Southern Medical Journal最新文献

{"title":"Online Interest in Colorectal Cancer Screening in Florida.","authors":"Raghuram V Reddy, Karla C Santoyo, Varun Hariharan, Jay Desai, Amalia Landa-Galindez","doi":"10.14423/SMJ.0000000000001846","DOIUrl":"10.14423/SMJ.0000000000001846","url":null,"abstract":"<p><strong>Objective: </strong>Colorectal cancer (CRC) is the third most common cancer worldwide and the second most common cause of cancer death for men and women combined. It is estimated that in 2024, 53,010 people will have died from CRC. The objective of this study was to analyze online interest in CRC screening in Florida.</p><p><strong>Methods: </strong>Google Trends was queried for \"colorectal cancer screening,\" \"fecal occult blood test,\" and \"colonoscopy\" from 2004 to the present. The relative search volume (RSV) ranged from 0 to 100, with 0 meaning no interest and 100 signifying maximum popularity.</p><p><strong>Results: </strong>Google Trends analysis revealed variations in interest for CRC screening, fecal occult blood test as a screen, and colonoscopy across Florida metropolitan areas. Gainesville consistently ranked high for all three terms. Interest peaked for screening in 2009 and 2022, for fecal occult blood test in 2024, and for colonoscopy in 2007. Related search terms focused on screening guidelines, procedures, and preparation.</p><p><strong>Conclusions: </strong>Google Trends can provide a useful tool for evaluating interest in Florida for CRC screening, which is important because there are screening disparities across Florida counties compared with national and state averages. By identifying areas with lower search interest, healthcare providers and public health organizations can target community interventions based on the specific barriers faced by residents in each metropolis.</p>","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 7","pages":"365-369"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Adverse Effects of Artri King: A Systematic Review and Case Series.","authors":"Magnus Chun, Jenna Sutton, Jessica Chung, Jose Lazarte, Anna Horvath, Madison Elmer, Hazem Aboaid, Badrunnisa Hanif","doi":"10.14423/SMJ.0000000000001851","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001851","url":null,"abstract":"<p><p>There has been an uptrend in patients taking Artri King, an over-the-counter supplement marketed for joint pain despite Food and Drug Administration warnings of it containing undeclared substances such as diclofenac and dexamethasone. Despite the popularity of this supplement, there is a lack of awareness of the deleterious, adverse effects. To our knowledge, there has not been a systematic review evaluating outcomes of patients taking Artri King. A comprehensive literature search was performed from major databases from inception to June 17, 2024, including case studies or case series investigating outcomes of patients taking Artri King as a supplement or treatment. A total of 16 patients (12 female and 4 male) from 10 studies were included in our literature review, with four of those patients being from our home institution. Patients presented with a wide variety of chief complaints, but fragility fractures were the most common at our home institution. The average duration of Artri King use was 16.67 months (at our home institution) versus 13.35 months for the rest. Overall, 75% of the patients included were diagnosed as having Cushing syndrome. Serious adverse effects of taking Artri King include Cushing syndrome, adrenal insufficiency, and worsening hyperglycemia. Clinicians should obtain a thorough drug and supplement history, and we recommend informing patients of the serious adverse effects associated with Artri King and advise against its use.</p>","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 7","pages":"376-381"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complementary and Alternative Medicine Use among Heart Failure Patients in the Deep South.","authors":"Deborah Ejem, Kwaku Duah Oppong, Zehra Gok Metin, Rachel Wells, Elizabeth Sockwell, Salpy Pamboukian, Carolina Salvador, Senay Gul, Marie Bakitas","doi":"10.14423/SMJ.0000000000001850","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001850","url":null,"abstract":"<p><strong>Objective: </strong>Despite advancements in heart failure (HF) diagnostics and treatment, many palliative care patients with HF often seek complementary and alternative medicine (CAM) to improve quality of life and address unmet physical and emotional needs. This study aimed to explore the prevalence and patterns of CAM use among HF patients in a large academic medical ambulatory HF clinic in Alabama.</p><p><strong>Methods: </strong>This cross-sectional, descriptive study included HF patients from the University of Alabama at Birmingham HF clinic. Data collection involved CAM-related questions from the National Health Interview Survey, the Kansas City Cardiomyopathy Questionnaire, and sociodemographic variables. Descriptive statistics were computed for all study variables, and analyses were conducted using SPSS.