Issue - Southern Medical Association

Original Article

Association of Systemic Inflammatory Response Syndrome with Clinical Outcomes of Pediatric Patients with Pneumonia

Objectives: Systemic inflammatory response syndrome (SIRS) may complicate pneumonia. When present, it suggests that the patient’s pneumonia is more severe. As such, recognition of SIRS among patients with pneumonia may be helpful in identifying those requiring more careful evaluation. Our objective was to examine the relation between the presence of…

Editor's Response

Editor’s Response

Dr. Gupta has identified an interesting aspect of medical publishing, which we as editorial staff do not necessarily contemplate—namely, what factors do some authors use to decide what degree designation to identify on their submitted manuscripts?

Review Article

Varied Clinical Manifestations of Amebic Colitis

Invasive amebiasis is common worldwide, but infrequently observed in the United States. It is associated with considerable morbidity in patients residing in or traveling to endemic areas. We review the clinical and endoscopic manifestations of amebic colitis to alert physicians to the varied clinical manifestations of this potentially life-threatening disease….

Original Article

Rest-Only Myocardial CT Perfusion in Acute Chest Pain

Objectives: Cardiac computed tomography perfusion (CTP) using stress testing is an emerging application in the field of cardiac computed tomography. We evaluated patients with acute chest pain (CP) in the emergency department (ED) with evidence of obstructive coronary artery disease (CAD), defined as >70% stenosis on coronary computed tomography angiography…

Original Article

The South Carolina HIV Cascade of Care

Objectives: In recent years, the human immunodeficiency virus (HIV) cascade of care describing the spectrum of engagement in HIV care from diagnosis to virologic suppression has been used widely in determining the progress and success in public health efforts to control the HIV epidemic. For more than a decade South…

Original Article

State Health Mapper: An Interactive, Web-Based Tool for Physician Workforce Planning, Recruitment, and Health Services Research

Objectives: Health rankings in Mississippi are abysmal. Mississippi also has fewer physicians to serve its population compared with all other states. Many residents of this predominately rural state do not have access to healthcare providers. To better understand the demographics and distribution of the current health workforce in Mississippi, the…

Original Article

Implementing High-Value Care

Objectives: Our objectives were to assess physician knowledge of costs of products, tests, and services commonly used by obstetrician/gynecologists (OB/GYNs) and identify those items that could be eliminated without decreasing quality of care by performing a prospective observational pilot study. Methods: An anonymous electronic survey was distributed to 70 OB/GYN…

Invited Commentary

Commentary on “Implementing High-Value Care”

In this issue of the Southern Medical Journal, Lane and colleagues present an anonymous survey study that had a simple set of objectives.1 The first was to determine whether women’s health providers knew the costs of the medications that are commonly used in the hospital setting, whether individual medications routinely…

Original Article

Risk Factors for 30-Day Readmissions of Individuals with Decompensated Cirrhosis

Objectives: Patients with cirrhosis have a high rate of 30-day hospital readmission that affects their quality of life and contributes to increased healthcare-related costs. The aim of our study was to identify frequency, predictors, and preventable causes of hospital readmissions among patients with decompensated cirrhosis. Methods: We retrospectively reviewed electronic…

Review Article

Upper Gastrointestinal Involvement in Crohn Disease: Histopathologic and Endoscopic Findings

Objectives: Studies describing the prevalence of upper gastrointestinal (GI) Crohn disease (CD) and its histopathologic changes have been inconsistent as a result of different definitions used for upper GI involvement, diverse populations, and varying indications for endoscopy. We reviewed the literature describing endoscopic findings and histologic lesions in gastric and…

Letter to the Editor

Plane-Assisted Suicide

To the Editor: The March 2015 crash of the Germanwings jetliner has brought the term “plane-assisted suicide” into the popular lexicon. Certainly, the role of mental health treatment in preventing such tragedies will be considered. What role can psychiatrists and other mental health providers play in prevention?

Invited Commentary

Commentary on “House Calls: Physicians in the US Congress, 2005-2015”

Goldenberg gives a broad overview of the physicians serving in Congress during the last decade, updating previous work from 2004 by Kraus and Suarez.1,2 He points out that physician numbers have increased significantly, although they remain a small proportion compared with the legal profession (and apologies to the lone podiatrist…

Original Article

House Calls: Physicians in the US Congress, 2005-2015

Objectives: Physicians occupy a prominent position in the US healthcare system, and physicians who serve in Congress may bring a particular perspective, expertise, and influence to health-related legislation. The purpose of this study was to describe physician membership in the US Congress between 2005 and 2015. Methods: Congressional biographical records…

Letter to the Editor

Author Degrees in Medical Publishing: Choice or Convenience?

To the Editor: A majority of journals cite author degrees in published material. This is common practice; however, we have found inconsistencies in the reported medical degrees of medical journal authors. Giving our own example, one article would cite an author to possess an MBBS (Bachelor of Medicine, Bachelor of…