Issue - Southern Medical Association

Original Article

Anatomical Distribution of Colorectal Cancer in a Veterans Affairs Medical Center

Objectives: The incidence of sporadic colorectal cancer (CRC) among individuals younger than 50 years of age and the incidence of proximal cancers has varied based on demographic factors in previous studies, and multisociety screening guidelines advise various modalities for average-risk individuals beginning at age 50. We studied the incidence and…

Perspectives

Looking at the Scale and Looking in the Mirror: A Perspective on Battling Obesity

The chart said the chief complaint was cough. I entered the examination room to find an obese 19-year-old girl named Danielle who looked mildly uncomfortable and coughed intermittently. I introduced myself as a medical student and began taking the history. Two weeks ago, Danielle had resolved to lose weight and…

Original Article

Comparison of Traditional and Nontraditional Weight Loss Methods: An Analysis of the National Health and Nutrition Examination Survey

Objectives: To evaluate the real-world use of various weight loss techniques and to compare the effectiveness of nontraditional methods with diet and exercise in helping nongeriatric adults lose weight. Methods: A cross-sectional analysis of the 2005–2010 National Health and Nutrition Examination Survey was performed. Adult, nonpregnant participants aged 20 to…

Original Article

Differential Phenotype Profile between Main Right Ventricular Chamber and Outflow Tract in Chronic Pulmonary Hypertension: Echocardiographic Observation

Objectives: Right ventricular (RV) dilatation and systolic dysfunction are known remodeling changes occurring in chronic pulmonary hypertension and are likely the result of increases in pulmonary vascular resistance (PVR). It remains unclear whether PVR affects primarily the main RV chamber (mRVc) or the RV outflow tract (RVOT). Methods: Standard echocardiography…

Original Article

Project BOOST Implementation: Lessons Learned

Objectives: Enhancing care coordination and reducing hospital readmissions have been a focus of multiple quality improvement (QI) initiatives. Project BOOST (Better Outcomes by Optimizing Safe Transitions) aims to enhance the discharge transition from hospital to home. Previous research indicates that QI initiatives originating externally often face difficulties gaining momentum or…

Invited Commentary

Commentary on “Knowledge and Management of Sports Concussions among Coaches and Certified Athletic Trainers in Alabama”

Concussions are everywhere, or so it would seem from the meteoric rise in attention they have received in our society. I am not a gray-haired wizard with decades of experience and tales of ‘‘how things used to be,’’ but even in my short career, I feel as though I have…

Original Article

Survey of Primary Care Physicians on Therapeutic Approaches to Lung and Breast Cancers

Background: Primary care physicians (PCPs) are an important part of the decision-making process in the care of patients with cancer. The survey discussed herein evaluates what percentage of academic and community PCPs recognize benefits from systemic therapy in lung and breast cancers. Methods: PCPs were surveyed regarding their beliefs toward…

Invited Commentary

Commentary on “Project BOOST Implementation: Lessons Learned”

In this issue of the Southern Medical Journal, Williams et al present their experience with the implementation of a patient discharge toolkit (Project BOOST [Better Outcomes by Optimizing Safe Transitions]) as part of a quality improvement (QI) initiative aimed at reducing hospital readmission.1 The authors qualitatively assessed implementation of the…

Invited Commentary

Commentary on “Comparison of Traditional and Nontraditional Weight Loss Methods: An Analysis of the National Health and Nutrition Examination Survey”

At a prevalence of 36%, obesity is one of the most common diseases in the United States, competing for dominance with hypertension1,2 and tobacco use. Costs and morbidity related to obesity are astronomical. Clinician provision of effective counseling of patients for tobacco cessation has been suboptimal3; this also is true…

Editorial

Fifty Years at the Forefront of Ethical Guidance: The World Medical Association Declaration of Helsinki

In June 1964, the General Assembly of the World Medical Association (WMA) approved a set of ethical principles for medical research involving human subjects. Named after the city in which it was first adopted, the Declaration of Helsinki quickly gained international significance and has since become one of the flagship…

Original Article

Knowledge and Management of Sports Concussions among Coaches and Certified Athletic Trainers in Alabama

Objectives: To identify modifiable barriers in resources, knowledge, and management that may improve the care of young athletes with concussions in the state of Alabama. Methods: An electronic survey was distributed to 2668 middle and high school coaches of contact sports in Alabama, and a paper survey was completed by…

Original Article

Attitudes Toward Self-Sampling for Cervical Cancer Screening among Primary Care Attendees Living on the US–Mexico Border

Key Points Cervical cancer disproportionally affects women from racial/ethnic minorities in the United States as a result primarily of lower screening rates when compared with non-Hispanic whites. Self-sampling for human papillomavirus infection in which women collect their own cervicovaginal samples has the potential to circumvent barriers (eg, embarrassment about the…

Original Article

Trends in Pharmacy Compounding for Women’s Health in North Carolina: Focus on Vulvodynia

Objectives: To identify trends in compounding pharmacies with a focus on women’s health and, more specifically, the types and combinations of medications used in the treatment of vulvodynia. Methods: This survey study was conducted with 653 nonchain pharmacies that compound medications. Each pharmacy was asked to complete a 19-item online…

Invited Commentary

Declaration of Helsinki The World’s Document of Conscience and Responsibility

I want to commend to you the guest editorial by Dr Ramin Parsa-Parsi and his colleagues on the 2013 revision of the World Medical Association’s (WMA’s) Declaration of Helsinki.1 This seminal document has been revised over the years, in keeping with the increasing sophistication of the field of bioethics as…