SOUTHERN MEDICAL JOURNAL南方医学杂志
SOUTHERN MEDICAL JOURNAL(英文缩写 SOUTH MED J),ISSN 0038-4348,eISSN 1541-8243,中文译名:南方医学杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 0.810 | Q4 |
| 2022 | 1.100 | Q4 |
| 2023 | 1.000 | Q3 |
| 2024 | 0.800 | Q3 |
| 2025 | 0.900 | Q3 |
SOUTHERN MEDICAL JOURNAL 最新收录文献
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1. Care Experience Disparities in Individuals With Lower Urinary Tract Symptoms: Systematic Review and Content Analysis.
PMID:日期:2026-09-03In this study, we aimed to characterize the landscape of the literature and describe lower urinary tract symptom (LUTS) care experiences using the Agency for Healthcare Research and Quality's (AHRQ's) patient experience framework, describe the characteristics of the studies, and identify critical knowledge gaps. We performed a systematic search of MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Scopus of peer-reviewed publications from 1995 to 2024. The search terms were related to LUTSs, drivers of healthcare inequities, and the domains of the AHRQ. We then performed a content analysis of the included studies. Of the 4597 articles reviewed, we included 11 studies in the analysis. The most studied LUTS was urinary incontinence (10/11, 91%). Of the included studies, six were comparative, and most (4/6, 66.7%) found worse care experience in patients with limited English proficiency and low socioeconomic status. When examining the studies using the care experience framework of the AHRQ, the most frequently evaluated domains of care experience were communication with clinicians (8/11, 73%) and access to care (8/11, 73%). For communication with clinicians, language barriers (3/11, 27%) and symptom minimization by clinicians (3/11, 27%) were common, especially among patients with limited English proficiency and of older age, respectively. In regard to access to care, concerns about healthcare costs (5/11, 45%) and patients' fear or embarrassment about accessing LUTS care (4/11, 36%) were commonly occurring themes, especially among racially minoritized groups. The findings of this systematic review demonstrated that patients with limited English proficiency, older age, low socioeconomic status, and racially minoritized backgrounds have poor LUTS care experiences.
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2. Opioid and Stimulant Coprescriptions among South Carolina Residents.
PMID:日期:2026-09-03The South Carolina Department of Public Health (SCDPH) Prescription Drug Monitoring Program (PDMP) is used to monitor the prescribing patterns of controlled substances, including opioids and stimulants. Data collected by the National Center for Health Statistics show that the number of drug overdose deaths involving opioids and stimulants has been increasing since 1999. Although databases such as the PDMP monitor healthcare professionals' prescribing habits regarding opioids and stimulants individually, there has been little research regarding opioid-stimulant coprescribing patterns. Considering increasing death rates and the lack of research, data from the SCDPH PDMP were used to identify factors that influence opioid-stimulant coprescribing. It was hypothesized that younger age, higher daily morphine milligram milliequivalents (MMEs), increased duration of prescription, and male gender would be associated with increased opioid-stimulant coprescriptions. Data were gathered from the SCDPH PDMP from 2016 to 2021. The variables assessed included patient age, patient sex, filling date, supply length, daily MMEs, and Lexicomp Drug Classification. A linear regression statistical analysis was then performed to analyze the data. Between January 1, 2016 and December 31, 2021, a total of 9,785,146 opioid prescriptions were filled by 2,158,564 individuals, with 161,103 (1.65%) of them receiving a concurrent stimulant prescription. Patients who were 50 years of age and younger had a 2.74 greater odds of receiving a concurrent stimulant prescription (<0.001), along with those who had an opioid prescription length of ≥ 30 days (odds ratio [OR] 4.38, <0.001). Being female (OR 1.58) and a daily MME ≥ 50 mg but ≤100 mg (OR 1.24) were both significantly found to indicate an increased odds of having a concurrent prescription. This study indicates that those with longer opioid prescriptions, younger individuals, higher daily MMEs, and women are at an increased risk of opioid-stimulant coprescription. Future research should investigate other factors associated with opioid-stimulant coprescribing, such as education status, rurality, and whether specific opioid or stimulant agents are linked to coprescribing.
