Issue - Southern Medical Association

Original Article

Parental Perspectives of Diabetes Management in Alabama Public Schools

Objectives: The purpose of this study was to assess parental perceptions of the current state of care for children with diabetes in the Alabama public school system, identify existing disparities, and determine what resources would most improve diabetes management in this setting. There is a significant need for such information…

Original Article

Time to Linkage to Care and Viro-Immunologic Parameters of Individuals Diagnosed Before and After the 2006 HIV Testing Recommendations

Objectives: To assess the time from linkage to care and viro-immunologic parameters before and after implementation of the Centers for Disease Control and Prevention’s 2006 revised human immunodeficiency virus (HIV) testing strategy. Methods: Case reports from South Carolina’s enhanced HIV/AIDS (acquired immunodeficiency syndrome) Reporting System were used to compare time…

Original Article

Patients’ Short-Term Knowledge of Personal Polyp History Inadequate Despite Systematic Notification of Results After Polypectomy

Objectives: Patients’ memories of personal polyp characteristics have been shown to be inadequate when compared with the medical record. An accurate polyp history is necessary to adhere to guidelines. We sought to determine whether systematically informing patients of the results of their colonoscopy and pathology in a multifaceted manner could…

Letter to the Editor

Predictive Analytics: The Fifth Clinical Element

To the Editor Clinicians are subject to many stresses in the midst of healthcare reform. Some question the role of the traditional four tools of clinical management: history taking, physical examination, laboratory investigation, and radiologic evaluation. The US healthcare system is attempting to switch from a treatment model to a…

Editorial

Endocrinology in Crisis?

The physician shortage in the United States is likely to persist, if not worsen, in the foreseeable future.1 Because the pivotal role played by primary care providers is universally accepted, these providers may experience an increase in reimbursement from the federal government. In a perfect world, the primary care provider…

Author Response

Authors’ Response

To the Editor We thank Ahmed and colleagues for their thoughtful letter. The effect of anabolic androgenic steroids (AAS) on QT interval is a controversial area; therefore, both we and Ahmed and colleagues may be correct.

Errata

Role of Positron Emission Tomography in the Diagnostic Workup of Solitary Pulmonary Nodule Erratum

In the article “Role of Positron Emission Tomography in the Diagnostic Workup of Solitary Pulmonary Nodule,” which appeared in the December 2012 issue, the author order was inverted. The correct order should be Khaldoon Shaheen, M. Chadi Alraies, and Abdul Hamid Alraiyes.

Letter to the Editor

Testosterone and QT Interval

To the EditorWe read with interest the article by Higgins et al published in the December 2012 issue of the Southern Medical Journal.1 The authors clearly describe testosterone-induced arrhythmia; however, they claim that testosterone can prolong the QT interval. We are of another opinion. The effect of testosterone on electrocardiogram…

Original Article

Four-Year Trends of Inappropriate Proton Pump Inhibitor Use After Hospital Discharge

Background: Several hospital-based studies have determined that physicians often inappropriately prescribe acid-suppressive medications for stress ulcer prevention in hospitalized patients and continue these drugs after discharge. We sought to determine the frequency of inappropriate proton pump inhibitor (PPI) use continued at discharge within our geographic region. Methods: We undertook a…

Original Article

Healthcare Access and Disparities in Chronic Medical Conditions in Urban Populations

Objectives: The purpose of this study was to identify barriers and disparities in healthcare access and the factors associated with them in an urban population. Methods: Eligible patients were consented and enrolled randomly from the inpatient internal medicine unit at Truman Medical Center, Kansas City, Missouri, a 250-bed hospital recognized…

Original Article

Role of Anxiety in the Comfort of Nonsedated Average-Risk Screening Sigmoidoscopy

Objectives: The aim of this prospective study was to assess the role of generalized anxiety disorder in the comfort of nonsedated, average-risk screening sigmoidoscopy. Methods: Patients were asked to complete a screening questionnaire before undergoing average-risk colon cancer screening with nonsedated sigmoidoscopy. The questionnaire included demographic information and a series…

Invited Commentary

Commentary on “Healthcare Access and Disparities in Chronic Medical Conditions in Urban Populations”

Health disparities can be defined as differences in rates of disease incidence, prevalence, morbidity, mortality, and/or survival in a particular population compared with the health status of the general population.1 A sizeable portion of these disparities resides within the category comprising chronic medical conditions (CMCs). These conditions run the gamut…

Original Article

Lack of Preoperative Predictors of the Immediate Return of Postoperative Bladder Emptying After Uterosacral Ligament Suspension

Objectives: To determine whether preoperative postvoid residual volume (PVR), pelvic organ prolapse quantification (POPQ) stage, patient characteristics, or concurrent operations are predictors of immediate postoperative bladder emptying after uterosacral ligament suspension (USLS). Methods: A review of patients undergoing USLS in 2008 and 2009 was performed. The factors analyzed included patient…