</p><p><strong>Results: </strong>Among 250 HF participants, 49 (19.6%) reported CAM use. The mean age of CAM users was 65 years (±14.76). Most CAM users were White (69%), male (63%), married or partnered (60%), had some college education (67%), and identified as Protestant (22%). The mean Kansas City Cardiomyopathy Questionnaire clinical summary score among CAM users was 54.48. Herbal products and dietary supplements were the most common CAM forms (57%). Of the CAM users, 53% discussed CAM with their healthcare providers, and 43% obtained CAM information from them. Regarding reasons for CAM use, 44.1% used it for pain relief, 29.4% for specific conditions, 20.6% for overall wellness, and 17.6% to complement conventional medicine; 15% cited multiple reasons. No significant sociodemographic predictors of CAM use were found.</p><p><strong>Conclusion: </strong>CAM prevalence among HF patients in this cohort was relatively low compared with other populations. Herbal products and dietary supplements were the most common forms of CAM used. Further research is needed to assess the safety and efficacy of CAM, particularly herbal products and dietary supplements, in patients with HF.</p>","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 7","pages":"370-375"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preexposure Prophylaxis to Prevent HIV Acquisition: Perceptions among Sexual and Gender Minority Individuals in North Carolina.","authors":"Hayley E Cunningham, Dirk A Davis, Charles M Burns, Katherine Link, Sara LeGrand, Carly Kelley, Kathryn Whetten, Mehri S McKellar","doi":"10.14423/SMJ.0000000000001852","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001852","url":null,"abstract":"<p><strong>Objectives: </strong>Sexual and gender minority (SGM) communities at increased risk of human immunodeficiency virus (HIV) may be underprescribed preexposure prophylaxis (PrEP), but PrEP research on SGM communities other than transgender women and cisgender men who have sex with men is limited. We sought to better understand SGM individuals' vulnerability to HIV acquisition and awareness and perceptions of PrEP in North Carolina, with a focus on SGM groups less often included in research.</p><p><strong>Methods: </strong>We administered a 37-item online survey to adult SGM participants, examining differences in perceived and behavioral HIV risk based on self-reported behaviors. We also compared PrEP awareness, prescriptions, and stigma between SGM identities and used logistic regression to examine associations between HIV risk and PrEP use.</p><p><strong>Results: </strong>In total, 372 participants completed the survey. Although 30.9% reported behaviors that increase the likelihood of HIV acquisition, only 9.5% perceived their risk as elevated. Most (78.5%) were aware of PrEP, but only 15.1% had been prescribed PrEP. PrEP stigma was most pervasive among cisgender women. Nonbinary and queer participants were more likely to have experienced mistreatment by a provider (20.3%, <i>P</i> < 0.0001; 19.2%, <i>P</i> < 0.01) and avoid care fearing mistreatment (31.9%, <i>P</i> < 0.001; 27.7%; <i>P</i> < 0.001) compared with the entire sample.</p><p><strong>Conclusions: </strong>PrEP is prescribed at low rates across many SGM communities, with misperception of HIV risk, PrEP stigma, and mistreatment in health care identified as important barriers. Healthcare providers should take steps to create a safe environment for SGM patients and ask all patients about HIV risk factors and provide information about PrEP regardless of sexual orientation or gender identity.</p>","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 7","pages":"357-364"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SMA's 5th Annual Physicians-in-Training Leadership Conference Abstract Presentations.","authors":"None Available","doi":"10.14423/SMJ.0000000000001842","DOIUrl":"10.14423/SMJ.0000000000001842","url":null,"abstract":"<p><p>These abstracts were accepted and presented during Southern Medical Association's 5th Annual Physicians-in-Training Leadership Conference that took place February 7-9, 2025, at the University of Alabama at Birmingham Heersink College of Medicine. For space consideration, abstracts have been formatted in the Editorial office. Abstract content is published as submitted. These abstracts may also be found in the PIT 2025 Playlist on SMA's YouTube Channel.</p>","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 7","pages":"408-516"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical and Mental Well-Being in Former Collegiate Soccer Athletes.","authors":"Audria Wood, Maxwell Harrell, Mathew Hargreaves, Elizabeth Marks Benson, Clay Rahaman, Dev Dayal, Eugene Brabston, Thomas Evely, Aaron Casp, Amit M Momaya","doi":"10.14423/SMJ.0000000000001849","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001849","url":null,"abstract":"<p><strong>Objectives: </strong>Collegiate soccer may carry a high risk of injury during one's career. Although the long-term health outcomes of injuries in professional athletes have been well documented, less is known about the short- to mid-term health and physical activity levels of former collegiate soccer players. This study aimed to evaluate the activity levels as well as the physical and mental well-being of these athletes, with a secondary focus on the impact that injury status has on these outcomes.</p><p><strong>Methods: </strong>We conducted a retrospective survey-based study involving former male and female collegiate soccer athletes who competed between 2011 and 2021. Participants completed a general survey assessing demographics, injury history, current physical activity levels using the Tegner Activity Scale (TAS), and self-reported health outcomes using the Patient-Reported Outcomes Measurement Information System (PROMIS) scale. A follow-up survey was administered to participants who reported injuries, focusing on joint-specific outcomes.