Issue - Southern Medical Association

General Information


Southern Medical Journal Online CME Activity

Review Article

Kidney Disease in Pregnancy (Women’s Health Series)

Kidney disease and pregnancy may exist in two general settings: acute kidney injury that develops during pregnancy, and chronic kidney disease that predates conception. In the first trimester of pregnancy, acute kidney injury is most often the result of hyperemesis gravidarum, ectopic pregnancy, or miscarriage. In the second and third…

Original Article

WHO Growth Chart Awareness Among Clinicians in Kentucky

Objectives: To examine children’s growth chart use among clinicians and explore awareness of the Centers for Disease Control and Prevention’s (CDC) recommendations for the use of World Health Organization (WHO) growth charts. Methods: A cross-sectional survey of pediatricians and family practitioners in Kentucky. Results: Only 29% of clinicians reported using…

Review Article

Thyroid Disease in Pregnancy (Women’s Health Series)

Pregnancy is a state of many hormonal changes that can make interpretation of thyroid function tests difficult. Measuring trimester-specific reference values of thyrotropin and free thyroxine is recommended. Because overt maternal hypothyroidism negatively affects the fetus, timely recognition and treatment are important. Women taking levothyroxine prepregnancy require a ≤50% dose…

Invited Commentary

Commentary on “Video Media–Induced Aggressiveness in Children”

In this issue of the Southern Medical Journal, Dr Michael S. Cardwell addresses violence and electronic media.1 This topic reminds me of the Biblical story of the tree of knowledge of good and evil. Such innocence has vanished in the maelstrom of the Internet.

Review Article

Current Approaches to Diagnosis and Management of Rhinitis

Rhinitis affects >20% of the population and is a common reason patients visit their primary care physician. Proper therapeutic intervention initially requires differentiating rhinitis from acute and chronic rhinosinusitis. After establishing rhinitis as the etiology of a patient’s symptoms, a careful, thoughtful history and physical examination aids the cause. Rhinitis…


Rhinitis, Acute Sinusitis, and Chronic Sinusitis Affect Quality of Life

In this issue of the Southern Medical Journal, we publish the first of three articles by the Dion group addressing nasal conditions, “Current Approaches to Diagnosis and Management of Rhinitis.”1 Subsequent issues will include the topics of acute sinusitis and approaches to managing chronic sinusitis. The importance of these topics…

Original Article

Clinical Evaluation of a New Pap Test–Based Method for Screening of Chlamydia trachomatis and Neisseria gonorrhoeae Using Liquid-Based Cytology Media

Objectives: The majority of chlamydial and gonococcal infections in women are asymptomatic and, if left untreated, may result in serious sequelae. Simple and accurate testing of men and women at risk for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) is the single most effective strategy for control of sexually transmitted…

Original Article

Intrauterine Device Knowledge and Practices: A National Survey of Obstetrics and Gynecology Residents

Objectives: The primary objective of this study was to assess the current intrauterine device (IUD) knowledge and counseling practices of US obstetrics and gynecology chief residents. The secondary objective was to evaluate the current IUD experience of obstetrics and gynecology residents. Methods: A Web-based survey about IUD knowledge and practices…


Hypogonadism in Primary Care: The Lowdown on Low Testosterone

Television programming is rife with direct pharmaceutical advertisements to consumers. In the last few years, advertisements aimed at men have indicated that a low testosterone level may be responsible for fatigue and decreased well-being. These commercials stress the need for additional testing by touting the benefits of a testosterone-replete state….


Video Media–Induced Aggressiveness in Children

Transmission of aggressive behaviors to children through modeling by adults has long been a commonly held psychological concept; however, with the advent of technological innovations during the last 30 years, video media—television, movies, video games, and the Internet—has become the primary model for transmitting aggressiveness to children. This review explores…


Teen Pregnancy Prevention: A New Paradigm

Despite common myths, teen pregnancy and teen birth rates are decreasing in the United States.1 The two most obvious reasons for this decline are that more teens are abstaining from intercourse and sexually active teens are increasingly using contraception. Despite this decrease, teen childbearing in the United States remains a…


CME Activity AMA PRA Category 1 Credit Expiration Dates Extended

With the launch of the Southern Medical Association’s new Education Center (, SMA is pleased to announce that AMA PRA Category 1 Credit expiration dates have been extended for the following Southern Medical Journal CME activities. These activities will now expire 2 years after the publication date rather than…