Healthcare Provider Perceptions of the Use of Medical Interpretation in Primary Care
CONCLUSIONS: To meet the needs of Latino/a/x communities, clinical settings should invest in adequate staffing of in-person interpreters, infrastructure and workflow improvements, and the hiring and training of polylingual providers. Capacity-building opportunities to establish team building between interpreters and providers could be useful tools in improving healthcare provision for LEP patients.PMID:38701841 | DOI:10.14423/SMJ.0000000000001680 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Paris Cooke Mercedes M Morales-Alem án Gwendolyn Ferreti Source Type: research

Androgen Deprivation Therapy/Androgen Receptor Signaling Inhibitor Treatments for Prostate Cancer: Pathophysiology and Review of Effects on Cardiovascular Disease
This article critically reviews the associations between androgen deprivation therapy, androgen receptor signaling inhibitors, and cardiovascular complications such as prolonged QT interval, atrial fibrillation, heart failure, atherosclerosis, coronary heart disease, venous thromboembolism, and peripheral arterial occlusive disease. These unfavorable outcomes reinforce the need for regular cardiovascular screening of patients undergoing androgen deprivation for the management of prostate cancer.PMID:38701845 | DOI:10.14423/SMJ.0000000000001687 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Richard Orji Alicia Morgans Eiman Jahangir Favor Markson Ayodeji Ilelaboye Alan Tan Tochukwu M Okwuosa Source Type: research

A Breathtaking Introduction to Medical School
South Med J. 2024 May;117(5):282-283. doi: 10.14423/SMJ.0000000000001677.NO ABSTRACTPMID:38701851 | DOI:10.14423/SMJ.0000000000001677 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Ali Abolhassani William J Healy Source Type: research

Opioid Use Disorder among Hospitalized Adults in North Carolina: Analysis from the 2000-2020 NC State Inpatient Database
CONCLUSIONS: Although preventive measures are crucial, including policies that discourage prescribing opioids for noncancer pain and those that target the manufacturing and distribution of synthetic opioids, providing integrated care for patients with OUD and co-occurring psychiatric and/or physical disorders is equally important. These findings suggest the need for a system-wide public health response focused on the expansion of primary prevention and treatment efforts, including crisis services, harm reduction services, and recovery programs.PMID:38701842 | DOI:10.14423/SMJ.0000000000001686 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Brook T Alemu Hind A Beydoun Olaniyi Olayinka Beth Harmer Aaron R Brown Source Type: research

Incidence Rates and Outcomes of Nodular and Superficial Spreading Melanoma along the Rural-Urban Continuum in Kentucky and Their Relationship to Provider Care Access
CONCLUSIONS: Our results suggest that a disparity in patients' ability or tendency to access primary care and/or specialist providers postdiagnosis may be critical factors in determining the ultimate outcome of a melanoma diagnosis. Further studies should explore the availability of dermatologists and/or treatment options for melanoma in rural areas. Our data also provide additional support for inclusion of melanoma subtype in the American Joint Committee on Cancer guidelines.PMID:38701843 | DOI:10.14423/SMJ.0000000000001681 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Doug McElroy Mason Towery Seiry Molina-Lopez Ruth Eastham Sarah Grace Alexander Natalie J Mountjoy Source Type: research

Common Comorbidities in Patients with Remitting Seronegative and Symmetrical Synovitis with Pitting Edema (RS3PE)
CONCLUSIONS: We believe that future case studies on RS3PE should include an assessment of various comorbidities that can be seen in patients with this autoinflammatory disorder. The increased availability of musculoskeletal ultrasound provides a potential area of study to differentiate this disorder from other inflammatory arthritis and improve reaching the correct diagnosis.PMID:38701844 | DOI:10.14423/SMJ.0000000000001679 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Elmira Esmaeilzadeh Christopher R Morris Source Type: research

Undiagnosed HIV in Patients on Immunosuppressive Medications Presenting with HIV-Associated Kidney Disease
We describe a case series containing the narratives of three patients recently treated with immunosuppressive agents, who presented with signs concerning for HIV-associated kidney diseases and who were found to have undiagnosed HIV later in the treatment course, which, unfortunately, resulted in poor outcomes. Screening for HIV or related illnesses, such as viral hepatitis or mycobacterial co-infections including tuberculosis, is essential before initiating biologic immunosuppression.PMID:38701846 | DOI:10.14423/SMJ.0000000000001688 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Nathaniel Forrester Jonathan Zhang Suo Keyes Ronan Cajimat Yelena Burklin Mary Ann Kirkconnell Hall Jason Cobb Source Type: research