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3. Florida Health and Health Care: A Status Report.
PMID:日期:2026-09-03Florida was the fastest growing state in the United States in 2024, and it has the third highest state population in 2026. We reviewed health challenges related to rapid population growth, insurance coverage gaps, underinvestment in public health, policy trends, and the high proportion of older adults to assess Florida's health and healthcare system in comparison with national benchmarks. We conducted a comparative analysis using data from the US Census Bureau, the FLHealth Community Health Assessment Resource Tool Set, America's Health Rankings, and the peer-reviewed literature. Key indicators included demographic trends, insurance coverage, public health funding, and health outcomes. Florida has an estimated 2025 population exceeding 23 million-22.3% adults 65 years of age and older versus 18.2% nationally. Despite favorable metrics in smoking and obesity, Florida ranks 39th in overall state health system performance according to the Commonwealth Fund 2025 Scorecard on State Health System Performance. The state has not expanded Medicaid, and an estimated 315,000 residents are in an insurance coverage gap. Florida's rapid growth and proportion of older people present healthcare challenges. Disparities among uninsured, undocumented, and minority populations are exacerbated by limited insurance access and underfunded public health infrastructures. Declining public health budgets may increase costs from preventable hospitalizations. Given the high dental caries rates and low vaccination rates for Florida in 2025, a law forbidding water fluoridation and efforts to end mandatory vaccinations may exacerbate healthcare disparities. Strategic planning, adequate funding, and policy reform can address these systemic vulnerabilities and ensure equitable access to care in Florida and other southern states.
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4. Projections for Urogynecologic Surgeries in the United States, 2025-2060.
PMID:日期:2026-08-03Using the most recent US population projections data, we sought to update the estimated number of women who will undergo surgery for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) in the United States from 2025 through 2060. We hypothesize that the number of pelvic floor surgeries will increase in the upcoming decades. We used the 2017 National Population Projections from the US Census Bureau, which provides age-specific estimates on the number of women in the US from 2025 to 2060. We used previously published age-specific rates of surgery for women undergoing SUI-only surgery, POP-only surgery, and either SUI or POP surgery. These rates were applied to the population estimates of women aged 18 to 89 years to determine the projected surgeries from 2025 to 2060 in 5-year increments. From 2025 to 2060, the population of women in the United Sates ages 18 to 89 years is projected to increase 17%, from 136.0 million to 158.5 million. Correspondingly, the total number of either SUI or POP surgeries will increase from 469,460 in 2025 to 553,858 in 2060. From 2025 to 2060, there will be an 18% increase in the projected number of surgeries for SUI or POP, from 469,460 to 553,858. Our field should be proactive in ensuring that enough specialists and fellowship-trained subspecialists are available to meet the future surgical demands of women with pelvic floor disorders.
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5. Use of Nitrous Oxide during Labor in an Academic Medical Center in a Rural State.
PMID:日期:2026-08-03This study examined the use of inhaled nitrous oxide as a pain management option during labor. Nitrous oxide offers a noninvasive, self-administered pain relief option that allows patients greater autonomy compared with other methods such as epidural analgesia or intravenous opioids. Its effectiveness and patient satisfaction remain a debated topic, however, with mixed results from previous studies. The primary aim of this cohort study was to analyze nitrous oxide utilization by focusing on identifying factors influencing its continued use during labor. This was a retrospective cohort study of information collected from patient charts of those who used nitrous oxide between January 1, 2020 and July 1, 2023. Demographic and clinical characteristics were reviewed to assess patterns in continued nitrous oxide usage. There were 267 women who selected nitrous oxide for pain relief during labor. The study showed that the type of healthcare provider (certified nurse midwives vs doctors of medicine) (adjusted odds ratio [aOR] 2.45, 95% confidence interval [CI] 1.22-4.89, =0.0115), and race relative to Hispanic patients, that non-Hispanic White women had a lower odds of remaining on nitrous oxide (aOR 0.27, 95% CI 0.11-0.68), as did non-Hispanic Black women (aOR 0.39, 95% CI 0.16-0.93) were significantly associated with continued nitrous oxide use during labor. The factors of maternal age, gestational age (term vs preterm), marital status, type of insurance, and parity were not significantly associated. Women who selected and continued using nitrous oxide until delivery were more likely to have a certified nurse midwife managing their labor/delivery and were more likely to be Hispanic. The study underscores the potential use of nitrous oxide to enhance patient autonomy during labor. Further research is needed to clarify the use of nitrous oxide for pain management during labor.
