abstract：:Supplemental digital content is available in the text. ...

journal_title：Southern medical journal

authors： Bob-Manuel T,Askandar S,Khouzam RN

更新日期：2017-11-01 00:00:00

abstract：:The number of breast cancer survivors has increased and this increase is expected to continue, likely as a result of population and age growth, the implementation of earlier detection strategies, and the development of more effective therapies. Breast cancer treatment requires a multidisciplinary approach with surgery...

journal_title：Southern medical journal

authors： Loftus LS,Sokol GH,Laronga C

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVES:Hematological malignancies of the breast share a presentation similar to primary breast carcinomas but differ substantially in therapeutic approach and clinical outcomes. In this study, we investigate the frequency of hematological malignancies, their relative primary and secondary occurrences, and further c...

journal_title：Southern medical journal

authors： Alsadi A,Lin D,Alnajar H,Brickman A,Martyn C,Gattuso P

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVES:In 2014, 726 bicyclists were killed and an additional 50,000 were injured in crashes with motor vehicles. The number of cyclists in the United States is increasing, and as a result there has been a call for more bike lanes. We examined the difference in the severity of injury of bicyclists involved in motor ...

journal_title：Southern medical journal

authors： Helak K,Jehle D,McNabb D,Battisti A,Sanford S,Lark MC

更新日期：2017-07-01 00:00:00

abstract：OBJECTIVE:There is a relation between tumor stage and grade with the risk of cancer recurrence in patients undergoing surgical treatment for kidney cancer. The association of patient comorbidity with disease recurrence is less well characterized. The objective of this study was to explore the association between comorb...

journal_title：Southern medical journal

authors： Reinstatler L,Klaassen Z,Madi R,Terris MK,Moses KA

更新日期：2017-05-01 00:00:00

abstract：:Autoimmune neutropenia (AIN) is defined as a neutrophil count <1.5 × 109/L caused by increased peripheral destruction of neutrophils from an underlying autoimmune mechanism in which autoantibodies are directed against a patient's own neutrophils. AIN has a multifactorial etiology ranging from an idiopathic primary phe...

journal_title：Southern medical journal

authors： Afzal W,Owlia MB,Hasni S,Newman KA

更新日期：2017-04-01 00:00:00

abstract：:Payment systems in the US healthcare system have rewarded physicians for services and attempted to control healthcare spending, with rewards and penalties based upon projected goals for future spending. The incorporation of quality goals and alternatives to fee-for-service was introduced to replace the previous system...

journal_title：Southern medical journal

authors： Hauswald E,Sklar D

更新日期：2017-04-01 00:00:00

abstract：OBJECTIVES:Pulmonary arterial hypertension (PAH) is a progressive disease that can be treated with several medications. Macitentan, an endothelin receptor antagonist (ERA), has received approval as a PAH therapy. We report our data regarding the tolerability in patients with PAH who were switched from bosentan to macit...

journal_title：Southern medical journal

authors： Safdar Z,Thakur A,Frost A

更新日期：2017-03-01 00:00:00

abstract：OBJECTIVE:Satiety is the perception of satisfied fullness and represents a summation of neural and hormonal influences. Satiety can be assessed by drink tests, including water load. The objective of our study was to confirm the difference in water load volume between nonobese control children and children with function...

journal_title：Southern medical journal

authors： Arrouk R,Karpinski A,Lavenbarg T,Belmont J,McCallum RW,Hyman P

更新日期：2017-03-01 00:00:00

abstract：OBJECTIVES:Non-small-cell lung cancer (NSCLC) patient survival depends on a number of factors, including early diagnosis and initiation of treatment. Standard treatment options for patients with NSCLC include surgery, radiation therapy, and chemotherapy. The objective of this study was to evaluate the impact that the i...

journal_title：Southern medical journal

authors： Bullard JT,Eberth JM,Arrington AK,Adams SA,Cheng X,Salloum RG

更新日期：2017-02-01 00:00:00

abstract：:Psoriasis treatments range from topical treatments and phototherapy to oral systemic medications and injections. Despite good control of the disease when applying appropriate treatments (according to disease severity, insurance parameters, patient preference, and patients' ability to adhere), continued advancements wi...

