Issue - Southern Medical Association

Original Article

Prevalence and Predictors of Pulmonary Embolism in Hospitalized Patients with Syncope

Objectives: Approximately one in six patients hospitalized with syncope have pulmonary embolism (PE), according to the PE in Syncope Italian Trial study. Subsequent studies using administrative data have reported a PE prevalence of <3%. The aim of the study was to determine the prevalence and predictors of PE in hospitalized…

Posted in: Miscellaneous Pulmonary Disorders (Indications for Spirometry)2

Original Article

Weight-Bearing Physical Activity Influences the Effect of Vitamin D on Bone Turnover Markers in Patients with Intellectual Disability

Objectives: Individuals with intellectual disabilities (IDs) are at increased risk for low bone mass and fragility fractures, and those who are nonambulatory may be at even higher risk. Patients with IDs often are vitamin D deficient, but there is little information concerning how vitamin D treatment of patients with IDs…

Posted in: Metabolic & Other Bone Disease (Osteoporosis)1

Original Article

OPEN: Developing and Piloting a Tool to Identify Food Insecurity in Older Adults

Objective: The literature shows that food insecurity (FI) can negatively affect the trajectory of many chronic illnesses. FI can be acutely severe for older adults, but screening for FI is not regularly performed in the hospital setting. Our goal was to develop a tool to screen for FI upon hospital…

Original Article

Noncarbapenems for the Treatment of Urinary Tract Infections Caused by Extended-Spectrum β-Lactamase-Producing Bacteria

 Objectives: Urinary tract infections (UTIs) caused by extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae are resistant to many conventional therapies, including third-generation cephalosporins. Carbapenems are considered first-line agents for ESBL infections, but their use is associated with increased multidrug resistance and should be reserved when absolutely necessary. Because of the increased rates of…

Posted in: Urinary Tract Infections1

Original Article

Health Behaviors in Rural Appalachia

Objectives: To better understand the disproportionate burdens from cancer, cardiovascular disease, diabetes mellitus, stroke, and other chronic conditions related to energy balance, we studied diet and physical activity patterns in younger and older adults in rural Appalachia by using a nonclinical, cross-sectional, community-based sampling approach.Methods: A total of 651 younger…

Original Article

What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives

Objective: Although considerable emphasis is placed on the attainment of honors in core medical school clerkships, little is known about what student characteristics are used by attending physicians to earn this designation. The purpose of this study was to evaluate what values and characteristics that attending physicians consider important in…

Invited Commentary

Commentary on “What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives”

In “What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives,” in this issue of the Southern Medical Journal, Schmit and colleagues seek to explicate how attendings think.1 How do these evaluators recognize excellence (honors) for a third-year medical student performance?

Original Article

CME Article: Moral Controversy and Working with Colleagues with a Shared Ethical/Moral Outlook: A National Survey of US Primary Care Physicians

Objectives: This study assesses physicians’ attitudes on the importance of working with colleagues who share the same ethical or moral outlook regarding morally controversial healthcare practices and examines the association of physicians’ religious and spiritual characteristics with these attitudes.Methods: We conducted a secondary data analysis of a 2009 national survey…

Invited Commentary

Commentary on “Moral Controversy and Working with Colleagues with a Shared Ethical/Moral Outlook: A National Survey of US Primary Care Physicians”

The finding that in the midst of moral conflict, physicians who are more religious or with a high sense of calling may prefer to work most closely with colleagues who share similar ethical and moral perspectives is not entirely surprising, as detailed in the article by Choi and colleagues in…