SMJ // December 2025, Volume 118 - Issue 12

Original Article

Statewide Analysis of Anesthesia-Related Complications in Labor and Delivery: North Carolina, 2015–2020

Objectives: We aimed to evaluate the incidence, hospital resource utilization, and risk factors associated with anesthesia-related complications during labor and delivery in North Carolina. Methods: Using data from the 2015–2020 State Inpatient Database, we conducted a retrospective cross-sectional analysis of a representative sample of hospital deliveries involving anesthesia-related complications. The…

Posted in: Obstetrics and Gynecology53

Original Article

Self-Reported Pain Rating during Clinical Testing and De Quervain Tenosynovitis

Objectives: Hand maneuvers commonly used to clinically diagnose De Quervain tenosynovitis (DQT) possess differing intrinsic levels of discomfort. We hypothesized that assessing the degree of pain would better differentiate replication of condition-related pain than a binary “yes or no” assessment, and we hope to use these data to establish thresholds…

Posted in: Rheumatology and Orthopedics20

Original Article

Surgical Treatment of Cardiac Tumors: A Single-Center Experience

Objectives: Cardiac tumors affect fewer than 1 in 2000 people. This study is a retrospective review of diagnostic procedures, surgical management, and outcomes in patients treated for tumors of the heart at our institution. We compare our management approaches, clinical, and surgical outcomes with those reported in the literature. Methods:…

Posted in: Cardiac Tumors1

Original Article

Primary Care Clinicians’ Knowledge and Perspectives about Sexual Dysfunction

Objectives: Female sexual dysfunction (FSD) refers to problems with desire, arousal, orgasm, or pain, affecting approximately 12% of US women. Although FSD can be managed in primary care, most primary care clinicians do not regularly treat it. This survey of primary care clinicians practicing at a large US health system…

Posted in: Menopause: Management, Risks, & Benefits of Therapy2 Sexual Disorders And Gender Dysphoria1

Original Article

Safety Profile of Using Tocilizumab in the Treatment of Severely Ill Patients with COVID-19

Objectives: Tocilizumab, originally used in the treatment of autoimmune disorders such as rheumatoid arthritis, had its use expanded to treat hyperinflammatory changes in coronavirus disease 2019. The objective of this study was to evaluate the risk of secondary infections and gastrointestinal side effects in patients treated with tocilizumab for severe…

Posted in: Infectious Disease146

Original Article

New-Onset Type 2 Diabetes Mellitus in Critical Illness Survivors and after Hospitalization

Objectives: Recent literature suggests that hospitalization may lead to new-onset type 2 diabetes mellitus (NODM2). Understanding this relationship is crucial for developing interventions that could reduce long-term complications and healthcare costs associated with DM2 and major adverse cardiovascular events (MACE). This systematic review and meta-analysis aims to assess the incidence…

Posted in: Endocrinology, Diabetes, and Metabolism32

Original Article

Assessing Food Insecurity in Primary Care: A Comparison Between an Internal Medicine– and a Student-Run Clinic

Objectives: Food insecurity has been rising in the United States, disproportionally affecting populations with no insurance, low socioeconomic status, and racial minorities. It is associated with overall poorer health, especially in terms of glycemic control, mental health, and cardiovascular disease. Addressing it is critical because although studies show its significance,…

Original Article

Exploring Bone Oncology in a Medically Underserved Area: A Retrospective Cohort of Bone Metastases and Malignant Bone Neoplasia in the Rio Grande Valley

Objectives: The Rio Grande Valley (RGV) is a developing clinical research region characterized by its distinctive demographic profile that offers an opportunity to investigate diverse health issues. This pilot investigation sought to evaluate the demographic and clinical characteristics linked to bone metastases and primary malignant bone neoplasms (PMBNs) in patients…

Posted in: Medical Oncology43 Bone Tumors1

Perspectives

Diagnosis versus Hypothesis: Optimal Terminology to Enhance Clinical Reasoning

With its usual precision, the Oxford English Dictionary defines diagnosis as the “determination of the nature of a diseased condition.”1 At what point in evaluating a patient have we actually determined the cause of their condition? We propose that when physicians have completed their initial evaluation of a newly hospitalized…

Original Article

Impact of Rounding Setting on the Quality of Medical Trainee Experience

Objectives: Hospital rounding practices have shifted away from being conducted at the patient’s bedside to favor rounding in workrooms. Prior studies assessing learner attitudes toward bedside rounds largely focused on its educational value for residents, with less attention paid to medical students or other relevant domains in the learner experience….

Original Article

Combating Racism: Effects of a Longitudinal Community-Based Curriculum at the Graduate Medical Level

Objectives: Racism is a public health crisis, and it is imperative that healthcare providers act to dismantle it. Although social determinants of health have been incorporated into graduate medical education, few longitudinal antiracism curricula exist. We evaluated a longitudinal antiracism curriculum for Internal Medicine (IM) residents, hypothesizing that participation would…

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