Issue - Southern Medical Association

Original Article

Depression, Somatic Symptoms, and Perceived Neighborhood Environments Among US-Born and Non-US-Born Free Clinic Patients

Objectives: The study’s purpose was to examine the impact of somatic symptoms and perceived neighborhood environment on depression using a comparison among US-born and non–US-born free clinic patients. Methods: US-born English speakers (n = 99), non–US-born English speakers (n = 89), and non–US-born Spanish speakers (n = 158) 18 years…

Original Article

CME Article: Creating a State Medical Response System for Medical Disaster Management: The North Carolina Experience

The purpose of this work was to examine the creation and evolution of the North Carolina state medical response system (SMRS). During the past 30 years, states and local communities have developed a somewhat incongruent patchwork of medical disaster response systems. Several local or regional programs participated in the National…

Review Article

Hunting Stand-Related Injuries in Orthopedics

Hunting remains an extremely popular recreational activity, with nearly 15 million Americans receiving a hunting license annually. Precautions have helped decrease accidents, but hunting-related accidents involve either a fall from a hunting platform or an accidental shooting. Both of these mechanisms frequently result in orthopedic injuries, many of which require…

Original Article

Successful Use of Intravenous Dexmedetomidine for Magnetic Resonance Imaging Sedation in Autistic Children

Objectives: Autism and autism spectrum disorders (A/ASD) represent a family of neurodevelopmental conditions that are associated with overactive, difficult-to-control behaviors. Sedating these patients for magnetic resonance imaging (MRI) poses challenges. Children with A/ASD were examined against clinical controls to determine the effectiveness and safety of intravenous (IV) dexmedetomidine for deep…

Original Article

Eosinophilia and Associated Factors in a Large Cohort of Patients Infected with Human Immunodeficiency Virus

Objectives: To determine the prevalence of eosinophilia among antiretroviral therapy (ART)–naïve patients infected with human immunodeficiency virus (HIV) and to identify variables associated with eosinophilia. Methods: We included all ART-naïve HIV-infected patients entering into care at the Thomas Street Health Center (Houston, Texas) between February 2007 and January 2009. Eosinophilia…

Original Article

Migration Patterns among Floridians with AIDS, 1993-2007: Implications for HIV Prevention and Care

Objectives: To characterize migration patterns among people diagnosed as having and who died of acquired immunodeficiency syndrome (AIDS) from 1993 to 2007 because migrating to a new community can disrupt human immunodeficiency virus/AIDS care delivery and patients’ adherence to care and affect migrants’ social services and healthcare needs. Methods: Florida…

Original Article

Inferior Vena Cava Filters and Their Varying Compliance with the ACCP and the SIR Guidelines

Objectives: We examined our experience with inferior vena cava filters to assess whether we conformed to the American College of Chest Physicians (ACCP) and the Society of Interventional Radiology (SIR) guidelines and to evaluate the reasons for any discrepancy. Methods: This was a retrospective medical record review of patients having…

Invited Commentary

Commentary on "High Frequency of Nonadherence to Clostridium difficile Treatment Guidelines"

The diagnosis of a Clostrium difficile infection (CDI) is seen usually in hospitalized patients with diarrhea who are most often being treated with antibiotics. CDI is rarely noted in patients with severe abdominal pain without diarrhea. As pointed out in the study by McEllistrem and colleagues in this issue of…

Original Article

High Frequency of Nonadherence to Clostridium difficile Treatment Guidelines

Objectives: The 2010 Infectious Diseases Society of America/Society for Healthcare Epidemiology of America treatment guidelines for Clostridium difficile infections (CDI) recommend oral metronidazole for mild-to-moderate disease and oral vancomycin for severe disease. Given that disease severity is easily determined by the peripheral white blood cell count and serum creatinine level,…

Review Article

A Comprehensive Approach to Glenohumeral Arthritis

Arthritis of the glenohumeral joint is a common cause of debilitating shoulder pain, affecting up to one-third of patients older than 60 years. It is progressive in nature and characterized by irreversible destruction of the humeral head and glenoid articular surfaces. Inflammation of the surrounding soft tissues is often present…

Invited Commentary

Commentary on “Successful Use of Intravenous Dexmedetomidine for Magnetic Resonance Imaging Sedation in Autistic Children”

In this issue of the Southern Medical Journal, Ahmed and colleagues present their case-control study examining the effectiveness of intravenous dexmedetomidine for achieving deep sedation for magnetic resonance imaging (MRI) among 56 children with an autism spectrum disorder (ASD) compared with 107 children in the control group.1 The authors found…

Invited Commentary

Commentary on “Adolescents With Sickle Cell Disease in a Rural Community: Are They Ready to Transition to Adulthood?”

The life expectancy of patients with sickle cell disease (SCD) has improved significantly. It is no longer a disease of childhood. Most children with sickle cell anemia (93.9%) and nearly all children with milder forms of SCD (98.4%) live to become adults.1 Significant numbers are older than age 50 and…

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…

Original Article

Screening People in the Waiting Room for Vestibular Impairments

Objective: Primary care physicians need good screening tests of the vestibular system to help them determine whether patients who complain of dizziness should be evaluated for vestibular disorders. The goal of this study was to determine whether current, widely used screening tests of the vestibular system predict subsequent performance on…

Original Article

Adolescents with Sickle Cell Disease in a Rural Community: Are They Ready to Transition to Adulthood?

Objectives: Most patients with sickle cell disease (SCD) survive to adulthood; however, young adults with SCD have high rates of morbidity and mortality and may struggle in the transition to a healthy adulthood. The purpose of this study was to determine the readiness of a rural SCD population for the…