoscopy blades—Macintosh, Miller, or Glidescope Mac-Style—to the incidence of difficult orotracheal intubation. Methods: Following institutional review board approval,…
Objectives: Although reminder systems are used to increase provider adherence, we are not aware of any real-time reminder systems for provider adherence to postpartum glucose tolerance testing. We studied whether a reminder in the electronic medical records affects provider ordering of a postpartum glucose tolerance test. We also studied whether…
Objective: The goal of this study was to compare rural and urban pediatric hospice patients in Appalachia. Methods: Using a retrospective, nonexperimental design, we sought to compare characteristics of Appalachian rural and urban children younger than 21 years enrolled in the Medicaid hospice benefit. Descriptive statistics were calculated on the…
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