Southern Medical Journal - Southern Medical Association

The Southern Medical Journal 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.

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Original Article

CME Article: Is It All COVID-19? Resident Distress and Reasons for It in 2020

Objective: For resident wellness, it is important to understand and discern the relative contributions of each factor to resident stress. Methods: After institutional review board approval, a 20-question survey instrument was provided to 90 residents across four specialties (Internal Medicine, Emergency Medicine, General Surgery, and Orthopedic Surgery) at a university-affiliated…

Posted in: Infectious Disease82

Original Article

Risk Factors for Mortality in Mechanically Ventilated Patients with COVID-19 in a Mississippi Community Health System

Objective: To evaluate differences between survivors versus nonsurvivors undergoing mechanical ventilation for coronavirus disease 2019 (COVID-19)–associated respiratory failure at two community medical centers. Methods: This was a multicenter, retrospective cohort analysis of all adult patients mechanically ventilated for COVID-19–associated respiratory failure in two community hospital intensive care units in southern…

Posted in: Infectious Disease82

Original Article

Lung Cancer in Young Adults: A Single-Center Experience

Objective: This single-center retrospective review examines the unique characteristics of young patients (ages 18 to 40 years) who were diagnosed as having non-small-cell lung cancer (NSCLC) at Markey Cancer Center, the only National Cancer Institute–designated cancer center in the state of Kentucky. Methods: This retrospective study examines adult patients with…

Posted in: Lung Cancer – Clinical Presentation & Diagnosis1

Letter to the Editor

Emphasizing the Role of Nonminorities in Achieving Racial Equity in Medicine

To the Editor: Even while our country’s makeup increasingly diversifies, minority physicians and faculty remain underrepresented in medicine. This is especially true of Black, Latinx, American Indian, Alaska Native, Native Hawaiian, and other Pacific Islander physicians. In “An Approach to Faculty Development for Underrepresented Minorities in Medicine (URMs),”1 the authors…

Perspectives

Know Your Guidelines Series: The ACG Clinical Practice Guideline on Upper Gastrointestinal and Ulcer Bleeding Review

Gastrointestinal bleeding (GIB) is a common cause of hospitalization. Upper gastrointestinal bleeding (UGIB) is a serious condition defined as bleeding that originates in the esophagus, stomach, or duodenum. Eighty percent of patients with UGIB seen in the emergency department (ED) require admission to the hospital. The 2021 American College of…

Posted in: Gastroenterology36

Original Article

Continued Visibility of COVID-19 Article Removals

Objective: The coronavirus disease 2019 pandemic has produced an unprecedented amount of scientific research as well as a high number of article retractions. Social and news media have been used to disseminate scientific research, and this can include retracted or withdrawn research. This risks the persistence of low-quality research and…

Posted in: Infectious Disease82

Editorial

Identifying and Addressing Food Insecurity in Older Adults through Comprehensive Screening and Referral Programs

Food insecurity is a growing issue among older adults, with evidence indicating that 7.7% of adults ages 65 and older in the United States in 2017 lived in a food-insecure household.1 Between 2001 and 2017, the number of older adults who are food insecure more than doubled, reaching 5.5 million.1…

Original Article

Association of Referral Source and Substance Use with Hepatitis C Virus Outcomes at a Southern Academic Medical Center

Objectives: Therapeutic advances make the cure of chronic hepatitis C virus (HCV) infection achievable for individuals aware of their diagnosis who can access care. Identifying barriers to accessing care is critical to achieve population-level HCV elimination and improve the cascade of care from diagnosis to cure. Methods: To identify barriers…

Posted in: Liver Disease4

Original Article

Differences in Motivating Factors for SARS-CoV-2 Vaccination and Perceptions of Infection Risk among Healthcare and EMS Personnel in South Carolina

Objectives: Although medical workers were prioritized to receive the coronavirus disease 2019 (COVID-19) vaccination, many have declined. Even though studies have investigated differences in COVID-19–related attitudes and vaccination for workers in hospitals and long-term care facilities, none have included emergency medical services (EMS) personnel. We investigated the association between type…

Posted in: Infectious Disease82

Review Article

CME Article: What’s Up Your Sleeve? A Scoping Review of White Coat Contamination and Horizontal Microbial Transmission

Objectives: White coats have been suggested to serve as fomites carrying and transmitting pathogenic organisms and potentially increasing the risk of healthcare-associated infections (HAIs). We aimed to examine the current evidence regarding white coat contamination and its role in horizontal transmission and HAIs risk. We also examined handling practices and…

Original Article

Role of Socioeconomic Factors on Physical and Mental Distress Reported by Alabama Adults with COPD

Objectives: Educational attainment, income, and race play significant roles in managing and treating patients with chronic obstructive pulmonary disease (COPD). The purpose of this study was to evaluate the impact of these socioeconomic factors and others on the physical and mental distress reported by patients with COPD living in Alabama….

Posted in: Mental Health38

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