The Southern Medical Journal (SMJ)  is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

Errata

Exploring Communication about Fall Risk and Prevention between Internal Medicine Residents and Geriatric Patients: A Needs Assessment: Erratum

In the February 2024 issue of Southern Medical Journal in the article by Thomas et al., “Exploring Communication about Fall Risk and Prevention between Internal Medicine Residents and Geriatric Patients: A Needs Assessment,” the incorrect graphics were used for Figures 2 and 3.

Original Article

Effects of Preoperative COVID-19 Status on Emergent or Urgent Colectomy Outcomes

Objectives: Severe acute respiratory syndrome coronavirus 2 has been described as eliciting a powerful immune response. The association of coronavirus disease 2019 (COVID-19) infection with diseases requiring emergent or urgent colectomies may exacerbate the risk of surgical complications. We investigated the effect of preoperative COVID-19 infection on the clinical outcomes…

Posted in: Infectious Disease131

Original Article

Healthcare Provider Perceptions of the Use of Medical Interpretation in Primary Care

Objectives: Sixty-three percent of Latinos/as/x in Alabama, speak English “not well” or “not at all.” Effective provider–patient communication is the foundation of successful clinical interactions. Medical interpretation is important to the healthcare provision for patients with limited English proficiency (LEP). We examined Alabama providers’ perceptions of working with medical interpreters…

Perspectives

A Breathtaking Introduction to Medical School

Barely able to move or breathe, I clenched my teeth as a needle punctured my chest and my skin crawled as a guidewire advanced. The resident calmly dilated the incision between my ribs. A chest tube slid into my pleural space with a rush of air. I calmly whispered, “I…

Posted in: Miscellaneous Pulmonary Disorders (Indications for Spirometry)3

Original Article

Qualitative Study of Food Insecurity in Hospitalized Pediatric Patients during the COVID-19 Pandemic

Objectives: Food insecurity (FI) is defined as limited or uncertain access to sufficient food for a healthy and active lifestyle. Our objective was to explore how the coronavirus disease 2019 (COVID-19) pandemic affected the FI status of pediatric patients and their families through interviewing caregivers who screen positive for FI….

Review Article

Common Comorbidities in Patients with Remitting Seronegative and Symmetrical Synovitis with Pitting Edema (RS3PE)

Objectives: Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is considered a rare inflammatory rheumatologic disorder that is seen primarily in older adult men. Patients present with arthralgias of large joints accompanied by painful pitting edema of the hands and feet. Few studies have reported the prevalence of metabolic syndromes,…

Posted in: Rheumatology and Orthopedics18

Original Article

Opioid Use Disorder among Hospitalized Adults in North Carolina: Analysis from the 2000–2020 NC State Inpatient Database

Objectives: Opioid use disorder (OUD) is characterized as a chronic condition that was first outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and now the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. It encompasses frequent opioid usage, cravings, the development of tolerance,…

Original Article

Predictors of Blood Transfusion in Patients Undergoing Cytoreductive Surgeries for Ovarian Malignancy

Objectives: The aims of this study were to describe the baseline estimated blood loss (EBL) in surgery and transfusion rate in patients undergoing cytoreductive surgeries for ovarian malignancy, and identify perioperative variables associated with blood loss and transfusion. Methods: A retrospective cohort study at a single institution was performed that…

Posted in: Ovarian Disorders And Female Reproductive Health3 Ovarian Disorders3

Original Article

Assessing the Knowledge and Comfort Level of US Family Medicine Residents Regarding Consenting and Confidentiality in Adolescent Health Care

Objectives: Organizations recommend providing confidential adolescent health care to reduce the consequences of high-risk health behaviors such as substance use, unhealthy eating patterns, and high-risk sexual behaviors. Family physicians are uniquely positioned to provide confidential counseling and care to this vulnerable population but must be trained to provide such care….

Original Article

Incidence Rates and Outcomes of Nodular and Superficial Spreading Melanoma along the Rural-Urban Continuum in Kentucky and Their Relationship to Provider Care Access

Objectives: This study compared incidence rates, stage at presentation, and cause-specific mortality of nodular and superficial spreading melanoma along the rural-urban continuum in Kentucky. We compared resulting patterns in our data with sample demographic and other potential factors, including population by county and primary care provider rate. Methods: Retrospective patient…

Posted in: Skin Cancer3

Review Article

Androgen Deprivation Therapy/Androgen Receptor Signaling Inhibitor Treatments for Prostate Cancer: Pathophysiology and Review of Effects on Cardiovascular Disease

Androgen deprivation therapy is the cornerstone of systemic management for prostate cancer but is associated with multiple adverse effects that must be considered during treatment. These effects occur because of the profound hypogonadism that is induced from lack of testosterone or due to the medications used in the treatment or…

Posted in: Prostate Disorders2

Multidisciplinary Clinical Case Study

Undiagnosed HIV in Patients on Immunosuppressive Medications Presenting with HIV-Associated Kidney Disease

Approximately 158,500 adults and adolescents in the United States live with undiagnosed human immunodeficiency virus (HIV). Missed or delayed diagnoses adversely affect disease management and outcomes. This is particularly salient for patients receiving immunosuppressive and immunomodulatory therapy for the management of chronic inflammatory conditions, in which additional immunosuppression may increase…

Posted in: Infectious Disease131 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection18

Perspectives

Building Bridges: The Impact of Matching Mentees and Mentors in a Premedical Peer Mentoring Program

Across the United States, only 11% of all physicians are Black or Latinx, and this percentage has only increased by 2% since the year 2000. Near-peer mentoring programs help increase diversity in medical schools, close the gap of limited access to resources, raise awareness of opportunities, and allow minority premedical…

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