Current SMJ : May 2019

Patients on Involuntary Hold Status in the Emergency Department

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

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 and faculty members to complete their projects, and determine resident and faculty...

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

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 evaluated while on involuntary status at a suburban...

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

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 sickle cell trait.Methods: Survey data on self-assessed symptoms and genotype data from five single nucleotide...

Propofol Versus Dexmedetomidine for Procedural Sedation in a Pediatric Population

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 efficacy of propofol versus dexmedetomidine in pediatric patients undergoing sedation in...

Otolaryngology: Breadth, Depth, Challenge, and Choice

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 accredited allopathic otolaryngology residency programs and 179...

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

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 the creation in 2004...

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

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 injuries in pediatric patients in Iraq and Afghanistan.Methods: We queried the Department...

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

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 from the United Kingdom, we are honored to provide...

Saying Goodbye

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...

Use of Cardiac Troponin Testing in the Outpatient Setting

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, little is known regarding cTn ordering patterns in this setting. We sought...

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

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 between perceived stress and SCD pain episode frequency among 70 African-American adults...

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

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 students matriculate at schools unassociated with academic otolaryngology programs,...

Core Competencies of and Career Opportunities for Future Healthcare Executives

Medical Tort Reform: Past, Present, Future

Telemedicine and Care Delivery Innovations

The Future is Now: Innovative Physician Organization Models

Health Insurance Exchanges

Confronting Gaps in Health Care Performance: Opportunities to Take Action