</p><p><strong>Results: </strong>Thirty-nine participants completed the initial survey with 86 injuries reported. Among reported injuries were foot/ankle (22), knee (20), hip (12), back (6), upper extremity (5), and other (21). The average physical activity quantity and TAS scores were 5.08 and 4.84, respectively. Average raw mental and physical PROMIS scores were 15.5 ± 1.7 and 15.6 ± 1.7, respectively. Single Assessment Numeric Evaluation (SANE) scores averaged 76.7 in the affected limb and 89.1 in the unaffected limb. Physical PROMIS scores showed a positive correlation with affected and unaffected limb SANE scores (<i>P</i> = 0.02 and <i>P</i> = 0.04, respectively), and affected limb SANE scores showed a positive correlation with physical activity quantity (<i>P</i> = 0.04). Of the injury-specific outcomes, the only significant correlation with activity levels was the Lysholm Knee Scoring Scale score with the TAS score (<i>P</i> = 0.03).</p><p><strong>Conclusions: </strong>Although physical activity decreases in former collegiate soccer players, their overall mental and physical health remains stable. Future research should focus on larger cohorts to further explore the impact of specific injuries on long-term health outcomes in this population.</p>","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 7","pages":"394-399"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Know Your Guidelines: <i>American Journal of Gastroenterology</i> Clinical Guidelines on Acute Liver Failure.","authors":"Chloe N Hundman, James Grant Pearson, Grace Ann Thomas, Christopher D Jackson, Desirée C Burroughs-Ray","doi":"10.14423/SMJ.0000000000001844","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001844","url":null,"abstract":"","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 7","pages":"387-388"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Innovative Approach to Cultural Competency and Spirituality Education for Medical Students.","authors":"Andrew M Tannous, Joseph R Fuchs, Paritosh Kaul","doi":"10.14423/SMJ.0000000000001841","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001841","url":null,"abstract":"<p><strong>Objectives: </strong>Professional organizations have recognized the need to educate and empower medical students for equitable and inclusive care. One component of providing such care for patients of diverse backgrounds is culturally sensitive and patient-centered communication. The aim of this work was to improve skills in culture competency and spiritual history taking by implementing an interactive, educational session for undergraduate medical students. The session included an introduction to spiritual history, education about Kleinman's Explanatory Model, and an integrated case incorporating spiritual history taking and cultural understanding.</p><p><strong>Methods: </strong>The intervention employed didactics and dyad role-playing clinical scenarios. Learners included first-year (n = 104) and fourth-year (n = 54) medical students. Participants completed an 8-item pre-post survey to assess the value of cultural competence and spiritual history taking (attitude), importance of assessing cognition (knowledge), and importance of assessing the learner's ability to practice this history (skill). Medical student religiosity was measured using the Duke University Religion Index.</p><p><strong>Results: </strong>For both groups of learners, there was a statistically significant improvement between the pre- and postintervention surveys in medical students' attitude, knowledge, and skill. Results of the Duke University Religion Index found that a majority of participants infrequently attended organized religious services. Despite this, a statically significant proportion of participants agreed that it is important to identify patients' religion/spirituality following the intervention (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>The educational intervention used in this study fills a curricular gap in effectively integrating cultural competency and spiritual history-taking education. Limitations include that the study did not explore the long-term retention of knowledge or performance in the clinical setting.</p>","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 6","pages":"313-318"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Know Your Guidelines Series: Key Recommendations from the SCCM/IDSA Guideline on Evaluating New Fever in the Adult Intensive Care Unit Patient.","authors":"Cassidy J Stegall, Tina H Dao, Christopher D Jackson","doi":"10.14423/SMJ.0000000000001831","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001831","url":null,"abstract":"","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 6","pages":"338-340"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Hospitalized Physician-Patient: Finding a Role.","authors":"Larrie Greenberg","doi":"10.14423/SMJ.0000000000001832","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001832","url":null,"abstract":"","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"118 6","pages":"353-354"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}