Qualitative Study of Food Insecurity in Hospitalized Pediatric Patients during the COVID-19 Pandemic
CONCLUSIONS: The COVID-19 pandemic impacted unemployment and poverty and consequently exacerbated FI. Our findings point to the need to focus on proximal societal solutions, such as federal policies aimed at food assistance and childcare. Understanding the challenges related to FI that caregivers and patients experience can improve screening, support, and treatment of patients presenting for care and inform the design of necessary interventions for individuals and communities beyond COVID-19.PMID:38701847 | DOI:10.14423/SMJ.0000000000001684 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Natalie King Adolfo Molina Samantha Hanna Lori Brand Bateman Source Type: research

Predictors of Blood Transfusion in Patients Undergoing Cytoreductive Surgeries for Ovarian Malignancy
CONCLUSIONS: Perioperative blood transfusion is common in patients undergoing cytoreductive surgery. In this study, EBL and preoperative hemoglobin levels were significantly associated with transfusion receipt. Clinicians should optimize hemoglobin levels and intraoperative blood conservation strategies to reduce the need for transfusion. The results also highlight the importance of considering racial and ethnic differences when developing strategies to reduce transfusion risk.PMID:38701848 | DOI:10.14423/SMJ.0000000000001685 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Janina V Pearce Jinlei Zhao Leslie Randall Stephanie A Sullivan Devin Miller Katherine Tossas Source Type: research

Assessing the Knowledge and Comfort Level of US Family Medicine Residents Regarding Consenting and Confidentiality in Adolescent Health Care
CONCLUSIONS: Training focused on confidential adolescent health care in medical school or residency was associated with a greater degree of comfort and a higher likelihood of providing confidential adolescent health care.PMID:38701849 | DOI:10.14423/SMJ.0000000000001683 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Kehinde Eniola Carina Brown Margaret Pray Krys E Foster Scott Richter Michael Parker Diana N Carvajal Source Type: research

Building Bridges: The Impact of Matching Mentees and Mentors in a Premedical Peer Mentoring Program
South Med J. 2024 May;117(5):279-281. doi: 10.14423/SMJ.0000000000001678.NO ABSTRACTPMID:38701850 | DOI:10.14423/SMJ.0000000000001678 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Melenis Lopez Brittney Moore Adrianne Mitchell Lauren Nuriddin DeAnna Turner Source Type: research

Effects of Preoperative COVID-19 Status on Emergent or Urgent Colectomy Outcomes
CONCLUSIONS: Urgent or emergent colectomy patients who were COVID-19+ preoperatively were more likely to present with comorbidities, which, along with the recent viral infection, contributed to markedly worse clinical outcomes, including an increased rate of mortality.PMID:38701852 | DOI:10.14423/SMJ.0000000000001682 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: Satyam K Ghodasara Grace C Chang Justin S Roskam Sara S Soliman Kaitlyn Oldewurtel Rolando H Rolandelli Zoltan H Nemeth Source Type: research

Erratum: Exploring Communication about Fall Risk and Prevention between Internal Medicine Residents and Geriatric Patients: A Needs Assessment: Erratum
South Med J. 2024 May;117(5):289. doi: 10.14423/SMJ.0000000000001676.ABSTRACT[This corrects the article DOI: 10.14423/SMJ.0000000000001652.].PMID:38701853 | DOI:10.14423/SMJ.0000000000001676 (Source: Southern Medical Journal)
Source: Southern Medical Journal - May 3, 2024 Category: General Medicine Authors: None Available Source Type: research

Utilization of Mental Health Services Within 1 Year of Delivery among Different Language Groups
CONCLUSIONS: Russian language was associated with lower utilization of mental health services postpartum. These findings can help clinicians determine among postpartum women who will be affected with mental health concerns and who will seek treatment for mental health concerns.PMID:38569603 | DOI:10.14423/SMJ.0000000000001671 (Source: Southern Medical Journal)
Source: Southern Medical Journal - April 3, 2024 Category: General Medicine Authors: Minsu Kwak Joshua Fogel Maggie Tetrokalashvili Source Type: research

Improving Communication with Family Members during a Global Pandemic: Effect on Patient Experience
CONCLUSIONS: Our findings suggest that communication is a critical factor in patient satisfaction, demonstrating the efficacy of a swift and innovative initiative to improve communication with family/caregivers, which may have been linked to better patient experiences. Developing communication strategies is crucial for enhancing patient satisfaction.PMID:38569604 | DOI:10.14423/SMJ.0000000000001670 (Source: Southern Medical Journal)
Source: Southern Medical Journal - April 3, 2024 Category: General Medicine Authors: Gregory N Orewa Sue S Feldman Kierstin Cates Kennedy Allyson G Hall Yu H Cheng Arnaz A Malone Ernest O Grimes Kristine Ria Hearld Source Type: research