SMJ // Infectious Disease

SMJ Article | Multidisciplinary Clinical Case Study

Undiagnosed HIV in Patients on Immunosuppressive Medications Presenting with HIV-Associated Kidney Disease

Approximately 158,500 adults and adolescents in the United States live with undiagnosed human immunodeficiency virus (HIV). Missed or delayed diagnoses adversely affect disease management and outcomes. This is particularly salient for patients receiving immunosuppressive and immunomodulatory therapy for the management of chronic inflammatory conditions, in which additional immunosuppression may increase...

Posted in: Infectious Disease123 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection17

SMJ Article | Original Article

Effects of Preoperative COVID-19 Status on Emergent or Urgent Colectomy Outcomes

Objectives: Severe acute respiratory syndrome coronavirus 2 has been described as eliciting a powerful immune response. The association of coronavirus disease 2019 (COVID-19) infection with diseases requiring emergent or urgent colectomies may exacerbate the risk of surgical complications. We investigated the effect of preoperative COVID-19 infection on the clinical outcomes...

Posted in: Infectious Disease123

SMJ Article | Original Article

Improving Communication with Family Members during a Global Pandemic: Effect on Patient Experience

Objectives: Communication with patients and their families/caregivers to facilitate informed decision making is an integral part of patient/family-centered care. Due to the high coronavirus disease 2019 (COVID-19) infection rates and limited personal protective equipment, healthcare systems were forced to restrict patient visitors, limit patient–provider interactions, and implement other changes in...

Posted in: Infectious Disease123

SMJ Article | Original Article

Exercise, Sleep Quality, and Physical Health during the COVID-19 Pandemic

Objectives: Sufficient exercise and high-quality sleep are important for good health, and they may be particularly crucial during the coronavirus pandemic. Sleeping difficulties and insufficient exercise are prevalent in the United States, however, and data indicate little to no change—or even worsening—of these health behaviors before the pandemic. This study...

Posted in: Infectious Disease123

SMJ Article | Original Article

Ethical and Professional Issues Encountered by Fourth-Year Medical Students during a Critical Care Clerkship before and during the COVID-19 Pandemic

Objectives: The objective of this study was to describe ethical and professional issues encountered and the ethical and professional values cited by medical students during their critical care clerkship, with a comparison of issues encountered before and during the coronavirus disease 2019 (COVID-19) pandemic. Methods: In this single-center, retrospective mixed-methods...

Posted in: Infectious Disease123

SMJ Article | Original Article

Gender Differences in Hospital Outcomes among COVID-19 Hospitalizations

Objectives: Many epidemiological studies have shown that coronavirus disease 2019 (COVID-19) disproportionately affects males, compared with females, although other studies show that there were no such differences. The aim of the present study was to assess differences in the prevalence of hospitalizations and in-hospital outcomes between the sexes, using a...

Posted in: Infectious Disease123

SMJ Article | Original Article

Does Mild Coronavirus Disease 2019 Pneumonia in Healthy Adults Cause Permanent Small Airway Injury?

Objectives: Impulse oscillometry (IOS) is a type of oscillation technique that measures the input impedance (Z) of the respiratory system and can be used to detect pathological changes in the small airways at an early stage. Although coronavirus disease 2019 (COVID-19) affects the vascular and parenchymal structures in the lung,...

Posted in: Infectious Disease123

SMJ Article | Invited Commentary

Commentary on “Burnout, Resilience, and Mindfulness in Healthcare Workers in a Medically Underserved Region During the COVID-19 Pandemic”

Burnout remains a significant issue among US healthcare workers. According to a recent study, 62.8% of practicing physicians report one symptom of burnout, and satisfaction with work-life integration dropped to 30%.1 Although alarming, these numbers do not indicate the other costs of healthcare worker burnout, including worse patient outcomes, healthcare...

Posted in: Infectious Disease123

SMJ Article | Original Article

Burnout, Resilience, and Mindfulness in Healthcare Workers in a Medically Underserved Region during the COVID-19 Pandemic

Objectives: To evaluate employee burnout, work conditions, resilience, and mindfulness at an academic medical center in a US medically underserved region during the coronavirus disease 2019 pandemic. Methods: We surveyed employees from August 7, 2020 to January 17, 2021. Respondents completed the Maslach Burnout Inventory (MBI), the Areas of Worklife...

Posted in: Infectious Disease123

SMJ Article | Original Article

Association between the Neutrophil-to-Lymphocyte Ratio and Inpatient Mortality in Hospitalized Older Veterans with COVID-19 Infection

Objectives: Determine the association of high neutrophil-to-lymphocyte ratio (NLR) values with inpatient mortality and other outcomes in older veterans hospitalized with coronavirus disease 2019 (COVID-19). Methods: This was a retrospective, multicenter, cohort study of hospitalized adults, with laboratory-confirmed COVID-19 infection who were studied for 1 year after discharge or until...

Posted in: Infectious Disease123

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