Undocumented smokeless tobacco use in a family practice population.

Abstract:

BACKGROUND:Smokeless tobacco (ST) use is associated with significant health risks and is increasing in prevalence in the United States. This study examined the prevalence of ST use among patients seen in two family practice centers and the documentation of that ST use in the medical record. METHODS:A survey of 209 patients seen in two family practice centers in northeast Tennessee was done to determine current and former smoking and ST use. Charts of all current ST users were reviewed for additional data. RESULTS:Current ST use was reported by 7.7% of patients. Highest rates were found in middle-aged men (27.8%) and elderly women (14.8%). Physicians rarely recorded ST use as a significant problem in the medical record. In several cases, management of other medical conditions may have been compromised by the physicians' lack of awareness of the ST use. CONCLUSIONS:The use of smokeless tobacco may be an important unrecognized problem in patients seen in family physicians' offices.

journal_name

South Med J

journal_title

Southern medical journal

authors

Feierabend RH Jr

doi

10.1097/00007611-199712000-00012

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

1225-8

issue

12

eissn

0038-4348

issn

1541-8243

journal_volume

90

pub_type

杂志文章
  • Effect of written information on physicians' knowledge of drug prices.

    abstract::Fifty-four residents in internal medicine and primary care medicine were surveyed before and after receiving a prescription drugs price guide booklet to determine whether providing written price information to the residents would improve their knowledge of drug costs. Results indicated that the pricing information did...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198303000-00015

    authors: Babington MA,Robinson LA,Monson RA

    更新日期:1983-03-01 00:00:00

  • Prophylaxis against acute stress erosions.

    abstract::Acute gastroduodenal erosions and ulcerations, often with life-threatening gastrointestinal hemorrhage, contribute to high mortality in critically ill patients. Hypersecretion of gastric acid to some degree seems to be necessary. Antacids and recently cimetidine, a histamine H2-receptor antagonist, have been used for ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198004000-00007

    authors: Luk GD

    更新日期:1980-04-01 00:00:00

  • Bilateral endobronchial non-Hodgkin's lymphoma.

    abstract::Pulmonary involvement with non-Hodgkin's lymphoma, while well recognized, is less common than with Hodgkin's lymphoma. Endobronchial non-Hodgkin's lymphoma is even rarer and usually occurs in the presence of disseminated disease. We present a case of bilateral endobronchial non-Hodgkin's lymphoma. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199503000-00025

    authors: Hardy K,Nicholson DP,Schaefer RF,Hsu SM

    更新日期:1995-03-01 00:00:00

  • Multiple adverse effects of pyridium: a case report.

    abstract::Pyridium (phenazopyridine hydrochloride) is often prescribed as an analgesic in patients following trauma, surgery, or infections of the urinary tract. Pyridium toxicity has been previously reported, however, most cases result in a single adverse effect. Herein the authors describe an elderly patient who presented wit...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000197299.77949.16

    authors: Haigh C,Dewar JC

    更新日期:2006-01-01 00:00:00

  • Intracardiac thrombosis and antiphospholipid antibodies: a case report and review of the literature.

    abstract::A case report and review of the literature are reported concerning the relationship of intracardiac thrombosis and antiphospholipid antibody syndromes. Nine cases are identified, divided into three categories: three patients had antiphospholipid syndrome associated with systemic lupus erythematosus, three had primary ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199409000-00014

    authors: Baum RA,Jundt JW

    更新日期:1994-09-01 00:00:00

  • Heterozygous alpha 1-antitrypsin deficiency (PiSZ) in an adolescent with asthma.

    abstract::Although alpha 1-antitrypsin deficiency has been associated with obstructive lung disease in individuals possessing a homozygous phenotype (PiZZ), this association has not been as clearly documented in heterozygous individuals (PiMZ, PiMS, and PiSZ phenotypes). Information regarding the heterozygous adolescent populat...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199610000-00018

    authors: Nuckton TJ,Beckerman RC

    更新日期:1996-10-01 00:00:00

  • Pulmonary contusion in children: diagnosis and management.

