Issue - Southern Medical Association

Letter to the Editor

Acknowledging and Addressing COVID-19 Health Disparities in the American South

To the Editor: The COVID-19 crisis escalated rapidly; between March 1 and March 31, 2020, the number of confirmed cases rose from 30 to >180,000.1 As the novel coronavirus spreads, reports suggest that the American South may be hit harder than other areas in the United States. For example, southeast…


Reflections on the Hippocratic Oath and Declaration of Geneva in Light of the COVID-19 Pandemic

The entire world is confronting trying and uncertain times. We are in the era of COVID-19 (coronavirus disease 2019) and everyone is filled with questions—who, what, why, where, when, if, how, etc.—but the answers, at best, are piecemeal and superficial because much is unknown about this virus other than its…

Original Article

CME Article: Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making

Objectives: Code status specifies the action that healthcare providers should take in the event of cardiac arrest. Studies have shown, however, that patients with do-not-resuscitate/do-not-intubate (DNR/DNI) orders have worse outcomes and do not consistently receive the standard of care. Several studies have demonstrated that physicians behave differently toward patients with…

Invited Commentary

Commentary on “Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making”

I appreciated the authors of the article “Impact of Do-Not-Resuscitate Orders on Nursing Clinical Decision Making” bringing forth this study for our consideration.1 The topic has important implications for patient care in the hospital setting, as well as in nursing facilities and other clinical settings. The study, which I presume…

Letter to the Editor

The Minority Doctors We Create

To the Editor: In the mid-1900s, attempts were made to accelerate the process of creating physicians to address physician shortages, but those attempts stalled because of concerns for a loss of physician competency in a fast-track environment.1


Who’s Flying the Plane?

With an estimated 44,000 flights daily for more than 2.7 million passengers, airplane travel has become very commonplace in the United States.1 Commercial pilots are required to have at least 250 flight hours, including 100 hours of pilot-in-command time and 50 hours of cross-country flying. They also need to have…

Original Article

Salary Disparities in Academic Urogynecology: Despite Increased Transparency, Men Still Earn More Than Women

Objective: To understand the compensation differences between male and female academic urogynecologists at public institutions. Methods: Urogynecologists at public universities with publicly available salary data as of June 2019 were eligible for the study. We collected characteristics, including sex, additional advanced degrees, years of training, board certification, leadership roles, number…

Posted in: Obstetrics and Gynecology32

Original Article

Early Colectomy Saves Lives in Toxic Megacolon Due to Clostridium difficile Infection

Objective: The purpose of the study was to evaluate whether early colectomy in patients who have toxic megacolon due to Clostridium difficile colitis reduces mortality. Methods: The study was performed using the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2016. All patients 18 to…

Posted in: Gastroenterology32

Letter to the Editor

Earlier Onset of Depression and Suicide Rates

To the Editor: Suicide rates have been increasing in the United States for nearly 2 decades. In 2017, 14 of every 100,000 people in the United States died by suicide, according to a Centers for Disease Control and Prevention report, a 33% increase since 1999.1 Suicide rates have increased for…

Posted in: Mental Health33

Original Article

Increased Prevalence in Alzheimer Disease in the Northeast Tennessee Region of the United States

Objectives: This study describes the changes in prevalence odds ratios (PORs) for Alzheimer disease (AD) in the northeast Tennessee region (NTR) during a 3-year period, describes the statistical assessment process, and critically assesses the database from which the statistical association was derived. The article also examines several beliefs pertinent to…

Posted in: Neurology14

Original Article

Primary Care Perceptions and Practices on Discussion and Advice Regarding Sexual Practices

Objectives: The United States has experienced an increase in sexually transmitted infections (STIs) in the past decade, a trend that may be influenced by communication gaps between family physicians and patients. We sought to identify factors that hinder discussion about safe sexual practices and STIs, understand physicians’ perceptions of their…

Posted in: Sexually Transmitted Diseases & Infections of Reproductive Organs2

Original Article

Factors Associated with Colorectal Cancer Screening among Mississippi Adults: Findings from the Behavioral Risk Factor Surveillance System

Objectives: Mississippi has one of the highest mortality rates in colorectal cancer (CRC) and one of the lowest rates of CRC screening in the United States. The purpose of the study was to assess the characteristics of Mississippians who met the US Preventive Services Task Force (USPSTF) recommendation on CRC…

Posted in: Colonic And Anorectal Disease5


National Estimates of Noncanine Bite and Sting Injuries Treated in US Hospital Emergency Departments, 2011–2015: Erratum

In the May 2020 issue of Southern Medical Journal in the article by Hareza et al, “National Estimates of Noncanine Bite and Sting Injuries Treated in US Hospital Emergency Departments, 2011–2015”, the degree listed for author Ricky Langley is incorrect. The correct degree should be “Ricky Langley, MD, MPH.”