Southern medical journal
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Southern medical journal · Apr 2015
Effectiveness of a federal Healthy Start Program on HIV/AIDS risk reduction among women in Hillsborough County, Florida.
To examine the impact of the Central Hillsborough Healthy Start Project (CHHS) on human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) diagnosis rates in women in Hillsborough County, Florida. ⋯ Lessons learned from the CHHS Project can be used to develop effective and comprehensive models for addressing the HIV epidemic.
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Southern medical journal · Apr 2015
Comparative StudyA comparison of medical students' learning approaches between the first and fourth years.
We hypothesized that medical students exposed to a case-based curriculum in years 1 and 2 and clinical cases in the year 3 clerkship would demonstrate a longitudinal increase in the deep approach to learning and a decrease in the surface apathetic approach. ⋯ The deep approach to learning is a complex process and did not change in our students after 3 years of medical school, even though a case-based curriculum was believed to foster deeper learning. By the end of year 3, our students were, on average, less bound to syllabi and feared failure less.
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Southern medical journal · Apr 2015
Outcomes of lobar and sublobar resections for non-small-cell lung cancer: a single-center experience.
Lung cancer is the leading cause of cancer-related mortality in the United States. Kentucky has the highest age-adjusted lung cancer rate and has one of the highest death rates from lung cancer in the country. Lobectomy is considered the standard therapy for non-small-cell lung cancer (NSCLC), whereas sublobar resection remains an option for selected patients. We investigated outcomes in patients having standard resections for lung cancer (lobectomy) compared with those having sublobar resections in a population with high prevalence of, and with a high death rate from, lung cancer. ⋯ Sublobar resections for NSCLC have less morbidity compared with lobectomy, but at the cost of decreased long-term survival. These results imply that surgeons select patients for lobar or sublobar resections based on physiologic and functional parameters, and that differences in outcomes between these two groups reflect this selection bias. We suspect that these results are typical of surgical treatment of NSCLC in a heterogeneous high-risk population with a high penetration and prevalence of lung cancer.
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Southern medical journal · Apr 2015
Race, socioeconomic status, health-related quality of life, and self-care of type 2 diabetes mellitus among adults in North Carolina.
The objective of this study was to examine the associations among race, education, income, and health-related quality of life (HRQoL) in self-care of type 2 diabetes mellitus among adults in North Carolina. ⋯ Individuals with poor HRQoL had significantly increased odds of good diabetes mellitus self-care practices. Although findings on race, education, and income were not statistically significant, they were consistent with previous research. In the future, individuals who are nonwhite, have less than a high school level of education, and have no health insurance should be targeted to improve diabetes mellitus self-care practices through educational and informational materials. Further investigation using more comprehensive measures of diabetes mellitus self-care is warranted.
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Southern medical journal · Apr 2015
Perceived discrimination in healthcare settings among Latinos with limited English proficiency in South Carolina.
Perceived discrimination in healthcare settings is reported frequently by Latino adults and is associated with reductions in healthcare utilization and having a usual source of care. Little is known about discrimination perceived by Latino adults with limited English proficiency (LEP) who also frequently experience difficulties with healthcare access and utilization. The objective of this pilot study was to examine perceived discrimination in healthcare settings among Latino adults with LEP living in South Carolina. ⋯ Although a significant percentage of the sample reported thinking about race/ethnicity daily, only approximately 25% reported experiencing health symptoms based on how they were treated as a result of their race and few perceived discrimination in healthcare settings.