Southern Medical Journal - Southern Medical Association

Original Article

Prehospital ABC Score Accurately Forecasts Patients Who Will Require Immediate Resource Utilization

Objectives: Scoring systems, such as the Assessment of Blood Consumption (ABC) Score, are used to identify patients at risk for massive transfusion (MT, ≥10 U red blood cells in 24 hours). Our aeromedical transport helicopter uses ultrasound to perform the Focused Assessment with Sonography for Trauma (FAST) examination. Our objective…

Original Article

Endoscopic Mucosal Resection for Colonic Mucosal Neoplasia and Evaluation of Long-Term Recurrence: A Single-Center Experience of 500 Cases

Objectives: Endoscopic mucosal resection (EMR) is an alternative to surgery for the treatment of large laterally spreading lesions. Residual or recurrent adenoma is a major limitation. This study aimed to quantify early and late recurrences and to assess its associated risk factors. Methods: The study was a single-center, multiendoscopist, longitudinal…

Posted in: Colonic And Anorectal Disease4

Original Article

How Do Healthcare Executives Understand and Make Decisions about Spiritual Care Provision?

Objectives: This pilot study explores how healthcare leaders understand spiritual care and how that understanding informs staffing and resource decisions. Methods: This study is based on interviews with 11 healthcare leaders, representing 18 hospitals in 9 systems, conducted between August 2019 and February 2020. Results: Leaders see the value of…

Perspectives

When Students Become Doctors: The Blurring of the Lines in Medical Education

Medical education, particularly at the undergraduate medical education level, is shrouded in what seems to be irreducible uncertainty at present. With the explosion of the coronavirus disease 2019 (COVID-19) pandemic in our midst, striking our hospitals and our communities, the status of medical education and what it really means to…

Perspectives

Hospitalist Readiness to Assess and Evaluate Resident Progress

The United States has more than 60,000 practicing hospitalists. As a result of the expansion of this field, hospitalists comprise a large number of physicians who attend on inpatient services with Internal Medicine (IM) residents and are therefore tasked with the important responsibility of assessing and evaluating these learners. The…

Original Article

Second Victim Experience among OBGYN Trainees: What Is Their Desired Form of Support?

Objectives: Physician trainees in obstetrics and gynecology (OBGYN) experience unexpected outcomes similar to those of supervising physicians. A relative lack of experience and perspective may make them more vulnerable to second victim experience (SVE), however. The objectives of our study were to contrast the prevalence of SVE between supervising physicians…

Posted in: Obstetrics and Gynecology27

Original Article

Enhancing Patient–Provider Breastfeeding Conversations: Breastfeeding Intention and Prenatal Breastfeeding Self-Efficacy among a Sample of Pregnant Women

Objectives: The purpose of this study was to investigate and identify which sociodemographic factors may be associated with breastfeeding intention and breastfeeding self-efficacy among pregnant women. Methods: Pregnant women at a medical center in Alabama completed a cross-sectional survey. The Prenatal Rating of Efficacy in Preparation to Breastfeed Scale (PREP…

Posted in: Pregnancy16

Review Article

Evidence for Prophylactic Transfusion during Pregnancy for Women with Sickle Cell Disease

The objective of this study was to examine prior studies on maternal and neonatal outcomes with prophylactic compared with emergent blood transfusion in pregnant women with sickle cell disease. A review of the literature was performed. Twenty-one articles were identified and included in the analysis. A generalized linear mixed-effects model…

Posted in: Pregnancy16

Perspectives

COVID-19, Telemedicine, and the Demise of the Physician’s Touch

Even before the #MeToo movement, touching another person carried an element of risk. With the advent of the coronavirus disease 2019 (COVID-19) pandemic, that risk has intensified as a result of the role of direct contact between individuals in spreading the infection. This is not to say that the danger…

Posted in: Infectious Disease32

Review Article

Battlefield Acupuncture as a Treatment for Pain

This study evaluated both randomized and nonrandomized trials of battlefield acupuncture for the treatment of both acute and chronic pain. Studies published between May 2016 and November 2019 were found through PubMed, the Cochrane Library, or Scopus, concerned with the treatment of pain using auricular acupuncture in accordance with battlefield…

Review Article

CME Article: Osteoporosis in Adult Patients with Intellectual and Developmental Disabilities: Special Considerations for Diagnosis, Prevention, and Management

 As medical care progresses, patients with intellectual and developmental disabilities are living longer and beginning to experience diseases that commonly afflict the aging population, such as osteoporosis. Osteoporosis and resultant fractures increase disability and threaten the independence of this vulnerable population. In addition, the diagnosis, prevention, and management of osteoporosis…

Posted in: Metabolic & Other Bone Disease (Osteoporosis)5

Original Article

Factors Affecting Quality of Life at Discharge among Patients with Osteoporotic Vertebral Fractures

Objectives: This study aimed to identify factors, including physical functions and activities that affect quality of life (QOL) at discharge among patients with osteoporotic vertebral fractures. Methods: Patients with osteoporotic vertebral fractures were included in our prospective cohort study. Multiple regression analysis was performed to determine the predictors of QOL…

Posted in: Metabolic & Other Bone Disease (Osteoporosis)5

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