Southern Medical Journal最新文献_第2页

Few Patients Are Treated for Both Obesity and Depression.

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-02-01 DOI: 10.14423/SMJ.0000000000001785

Elizabeth Pfoh, Ning Guo, Michael Rothberg

{"title":"Few Patients Are Treated for Both Obesity and Depression.","authors":"Elizabeth Pfoh, Ning Guo, Michael Rothberg","doi":"10.14423/SMJ.0000000000001785","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001785","url":null,"abstract":"Objectives: Understanding the epidemiology of treatment for patients with co-occurring depression and obesity can inform care quality. The objective of the study was to identify how patients with obesity and newly diagnosed depression are treated and whether treatment is associated with body mass index change.Methods: This cohort study included adults with obesity and newly diagnosed depression who had ≥2 primary care visits between 2015 and 2020 at a large integrated health system. Treatment within 45 days of a depression diagnosis was identified, including antiobesity medication and group or individual weight management visits (eg, bariatric medicine); antidepressant prescriptions; or visits with a psychologist, social worker, or psychiatrist. Patients were grouped into treatment groups: none, depression only, weight management only, or both. Generalized structural equation models were used to identify the association between treatment group and body mass index change at 6 and 12 months, accounting for demographic and health characteristics as fixed variables and clinician identifier as a random variable.Results: Of the 13,729 adults, 43% received depression treatment, 3% received weight management treatment, and 4% received both. Individuals who received weight management treatment only lost more weight at 6 months (β = -1.0 kg/m2) and 12 months (β = -1.07 kg/m2) than individuals with no treatment. Individuals who had both treatments lost more weight than individuals with depression treatment alone (6 months: β = -1.07 kg/m2; 12 months: β = -1.21 kg/m2) and underwent a similar average change than those who received weight management treatment alone (P > 0.05).Conclusions: There is an opportunity to increase treatment for obesity among patients with newly diagnosed depression.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 2","pages":"134-139"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What Physicians Should Consider When Moving Academic Institutions.

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-02-01 DOI: 10.14423/SMJ.0000000000001788

Marquita Norman, Resa Lewiss, Jeffrey Druck

引用次数: 0

On "Comparison of the Usability and Reliability of Answers to Clinical Questions: AI-Generated ChatGPT versus a Human-Authored Resource". 关于“临床问题答案的可用性和可靠性的比较：人工智能生成的ChatGPT与人工编写的资源”。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001770

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Social Determinants' Role in Pediatric Respiratory Health: Health Insights from Central Florida. 社会决定因素在儿童呼吸系统健康中的作用：来自佛罗里达州中部的健康见解。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001772

Aledie A Navas Nazario, Shedeline Ulysse, Emily C Craver, Tanvi R Patel

{"title":"Social Determinants' Role in Pediatric Respiratory Health: Health Insights from Central Florida.","authors":"Aledie A Navas Nazario, Shedeline Ulysse, Emily C Craver, Tanvi R Patel","doi":"10.14423/SMJ.0000000000001772","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001772","url":null,"abstract":"Objectives: Despite advances in therapies and educational initiatives, pediatric allergy disorders, including asthma, allergic rhinitis, and eczema, continue to pose substantial health challenges. Understanding the social determinants of health (SDoH) linked with these conditions is a critical area of research due to their multifactorial nature. This study aimed to assess the SDoH influencing pediatric allergy disorders in central Florida, specifically examining four groups of children: with asthma only, with eczema only, with both asthma and eczema, and a control group without these conditions.Methods: An electronic survey was distributed to parents of children diagnosed as having asthma, eczema, or both, who received evaluations at Nemours Children's Health in Orlando, Florida. The patients were categorized into four groups: asthma only, eczema only, co-occurring asthma and eczema, and a control group. A subgroup consisted of patients with asthma and allergic rhinitis.Results: The survey revealed a significant prevalence of SDoH disparities, with 61.2% of respondents reporting at least one factor. A notable distinction emerged in parental employment status (P < 0.001). In the group of patients with allergic rhinitis, housing instability was an important factor.Conclusions: Investigating the central Florida pediatric population provided crucial insights into the social determinants affecting pediatric allergy disorders. The study highlighted significant health disparities, particularly in parental employment status and housing instability, underscoring the critical role of social factors in these conditions. These findings emphasize the need for targeted interventions addressing social determinants to improve health outcomes for children with allergy disorders.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 1","pages":"31-38"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Moreton Lecture Series: The Renin-Angiotensin-Aldosterone System-Physiology, Pathophysiology, and Pharmacological Inhibition. 莫顿系列讲座：肾素-血管紧张素-醛固酮系统-生理学、病理生理学和药理学抑制。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001775

