Issue - Southern Medical Association

Original Article

Multiple Cutaneous and Hepatic Hemangiomas in Infants

Objectives: The objectives of the study were to determine the rate of hepatic hemangiomas in infants with cutaneous infantile hemangiomas that were screened by abdominal ultrasound; identify morphological subtypes and number of cutaneous infantile hemangiomas that are likely to suggest the presence of hepatic hemangiomas; and identify clinical history, physical…

Review Article

Hepatitis B in Pregnancy

In the United States each year, 24,000 infants are born to women who are infected with the hepatitis B virus (HBV) and an estimated 1000 newborns acquire the infection through vertical transmission from their mother. The approach to a pregnant patient with HBV infection includes assessing the need for therapy…

Original Article

Epidemiology of the Reported Severity of Cottonmouth (Agkistrodon piscivorus) Snakebite

Objective: The goal of this study was to analyze trends in the annual rates of reported medical outcomes of cottonmouth (Agkistrodon piscivorus) snakebites in the United States, published in the annual reports of the American Association of Poison Control Centers in the course of 29 years. Methods: This was a…

Original Article

Perceptions of Companion Dog Benefits on Well-Being of US Military Veterans with HIV/AIDS

Objectives: Patients with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) frequently experience psychosocial complications in addition to physical illness. Conflicting data on the value of companion dog ownership in minimizing psychosocial distress suggest the need for more research in this field. This study helps to clarify and expand upon previous…

Original Article

Perceived Access to Health Services and Provider Information and Adverse Birth Outcomes: Findings from LaPRAMS, 2007–2008

Objectives: Despite targeted public health efforts, racial disparities and poor birth outcomes are still apparent, particularly in the southern United States. Previous research through qualitative and modest quantitative research demonstrates a possible link between disparities in patient–provider conversations during prenatal visits, perceived access to prenatal care, and poor birth outcomes….

Original Article

Submaximal Cardiopulmonary Exercise Testing for the Evaluation of Unexplained Dyspnea

Objectives: Gas exchange measurements obtained during submaximal exercise have been shown to provide prognostic and diagnostic information in patients with heart failure (HF) and to differentiate heart versus lung limitations in patients with unexplained dyspnea. The aim of our study was to assess the clinical utility of submaximal cardiopulmonary exercise…

Original Article

Underrepresented Minorities in Academic Medicine: Is Florida Better Off?

Objectives: The state of Florida has experienced challenges recruiting and retaining underrepresented minority faculty in academic medicine, as well as maintaining a population-like balance of minority physicians practicing in the state. We sought to quantify the percentage of practicing minority physicians as compared to the general population of Florida and…

Letter to the Editor

What Happened to Case Reports?

To the Editor: Case reports have come under attack by the medical community, and although historically they have played an integral part in the medical literature, many prestigious journals have stopped publishing case reports. I was disappointed to see the Southern Medical Journal (SMJ) following suit. In the past, the…

Invited Commentary

Commentary on “Perceptions of Companion Dog Benefits on Well-Being of US Military Veterans with HIV/AIDS”

Some years ago the parent of a child with attention-deficit/hyperactivity disorder and a disruptive behavior disorder asked me whether I would write a letter to the school’s principal with a medical recommendation that her child be allowed to keep his dog with him in the classroom during the school day….

Invited Commentary

Commentary on “Underrepresented Minorities in Academic Medicine: Is Florida Better Off?”

In this issue of the Southern Medical Journal , Campbell and colleagues draw attention to one of the seemingly insurmountable issues faced by academic medicine and medi

Invited Commentary

Commentary on “Advance Care Planning and Proxy Decision Making for Patients with Advanced Parkinson Disease”

Proxy or surrogate decision making is an issue that arises regularly in hospitals and other healthcare facilities as patients age, become ill, and lose their capacity to make their wishes and choices known. End-of-life (EOL) decision making is stressful for families, who often fill the role of proxy decision makers,…

Original Article

Advance Care Planning and Proxy Decision Making for Patients with Advanced Parkinson Disease

Objectives: To examine advance care planning practices and proxy decision making by family healthcare proxies for patients with advanced Parkinson disease (PD). Methods: Sixty-four spouses and adult children, self-designated as a/the healthcare proxy for advanced patients with PD, participated in a cross-sectional survey study. Results: Sixty patients with PD (95%)…

Invited Commentary

Commentary on “Epidemiology of the Reported Severity of Cottonmouth (Agkistrodon piscivorus) Snakebite”

In this issue of the Southern Medical Journal, Walter and colleagues have reviewed trends of cottonmouth (Agkistrodon piscivorus) snakebite severity as reported in the annual reports of the American Association of Poison Control Centers.1, The stated goal of the study was to examine medical outcomes of these snakebites 18 years…

Original Article

Significance of High- and Low-Distal Energy Forearm Fractures

Objective: To determine in men and women aged 50 years or older the proportion of distal forearm fractures related to high- or low-energy events and subsequent fracturing. Methods: We reviewed records of patients presenting to emergency departments and urgent care facilities with distal forearm fractures occurring during a 7-year entry…

General Information

CME Instructions

CME Instructions

Editor's Response

Editor’s Response

I appreciate the sentiment and context of Dr Weibley’s encouragement of the Southern Medical Journal (SMJ) to reconsider accepting case report manuscripts in the future. As a resident physician, one of the earliest publications in my academic career was of a case report published in the SMJ, so I do…