journal_title：Southern medical journal

authors： Smith J,Cline A,Feldman SR

更新日期：2017-01-01 00:00:00

abstract：OBJECTIVES:Studies have shown that the overutilization of laboratory tests ("labs") for hospitalized patients is common and can cause adverse health outcomes. Our objective was to compare the ordering tendencies for routine complete blood counts (CBC) and chemistry panels by internal medicine residents and hospitalists...

journal_title：Southern medical journal

authors： Ellenbogen MI,Ma M,Christensen NP,Lee J,O'Leary KJ

更新日期：2017-01-01 00:00:00

abstract：OBJECTIVE:Our study aimed to investigate the association between maternal-perceived psychological stress and fetal telomere length. METHODS:We recruited women in labor upon hospital delivery admission. Based on responses to the Perceived Stress Scale, we categorized participants as having "high," "normal," or "low" pe...

journal_title：Southern medical journal

authors： Salihu HM,King LM,Nwoga C,Paothong A,Pradhan A,Marty PJ,Daas R,Whiteman VE

更新日期：2016-12-01 00:00:00

abstract：OBJECTIVES:Shear wave elastography (SWE) is an emerging technology that assesses hepatic fibrosis. The aim of our study was to determine the diagnostic accuracy of General Electric (GE) Healthcare's LOGIQ E9 SWE in patients with chronic hepatitis C virus using liver biopsy as the reference standard. METHODS:The liver ...

journal_title：Southern medical journal

authors： Abrams GA,Jamal H,Deeter WT 3rd,Patil N

更新日期：2016-11-01 00:00:00

abstract：OBJECTIVES:Obstructive sleep apnea (OSA) is a prevalent disorder that is associated with multiple medical consequences. Although in-laboratory polysomnography is the gold standard for the diagnosis of OSA, portable monitors have been developed and studied to help increase efficiency and ease of diagnosis. We aimed to a...

journal_title：Southern medical journal

authors： Alsharif AM,Potts M,Laws R,Freire AX,Sultan-Ali I

更新日期：2016-10-01 00:00:00

abstract：:Many psychiatric patients experience pharmaceutical intolerances, and some of them do not derive optimal efficacy from their pharmacotherapies. Clinical problems such as these may result in prolonged dysfunction, adverse consequences, and repeated changes in medication treatment regimens. Pharmacogenomics is a laborat...

journal_title：Southern medical journal

authors： Narang P,Johnson A,Enja M,Lippmann S

更新日期：2016-10-01 00:00:00

abstract：OBJECTIVES:Alloantibody formation secondary to transfusion in patients with sickle cell disease (SCD) is a well-known phenomenon. Pretransfusion testing (eg, "antibody screening") protects patients from receiving incompatible red blood cell transfusions. Because alloantibodies have a tendency to evanesce (ie, become un...

journal_title：Southern medical journal

authors： Williams LA 3rd,Lorenz RG,Tahir A,Pham HP,Marques MB

更新日期：2016-09-01 00:00:00

abstract：:Sickle cell disease (SCD) is the most common hereditary disorder and affects 30 million people worldwide. Advances in science have improved overall survival in patients with SCD and as such, more patients are reaching reproductive age and are becoming pregnant. SCD in pregnancy leads to multiple complications that put...

journal_title：Southern medical journal

authors： Hathaway AR

更新日期：2016-09-01 00:00:00

abstract：OBJECTIVES:Transcranial Doppler ultrasound (TCD) effectively identifies children with sickle cell anemia (SCA) who are at increased risk of stroke. We evaluated a low-cost quality improvement (QI) intervention to increase the proportion of children screened by TCD. METHODS:We measured the proportion of children with S...

journal_title：Southern medical journal

authors： Muntz DS,Bundy DG,Strouse JJ

更新日期：2016-09-01 00:00:00

abstract：OBJECTIVES:A retrospective cross-sectional study was performed to assess the prevalence of elevated alkaline phosphatase (ALP) in patients infected with human immunodeficiency virus (HIV) and to determine the relation between ALP and specific antiretroviral therapy (ART). METHODS:A total of 2990 patients were included...

journal_title：Southern medical journal

authors： Alemu BT,Troy SB,Beydoun HA,Akpinar-Elci M,Cunningham TD

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVES:A small but significant number of patients make frequent emergency department (ED) visits to multiple EDs within a region. We have a unique health information exchange (HIE) that includes every ED encounter in all hospital systems in our region. Using our HIE we were able to characterize all frequent ED user...

