Southern medical journal
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Southern medical journal · Jul 2022
Multicenter Study Observational StudyA Comparative Study of Scripted versus Unscripted Morning Reports: Results from a Prospective Multicenter Study.
Morning report is one of the central activities of internal medicine residency education. The two most common morning report formats are scripted reports, which use preselected cases with prepared didactics, and unscripted reports in which a case is discussed without preparation. No previous study has compared these two formats. ⋯ Most contemporary morning reports are scripted. Compared with traditional unscripted reports, scripted reports are more likely to involve a case with a known diagnosis, use extensive electronic presentation slides, and consume more time in didactics, while unscripted reports consume more time in the early diagnostic process, including history, physical examination, and differential diagnosis. Residency programs interested in emphasizing these aspects of medical education should encourage unscripted morning reports.
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Southern medical journal · Jul 2022
Pregnancy-Associated Diabetes Mellitus and Stillbirths by Race and Ethnicity among Hospitalized Pregnant Women in the United States.
Racial disparities in preexisting diabetes mellitus (PDM) and gestational diabetes mellitus (GDM) remain largely unexplored. We examined national PDM and GDM prevalence trends by race/ethnicity and the association between these conditions and fetal death. ⋯ PDM and GDM prevalence is increasing in the United States, with the highest average annual percentage changes seen among minority women. Furthermore, the reasons for the variation in the occurrence of stillbirths among mothers with PDM and GDM by race/ethnicity are not clear and warrant additional research.
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Southern medical journal · Jul 2022
Healthcare Access in Rural Alabama: Patients' Perspective on Access and Utilization.
Increasing healthcare access is a Healthy People 2030 priority. This study examined healthcare access from the residents' perspective in the two most rural counties in the United States and compared the findings with data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) in rural and urban counties in Alabama. ⋯ Healthcare access, as indicated by health insurance coverage and healthcare utilization, among residents in the two most rural US counties is comparable to access among rural and urban Alabamians. Primary care is a highly used resource in rural areas, and further research should characterize other social/behavioral factors that may explain the poor health outcomes seen in rural areas. In addition, BRFSS data continue to offer a reliable picture of healthcare access in rural areas.
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Southern medical journal · Jul 2022
Evaluation of the Effect of Biochemistry Parameters on the Clinical Course in COVID-19 Patients Who Received Tocilizumab Treatment.
Patients who develop cytokine storm while they have coronavirus disease 2019 (COVID-19) experience more severe symptoms. This article aims to evaluate the effect of biochemical parameters on the clinical course of the disease in patients treated with tocilizumab (TCZ) due to cytokine storm. ⋯ Following up closely electrolyte disturbances may support patient survival and decrease the probability of ICU necessity. This approach should be taken before the development of important disorders to be effective in the treatment process of the main disease.
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Southern medical journal · Jul 2022
Readmissions among People Living with HIV Admitted for Hypertensive Emergency.
People with human immunodeficiency virus (HIV) are at an increased risk of developing cardiovascular diseases. Hypertensive emergency (HTNE), a complication of hypertension with potentially serious health implications, has high healthcare utilization. We attempted to determine the association between HIV status and risk for 30-day readmission after index hospitalization for HTNE. ⋯ HIV-positive status is associated with an increased risk for 30-day readmission after index hospitalization for HTNE.