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6. The Aftermath of Hurricane Helene: Orthopedic Injury Epidemiology at a Level I Trauma Center.
PMID:日期:2026-08-03Hurricane Helene was one of the most devastating natural disasters in US history, with 249 known fatalities and damages exceeding US$75 billion. This study evaluates the impact of Hurricane Helene on orthopedic injury epidemiology and patterns at a level I trauma center. A retrospective review was conducted of consultations fielded by the orthopedic surgery department at a level I trauma center in Augusta, Georgia, during the 30 days pre- (August 28-September 26, 2024) and post-Hurricane Helene (September 27-October 26, 2024). Demographics, injury characteristics (mechanism, location, and type), and surgical intervention rates were collected. Pearson χ² and Fisher exact statistical analyses were performed to evaluate alterations in rates and injury patterns between the groups. In total, 466 patient consultations were evaluated; 535 orthopedic injuries were identified: 268 pre- and 267 post-Helene. Seventeen percent (47/267) of post-Helene injuries were directly related to the hurricane. There was a significant increase in high-energy trauma (37.7% vs 51.3%, =0.005), supported by more frequent open fractures (4.9% vs 11.6%, =0.007), an increase in chainsaw-related injuries (0% vs 5.6%, =0.001), and an increase in injuries related to tree removal (0% vs 4.9%, =0.001). There was a decrease in blunt/crush injuries (7.5% vs 3%, =0.020), as well as surgical site infections (4.5% vs 1.5%, =0.43) and postoperative/treatment complications (5.2% vs 1.9%, =0.036). Surgical intervention rates remained unchanged (34.7% vs 36.5%, =0.236), as did injury locations-upper extremity, lower extremity, and axial skeleton (=0.497). Hurricane Helene significantly altered orthopedic injury patterns in Augusta, Georgia, with increased incidence of high-energy trauma, open fractures, and tree- and chainsaw-related injuries treated at a level I trauma center. There also was a decrease in surgical site infections and postoperative complications.
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7. When HbA1c Lies: Recognizing and Managing HbA1c-Glucose Discordance in Clinical Practice.
PMID:日期:2026-08-03Hemoglobin A1c (HbA1c) remains a cornerstone of glycemic assessment in diabetes mellitus care, yet discordance between HbA1c and measured glucose values is common in clinical practice. Failure to recognize this discordance can lead to inappropriate treatment escalation, increased hypoglycemia risk, and patient distress. This article reviews the biological and clinical factors that contribute to HbA1c-glucose discordance and translates these findings into practical strategies for routine care. Common causes include iron deficiency, chronic kidney disease, altered red blood cell turnover, hemoglobin variants, and rapid changes in glycemia. A stepwise, practice-oriented framework is presented to guide clinicians in evaluating discordant glycemic data using targeted laboratory testing and continuous glucose monitoring metrics. Emphasis is placed on avoiding reflexive medication intensification and using glucose monitoring data to individualize treatment decisions. The role of interdisciplinary care and patient-centered communication is also highlighted.
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8. Continuous Glucose Monitoring in Primary Care: A Practical, Multidisciplinary Review of Data Interpretation and Billing Updates.