    abstract:BACKGROUND:Pulmonary contusion (PC) is the most common injury identified in pediatric blunt chest trauma. The disagreement over management principles of children with PC may complicate care of these patients. METHODS:We reviewed the literature and our institutional experience. RESULTS:Pulmonary contusion is most ofte...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199812000-00002

    authors: Allen GS,Cox CS Jr

    更新日期:1998-12-01 00:00:00

  • Pseudoepitheliomatous hyperplasia mistaken for cancer after delayed reconstruction.

    abstract::Pseudoepitheliomatous hyperplasia (PEH) arises in areas of chronic inflammation and can be mistaken for squamous cell carcinoma, leading to unnecessary removal of more tissue. We present a study of 21 patients having delayed reconstruction of defects left by Mohs micrographic surgery (MMS) to remove facial skin cancer...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199504000-00014

    authors: Calhoun KH,Wagner RF Jr,Kumar D,Hokanson JA

    更新日期:1995-04-01 00:00:00

  • Evaluation and management of shoulder pain in primary care clinics.

    abstract::Shoulder pain is a frequent clinical problem facing primary care physicians. Despite its common occurrence, many clinicians are unfamiliar with the diagnosis and treatment of many common shoulder ailments. Because therapy for most shoulder disorders can be made at the initial consultation, a good history and physical ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e3181f5e85f

    authors: House J,Mooradian A

    更新日期:2010-11-01 00:00:00

  • Pressure modes of invasive mechanical ventilation.

    abstract::Pressure modes of invasive mechanical ventilation generate a tidal breath by delivering pressure over time. Pressure control ventilation (PC) is the prototypical pressure mode and is patient- or time-triggered, pressure-limited, and time-cycled. Other pressure modes include pressure support ventilation (PSV), pressure...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e31822da7fa

    authors: Singer BD,Corbridge TC

    更新日期:2011-10-01 00:00:00

  • Multifocal sporotrichosis presenting with lobar pulmonary consolidation.

    abstract::A case of multifocal systemic sporotrichosis presenting with lobar pneumonia caused by Sporothrix schenkii is described. While five cases of pulmonary involvement in multifocal sporotrichosis have been previously reported, all had nodular or cavitary apical lesions. Similarly, unifocal pulmonary sporotrichosis usually...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198106000-00030

    authors: Arango C,Davila E,Greenman R

    更新日期:1981-06-01 00:00:00

  • Traumatic esophageal rupture: unusual cause of acute mediastinal widening.

    abstract::We have presented the case of a 32-year-old man who sustained blunt trauma to the chest in a motor vehicle accident. Plain roentgenograms showed a widened mediastinum and pneumomediastinum, and an esophagogram with water-soluble contrast material showed an esophageal laceration at the T-4 level. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Carter MP,Long RF,Pellegrini RA,Wynn RA

    更新日期:1991-06-01 00:00:00

  • Does physician benchmarking improve performance of laparoscopically assisted vaginal hysterectomy?

    abstract:BACKGROUND:Benchmarking techniques were implemented to optimize operating time and charges associated with laparoscopically assisted vaginal hysterectomy (LAVH). MATERIALS AND METHODS:The baseline LAVH profile over a period of 4 years (167 cases) was compared with 1-year data (47 cases) after a benchmarking educationa...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000176713.71878.63

    authors: Tu FF,Feinglass J,Milad MP

    更新日期:2005-09-01 00:00:00

  • Endocarditis and hip arthritis associated with Scedosporium inflatum.

    abstract::A 30-year-old man had endocarditis and hip arthritis associated with the recently recognized fungus, Scedosporium inflatum. Inhibition, and possibly cure, of endocarditis occurred with medical therapy alone. Data from in vitro susceptibility testing did not predict clinical response. This case also illustrates the nee...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199008000-00025

    authors: Toy EC,Rinaldi MG,Savitch CB,Leibovitch ER

    更新日期:1990-08-01 00:00:00

  • Influences on Primary Care Provider Imaging for a Hypothetical Patient with Low Back Pain.

