Issue - Southern Medical Association

Invited Commentary

Commentary on ‘‘Murder or Mercy?’’

The medical “professionalism” literature demonstrates in its breadth and variation less than uniformity concerning best practices and content foci. This observation makes the authors’ presentation of an innovative medical education module, entitled “Murder or Mercy?,” implemented “to equip UK medical students to respond ethically and sensitively to requests encountered as…

Invited Commentary

Prevalence of Criminal Behaviors in an Internal-Medicine-Resident Clinic Population

While reading the study “Prevalence of Criminal Behaviors in an Internal-Medicine-Resident Clinic Population1” I reminisced about my days of residency. I recall how unexciting the clinic was during the first year. At that time, it seemed like the majority of my clinic patients were non-compliant and/or had substance abuse issues….

Original Article

Demographic Characteristics and Behavioral Risk Factors of HIV Infection and Association with Survival Among Individuals 50 Years or Older

Objectives: To investigate the association of socio-behavioral characteristics and viro-immunological status with survival in a cohort of HIV-infected individuals by age in South Carolina (SC). Methods: Logistic regression was used to compare the characteristics of individuals’ ≥50 years old to individuals 20-49 years old at HIV diagnosis who were reported…

Original Article

"Murder or Mercy?" An Innovative Module Helping UK Medical Students to Articulate Their Own Ethical Viewpoints Regarding End-of-Life Decisions

This module was designed to equip UK medical students to respond ethically and sensitively to requests encountered as qualified doctors regarding euthanasia and assisted dying. The aim was to expose students to relevant opinions and experiences and provide opportunities to explore and justify their own views and rehearse ethical decision…

Original Article

Retrospective Chart Review of Children With Type 2 Diabetes Mellitus Evaluating the Efficacy of Metformin vs. Insulin vs. Combination Insulin/Metformin

Objectives: Type 2 diabetes mellitus is a growing problem in pediatrics and there is no consensus on the best treatment. We conducted this chart review on newly diagnosed pediatric patients with type 2 diabetes mellitus to compare the effect of treatment regimen on body mass index (BMI) and hemoglobin A1c…

Original Article

Evaluation of Multi-Drug Therapy for Leprosy in the United States Using Daily Rifampin

Objectives: To evaluate the occurrence of relapse of multibacillary leprosy after multi-drug treatment including daily rifampin. Methods: A retrospective review was performed utilizing data from the National Hansen’s Disease Program (NHDP) on patients with leprosy treated and followed from 1988-1997 who received multi-drug therapy including daily rifampin. The occurrence of…

Original Article

Prevalence of Criminal Behaviors in an Internal-Medicine-Resident Clinic Population

Objective: Few, if any, US studies have examined rates of criminal behaviors among patients in clinical samples. According to findings from non-US studies, mostly in psychiatric samples, rates of criminal behavior are higher than in the general population. In this study, we examined the prevalence of criminal behaviors in an…

Review

Pressure Modes of Invasive Mechanical Ventilation

Pressure modes of invasive mechanical ventilation generate a tidal breath by delivering pressure over time. Pressure control ventilation (PC) is the prototypical pressure mode and is patient- or time-triggered, pressure-limited, and time-cycled. Other pressure modes include pressure support ventilation (PSV), pressure-regulated volume control (PRVC, also known as volume control plus…

Invited Commentary

Pressure Modes of Invasive Mechanical Ventilation

The article “Pressure Modes of Invasive Mechanical Ventilation” by Singer and Corbridge1 presents valuable information for physicians who manage complex ventilator patients. The authors’ previous article2 covered basic invasive mechanical ventilation with waveforms and analysis and was clearly written. This current paper would usually be considered too complex for a…

Review

Generic Psychotropic Medications: Issues of Cost-Effectiveness and Patient Benefit

Since the implementation of managed care, clinicians have struggled with ways to provide optimal treatment in a cost-effective manner. With the rising cost of medications, generic substitutes appear to be an answer. Some medications have proven to be less effective in generic form. Consumers may be wary of generics. However,…

Invited Commentary

Generic Versus Brand Name Drugs in Psychopharmacology: A Pharmacoeconomic Perspective

Psychiatric disorders exert a substantial burden on health and health care systems globally and will continue to do so for the foreseeable future.1 The aim of current pharmacotherapy in psychiatric patients is to prevent and control symptoms, reduce the frequency and severity of exacerbations, improve mental health status, and quality…