journal_title：Southern medical journal

authors： Saef SH,Carr CM,Bush JS,Bartman MT,Sendor AB,Zhao W,Su Z,Zhang J,Marsden J,Arnaud JC,Melvin CL,Lenert L,Moran WP,Mauldin PD,Obeid JS

更新日期：2016-07-01 00:00:00

abstract：OBJECTIVES:Patient safety event (PSE) reporting is a critical element for healthcare organizations that are striving for continuous quality improvement. Although resident physicians routinely provide the majority of direct patient care, the level of their participation in PSE reporting historically has been low. In add...

journal_title：Southern medical journal

authors： Stewart DA,Junn J,Adams MA,Spencer-Segal JL,Perdoncin E,Lopez K,Kim CS

更新日期：2016-07-01 00:00:00

abstract：OBJECTIVES:The objective of this study was to assess the cardiovascular health status of baby boomers with diabetes mellitus (DM) in comparison to the same-age population with DM 10 years previously. METHODS:The study was conducted in baby boomers with DM using data from the National Health and Nutrition Examination S...

journal_title：Southern medical journal

authors： King DE,Xiang J,Kulshreshtha A

更新日期：2016-06-01 00:00:00

abstract：OBJECTIVES:Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and well...

journal_title：Southern medical journal

authors： Eckleberry-Hunt J,Kirkpatrick H,Taku K,Hunt R,Vasappa R

更新日期：2016-04-01 00:00:00

abstract：OBJECTIVES:Pancreatic steatosis in adults has been proposed to be associated with obesity; however, data on pancreatic steatosis in children are lacking. Our study aimed to measure the prevalence of pancreatic steatosis in children and to examine its association with obesity and nonalcoholic fatty liver disease. METHO...

journal_title：Southern medical journal

authors： Pham YH,Bingham BA,Bell CS,Greenfield SA,John SD,Robinson LH,Eissa MA

更新日期：2016-03-01 00:00:00

abstract：OBJECTIVES:Clostridium difficile infection (CDI) is the most common healthcare-associated infection in the United States. Clinical practice guidelines for the treatment of CDI were updated in 2010 by the Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America. An institutional guid...

journal_title：Southern medical journal

authors： Knaus SJ,Saum L,Cochard E,Prichard W,Skinner B,Medas R

更新日期：2016-03-01 00:00:00

abstract：OBJECTIVES:Osteopenia is considerably more common than osteoporosis and accounts for most of the fracture burden in women older than 50 years. It is uncertain when to initiate treatment in osteopenia. We sought to determine in women with osteopenia what effect transitioning to lower categories had on subsequent fractur...

journal_title：Southern medical journal

authors： Pfister AK,Welch CA,John M,Emmett MK

更新日期：2016-02-01 00:00:00

abstract：:Castleman disease (CD) is a rare lymphoproliferative disorder that occurs in adults and rarely in the pediatric population. The disease is characterized by slowly enlarging masses that can form anywhere within the lymphatic system. It is an uncommon cause of a neck mass in both children and adults that presents insidi...

journal_title：Southern medical journal

authors： Shams AA,Ahmed MM,Scalzitti NJ,Howell DL,Hall JM,Ritter JL,Maturo SC

更新日期：2016-02-01 00:00:00

abstract：OBJECTIVE:To determine vitamin D status in children with spina bifida (SB). METHODS:Charts of all patients with SB at the Shriners Hospital for Children in Houston, Texas, seen between July 2011 and June 2013 were retrospectively reviewed. Daily intake of milk, vitamins, amount of screen time, and time spent outdoors ...

journal_title：Southern medical journal

authors： Mazur LJ,Wilsford LD,Rosas L,Sullivan E

更新日期：2016-01-01 00:00:00

abstract：OBJECTIVES:To characterize pain and exposure after Prolift placement and identify risk factors. METHODS:A case series of women who underwent Prolift vaginal mesh were surveyed. Pain was assessed using a visual analog scale. Exposure was evaluated clinically. RESULTS:Of 183 eligible patients, 160 completed the survey,...

