Issue - Southern Medical Association

Original Article

Externalized Aggressive Behaviors in Patients with Borderline Personality Symptomatology

Objective: Borderline personality disorder (BPD) is commonly characterized by self-directed aggressive behavior, although the literature indicates that externalized aggressive behavior may be present. The simultaneous examination of multiple types of externalized aggressive behavior in individuals with BPD and the exploration of such relationships in a primary care population have not,…

Original Article

Relationship of Vitamin D Monitoring and Status to Bladder Cancer Survival in Veterans

Objectives: Veterans of the armed forces, like most population groups, have a high prevalence of vitamin D deficiency, which may be associated with adverse outcomes in several types of cancer. Ultraviolet irradiation is inversely linked with the risk of bladder cancer, presumably through enhanced vitamin D synthesis. We hypothesized that…

Review Article

Clinical Utility of Natriuretic Peptides in Left Ventricular Failure

Left ventricular failure (LVF) is a clinical syndrome caused by abnormal systolic or diastolic function failing to meet the metabolic requirements of the body. It is important to diagnose and manage LVF in the earliest stages to prevent mortality and morbidity. This article extensively reviews the diagnostic, therapeutic, and prognostic…

Invited Commentary

Commentary on “Well-Child Care in Infancy and Healthcare Services Utilization from Birth to 6 Years by Late Preterm Children Receiving Medicaid Benefits”

Since the adoption of the guidelines for well-child care visits by the American Academy of Pediatrics (AAP) in the early 1990s, there has been a significant increase in the recognition of genetic diseases and developmental pathologies that otherwise may have escaped diagnosis until later in life, particularly among premature infants…

Original Article

Does Gun Accessibility Lead to Violence-Related Injury?

Objectives: Because of high rates of violent gun-related injuries seen in emergency department (EDs), the ED has become involved in prevention violence intervention. The purpose of the study was to determine the relation between access to guns and the risk of violence-related injuries in youth and young adults. Methods: This…

Original Article

Risk Factors for a Prolonged Third Stage of Labor and Postpartum Hemorrhage

Objectives: To determine the effect of a third stage of labor ≥15 minutes on bleeding after delivery and other risk factors for a postpartum hemorrhage (PPH). Methods: This was a case-control study of women undergoing vaginal delivery with placental delivery ≥15 minutes matched by gestational age to the next delivery…

Original Article

Well-Child Care in Infancy and Healthcare Services Utilization From Birth to 6 Years by Late Preterm Children Receiving Medicaid Benefits

Objectives: The hypotheses tested are that healthy late preterm (LP) children receiving Medicaid benefits use more healthcare services from birth to 6 years than do full-term (FT) children and that those who make the recommended number of early and periodic screening, diagnosis, and treatment (EPSDT) visits in the first 2…

Original Article

Factors Influencing Consumer Purchasing Patterns of Generic Versus Brand Name Over-the-Counter Drugs

Objectives: US consumers spend more than $20 billion/year on over-the-counter (OTC) drugs. Although generic and brand name OTC drugs share the same active ingredients and undergo the same rigorous Food and Drug Administration approval process, brand name formulations continue to lead the OTC drug market with a higher market share….

Original Article

Noninvasive Assessment of Right Heart Function and Hemodynamics During Exercise in Patients With Pulmonary Arterial Hypertension

Objectives: Noninvasive assessment of right heart function and hemodynamics in patients with pulmonary arterial hypertension (PAH) is most often performed at rest, whereas the symptoms, in general, present with exertion. Assessment during exertion is limited to symptom assessment and the 6-minute walk distance. We investigated the feasibility of obtaining echocardiographic…

Original Article

Unexplained Macrocytosis

Objectives: Macrocytosis is a relatively common finding in adult patients undergoing blood cell counting. Approximately 10% of patients will have unexplained macrocytosis after laboratory evaluation. Data on the approach to patients with unexplained macrocytosis are limited. Methods: To investigate this topic and help delineate an approach to this condition, the…

Original Article

Short-Term Trends in Heart Failure–Related Hospitalizations in a High-Risk State

Objectives: We sought to determine whether there are signs of improvement in the rates of heart failure (HF) hospitalizations given the recent reports of improvement in national trends. Methods: HF admissions data from the Tennessee Hospital Discharge Data System were analyzed. Results: Hospitalization for primary diagnosis of HF (HFPD) in…