Issue - Southern Medical Association

Original Article

Human-Centered Design for a Women’s Health Screening Tool: Participant Experiences

Objectives: Screening is a priority in primary care and women’s health, and increasingly used for intimate partner violence. Integrating such routine screening into primary care screening may be challenging for clinicians. Human-centered design (HCD) is a participatory process emphasizing stakeholder input and is used increasingly in health care. A growing…

Posted in: Obstetrics and Gynecology26

Original Article

Improving Preventive Care for Women through a Provider Reminder Tool

Objective: To determine the association of utilization of health maintenance tables (HMTs) as a provider reminder tool within the electronic medical record with the completion of women’s preventive health services. Methods: Guidelines from the US Preventive Services Task Force and the Advisory Committee on Immunization Practices were used to create…

Posted in: Obstetrics and Gynecology26

Original Article

Association of Prepregnancy BMI, Gestational Weight Gain, and Child Birth Weight with Metabolic Dysfunction in Children and Adolescents with Obesity

Objectives: Previous studies have reported that maternal prepregnancy body mass index (BMI), gestational weight gain (GWG), and child birth weight are positively associated with metabolic dysfunction (a broader term than metabolic syndrome) in children and adolescents. Physical activity habits may play a role in reducing these risk factors. The objectives…

Posted in: Pregnancy12

Original Article

CME Article: Use of e-Cigarettes and Development of Respiratory Conditions in Women of Childbearing Age

Objective: Women of childbearing age are encouraged not to smoke because of well-documented adverse health outcomes. This study examines the association between e-cigarette use and respiratory conditions (asthma and chronic obstructive pulmonary disease [COPD]) among women of childbearing age. Methods: The study used data from the Behavioral Risk Factor Surveillance…

Posted in: Asthma1

Perspectives

In Search of a Femtor: The Complexities of Female Mentorship in Academic Medicine

My search for a femtor, otherwise known as a female mentor, began when I joined the faculty of a large academic medical center in my hometown approximately 6 years ago. Before that time, I already had several years of experience working in other academic institutions. The first few years out…

Letter to the Editor

Promoting Wellness and Resiliency: Faculty Development Professionals Respond to a Mass Shooting

To the Editor: Healthcare professionals face a unique set of stressors.1 A systems approach is needed to address stress and promote wellness among faculty.1 To foster a culture of resilience and wellness in their institution, faculty need to be equipped with practical skills.2

Posted in: Mental Health19

Original Article

Novel Opiate-Free Anesthetic Technique for Major Urologic Procedures

Objectives: We postulated that an opiate-free (OF) general anesthesia (GA) technique could adequately control a patient’s pain without adversely affecting recovery. We compared patients undergoing major urologic procedures with and without opiate-based GA. Methods: A propensity-matched analysis was performed comparing hospital length of stay, postoperative nausea and vomiting, ileus occurrence,…

Posted in: Nephrology and Urology6

Perspectives

Streamlining Electronic Medical Records: Remove the Copy-Forward Option

Documentation and record keeping constitute a key feature of modern health care, often requiring more than half of the physician’s time during a patient visit.1 Electronic medical records (EMRs) have replaced handwritten notes and laboratory data printouts and have revolutionized patient record keeping in the last decade. The main advantage…

Letter to the Editor

Discharge against Medical Advice

To the Editor: Discharge against medical advice (AMA) is a process by which a patient chooses to leave the hospital before a physician’s recommended discharge. Leaving AMA may expose a patient to the risk of an inadequately treated medical problem and possible readmission. Patients discharged AMA are at elevated risk…

Original Article

Cardiovascular Diseases Health Literacy among Patients, Health Professionals, and Community-Based Stakeholders in a Predominantly Medically Underserved Rural Environment

Objective: The central Appalachian region of the United States is disproportionately burdened with cardiovascular disease (CVD); however, the level of literacy about CVD among residents has not been well studied. This study aimed to examine the prevalence and factors of CVD health literacy (HL) among a sample of patients/caregivers, providers/professionals,…

Posted in: Cardiovascular Disease11

Original Article

Fatal and Nonfatal Snakebite Injuries Reported in the United States

Objectives: Venomous and nonvenomous snakes are found throughout the United States. Two families of venomous snakes are indigenous to this country: the Viperidae, or pit vipers (rattlesnakes, cottonmouths, and copperheads), and the Elapidae (three species of coral snakes and a sea snake). Bites from captive nonindigenous venomous snakes such as…

Perspectives

Arboviruses and Their Vectors

Arthropod-transmitted viruses (arboviruses) pose important public health challenges worldwide, and continue to do so even while the world is contending with the 2019 coronavirus disease (COVID-19) pandemic. The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spread by contact with respiratory droplets from infected individuals. Arboviruses pose a different…

Posted in: Infectious Disease25

Original Article

College Students’ Knowledge, Attitudes, and Beliefs about the 2017–2018 H3N2 Influenza Virus and Vaccination

Objectives: To observe the state of knowledge, attitudes, and beliefs regarding the effectiveness of the 2017–2018 H3N2 influenza virus vaccine in a representative sample of college students and determine how many students experienced flu-like symptoms, whether vaccinated or unvaccinated. Methods: In March 2018, a 19-item survey related to the 2017–2018…

Posted in: Infectious Disease25