May 2019, Volume 112 - Issue 5

Commentary on “Otolaryngology: Breadth, Depth, Challenge, and Choice”

Mark Boston, MD

Abstract: In this issue of the Southern Medical Journal, Sataloff and colleagues take on the challenge of providing an “overview of modern otolaryngology” for medical students and medicalstudent advisors.1 After an introduction in which they astutely point out that many medical...

(pp 287-288)

Sickle Cell Disease, More Than Just Pain: The Mediating Role of Psychological Symptoms

Mona A. Robbins, PhD, Lakeya S. McGill, MA, Breanna M. Holloway, BA, Shawn M. Bediako, PhD

Abstract: Objectives: Perceived stress is associated with sickle cell disease (SCD) pain; however, little is known about psychological mechanisms that may clarify this link among adult patients. This study explored whether anxiety and depression symptoms explained the relation...

(pp 253-258)

Use of Cardiac Troponin Testing in the Outpatient Setting

Steven J. Ross, MD, Nikhil H. Shah, MD, Steve A. Noutong Njapo, MD, Daniel J. Cordiner, MD, David E. Winchester, MD, MS

Abstract: Objectives: Cardiac troponin (cTn) measurement is useful for diagnosing myocardial infarction (MI), particularly in the inpatient setting. A growing body of literature suggests that cTn may be useful for evaluating chronic conditions in the outpatient environment; however,...

(pp 295-300)

Saying Goodbye

Robert Goldszer, MD

Abstract: To the Editor: My brothers and our mother huddle outside room 780. It is 7 PM and the hospital floor is quiet. We are all near tears, but able to talk. I bring up the discussion our family had together 2 years ago when our parents told us their...

(pp 263)

On “Team-Based Learning Activities for First-Year Medical Students: Perception of the Learners”

Hanieh Enayati, , Jai Mathur,

Abstract: To the Editor: We would like to graciously thank Kazory and Zaidi for their poignant article “Team-Based Learning Activities for First-Year Medical Students: Perception of the Learners” in the September 2018 issue of the Southern Medical Journal.1 As medical students...

(pp 264)

OPEN: Incidence of Pediatric Cervical Spine Injuries in Iraq and Afghanistan

Xandria Gutierrez, BA, Michael April, MD, DPhil, Joseph Maddry, MD, Guyon Hill, MD, Tyson Becker, MD, Steven Schauer, DO, MS

Abstract: Objective: Military providers frequently treat civilians, including pediatric patients. Cervical spine injuries in pediatric trauma patients occur infrequently, with limited data on the incidence. The aim of this study was to describe the incidence of cervical spine...

(pp 271-275)

Commentary on “Incidence of Pediatric Cervical Spine Injuries in Iraq and Afghanistan”

LTC Wendy J. Wilcoxson, DO, USAF, MC

Abstract: In 2003, Colonel John B. Holcomb, a US Army general surgeon deployed to Iraq, noted the complete disconnect between the various steps of trauma care for his patients and recognized the critical need for an organized trauma care system.1 The result of this realization was...

(pp 276)

Otolaryngology: Breadth, Depth, Challenge, and Choice

Robert T. Sataloff, MD, DMA, Mary J. Hawkshaw, BSN, RN, Brian J. McKinnon, MD, MPH

Abstract: Otolaryngology – head and neck surgery (ORL-HNS) is not only one of the most competitive disciplines for students seeking residency, but it also is one of the most complex, challenging, and flexible fields in medicine, especially in surgery. Unfortunately, with only 106...

(pp 283-286)

Propofol Versus Dexmedetomidine for Procedural Sedation in a Pediatric Population

Nicole M. Schacherer, MD, Tamara Armstrong, MD, Amy M. Perkins, MS, Michael P. Poirier, MD, James M. Schmidt, MD

Abstract: Objectives: Frequently, infants and children require sedation to facilitate noninvasive procedures and imaging studies. Propofol and dexmedetomidine are used to achieve deep procedural sedation in children. The objective of this study was to compare the clinical safety and...

(pp 277-282)

Fetal Hemoglobin Modulators May Be Associated With Symptomology of Football Players with Sickle Cell Trait

Carroll Flansburg, MA, MPH, Christina M. Balentine, BS, Ryan W. Grieger, MS, Justin Lund, MA, Michelle Ciambella, BS, Deandre White, BS, Eric Coris, MD, Eduardo Gonzalez, MD, Anne C. Stone, PhD, Lorena Madrigal, PhD

Abstract: Objectives: This study investigates whether genetic modifiers previously shown to influence adult fetal hemoglobin (HbF) levels and glucose-6-phosphate dehydrogenase deficiency were associated with variable symptomology in a small sample of collegiate football players with...

(pp 289-294)

CME Article: Patients on Involuntary Hold Status in the Emergency Department

Archana Roy, MD, Christian Lachner, MD, Adrian Dumitrascu, MD, Nancy L. Dawson, MD, Tyler F. Vadeboncoeu, MD, Michael J. Maniaci, MD, Ian C. Lamoureux, MD, Patricia C. Lewis, ARNP, Teresa A. Rummans, MD, M. Caroline Burton, MD

Abstract: Objectives: Patients requiring involuntary holds are frequently seen in the emergency department (ED). Much of what is known comes from studies of patients at urban academic centers. Our aim was to describe the demographic and clinical characteristics of patients who were...

(pp 265-270)

A National Evaluation of Scholarly Activity Requirement in Osteopathic EM Residency Programs: Survey of EM Program Directors

Alexander Kirkpatrick, DO, Tom Doran, DO, David Mullins, DO, David Gnugnoli, DO, John Ashurst, DO, MSc

Abstract: Objectives: The objectives of the study were to determine the percentage of osteopathic emergency medicine (EM) residencies that require an original research project to meet the American Osteopathic Association requirement, describe the resources available to the residents...

(pp 259-262)