Issue - Southern Medical Association

Original Article

Changing Age Distribution of Melanoma Patients: A 22-Year, Single-Site Perspective

Objectives: To investigate possible changes in the demographics of patients with melanoma during a period of 22 years in one dermatopathology practice. Methods: We performed a retrospective review of 1835 cases of in situ and invasive melanomas histologically diagnosed between 1989 and 2010 in a private dermatopathology laboratory in Norfolk,…

Invited Commentary

Commentary on “Inpatient Rehabilitation Centers and Concern for Increasing Volume of Ischemic Stroke Patients Requiring Rehabilitation”

In this issue of the Southern Medical Journal, Martin-Schild and colleagues report a retrospective analysis of patients hospitalized with acute ischemic stroke who had prolonged length of stay (pLOS).1 The reasons for pLOS were varied and included neurological and non-neurological medical complications, delays in imaging and procedures, and delays in…

Original Article

Association of Cardiac Disease and Alcohol Use with the Development of Severe Ciguatera

Objectives: Ciguatera is a foodborne illness that causes severe gastrointestinal and neurologic symptoms, but the risk factors for illness are not well established. Methods: In St Thomas, US Virgin Islands, we performed a case-control study for ciguatera, enrolling 47 patients primarily through the emergency department and 141 age- and sex-matched…

Original Article

Estimating the Early Impact of the FDA Safety Communication on the Use of Surgical Mesh

Objectives: To estimate the early impact of the July 2011 Food and Drug Administration Safety Communication on the practice patterns of gynecologic surgeons using surgical mesh to manage pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Methods: A cross-sectional study was performed by administering a mesh usage questionnaire to…

Invited Commentary

Commentary on “Safety Profile of High-Dose Statin Therapy in Geriatric Patients with Stroke”

For many geriatricians it is not unusual to have patients in their 80s and 90s, and even an occasional centenarian. Patients are living longer, often in spite of multiple diseases. As people age, their comorbidities increase; thus, older patients are more prone to have cardiovascular and cerebrovascular disease, as well…

Original Article

Inpatient Rehabilitation Centers and Concern for Increasing Volume of Ischemic Stroke Patients Requiring Rehabilitation

Objectives: To determine whether prolonged length of stay (pLOS) in ischemic stroke is related to delays in discharge disposition arrangement. Methods: We designed a retrospective study to compare patients with acute ischemic stroke who experienced pLOS to those who did not experience pLOS. Patients who have had acute ischemic stroke…

Original Article

Osteoporosis in Postmenopausal Women: Considerations in Prevention and Treatment (Women's Health Series)

Osteoporosis, the most common human bone disease, affects 8 million American women and has significant morbidity and mortality. Screening is important in older women and younger postmenopausal women with additional risk factors for osteoporosis/fracture. Preventive measures include avoiding smoking, excessive alcohol/caffeine intake, and falls in addition to maintaining adequate calcium/vitamin…

Original Article

Safety Profile of High-Dose Statin Therapy in Geriatric Patients with Stroke

Objectives: Use of high-dose statin therapy (HDST) in patients with stroke became standard clinical practice after the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) study, in which the mean age of the study population was approximately 63 years. Little data are available on the adverse effects of statins…

Invited Commentary

Commentary on “Changing Age Distribution of Patients with Melanoma”

In this issue of the Southern Medical Journal, Paul et al report on their investigation concerning age-specific and sex-specific incidences of cutaneous melanoma in a single geographic location, the Tidewater region of Virginia, and in which the vast majority of pathologic interpretations of melanoma were rendered by the same pathologist…

Original Article

Does a Bite Cause Cancer? Misperceptions of Breast Cancer Etiology among Low-Income Urban Women in Miami, Florida

Objectives: To explore breast cancer beliefs among a cohort of low-income, urban, English-speaking women in Miami, Florida, who had undergone screening mammography. Methods: Four focus groups of 34 women were conducted. Discussions were transcribed verbatim and transcripts were analyzed separately by two investigators using an immersion–and-crystallization approach. Common risk factors…

Original Article

Surgeons’ Perspectives on Optimal Patient Positioning During Simultaneous Cranial Procedures and Exploratory Laparotomy

Objectives: Patients presenting with traumatic intracranial and intraabdominal injuries often require emergent care. Triage of injuries is based on severity of the individual injuries, but treatment occasionally must proceed simultaneously. Determining an optimal patient position at the time of surgery often produces unnecessary delays and this delay may negatively affect…

Original Article

Sexual Abuse History and Pelvic Floor Disorders in Women

Objectives: Sexual abuse rates in the general female population range between 15% and 25%, and sexual abuse is known to have a long-term impact on a woman’s health. The aim of this study was to report the prevalence of sexual abuse history in women presenting to clinicians for pelvic floor…

Original Article

Minimally Invasive Drainage of Subcutaneous Abscesses Reduces Hospital Cost and Length of Stay

Objective: We compared outcomes among pediatric patients managed with minimally invasive (MI) packing techniques with those managed with traditional packing techniques for drainage of subcutaneous abscesses. Methods: After institutional review board approval, medical records of children requiring drainage of subcutaneous abscesses between January 2010 and June 2011 were reviewed. Data…