Issue - Southern Medical Association

Original Article

Poverty and Health in Tennessee

Objectives: Understanding the impact of poverty on health can inform efforts to target social programs and regional economic development. This study examined the effects of poverty on health among the 95 counties of Tennessee.Methods: All of the counties of Tennessee were ranked by 5-year median household income, from the wealthiest…

Original Article

Procedural Anxiety, Pain Catastrophizing, and Procedure-Related Pain during EGD and Colonoscopy

Objectives: Although sedatives and analgesic drugs defuse anxiety and relieve pain, digestive endoscopy still is uncomfortable and painful for some patients. Identifying patients who tolerate digestive endoscopy less well remains difficult. The present study evaluated the relations between procedural anxiety, catastrophizing thoughts, and pain, using a prospective design and multimodal…

Posted in: Gastroenterology17 Psychiatry1

Original Article

Single-Institution Experience of Synovial Sarcoma

Objectives: The purpose of this study was to investigate the patient population and outcomes of synovial sarcoma at a single institution.Methods: A retrospective review of the medical records of 28 patients with synovial sarcoma diagnosed from 1992 to 2017 was performed. Demographics, staging, disease location, treatment, and response to treatment…

Posted in: Medical Oncology7

Original Article

Chest Radiography Should Be Requested Only on Admission Based on Clinical Grounds

Objectives: To determine the clinical utility and adverse consequences of routine admission chest x-ray (CXR) findings in patients with and without respiratory complaints and/or an abnormal chest examination.Methods: In this prospective cohort study in an internal medicine department, we selected 273 patients and determined outcomes by chart review and physician…

Original Article

Characteristics of Pediatric Patients With Retained Bullet Fragments and Need for Follow-Up Blood Lead Monitoring

Objectives: Multiple case reports of lead toxicity related to retained bullet fragments in pediatric patients sustaining gunshot wound have been published. The purpose of the present study was to determine whether the demographic and clinical characteristics of gunshot wounds (GSWs) could be classified high/low risk and whether routine blood lead…

Posted in: Emergency & Disaster Medicine5

Original Article

Uterine Corpus Malignancies in Appalachia Kentucky: Incidence, Survival, and Related Health Disparities

Objectives: Uterine cancer is the nation’s most common gynecologic malignancy, but it is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). Our aim was to assess the frequency, distribution, and survival of uterine corpus malignancies in KY, and specifically the differences between Appalachia (AP) and non-Appalachia (NAP)…

Posted in: Gynecologic Cancer2 Uterine Disorders1

Original Article

CME Article: Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma

Objectives: Eosinophilic esophagitis (EoE) is characterized by upper gastrointestinal tract symptoms in association with esophageal mucosal biopsy specimens containing ≥15 intraepithelial eosinophils per high-power field. The etiology of EoE remains unclear, but an immunologic response to various foods and aeroallergens has been implicated. Seasonal variation has been reported in the…

Posted in: Gastroenterology17 Esophageal Disease1

Perspectives

Statewide Regional Campus Development: Academic Medicine’s Response to US Physician Shortages

Based on data from the Association of American Medical Colleges (AAMC), the United States will experience a shortage of up to 122,000 physicians by 2032, affecting patient care across the nation.1 In 2006, the AAMC recommended a 30% increase in US medical school enrollment to address the national physician shortage,…

Perspectives

Wellness Programs in an Academic Practice: Lessons Learned

The development of wellness programs in many groups is increasingly common as institutions work to address the issue of burnout and employee performance. Academic programs face a unique challenge establishing wellness plans because of the varied professional roles of individuals working together in a team model. The individuals in these…

Invited Commentary

Commentary on “Wellness Programs in an Academic Practice: Lessons Learned”

We commend the authors of the Perspective entitled “Wellness Programs in an Academic Practice: Lessons Learned,” for highlighting the importance of resident wellness and for developing positive efforts to promote resilience in their resident cadre.1 The present climate in graduate medical education is one of striving to appreciate the challenges…