Community-acquired pneumonia in the elderly: association of mortality with lack of fever and leukocytosis.

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

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

更新日期：2018-12-01 00:00:00

abstract：:Three foreign bodies were successfully removed from the upper gastrointestinal tract with a fiberoptic endoscope. They included a food bolus lodged above an esophageal stricture, a metallic nebulizer tip impacted in the mid-esophagus, and a spoon lodged in the stomach. A razor blade could not be removed from the duode...

journal_title：Southern medical journal

authors： Brady PG,Johnson WF

更新日期：1977-06-01 00:00:00

abstract：BACKGROUND:Cluster headache (CH), though not fully characterized until this century, is a relatively common primary headache disorder. METHODS:We reviewed pertinent literature on CH and related cephalalgias. RESULTS:We found that CH typically occurs in middle-aged men and has a characteristic cyclic temporal pattern....

journal_title：Southern medical journal

authors： Mendizabal JE,Umaña E,Zweifler RM

更新日期：1998-07-01 00:00:00

abstract：:Geographic variations in adverse health outcomes have long been recognized in the United States, with specific focus on the southeastern region of the country. Cerebrovascular disease mortality rates have identified the Southeast as the "stroke belt" for decades, though rates are also high for other hypertension-relat...

journal_title：Southern medical journal

authors： Lackland DT,Moore MA

更新日期：1997-02-01 00:00:00

abstract：OBJECTIVE:To perform a needs assessment to determine the extent to which hospitalist providers recognize and intervene upon obese patients in the hospital setting. METHODS:A chart review was performed for patients admitted to the hospitalist service at Johns Hopkins Bayview Medical Center between September 1 and Octob...

journal_title：Southern medical journal

authors： Howe EE,Wright SM,Landis R,Kisuule F

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Hyponatremia is a frequent condition in elderly patients. In diagnostic workup, a 24-hour urine sample is used to measure urinary osmolality and urinary sodium concentration necessary to confirm the diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). This study was undertake...

journal_title：Southern medical journal

authors： Holm EA,Bie P,Ottesen M,Ødum L,Jespersen B

更新日期：2009-04-01 00:00:00

abstract：:A 16-year-old white boy had nephrotic syndrome due to focal segmental glomerulosclerosis six months before the diagnosis of Hodgkin's disease was established. Peritoneal dialysis was necessary for volume control after one month of unsuccessful therapy with high doses of corticosteroids. Nephrosis remitted after two co...

journal_title：Southern medical journal

authors： Graham BL Jr,Rubin J,Files JC,Neal J

更新日期：1989-09-01 00:00:00

abstract：:We reviewed 76 cases of small cell bronchogenic carcinoma seen at the University of South Florida Medical Center. One third of the 55 patients who have subsequently died did so within one month of diagnosis. Thirty-five patients were treated with cyclophosphamide, adriamycin, vincristine, and radiation therapy includi...

journal_title：Southern medical journal

authors： Lyman GH,Hartmann RC,Saba HI,Preston D,Shukovsky L,Jensen R,Knight M

更新日期：1978-05-01 00:00:00

abstract：:Initial concern about the possible effects of global warming on infections has declined with the realization that the spread of tropical diseases is likely to be limited and controllable. However, the direct effects of heat already cause substantial numbers of deaths among vulnerable people in the summer. Action to pr...

journal_title：Southern medical journal

authors： Keatinge WR,Donaldson GC

更新日期：2004-11-01 00:00:00

abstract：:A patient had a tracheoesophageal fistula resulting from malignant histiocytoma. Surgical treatment included esophagectomy and repair of the left main-stem bronchus. Gastrointestinal continuity was restored by a right colon interposition after chemotherapy. ...

journal_title：Southern medical journal

authors： Kelly JP,Roper CL

更新日期：1984-09-01 00:00:00

abstract：:Survival of infants with necrotizing enterocolitis may be complicated by intestinal stricture(s) as a result of healing of ischemic segments of bowel. An asymptomatic cecal stenosis not visible on barium enema was identified at operation for reestablishment of intestinal continuity. Infants recovering from acute necro...

journal_title：Southern medical journal

authors： Woodard BH,Bradford WD,Filston HC

更新日期：1979-12-01 00:00:00

abstract：:One hundred sixty-two adolescents being seen for sick or well visits at two suburban private pediatric practices completed an anonymous, written questionnaire about drug habits. The respondents' ages ranged from 14 to 17 years; all were white and from middle-class or upper-middle-class families. The adolescents report...

journal_title：Southern medical journal

authors： Schwartz RH,Hayden GF

更新日期：1986-08-01 00:00:00

abstract：:Spontaneous bacterial peritonitis (SBP) is a common complication in patients with cirrhosis of the liver. The organisms most commonly involved in this infection are gram-negative bacteria like Escherichia coli and Klebsiella pneumoniae, and gram-positive bacteria like Streptococcus pneumoniae and Staphylococcus aureus...

journal_title：Southern medical journal

authors： Jammula P,Gupta R

更新日期：2002-10-01 00:00:00

abstract：:Coronary heart disease (CHD) is the leading cause of morbidity and mortality in patients more than 65 years old. Within this population, elevated cholesterol levels are prevalent and associated with increased risk of CHD. Despite increasing emphasis on lipid-lowering treatment in the elderly population, questions rema...

journal_title：Southern medical journal

authors： Dalal D,Robbins JA

更新日期：2002-11-01 00:00:00

abstract：BACKGROUND:Pneumonia is a leading infectious cause of morbidity and mortality in the United States. The Infectious Disease Society of America (IDSA) and American Thoracic Society (ATS) have published treatment guidelines for community-acquired pneumonia (CAP) based upon the site of acquisition and specific pathogen ris...