    abstract:OBJECTIVE:How outside factors affect physician decision making remains an open question of vital importance. We sought to investigate the importance of various influences on physician decision making when clinical guidelines differ from patient preference. METHODS:An online survey asking 469 primary care providers (PC...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000901

    authors: Le HH,DeCamp M,Bertram A,Kale M,Berger Z

    更新日期:2018-12-01 00:00:00

  • Impact of Evidence-Based Guidelines on Outcomes of Hospitalized Patients With Clostridium difficile Infection.

    abstract:OBJECTIVES:Clostridium difficile infection (CDI) is the most common healthcare-associated infection in the United States. Clinical practice guidelines for the treatment of CDI were updated in 2010 by the Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America. An institutional guid...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000428

    authors: Knaus SJ,Saum L,Cochard E,Prichard W,Skinner B,Medas R

    更新日期:2016-03-01 00:00:00

  • Percutaneous transhepatic cholangiography to diagnose carcinoma of the ampulla of Vater.

    abstract::A case of carcinoma of the ampulla of Vater was diagnosed preoperatively by percutaneous transhepatic cholangiography using the Chiba needle. A dilated pancreatic duct is a radiologic sign diagnostic of early ampullary carcinoma. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197912000-00051

    authors: Ramakrishnan T

    更新日期:1979-12-01 00:00:00

  • Nodular fasciitis.

    abstract::Nodular fasciitis is a benign proliferation of fibroblasts and myofibroblasts in the subcutaneous tissues. The lesions are generally small and solitary, arising commonly in the upper extremities of adults and in the head and neck region of infants and children. A history of trauma may precede these reactive lesions, b...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199408000-00020

    authors: Zuber TJ,Finley JL

    更新日期:1994-08-01 00:00:00

  • Thyrotoxicosis manifested as mania.

    abstract::Clinicians should be on the alert for the possibility of underlying thyrotoxicosis in patients having an affective disturbance. An initial detailed medical history and complete physical examination is essential even in severely agitated, threatening patients. The danger of inappropriate diagnosis and treatment of thes...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198811000-00032

    authors: Regan WM

    更新日期:1988-11-01 00:00:00

  • Frequency of β-Blocker Use Following Exacerbations of COPD in Patients with Compelling Indication for Use.

    abstract:OBJECTIVE:To assess the current use of β-blockers in patients with compelling indications for use, following the acute exacerbation of chronic obstructive pulmonary disease (COPD). METHODS:We performed a multicenter retrospective observational study using data from all of the patients admitted to five institutions for...

    journal_title:Southern medical journal

    pub_type: 杂志文章,多中心研究

    doi:10.14423/SMJ.0000000000001038

    authors: Pinner N,Oliver W,Veasey T,Starr J,Eudaley S,Hutchison A,Wargo K

    更新日期:2019-11-01 00:00:00

  • Unicompartmental replacement for medial compartment gonarthrosis: preliminary report.

    abstract::Unicompartmental replacement using the Marmor prosthesis was done in 40 knees (37 patients) with medial compartment gonarthrosis. Of the 27 available for follow-up, results were considered excellent in 18 cases and good in seven, while two cases were considered failures. Meticulous removal of osteophytes by intercondy...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197906000-00013

    authors: Andrews JR,Regan TP

    更新日期:1979-06-01 00:00:00

  • Homozygous beta thalassemia in a black adult: follow-up after two decases.

    abstract::A 54-year-old woman, perhaps the oldest living American black with homozygous beta thalassemia, has had a relatively benign clinical course since her case was first reported two decades ago. Despite progressive splenomegaly, she has remained active without blood transfusions. This case emphasizes the mildness of homoz...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197609000-00041

    authors: Eichner ER

    更新日期:1976-09-01 00:00:00

  • Neonatal sepsis and meningitis due to alpha-hemolytic Streptococcus.

