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.
Objectives: We aimed to evaluate the incidence, hospital resource utilization, and risk factors associated with anesthesia-related complications during labor and delivery in North Carolina. Methods: Using data from the 2015–2020 State Inpatient Database, we conducted a retrospective cross-sectional analysis of a representative sample of hospital deliveries involving anesthesia-related complications. The…
Objectives: Hand maneuvers commonly used to clinically diagnose De Quervain tenosynovitis (DQT) possess differing intrinsic levels of discomfort. We hypothesized that assessing the degree of pain would better differentiate replication of condition-related pain than a binary “yes or no” assessment, and we hope to use these data to establish thresholds…
Objectives: Cardiac tumors affect fewer than 1 in 2000 people. This study is a retrospective review of diagnostic procedures, surgical management, and outcomes in patients treated for tumors of the heart at our institution. We compare our management approaches, clinical, and surgical outcomes with those reported in the literature. Methods:…
Objectives: Female sexual dysfunction (FSD) refers to problems with desire, arousal, orgasm, or pain, affecting approximately 12% of US women. Although FSD can be managed in primary care, most primary care clinicians do not regularly treat it. This survey of primary care clinicians practicing at a large US health system…
Objectives: Tocilizumab, originally used in the treatment of autoimmune disorders such as rheumatoid arthritis, had its use expanded to treat hyperinflammatory changes in coronavirus disease 2019. The objective of this study was to evaluate the risk of secondary infections and gastrointestinal side effects in patients treated with tocilizumab for severe…
Objectives: Recent literature suggests that hospitalization may lead to new-onset type 2 diabetes mellitus (NODM2). Understanding this relationship is crucial for developing interventions that could reduce long-term complications and healthcare costs associated with DM2 and major adverse cardiovascular events (MACE). This systematic review and meta-analysis aims to assess the incidence…
Objectives: Food insecurity has been rising in the United States, disproportionally affecting populations with no insurance, low socioeconomic status, and racial minorities. It is associated with overall poorer health, especially in terms of glycemic control, mental health, and cardiovascular disease. Addressing it is critical because although studies show its significance,…
Objectives: The Rio Grande Valley (RGV) is a developing clinical research region characterized by its distinctive demographic profile that offers an opportunity to investigate diverse health issues. This pilot investigation sought to evaluate the demographic and clinical characteristics linked to bone metastases and primary malignant bone neoplasms (PMBNs) in patients…
With its usual precision, the Oxford English Dictionary defines diagnosis as the “determination of the nature of a diseased condition.”1 At what point in evaluating a patient have we actually determined the cause of their condition? We propose that when physicians have completed their initial evaluation of a newly hospitalized…
Objectives: Hospital rounding practices have shifted away from being conducted at the patient’s bedside to favor rounding in workrooms. Prior studies assessing learner attitudes toward bedside rounds largely focused on its educational value for residents, with less attention paid to medical students or other relevant domains in the learner experience….
Objectives: Racism is a public health crisis, and it is imperative that healthcare providers act to dismantle it. Although social determinants of health have been incorporated into graduate medical education, few longitudinal antiracism curricula exist. We evaluated a longitudinal antiracism curriculum for Internal Medicine (IM) residents, hypothesizing that participation would…
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