Issue - Southern Medical Association

Letter to the Editor

How Is Zika Transmitted?

To the Editor: The impact of the Zika virus outbreak in 2015 created international concern. Zika belongs to the virus family flaviviridae,1 and after decades of dormancy since its discovery in Uganda in 1947, it has spread rapidly in the last 2 years. It affects approximately 1.5 million people worldwide…


Special Series on Mental Health

Featured in this issue of the Southern Medical Journal is a short series of articles on mental health, a clinical care challenge in the United States. The articles address a range of mental health issues, identifying the characteristics of certain disorders and proposing interventions of promise. The purpose of this…

Original Article

Clinical Features of Respiratory Viral Infections Among Inpatients at a Major US Tertiary Care Hospital

Objectives: Respiratory viral illnesses (RVI) are reliably diagnosed by respiratory viral panel using polymerase chain reaction (RVP-PCR); however, owing to the scant data, clinical presentation alone is unreliable in establishing viral etiology. The primary objective of this study was to characterize signs and symptoms of RVI among inpatients in a…

Invited Commentary

Commentary on “Impact of Nutrition on Neurocognition”

We live in the information age. In this month’s issue of the Southern Medical Journal, Yeh and Kaliebe1 clearly explicate this flood of information and the ease of obtaining data–it is now the song that sticks in our heads. I am dating myself with the introductory quote, but this song…


Fostering Clinical Excellence Across an Academic Health System

Objectives: Changes in the US healthcare economic system are requiring academic health centers (AHCs) to restructure in pursuit of their traditional tripartite missions; engaging the individuals focused on clinical care is becoming more important. We conducted this study to guide our institution’s transformation by identifying ways to formally recognize clinicians…

Invited Commentary

Commentary on “One-Visit Behavioral Intervention for Older Primary Care Patients with Mild to Moderate Depressive Symptoms”

Everyone wants to feel well. Doctors try to mitigate illness and promote health. Patients and physicians optimally strive to achieve a team approach to a partnership that promotes wellness.

Original Article

Patient Perceptions of Oseltamivir for the Treatment of Influenza

Objectives: Oseltamivir (Tamiflu) is approved by the Food and Drug Administration and is advertised for the treatment of influenza types A and B. Patient perceptions of its efficacy have not been adequately studied. Recent systematic reviews have called the benefits of this drug into question relative to the cost and…

Original Article

Conversion Disorder in an Appalachian Community

Objectives: Conversion disorder (CD) is believed to be the manifestation of physical and/or neurological symptoms for primary gain without an identifiable organic cause. Although it is believed to be more common in rural areas, the literature examining this claim is sparse. To our knowledge, no study has been published evaluating…

Letter to the Editor

Homelessness and Emergency Psychiatric Evaluations

To the Editor: Homelessness is associated with increased illness burden and increased utilization of emergency health services.1,2 Mental illness and substance abuse are both common in the homeless population.2 Major societal distress from events such as Superstorm Sandy has been associated with increased rates of homelessness and emergency department visits.3

Original Article

Determinants of Elevated Alkaline Phosphatase in Patients Infected with HIV

Objectives: A retrospective cross-sectional study was performed to assess the prevalence of elevated alkaline phosphatase (ALP) in patients infected with human immunodeficiency virus (HIV) and to determine the relation between ALP and specific antiretroviral therapy (ART). Methods: A total of 2990 patients were included in this study. Data were collected…

Original Article

One-Visit Behavioral Intervention for Older Primary Care Patients with Mild to Moderate Depressive Symptoms

Objectives: We pilot tested a one-visit behavioral intervention with telephone follow-up for older primary care patients with mild to moderate depressive symptoms. Methods: A total of 16 English-speaking primary care patients aged 60 years and older who scored 5 to 14 on the Patient Health Questionnaire-9 (PHQ-9) engaged in the…

Original Article

Does Timing of Internal Medicine Residency Interview Affect Likelihood of Matching?

Objectives: Applicants to our internal medicine (IM) residency program consistently have shared concerns about whether the interview date influences their ability to match via the National Residency Matching Program. We performed a retrospective study to assess whether interview timing was associated with successful matching at our IM program. Methods: We…


Impact of Nutrition on Neurocognition

Today’s media-saturated environment bombards us with a constant stream of information about the latest diet ‘‘do’s and don’ts.’’ The 2015-2020 US Department of Agriculture and Department of Health and Human Services’ Dietary Guidelines for Americans have generated much online attention for both stated and unstated recommendations. Simply described, these guidelines…

Original Article

Mental Health Impact of Hosting Disaster Refugees: Analyses from a Random Sample Survey Among Haitians Living in Miami

Objectives: Studies on the mental health of families hosting disaster refugees are lacking. This study compares participants in households that hosted 2010 Haitian earthquake disaster refugees with their nonhost counterparts. Methods: A random sample survey was conducted from October 2011 through December 2012 in Miami-Dade County, Florida. Haitian participants were…