Issue - Southern Medical Association

General Information


CME Instructions

Letter to the Editor

Considerations in Women with Hypertension

To the EditorWe read with interest the article by Geraci and Geraci published in the July 2013 issue of the Southern Medical Journal entitled “Considerations in Women with Hypertension.” In their article the authors addressed abnormal sleep duration, sleep deprivation, and sleep-disordered breathing when addressing secondary hypertension.1

Author Response

Authors’ Response

To the EditorWe thank Alkhuja and colleagues for their interest in our article “Considerations in Women with Hypertension.”1 We agree that the association among the comorbidities of hypertension, obesity, and obstructive sleep apnea (OSA) is well established. The sex-specific degree of interaction among these variables has not, however, been well…

Original Article

Perceptions and Attitudes About Preexposure Prophylaxis Among Seronegative Partners and the Potential of Sexual Disinhibition

Objectives: Preexposure prophylaxis (PrEP) is a promising strategy to prevent human immunodeficiency virus (HIV) infection, especially among high-risk individuals such as seronegative partners; however, many caveats such as the potential risk of sexual disinhibition and noncompliance need to be considered. We explored the sociodemographic and behavioral factors associated with the…


Polycystic Ovary Syndrome in Adolescents (Women’s Health Series)

Polycystic ovary syndrome is the single most common endocrine abnormality of women of reproductive age and is a leading cause of female infertility. Common clinical features include hirsutism, various ovarian abnormalities, obesity, and insulin resistance. Expert consensus recommendations on diagnostic criteria vary, but the most recent focus on the presence…


Acute Fatty Liver of Pregnancy

Acute fatty liver of pregnancy is a rare but serious and potentially fatal complication of pregnancy. It typically presents in the third trimester with microvesicular fatty infiltration of the liver and can lead to multiorgan failure and death. Differentiation from hemolysis-elevated liver enzymes-low platelets syndrome can guide management. A high…

Original Article

Mediastinoscopy Trends and Practice Patterns in the United States

Objectives: Historically, mediastinoscopy has been the gold standard for the staging of lung cancer. A practice gap exists as the result of a variation in knowledge concerning current trends and practice patterns of mediastinoscopy usage. In addition, there are regional variations in practice-based learning and patient care. Lessons learned during…

Original Article

Home Food Environment, Dietary Intake, and Weight among Overweight and Obese Children in Southern Appalachia

Objectives: This study examined the relation of multiple aspects of the home food environment to dietary intake and body weight among overweight and obese children in southern Appalachia. Methods: The study used baseline data from a cluster-randomized controlled trial, Parent-Led Activity and Nutrition for Healthy Living, evaluating a parent-mediated approach…


Lung Cancer in Women

Lung cancer is the deadliest cancer in women. In the last decade, the first measurable decline in disease-related mortality has occurred and in the last 5 years, the first decline in lung cancer incidence in women in the United States has been reported. Five-year survival rates are much higher in…


Acute Sinusitis

Sinusitis is a common patient complaint that carries with it a large economic burden. It is one of the most common reasons patients visit their primary care physician. Acute bacterial rhinosinusitis (ABRS) can be distinguished from other forms of rhinosinusitis based on symptom duration of <4 weeks in a patient…

Original Article

Endoscopy After Acute Myocardial Infarction: An Evaluation of Safety

Objectives: Upper gastrointestinal bleeding in the setting of acute myocardial infarction (MI) has substantial morbidity and mortality. Several studies have been performed on the safety of esophagogastroduodenoscopy (EGD) after MI; however, these studies vary in definitions and results. We evaluated the safety and effect of EGD in patients with acute…

Original Article

Sharpening the Tandem Walking Test for Screening Peripheral Neuropathy

Objective: Few tests of functional motor behavior are useful for rapidly screening people for lower extremity peripheral neuropathy. The goal of this study was to improve the widely used tandem walking (TW) test. Methods: We tested “normal” (control) adult and ambulatory patients with peripheral neuropathy (PN) with their eyes open…