Issue - Southern Medical Association

Review Article

Walking Speed and Mortality: An Updated Systematic Review

Objective: The aim of our systematic review was to update the current evidence on the association between slow walking speed (WS) and mortality, expanding the current knowledge available in the literature. Methods: A systematic review of the published data on the association of WS and mortality was carried out by…

Posted in: Allergy and Immunology3

Original Article

OPEN: Sentinel Lymph Node Sampling in Robot-Assisted Staging of Endometrial Cancer

Objective: Sentinel lymph node (SLN) sampling in endometrial cancer staging has become an acceptable standard. Indocyanine green dye injected into the cervix and detected by near-infrared light is technically simple and sensitive. We aimed to evaluate SLN sampling in robot-assisted surgical staging of endometrial cancer at a university-affiliated teaching hospital….

Posted in: Gynecologic Cancer6

Original Article

OPEN: Initial Institutional Experience with 18F-Fluciclovine PET-CT in Biochemical Recurrence of Prostate Cancer

Objectives: 18F-fluciclovine (fluciclovine) is an amino acid analog approved by the Food and Drug Administration for use as a radiotracer in positron emission tomography (PET) in men with biochemical recurrence of suspected prostate cancer. The purpose of this study was to investigate the initial institutional experience with 18F-fluciclovine in the…

Posted in: Nephrology and Urology19 Urologic Cancer1 Prostate Disorders1


From ACEs to ASHEs: Adverse Shared Historical Experiences and Their Impact on Health Outcomes

Since the landmark 1998 Adverse Childhood Experiences (ACE) study,2 the concept of ACEs has entered the vocabulary of medical and public health practitioners. It has helped define numerous risk factors for a variety of health outcomes. ACEs are potentially traumatic events that occur in an individual’s childhood. Examples of ACEs…


COVID-19-Related Stress on Physicians

Coronavirus disease 2019 (COVID-19) was first reported in December 2019.1 As of February 2, 2021, more than 104,333,878 individuals worldwide were documented with the infection, including 2,265,559 deaths.2 In the United States, there have been >26,545,905 cases and 450,273 deaths.2 The psychological and socioeconomic toll has been substantial for patients,…

Posted in: Infectious Disease63

Original Article

CME Article: Investigating Barriers to Completion of Postpartum Tubal Ligation: A Retrospective Chart Review

Objectives: To identify the completion rate for postpartum tubal ligation (PPTL) and predictors of noncompletion of PPTL in a central New Jersey population. Methods: We conducted a retrospective chart review at a tertiary care center in New Jersey for patients delivering during an 18-month period. We used the electronic medical…

Posted in: Obstetrics and Gynecology32

Original Article

Uncomplicated Distal Radius Fractures: An Opportunity to Reduce Emergency Medicine Opioid Prescribing?

Objectives: To assess emergency physician prescribing for simple extremity fractures—specifically, distal radius fractures—and describe the opportunity for reducing opioid prescribing. Methods: An electronic survey was distributed to 1238 emergency physicians employed by a nationwide practice serving 220 sites in 20 states. The survey presented two plain film views of a…


Reaching for Harrison’s and the Tuskegee Study of Untreated Syphilis

The Tuskegee Study of Untreated Syphilis (TSUS) was the 1932–1972 study of approximately 600 Black men, 400 with active syphilis and 200 presumably without syphilis, in rural Macon County, Alabama. The study evolved from a one-evaluation datapoint to a longitudinal study with detailed case histories and autopsies. These parameters assessed…

Posted in: Infectious Disease63

Multidisciplinary Clinical Case Study

Fibrin-Associated Diffuse Large B Cell Lymphoma Found on Revision Arthroplasty of the Knee

Fibrin-associated diffuse large B cell lymphoma (FA-DLBCL) is a rare Epstein-Barr viruspositive B cell lymphoma that is nonmass-forming, does not directly produce symptoms, and is incidentally discovered on histological examination of tissues excised for other reasons. Despite overlap in morphologic and immunophenotypic features with aggressive B cell neoplasms, FA-DLBCL shows…

Posted in: Hematology10 Medical Oncology30

Letter to the Editor

Chaplaincy and Hospital Ethics Committees

To the Editor: We read with interest the analysis by Antoine et al of “how hospital leaders understand and make decisions about providing chaplaincy and spiritual care in their hospitals.”1 The authors found that hospital “executives recognize the importance of chaplains in terms of their ability to manage the personal…

Letter to the Editor

On “Percentage of Black Population and Primary Care Shortage Areas Associated with Higher COVID-19 Case and Death Rates in Georgia Counties”

To the Editor: We congratulate Dr Peter Baltrus and colleagues for their article “Percentage of Black Population and Primary Care Shortage Areas Associated with Higher COVID-19 Case and Death Rates in Georgia Counties,” published in the February 2021 issue of the Southern Medical Journal.1

Posted in: Infectious Disease63

Original Article

CME Article: Effect of Dysphagia on Hospital Outcomes and Readmissions in Patients with Human Immunodeficiency Virus

Objectives: Dysphagia is a common symptom in patients hospitalized with human immunodeficiency virus (HIV). There are limited data on the relation between dysphagia and important hospital outcomes. The aim of our study was to assess the impact of dysphagia on hospital costs, length of stay (LOS), mortality, and 30-day readmission…

Posted in: Infectious Disease63 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection8

Original Article

Effects of Gestational Weight Gain on Delivery Outcomes in an Obese, Low-Income Population

Objective: To examine the effects of weight gain/loss on delivery outcomes stratified by class of obesity in an obese, low-income, predominantly minority population. Methods: A retrospective review of a cohort of 1428 women receiving care at a large Medicaid clinic from 2013 to 2016 with pregravid body mass index ≥30…

Posted in: Obstetrics and Gynecology32 Pregnancy19