Issue - Southern Medical Association

Original Article

Disparities in Breast Cancer Incidence, Mortality, and Quality of Care among African American and European American Women in South Carolina

Objectives: Breast cancer is the most frequently diagnosed cancer among women and the second-leading cause of female cancer deaths in the United States. African Americans and other minorities in the United States experience lower survival rates and have a worse prognosis than European Americans despite European Americans having a much…

Review Article

Coenzyme Q-10 in Human Health: Supporting Evidence?

Coenzyme Q-10 (CoQ10) is a widely used alternative medication or dietary supplement and one of its roles is as an antioxidant. It naturally functions as a coenzyme and component of oxidative phosphorylation in mitochondria. Decreased levels have been demonstrated in diseased myocardium and in Parkinson disease. Farnesyl pyrophosphate is a…

Original Article

House Officer-Driven Reduction in Laboratory Utilization

Objectives: To determine whether sharing laboratory charge and personal utilization information with physicians can reduce laboratory test orders and expenditures, thereby decreasing the overutilization of laboratory testing. Methods: This was a prospective study. By querying our electronic medical records, we calculated the median laboratory charges per patient/per day (PP/PD) and…

Original Article

“Las Dos Cosas,” or Why Mexican American Mothers Breast-Feed, But Not for Long

Objectives: To determine why mothers in El Paso, Texas, choose to breast-feed but not exclusively and why breast-feeding duration is short. Methods: This was a cross-sectional observational study of 300, mostly Mexican American, low-income mothers delivering at a county hospital who answered questions about breast-feeding and formula feeding, sociodemographics, and…

Letter to the Editor

Obesity: Changing the Landscape of Pediatric Practice

To the Editor: Obesity in the United States has been a growing epidemic for decades. Since 1980, the number of obese children has doubled and the number of obese adolescents has tripled.1,2 Obesity prevention efforts focus on family, child care, and exercise. The American Academy of Pediatrics recommendations for obesity,…

Perspectives

The View from Outside

More than a decade ago I retired from the active practice of medicine. I’d spent 26 years in solo private practice, then 10 as a professor at a well-known teaching medical center. Before that came 4 years in medical school, 4 years in specialty training, and almost 3 years as…

Editor's Response

Editor’s Response

Dr Shihabuddin has brought to our attention the significant concern regarding pediatric obesity in the United States and its implications for the future health of children as well as the impact on our healthcare system.1 His concerns are well founded, and every physician should consider how he or she can…

Review Article

Systematic Review and Meta-Analysis of Major Cardiovascular Outcomes for Radial Versus Femoral Access in Patients With Acute Coronary Syndrome

Objectives: Radial artery access (RA) for left heart catheterization and percutaneous coronary interventions (PCIs) has been demonstrated to be safe and effective. Despite consistent data showing less bleeding complications compared with femoral artery access (FA), it continues to be underused in the United States, particularly in patients with acute coronary…

Original Article

Risk Factors for Complications during Outpatient Parenteral Antimicrobial Therapy for Adult Orthopedic and Neurosurgical Infections

Objectives: Outpatient parenteral antimicrobial therapy (OPAT) is an effective way of treating infections, but complications are common. We identified patient characteristics and OPAT treatment factors associated with increased risk of OPAT-related complications. Methods: We used a retrospective cohort design that assessed 337 adult patients treated with OPAT for orthopedic and…

Original Article

Low 25-Hydroxyvitamin D Levels in Children with Spina Bifida

Objective: To determine vitamin D status in children with spina bifida (SB). Methods: Charts of all patients with SB at the Shriners Hospital for Children in Houston, Texas, seen between July 2011 and June 2013 were retrospectively reviewed. Daily intake of milk, vitamins, amount of screen time, and time spent…

Review Article

Primary Care of Adults with Intellectual and Developmental Disabilities

Most adults with intellectual and developmental disabilities receive care through primary care providers in their communities. An interdisciplinary approach that incorporates home- and community-based services is effective and can be facilitated by care managers in a medical home model. Preventive services should follow established guidelines as in the general population…

Letter to the Editor

Depression in Heart Failure: Is It Well Recognized?

To the Editor: Heart failure (HF) is a serious entity affecting not only the physical health but also the mental health of individuals. Approximately 5 million people in the United States have HF.1 In the midst of guideline-directed therapy and prevention of hospital readmission for HF, depression often is underrecognized…

Invited Commentary

Commentary on “The View from Outside”

Many physicians are contemplating, or have already contemplated, their retirement from the active practice of medicine. Commensurate with this decision will be a decision regarding how to fill the time that was previously occupied by clinical medicine. Some may consider engaging in some aspect of their former career, such as…

Review Article

Common Misconceptions, Advancements, and Updates in Pediatric Vaccination Administration

Vaccines are among the greatest achievements in biomedicine and public health. Yet for a variety of reasons, some vaccinepreventable illnesses have experienced resurgences during the last decade. As such, there is a particular need for pediatric providers to be aware of the newest guidelines for vaccination administration to provide consistent…

Invited Commentary

Commentary on “Low 25-Hydroxyvitamin D Levels in Children With Spina Bifida”

Vitamin D deficiency has received attention during the past decade as a contributing factor in many diseases, ranging from asthma to venous thromboembolism.1 The main manifestation of vitamin D deficiency is osteomalacia and development of rickets.2,3 As such, it would make sense that those at risk of fractures (eg, osteoporosis)…

Original Article

High Rates of STIs in HIV-Infected Patients Attending an STI Clinic

Objectives: To evaluate the rates and types of sexually transmitted infections (STIs) in patients infected with the human immunodeficiency virus (HIV) attending a public STI clinic in Miami, Florida as compared with HIV-uninfected patients attending the same clinic. Methods: This was a retrospective review of medical records of individuals attending…