Southern medical journal
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Southern medical journal · Aug 2013
ReviewMajor sleep disorders among women: (women's health series).
Disruption of sleep causes adverse health outcomes and poor quality of life. People with sleep disruption have higher levels than people without disrupted sleep of depression and anxiety and increased rates of cardiovascular diseases. Women have a higher incidence than men of insomnia and depression related to poor sleep. ⋯ Cardiovascular mortality is high in women with obstructive sleep apnea. Continuous positive airway pressure therapy improves outcomes in most cases of obstructive sleep apnea. The epidemiology, risk factors, diagnostic criteria, and therapies for the three most common sleep disorders (insomnia, obstructive sleep apnea, and restless leg syndrome), along with effects of menopause, pregnancy, and social factors on sleep in women, are key considerations for clinicians caring for female patients across the adult life span.
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The reported prevalence of cheating among US medical students ranges from 0% to 58%. Cheating behaviors include copying from others, using unauthorized notes, sharing information about observed structured clinical encounters, and dishonesty about performing physical examinations on patients. Correlates of cheating in medical school include prior cheating behavior, burnout, and inadequate understanding about what constitutes cheating. ⋯ Preventing cheating requires establishing standards for acceptable behavior, focusing on learning rather than assessment, involving medical students in peer review, and creating a culture of academic integrity. Cheating in medical school may have serious long-term consequences for future physicians. Institutions should develop environments that promote integrity.
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Southern medical journal · Aug 2013
Randomized Controlled TrialReducing high BMI in African American preschoolers: effects of a behavior-based physical activity intervention on caloric expenditure.
Overweight and obesity in young children are increasing concerns for medical professionals. Lack of sufficient physical activity may be the primary cause; therefore, the development and testing of a theory-based intervention for preschoolers is a priority. ⋯ A brief theory-based physical activity intervention (Start For Life) was associated with increased moderate-to-vigorous and vigorous physical activity and reduced overweight/obesity in 4- to 5-year-old preschoolers. Because of its practical format, opportunities for widespread dissemination may be possible.
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Southern medical journal · Jul 2013
Individual risk factors and complexity associated with congenital heart disease in a pediatric medicaid cohort.
To determine the sex and race differences associated with specific congenital heart diseases (CHDs) and the patterns of concomitant conditions associated with eight severe, complex lesions. ⋯ Changes over time in pediatric CHD caseload mix may affect care management and result in prognosis or outcome differences. These changes present important opportunities for pediatricians and pediatric cardiologists to collaborate, especially in the care of the most severe anomalies.
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Southern medical journal · Jul 2013
Academic productivity and its relationship to physician salaries in the University of California Healthcare System.
To evaluate whether physicians with higher academic productivity, as measured by the number of publications in Scopus and the Scopus Hirsch index (h-index), earn higher salaries. ⋯ Ophthalmologists, otolaryngologists, neurosurgeons, and neurologists in the UC healthcare system who are more academically productive receive greater remuneration.