Issue - Southern Medical Association

Invited Commentary

Commentary on “Effects of Starting a Gastroenterology Fellowship Training Program on Quality Measures of Colonoscopy”

The benefits that hospitals derive from subspecialty trainees include prestige, financial reimbursement, servitude, and instruction of other fellows and house staff. Relatively little has been written about the effects of a subspecialty fellowship on the attending physician staff and patient care. The article by Othman and colleagues helps to bridge…

Review Article

Primary Ovarian Insufficiency: Current Concepts

A potential consequence of chemotherapy is the destruction of oocytes, resulting in primary ovarian insufficiency (POI) in young patients; this often results in secondary amenorrhea and necessitates hormone replacement therapy. Regardless of the etiology of POI, the chance of pregnancy is low in this patient population. Given the extent to…

Original Article

Disparities in Cancer Survivorship Indicators in the Deep South Based on BRFSS Data: Recommendations for Survivorship Care Plans

Objectives: The purpose of this investigation was to describe cancer survivorship based on the Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship modules in Alabama, Georgia, and Mississippi, conducted in 2012 and 2014, and to investigate disparities across the US Deep South region. Methods: The optional BRFSS cancer survivorship module…

Original Article

Effects of Starting a Gastroenterology Fellowship Training Program on Quality Measures of Colonoscopy

Objectives: Adenoma detection rate (ADR) is the most established indicator of the quality of screening colonoscopy. The effect of gastroenterology (GI) fellows on the quality of screening colonoscopies has been evaluated previously; however, the effect of starting a new GI fellowship program on the quality of screening colonoscopies has not…

Original Article

Sexually Transmitted Infection Risk among Women Is Not Fully Explained by Partner Numbers

Objectives: Increased sexual partner numbers may contribute to sexually transmitted infection (STI) risk for some but not all women. This study compared women reporting having four or more partners during the preceding year (multiple partnership group) with those reporting having one partner (single partnership group) with regard to sexually risky…

Letter to the Editor

On “Does Timing of Internal Medicine Residency Interview Affect Likelihood of Matching?”

To the Editor: Heidemann and colleagues analyzed the timing of internal medicine interviews and concluded that the interview date had no major influence on matching at their program.1 We believe that a more circumspect interpretation of the results is warranted.

Original Article

Comparison of QTc and Troponin Levels in ST Elevation MIs Compared with Non-ST Elevation MIs

Objectives: ST elevation myocardial infarctions (STEMIs) and non-ST elevation myocardial infarctions (NSTEMIs) have differences that can be important to differentiate. Our primary hypothesis was that corrected QT (QTc) duration and troponin I levels were higher in STEMIs compared with NSTEMIs. The objective of our study was to compare STEMIs with…

Multidisciplinary Clinical Case Study

Multidisciplinary Approach to Complicated Pregnancy

A nulliparous pregnant woman in her mid-20s and in the 32nd week of gestation presented to the emergency department with severe headache and vomiting. She had an uneventful medical history; however, the physical examination upon hospital admission revealed a hypertensive emergency, papilledema, and 2+ dipstick proteinuria. Upon establishing the diagnosis…

Multidisciplinary Clinical Case Study

Navigating Clinical Ethics: Using Real Case Constellations to Guide Learners and Teachers in Medicine

Case-based learning is a staple of clinical ethics education in medicine. The sources for medical educators generally are lengthy case books or single, often rare, case analyses in the literature. Busy clinicians may not have the time or inclination to sift through case books to find suitable teaching material, and…

Original Article

Tolerability of Switch to Macitentan from Bosentan in Pulmonary Arterial Hypertension

Objectives: Pulmonary arterial hypertension (PAH) is a progressive disease that can be treated with several medications. Macitentan, an endothelin receptor antagonist (ERA), has received approval as a PAH therapy. We report our data regarding the tolerability in patients with PAH who were switched from bosentan to macitentan. Methods: At the…

Original Article

Video-Assisted Thoracoscopic versus Open Lobectomy: Costs and Outcomes

Objectives: Video-assisted thoracoscopic (VATS) lobectomy is considered a promising surgical therapy for the diagnosis and treatment of non–small-cell lung carcinoma. The issue of whether VATS is superior to open thoracotomy remains controversial, however. We sought to determine whether the use of VATS lobectomy for diagnosing and treating non–small-cell lung carcinoma…

Original Article

Free Lung Cancer Screening Trends Toward a Twofold Increase in Lung Cancer Prevalence in the Underserved Southeastern United States

Objectives: The National Lung Screening Trial (NLST) reported that the prevalence of lung cancer in individuals at high risk for the disease is 1%, and that screening these individuals using low-dose helical computed tomography of the chest saves lives. To increase screening accessibility in the underserved southeastern United States, we…

Original Article

Analysis of Intensive Care Unit Admission and Sequelae in Patients Intravenously Abusing Extended-Release Oral Oxymorphone

Objectives: Prescription drug abuse is a major public health problem in the United States, with the rate of opioid-related deaths nearly quadrupling between 2000 and 2014. Extended-release oral oxymorphone hydrochloride (Opana ER) is a long-acting opioid prescribed for chronic pain; however, it also has the potential to be abused via…

Original Article

Water Load Test in Children with Chronic Abdominal Pain or Obesity Compared with Nonobese Controls

Objective: Satiety is the perception of satisfied fullness and represents a summation of neural and hormonal influences. Satiety can be assessed by drink tests, including water load. The objective of our study was to confirm the difference in water load volume between nonobese control children and children with functional dyspepsia…

Original Article

Risk Factors for Outpatient Use of Antibiotics in Children with Acute Respiratory Illnesses

Objectives: Antibiotics for acute respiratory illness (ARI) constitute most pediatric medication use and contribute to the emergence of antimicrobial resistance. We investigated antibiotic prescription risk factors for ARI in pediatric clinics and clinical follow-up in individuals prescribed and not prescribed antibiotics. Methods: In this observational study, we enrolled children ages…