Prem Patel, Jessica Ammon, Sean Battle, Donald J DiPette

引用次数: 0

Untapped Resources? Engaging Junior Faculty with Advanced Career Training in Near-Peer Mentoring to Build Professional Identity. 未开发的资源?让初级教师接受近同伴指导的高级职业培训，以建立职业认同。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001771

Emily Pinto Taylor, Dheepa R Sekar, Katherine Gielissen

引用次数: 0

Linkage to Treatment and Recovery Support Services for Patients with a Substance Use Disorder: A Survey of Kentucky Physicians. 物质使用障碍患者治疗和康复支持服务的联系：对肯塔基州医生的调查。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001774

Seif Atyia, Terry Bunn, Dana Quesinberry, Timothy Prince

{"title":"Linkage to Treatment and Recovery Support Services for Patients with a Substance Use Disorder: A Survey of Kentucky Physicians.","authors":"Seif Atyia, Terry Bunn, Dana Quesinberry, Timothy Prince","doi":"10.14423/SMJ.0000000000001774","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001774","url":null,"abstract":"Objective: The purpose of this study was to survey current physicians in Kentucky to evaluate their management of patients with substance use disorder (SUD), with a focus on the identification of their referral methods for linkage to SUD treatment and recovery support services.Methods: A cross-sectional study was performed through a developed survey that was administered by e-mail to all 12,152 in-state physicians licensed in Kentucky; 524 responded. Addiction specialists, emergency physicians, and psychiatrists were categorized separately; family medicine and internal medicine (FM/IM) physicians were combined into one category; all of the other specialties were grouped into an \"Other\" category. The results were analyzed using descriptive statistics and cross-tabulations.Results: Of the 524 respondents, 271 (52%) said that they treated patients with SUD. Despite this, approximately 30% of them said that they do not screen for SUD. Across all specialties (except for addiction and psychiatry), many providers refer patients with SUD to treatment without prescribing any kind of treatment themselves. FM/IM physicians have a similar percentage to both addiction specialists and psychiatrists when analyzing the number of their patients who are willing to accept treatment; however, only approximately 30% of FM/IM physicians know about Kentucky's treatment and recovery placement Web site with near-real-time vacancies by geographic location with multiple filter options called FindHelpNowKY.org.Conclusions: There are gaps in screening and linkage to care, especially in internal medicine and family medicine physicians. Work is necessary to increase screening, build provider capacity to treat, and increase knowledge of SUD treatment and recovery resources in Kentucky.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 1","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Pulmonary Embolism: A Single-Center Experience. 肺栓塞的管理：单中心经验。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001778

R Holt Hammons, Sibu P Saha

{"title":"Management of Pulmonary Embolism: A Single-Center Experience.","authors":"R Holt Hammons, Sibu P Saha","doi":"10.14423/SMJ.0000000000001778","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001778","url":null,"abstract":"Objective: Pulmonary embolism (PE) is the third leading cause of cardiovascular death. The objective of this study was to examine the current management of pulmonary embolism at a single academic institution.Methods: With institutional review board approval, we conducted a retrospective chart review of 805 encounters among 775 patients presenting with acute PE from January 1, 2016 to June 30, 2019. We used American Heart Association guidelines for PE risk stratification.Results: In total, 409 patients were given the low-risk designation, 377 of these patients (92%) were anticoagulated with heparin or enoxaparin, and 32 patients (8%) were given a direct oral anticoagulant alone. There were two in-hospital mortalities (0.5%) in the low-risk group; 322 patients were in the true intermediate-risk category (ie, did not progress to high risk), and 320 patients received anticoagulation with heparin or enoxaparin (99.4%). Seventy-three patients (22%) received catheter-directed thrombolysis. There were eight in-hospital mortalities (2.5%) among the intermediate-risk group; eight intermediate-risk patients progressed to high-risk during their hospital stay, resulting in 6 in-hospital mortalities (75%) in this group. There were 66 patients designated as high-risk upon presentation. Sixty patients (91%) received heparin for anticoagulation and 47 patients (71%) required advanced therapies. Fourteen high-risk patients (21%) had bleeding complications, and there were 26 (39%) in-hospital mortalities.Conclusions: The management of PE has evolved, and proper risk stratification is key. Largely speaking, low- and intermediate-risk patients can be treated with anticoagulation, whereas patients with severe right ventricular strain and hemodynamic instability may require more advanced therapies.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 1","pages":"14-18"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Presidential Address of Dr Loretta Loftus, 2024-2025 President of the Southern Medical Association. Loretta Loftus博士，2024-2025年南方医学协会主席。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001777

Loretta Loftus

引用次数: 0

SMA's 2024 Annual Scientific Assembly Abstract Presentations. SMA的2024年年度科学大会摘要报告。

IF 1 4区医学

Southern Medical Journal Pub Date : 2025-01-01 DOI: 10.14423/SMJ.0000000000001779

None Available

引用次数: 0