Issue - Southern Medical Association

Invited Commentary

Commentary on “Endoscopic Mucosal Resection Recurrence Rate for Colorectal Lesions”

Colorectal cancer (CRC) is the second leading cause of cancer death in both men and women in the United States, and Americans have a 5% lifetime risk for this malignancy.1 With the advent of effective screening programs, primarily screening colonoscopy, the incidence and mortality of CRC has begun to decrease….

Original Article

Cardiovascular Risk in Gullah African Americans with High Familial Risk of Type 2 Diabetes Mellitus: Project SuGAR

Objectives: To determine the prevalence of cardiovascular disease, levels of cardiovascular risk factors, and extent of preventive care in Gullah African Americans with a high familial risk of type 2 diabetes mellitus. Methods: Between 1995 and 2003, 1321 Gullah African Americans with a high prevalence of diabetes mellitus from the…

Original Article

Association of Body Mass Index and Waist Circumference with Subclinical Atherosclerosis in Retired NFL Players

Objectives: It is unknown which measure of adiposity (body mass index [BMI] or waist circumference [WC]) is associated with subclinical atherosclerosis in retired National Football League (NFL) players and whether this relation is attenuated after adjusting for components of the metabolic syndrome (elevated triglycerides, fasting glucose, and low levels of…

Original Article

Hepatitis B Screening Practice among Older Chinese in the Greater Washington, DC, Area

Objectives: Older Chinese Americans are at greater risk of contracting hepatitis B virus (HBV) because they were born before the implementation of universal childhood vaccination policies. This study examined the prevalence of HBV screening, test results, and predictors of HBV screening among older Chinese. Methods: Two hundred fifty-two Chinese immigrants…

Original Article

CME Article: Emergency Department Orthopedics Observation Unit as an Alternative to Admission

Objectives: Inclusion of select orthopedic problems in the orthopedics observation unit (OOU) may reduce hospital admissions. Our system allows OOU status for 24 hours, but the effect on admissions is unknown. Our primary hypothesis was that we could predict which OOU patients required admission based on the presence of uncontrolled…

Original Article

VHA Chaplaincy Contact with Veterans at Increased Risk of Suicide

Objectives: To examine the extent to which chaplains interact with military veterans at increased risk of suicide and select characteristics related to those at-risk veterans who present for chaplaincy services. Methods: The nationwide network of chaplains affiliated with the Veterans Health Administration (n = 990) was e-mailed a letter inviting…

Original Article

Endoscopic Mucosal Resection Recurrence Rate for Colorectal Lesions

Objectives: We aimed to evaluate the polyp recurrence rate after endoscopic mucosal resection (EMR) and factors contributing to increased recurrence. Methods: MEDLINE (from 1966 to 2013), the Cochrane Central Register of Controlled Trials, and the Scopus database were searched in December 2013. Studies evaluating the polyp recurrence rate after colonic…

Original Article

Burden of Elective Early-Term Births in Rural Appalachia

Objectives: Infants delivered at ≥37 weeks’ gestation are considered full term, but research has demonstrated those born at 37 to 38 weeks (early term) have a higher risk for poor birth outcomes than deliveries at 39 to 41 weeks (full term). Despite this, many deliveries occur electively (scheduled, no medical…

Original Article

Aerococcal Infection at Three US Tertiary Care Hospitals

Objectives: The aim of the present study was to determine clinical features of Aerococcus infections and the significance of the Aerococcus species isolated from any clinical samples. Methods: Electronic records of all cultures yielding Aerococcus species from 2002 to 2012 were obtained from three tertiary care hospitals. We performed an…

General Information

CME Instructions

Each CME activity should take approximately 1 hour to complete. Each CME activity includes the following: Full text article Article CME information CME test Evaluation Learner-directed phase CME activities within the online journal CME on the Southern Medical Association’s Web site can be accessed in the following ways: Through the…

Invited Commentary

Commentary on “Association of Body Mass Index and Waist Circumference with Subclinical Atherosclerosis in Retired NFL Players”

Exercise is pivotal for the prevention of cardiovascular disease (CVD). Unfortunately, there is no legacy effect; one can exercise frequently when young and because of the usual circumstances of modern life, become sedentary in adulthood. When one stops exercising, over time the benefits to cardiovascular fitness, blood pressure, lipids, insulin…

Original Article

Short-Term Mesh Exposure after Robotic Sacrocolpopexy With and Without Concomitant Hysterectomy

Objectives: The primary objective of this study was to compare the short-term rate of mesh exposure after a robotic sacrocolpopexy (RSCP) compared with those after RSCP with a concomitant hysterectomy. Secondary objectives included a comparison of mesh exposure from total hysterectomies (TH) versus supracervical hysterectomies (SCH) and determination of risk…

Perspectives

CME Article: Electronic Cigarettes: A Perspective for the Primary Care Physician

An estimated 19% of all American adults, 43.8 million people, smoke cigarettes. Cigarette smoking is the leading cause of preventable death in the United States.1 Smoking cessation is known to rapidly reduce the associated health risks. Many smoking cessation tools are available on the market, including nicotine replacement therapy, buproprion,…

Invited Commentary

Commentary on “VHA Chaplaincy Contact with Veterans at Increased Risk of Suicide”

As America’s wars overseas wind down, military veterans are faced with stressors beyond those of combat dangers. Depression, substance abuse, and posttraumatic stress disorder contribute to the increasing rate of suicide among veterans. According to the data, 22 veterans commit suicide every day in the United States.1 Suicidality disproportionately affects…

Original Article

Screening for Connective Tissue Disease in Pulmonary Arterial Hypertension

Objectives: To evaluate the utility of anti-nuclear antibody (ANA) levels in distinguishing the cause of pulmonary arterial hypertension as idiopathic (IPAH) or connective tissue disease related (CTD-PAH). Methods: We retrospectively identified patients with IPAH or CTD-PAH seen between 2010 and 2012 at our institution. Medical records were reviewed for demographic…

Invited Commentary

CME Article: Commentary on “Emergency Department Orthopedics Observation Unit as an Alternative to Admission”

It is 22:58 on Monday night. You walk into your shift in the emergency department (ED) and are greeted by the charge nurse who tells you, ‘‘We already have 22 holders down here, 11 waiting to be seen, and triage is full.’’ As you chuckle to yourself, thinking, ‘‘There must…