journal_title：Southern medical journal

authors： Illston JD,Garris JB,Richter HE,Wheeler TL 2nd

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVES:Patients with cirrhosis have a high rate of 30-day hospital readmission that affects their quality of life and contributes to increased healthcare-related costs. The aim of our study was to identify frequency, predictors, and preventable causes of hospital readmissions among patients with decompensated cirrh...

journal_title：Southern medical journal

authors： Agrawal K,Kumar P,Markert R,Agrawal S

更新日期：2015-11-01 00:00:00

abstract：OBJECTIVES:The use of monitored anesthesia care (MAC) for colonoscopy sedation continues to increase. This study examined trends during a 9-year period in the use of MAC and explored which patient variables may have influenced these trends. METHODS:This was a retrospective review of all colonoscopies performed in our ...

journal_title：Southern medical journal

authors： Aravapalli A,Norton HJ,Rozario N,Simpson J,DelGrosso B,Scobey MW

更新日期：2015-09-01 00:00:00

abstract：OBJECTIVES:Age-related macular degeneration (AMD) is the leading cause of blindness in the United States. Although AMD shares multiple risk factors with coronary artery disease (CAD), the association between AMD and CAD has not been established. The objective of our study was to demonstrate an association between the d...

journal_title：Southern medical journal

authors： Thomas J,Mohammad S,Charnigo R,Baffi J,Abdel-Latif A,Ziada KM

更新日期：2015-08-01 00:00:00

abstract：OBJECTIVES:Insurance status has the potential to play a significant role in an individual's health care by affecting the time of diagnosis and the treatment options used. Our study reviewed insurance status as a determinant of the time of a breast cancer diagnosis as well as the surgical treatment options offered. MET...

journal_title：Southern medical journal

authors： Lukavsky R,Sariego J

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVES:Studies have found that some health lines and physician's offices have provided treatment advice other than "call 9-1-1 for an ambulance" to patients who present with a stroke scenario. We assessed the treatment advice given by selected pharmacies in the United States regarding stroke. METHODS:The investiga...

journal_title：Southern medical journal

authors： Monseau AJ,Whiteman C,Crocco TJ,Davis SM,Barkley J

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVES:Cystic fibrosis (CF) is associated with vitamin D deficiency, which can lead to adverse effects including recurrent pulmonary infections and osteoporosis. We longitudinally investigated calcifediol or 25-hydroxyvitamin D (25(OH)D) levels for our pediatric patients with CF based on the time of year as well as...

journal_title：Southern medical journal

authors： Lansing AH,McDonald C,Patel RA,Meihls S,Crowell K,Chatfield B,Pohl JF

更新日期：2015-03-01 00:00:00

abstract：OBJECTIVE:To assess the effect of a positive urine screen for cocaine on thyrotropin (TSH, also thyroid-stimulating hormone) concentrations. METHODS:In this retrospective cohort study, patients admitted to the mental health unit at an academic inpatient setting with a diagnosis of cocaine dependence or cocaine intoxic...

journal_title：Southern medical journal

authors： Koroscil MT,Schulte JJ,Bricker D,Koroscil TM

更新日期：2015-02-01 00:00:00

abstract：:With the advent and increased use of chemotherapeutic agents and radiation therapy, cancer survival rates have increased. With increased survival, both acute and chronic cardiotoxic adverse effects have emerged. The growing need for managing the treatment of individuals with chemotherapy-induced cardiotoxicity has led...

journal_title：Southern medical journal

authors： Jahangir E,Shah S,Shum K,Baxter C,Fitzpatrick JD,Cole J,Gilliland Y,Polin NM

更新日期：2015-02-01 00:00:00

abstract：OBJECTIVES:Historically, surgical management of empyema was performed predominantly via open thoracotomy; however, during the past decade the use of video-assisted thoracoscopic surgery (VATS) as an alternative has increased. This study retrospectively compared the outcomes and management of patients with empyema at th...

journal_title：Southern medical journal

authors： Bender MT,Ferraris VA,Saha SP

更新日期：2015-01-01 00:00:00

abstract：:During the last 50 years, it has become evident that atherosclerosis originates in childhood. Although cardiovascular disease (CVD) events are rare in children, autopsy data and imaging studies have documented subclinical disease in association with measurable risk factors during childhood. When present at a young age...

journal_title：Southern medical journal

authors： Wilson DP,McNeal C,Blackett P

更新日期：2015-01-01 00:00:00