    abstract::We have reported a case of septicemia and meningitis due to alpha-hemolytic Streptococcus in a 5-day-old infant. The microbiologic and clinical characteristics of neonatal infection with this organism lead us to conclude that this bacterium can be pathogenic in the newborn and should not be dismissed as a contaminant....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198303000-00032

    authors: Fraser JJ Jr,Marks MI,Welch DF

    更新日期:1983-03-01 00:00:00

  • Inpatient rehabilitation centers and concern for increasing volume of ischemic stroke patients requiring rehabilitation.

    abstract:OBJECTIVES:To determine whether prolonged length of stay (pLOS) in ischemic stroke is related to delays in discharge disposition arrangement. METHODS:We designed a retrospective study to compare patients with acute ischemic stroke who experienced pLOS to those who did not experience pLOS. Patients who have had acute i...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0000000000000036

    authors: Siegler JE,Boehme AK,Fowler BD,George AJ,Monlezun DJ,Albright KC,Beasley TM,Martin-Schild S

    更新日期:2013-12-01 00:00:00

  • Acute Page kidney phenomenon: a cause of reversible renal allograft failure.

    abstract::We have reported a case of reversible acute renal transplant failure due to the Page kidney phenomenon, which followed routine diagnostic needle biopsy. Duplex Doppler ultrasonography differentiated between allograft rejection and graft failure due to perirenal and mechanical abnormalities. Renal transplant failure ma...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199305000-00019

    authors: Dempsey J,Gavant ML,Cowles SJ,Gaber AO

    更新日期:1993-05-01 00:00:00

  • Psychotropic drugs promoting weight gain: health risks and treatment implications.

    abstract::The use of psychotropic medication is often associated with weight gain. We provide documentation for this effect and review the mechanisms possibly responsible for it in the case of neuroleptic agents, lithium carbonate, monoamine oxidase inhibitors, and amitriptyline. We also enumerate the undesirable medical conseq...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198311000-00021

    authors: Rockwell WJ,Ellinwood EH Jr,Trader DW

    更新日期:1983-11-01 00:00:00

  • Personalized Reminders Increase Screening for Stroke Risk in Children with Sickle Cell Anemia.

    abstract:OBJECTIVES:Transcranial Doppler ultrasound (TCD) effectively identifies children with sickle cell anemia (SCA) who are at increased risk of stroke. We evaluated a low-cost quality improvement (QI) intervention to increase the proportion of children screened by TCD. METHODS:We measured the proportion of children with S...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.14423/SMJ.0000000000000517

    authors: Muntz DS,Bundy DG,Strouse JJ

    更新日期:2016-09-01 00:00:00

  • Anemia in general medical inpatients prolongs length of stay and increases 30-day unplanned readmission rate.

    abstract:OBJECTIVES:Anemia, either chronic or newly developed in the hospital as a result of underlying disease and/or phlebotomy, is seen commonly among general medical inpatients, and its impact on the quality and efficiency of care is unknown. METHODS:This study investigated the relation among hemoglobin level, length of st...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e318290f930

    authors: Lin RJ,Evans AT,Chused AE,Unterbrink ME

    更新日期:2013-05-01 00:00:00

  • Awareness and Knowledge Among Internal Medicine Resident Trainees for Dose Adjustment of Analgesics and Neuropsychotropic Medications in CKD.

    abstract:OBJECTIVES:Errors in drug dosing lead to poor patient outcomes and are common in patients with chronic kidney disease (CKD). Because the majority of patients with CKD are being treated by physicians specializing in internal medicine, we studied the awareness and knowledge that internal medicine resident trainees (IMRTs...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000781

    authors: Saad CY,Fogel J,Rubinstein S

    更新日期:2018-03-01 00:00:00

  • Spontaneous aortic rupture in a malignant schwannoma.

    abstract::We have described a case of malignant schwannoma (MS) originating from the posterior mediastinum with subsequent pathologic rupture of the thoracic aorta. The patient presented with acute retrosternal pain radiating to the back, and she died on the day of admission. Necropsy revealed a large hemothorax and a tumor mas...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198011000-00035

    authors: Bambirra EA,Miranda D

    更新日期:1980-11-01 00:00:00