journal_title：Southern medical journal

authors： Fleming V,Buck B,Nix N,Kumar P,Southwood R

更新日期：2013-03-01 00:00:00

abstract：:We have presented an unusual case of CJD in which the magnetic resonance images obtained four months before death revealed high signal intensity in the caudate nuclei bilaterally. These findings correspond to severe involvement of this region at autopsy. This radiologic pattern has not generally been included in the d...

journal_title：Southern medical journal

authors： Pearl GS,Anderson RE

更新日期：1989-09-01 00:00:00

abstract：:Dysphagia is a commonly encountered patient complaint. The differential diagnosis for dysphagia is extensive. One long-recognized etiology of dysphagia is cervical osteophytosis. Degenerative joint disease, ankylosing spondylosis, and diffuse idiopathic skeletal hyperostosis (DISH) can all cause cervical osteophyte fo...

journal_title：Southern medical journal

authors： McGarrah PD,Teller D

更新日期：1997-08-01 00:00:00

abstract：:Catheter emboli are a significant risk to patient well-being. With a 49% complication rate for indwelling catheter emboli, the consensus is that these foreign bodies should be removed. Preferably, the emboli are removed by percutaneous extraction; however, if the emboli are in the heart or central vasculature and perc...

journal_title：Southern medical journal

authors： Roye GD,Breazeale EE,Byrnes JP,Rue LW 3rd

更新日期：1996-07-01 00:00:00

abstract：OBJECTIVE:Our study aimed to investigate the association between maternal-perceived psychological stress and fetal telomere length. METHODS:We recruited women in labor upon hospital delivery admission. Based on responses to the Perceived Stress Scale, we categorized participants as having "high," "normal," or "low" pe...

journal_title：Southern medical journal

authors： Salihu HM,King LM,Nwoga C,Paothong A,Pradhan A,Marty PJ,Daas R,Whiteman VE

更新日期：2016-12-01 00:00:00

abstract：:This review assessed the overall effectiveness of repeated treatments with botulinum toxin type A (BoNTA) across different conditions, as documented in the published literature. Forty-four original research articles reporting on 16 different conditions were identified that included data on the duration or efficacy of ...

journal_title：Southern medical journal

authors： Gordon MF,Barron R

更新日期：2006-08-01 00:00:00

abstract：:Blastomycosis is an endemic systemic fungal infection that usually involves the lungs and superficial skin. Although head and neck involvement has been reported in the literature, no previous cases of neck mass resulting from direct extension of a pulmonary lesion have been published. We encountered an immunocompetent...

journal_title：Southern medical journal

authors： Hoskere GV,Hubbs DT,Vasquez JE

更新日期：1998-10-01 00:00:00

abstract：:A case of brain stem infarction after chiropractic manipulation of the cervical spine is presented. Proposed mechanisms and sites of possible arterial injury are discussed. A diagnosis of vertebral artery occlusion was made using conventional brachial angiography. Digital intravenous angiography, a relatively new and ...

journal_title：Southern medical journal

authors： Braun IF,Pinto RS,De Filipp GJ,Lieberman A,Pasternack P,Zimmerman RD

更新日期：1983-12-01 00:00:00

abstract：:With the advent of ultrasonography, perinephric fluid collection can be easily diagnosed and confirmed by fine needle aspiration. In the past these cases sometimes went undiagnosed for several months. We did fine needle aspiration under the guidance of ultrasonography in 16 patients without complications. The aspirant...

journal_title：Southern medical journal

authors： Elyaderani MK,Moncman J

更新日期：1985-06-01 00:00:00

abstract：:Primary malignant melanoma of the oral cavity is uncommon. Four cases are presented. The average age is in the sixth decade. Early diagnosis is difficult and prognosis is generally poor. Efforts toward earlier detection and treatment are recommended. ...

journal_title：Southern medical journal

authors： Stromberg BV

更新日期：1980-02-01 00:00:00

abstract：:We have described a class 4 choledochal cyst in a 24-year-old black woman treated with choledochocystoduodenostomy. ...

journal_title：Southern medical journal

authors： Clark SJ,Shamblin JL Jr

更新日期：1986-05-01 00:00:00

abstract：:Even though epidural analgesia is effective and has advantages over conventional postoperative analgesia, it is also labor intensive, requiring 24-hour supervision by an anesthesiologist. In an effort to decrease the manpower requirements, some hospitals allow the nursing staff to administer epidural narcotics to adul...

journal_title：Southern medical journal

authors： Tobias JD,Oakes L,Austin BA

更新日期：1992-04-01 00:00:00

abstract：:Although d-penicillamine has a wide range of benefits in many clinical conditions, various side effects have also been reported and preclude its further use in certain patients. In this case, d-penicillamine-induced reversible airway obstruction developed, despite the "go slow--go low" regimen as suggested to reduce t...

journal_title：Southern medical journal

authors： Tanphaichitr K

更新日期：1980-06-01 00:00:00

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

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

abstract：:Sucralfate is an unabsorbed antiulcer drug that binds to gastrointestinal tissue and protects it from acid and pepsin. Twenty-two arthritic patients taking nonsteroidal anti-inflammatory drugs (NSAIDs) were given sucralfate concomitantly for two weeks in an attempt to lessen gastrointestinal side effects. Changes from...

journal_title：Southern medical journal

authors： Caldwell JR

更新日期：1985-08-01 00:00:00

abstract：:An increased risk of skin and lymphoreticular malignancies is well documented in renal transplant patients receiving long-term immunosuppressive therapy, but squamous cell carcinoma of the esophagus is rare. We have reported the first case in the English literature in which there is a strong association between long-t...

journal_title：Southern medical journal

authors： Scobey MW,Kerr BJ,Geisinger KR,Hamilton RW,Richter JE

更新日期：1987-12-01 00:00:00