PMID:日期:2026-08-03Continuous glucose monitoring (CGM) offers real-time and longitudinal insights into glycemic patterns, time in range, and hypoglycemia. Adopting CGMs into practice can improve clinical outcomes while strengthening patient engagement and enabling data-driven care across routine visits and population health programs. Despite strong evidence of benefit, CGM remains underused in primary care, where most patients with diabetes mellitus are managed. Barriers include limited familiarity with CGM technology, interpretation, workflow, documentation and billing, and patient access and education. The purpose of this clinical review was to help equip primary care clinicians with a concise, family medicine-focused framework for adopting CGM, including technology overview, patient selection and education, practical interpretation of standardized reports, team-based workflow, documentation, and reimbursement.
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9. Perspectives of Academic VA Clinician Educators: A Qualitative Analysis from a Single Facility.
PMID:日期:2026-08-03As part of a quality improvement initiative focused on medical educator faculty development, we sought to explore the perspectives of clinician-educators based at a large urban Veterans Affairs Medical Center (VAMC) who navigate the workplace communities of both their VAMC and academic medical center (AMC). Informed by the conceptual framework of Communities of Practice proposed by Lave and Wenger, we conducted semistructured interviews from 2023-2024 with 20 VAMC-based clinician-educators holding faculty appointments at the affiliated AMC. We used purposive sampling to recruit a wide range of participants capturing differences in factors such as academic rank, subspecialist versus internal medicine specialist, and formal educational positions at the AMC. We identified three themes from the interviews: professional fulfilment from mission-driven care and mentoring of trainees; facilitation of the clinician-educator role by the VAMC environment; and the impact of geographic distance on faculty integration. In the last theme, several participants highlighted how working closely within the VAMC promoted strong collegial relationships within the facility, and physical separation from the AMC led to perceptions of professional distance from medical school faculty colleagues. Educating the next generation of healthcare professionals remains one of the core missions of the VA and supporting VA-based clinician-educators is critical to fulfilling this mission. Our study reveals the importance of the geographic distance between AMC and VAMC and its translation to perceptions of collegiate distance among individual VA faculty. We discuss strategies to foster connectivity between AMCs and VA facilities alongside strengthening VA-specific faculty development as potential solutions.
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10. Cultural Competency in Medical Education through the Arts and Humanities: An Innovative Immersive Community-Based Workshop.
PMID:日期:2026-08-03Teaching cultural competency is a critical but challenging task for clinician educators. Immersive experiential learning in the local community through the arts and humanities remains underexplored in medical education. To address this gap, a novel arts and humanities-based cultural competency workshop was developed. This half-day cultural competency workshop was a collaborative effort between a center for humanities in medicine and an Internal Medicine residency program at an academic institution in the southeastern United States. The workshop incorporated a walking tour to sites in the historic downtown area near the institution's Community Health Collaborative to highlight local artists and the intersection of art, history, community, and health. Facilitators provided prompts to help guide discussion. Residents were asked to complete an anonymous, pre- and postintervention survey comprising five questions about arts and humanities-based learning and several aspects of cultural competency. Likert scale responses ranged from 1 (strongly disagree/extremely uncomfortable) to 5 (strongly agree/extremely comfortable). A total of 43 residents participated in the workshop, 35 of whom (82%) completed the presurvey and 26 (60%) completed the postsurvey. Pre- and postintervention surveys demonstrated statistically significant improvements across all five learning outcomes assessed. The findings indicate improved awareness and self-perceived readiness to engage with cultural issues in clinical practice, demonstrating the value of humanities in facilitating experiential understanding of such concepts. This pilot study highlights the significant potential of immersive arts and humanities-based learning to enhance cultural competency in medical education. This approach can effectively complement traditional clinical training to enhance culturally responsive care. Future studies should implement this model across a broader range of training environments and specialties. By investing in such innovative educational approaches, we can better prepare the next generation of physicians to navigate the complexities of patients and deliver better care.