Issue - Southern Medical Association

Original Article

Cardiovascular Disease Risk Factors in Hispanic Adolescents in South Texas

Objectives: Despite a national crisis of increased prevalence of obesity and type 2 diabetes mellitus in adolescents, especially among Hispanics, there is a paucity of data on health indicators among farmworker adolescents and their peers. The main aim of this study was to estimate the prevalence of cardiovascular disease risk…

Invited Commentary

Commentary on “Senior Medical Student Mock Interview Program in Pediatrics”

The National Residency Matching Program, or ‘‘the Match,’’ has become increasingly competitive as the number of US medical students has grown without comparable expansion of postgraduate positions.1 In fact, 3% of US seniors who applied exclusively to pediatrics programs went unmatched in 2015.2

Original Article

Hepatic Dysfunction in Patients Receiving Intravenous Amiodarone

Objectives: Amiodarone is a commonly used antiarrhythmic drug. Hepatotoxicity following chronic oral administration occurs in 1% to 3% of patients. Hepatotoxicity following intravenous (IV) administration is infrequent but may be associated with dramatic increases in serum transaminases. We describe the incidence of liver toxicity among patients receiving IV amiodarone during…

Review Article

10 Practice Recommendations in Adult Vaccination Administration

Although the provision of immunoprophylaxis to children has become routine in the practice of pediatric preventive care, the same is not true in adult primary care. Contributing to this problem is a lack of knowledge among providers of adult preventive care. This review aimed to bolster providers’ understanding of adult…

Multidisciplinary Clinical Case Study

A Multidisciplinary Approach to Castleman Disease of the Neck

Castleman disease (CD) is a rare lymphoproliferative disorder that occurs in adults and rarely in the pediatric population. The disease is characterized by slowly enlarging masses that can form anywhere within the lymphatic system. It is an uncommon cause of a neck mass in both children and adults that presents…

Original Article

Changes in Nonosteoporotic Bone Density and Subsequent Fractures in Women

Objectives: Osteopenia is considerably more common than osteoporosis and accounts for most of the fracture burden in women older than 50 years. It is uncertain when to initiate treatment in osteopenia. We sought to determine in women with osteopenia what effect transitioning to lower categories had on subsequent fracturing. Methods:…

Original Article

Iatrogenic Subclinical Hyperthyroidism Does Not Promote Weight Loss

Objectives: Among patients who have undergone total thyroidectomy, do those with thyroid cancer being kept iatrogenically subclinical hyperthyroid (SCH) differ from euthyroid patients in long-term weight change? Methods: In a retrospective study, medical records identified 291 patients who had undergone a thyroidectomy for differentiated thyroid cancer or benign thyroid disease….

Errata

Pediatric Dyslipidemia: Recommendations for Clinical Management: Erratum

In the article that published on page 7 of the January 2015 issue, incorrect data were provided in Table 1.

Original Article

Patient Satisfaction with Bedside Teaching Rounds Compared with Nonbedside Rounds

Objectives: Many barriers have been cited in reference to why bedside teaching rounds have decreased in frequency during graduate medical education. One perceived barrier to the use of bedside teaching rounds is a fear of it causing patient discomfort or dissatisfaction. The objective of this study was to compare patient…

Original Article

Senior Medical Student Mock Interview Program in Pediatrics

Objectives: Residency interviews play an integral part in medical residency placement. We aimed to develop and evaluate a mock interview program for fourth-year medical students interested in a pediatric specialty. Methods: A mock interview program for fourth-year medical students interested in pediatrics was developed and implemented. Preinterview quantitative data and…

Original Article

Newborn Congenital Malformations Associated With Prenatal Exposure to Drugs in Kentucky, 2009–2013

Objectives: This study examined associations between prenatal drug exposures and congenital organ system malformation diagnoses in newborns (at birth) and infants (hospitalizations after birth up to 30 days of age) in Kentucky. Methods: Data were obtained from Kentucky inpatient hospitalization records for newborns and for infants from 2009 to 2013….

Original Article

Does Alkaline Colonic pH Predispose to Clostridium difficile Infection?

Objectives: Clostridium difficile caused nearly 500,000 infections and was associated with approximately 29,000 deaths in 2011, according to data from the Centers for Disease Control and Prevention. C. difficile is a bacterium that causes diarrhea and, often, severe illness in healthcare facilities, as well as the community. Our objective was…

Editorial

Multidisciplinary Clinical Case Study

This issue of the Southern Medical Journal (SMJ) introduces a new format for case reports that emphasizes and requires multidisciplinary and interprofessional content. After a 5-year moratorium on unidimensional and single specialty case reports, we believe that the multidisciplinary clinical case study format will align with the Journal’s mission as…

Original Article

Ambulatory Morning Report: A Case-Based Method of Teaching EBM Through Experiential Learning

Objectives: Evidence-based medicine (EBM) skills are important to daily practice, but residents generally feel unskilled incorporating EBM into practice. The Kolb experiential learning theory, as applied to curricular planning, offers a unique methodology to help learners build an EBM skill set based on clinical experiences. We sought to blend the…

Invited Commentary

Commentary on “Patient Satisfaction with Bedside Teaching Rounds Compared with Nonbedside Rounds”

Despite the rapidly evolving medical landscape, many of us remain firmly entrenched in the philosophy prevalent at the time we trained–that patients admitted to the hospital will be highly satisfied if we make a rapid and correct diagnosis, initiate prompt and state-of-the-art therapy, and enact a timely discharge with appropriate…