Normal sinus heart rate: appropriate rate thresholds for sinus tachycardia and bradycardia.

abstract：:A technic of combined split-thickness and full-thickness skin grafts and local flap closure for extensive deep cicatricial neck contractures is presented. The head and neck are mobilized by excision of limiting tissues. The lateral neck skin is mobilized to be rotated anteriorly as flaps, and a full-thickness skin gra...

journal_title：Southern medical journal

authors： Vandeput JJ,Tanner JC,Lewis JR

更新日期：1976-06-01 00:00:00

abstract：:A unique case of Sheehan's syndrome is characterized by deficiencies of growth hormone, prolactin, thyrotropin, and ACTH. Clinically, it was manifested by adrenal and thyroid insufficiency with regular cyclical menses. Normal menstrual cycles do not preclude extensive hypothalamic-pituitary destruction. ...

journal_title：Southern medical journal

authors： Westbrock DA,Srivastava LS,Knowles HC Jr

更新日期：1983-08-01 00:00:00

abstract：:The results of radiation therapy of 79 patients with early carcinoma of the vocal cord are reported. Nine (13%) of the 69 patients with stage I disease had local recurrence, and two (20%) of the ten patients with stage II disease had local recurrence without local node metastasis. Subsequent control of radiation failu...

journal_title：Southern medical journal

authors： Kim RY,Fincher JA,Roth RE

更新日期：1979-01-01 00:00:00

abstract：OBJECTIVES:Immunochromatographic urine pneumococcal antigen testing (ICT) has become a common diagnostic tool for those presenting with possible invasive pneumococcal disease. The incidence and clinical impact of ICT false-positivity on hospitalized patients has not been assessed outside of specific patient subpopulati...

journal_title：Southern medical journal

authors： Ryscavage PA,Noskin GA,Bobb A,Bardowski L,Zembower TR

更新日期：2011-08-01 00:00:00

abstract：:This article summarizes the research base, probable mechanism of actions, and clinical applications of acupuncture. It offers the clinician a deeper understanding of appropriate conditions for which acupuncture may be useful, outlines how to integrate acupuncture into a clinical practice, and describes referral and tr...

journal_title：Southern medical journal

authors： Sierpina VS,Frenkel MA

更新日期：2005-03-01 00:00:00

abstract：:In 32 patients with the onset of myasthenia gravis after age 50, myasthenic crisis occurred in 53% and persisted for a mean of 33 days (range six to 84 days). Three of the patients had a second crisis. Precipitating factors were found in 60% of the episodes. Treatment of 20 episodes of crisis resulted in excellent rec...

journal_title：Southern medical journal

authors： Sellman MS,Mayer RF

更新日期：1985-10-01 00:00:00

abstract：:Hearing and/or balance disorders are symptoms that may be associated with tumors of the cerebellopontine angle (CPA). Between March 1988 and May 1995, 22 patients had diagnosis or evaluation of CPA tumors at Cleveland Clinic Florida. The most common presenting signs or symptoms included unilateral low-frequency tinnit...

journal_title：Southern medical journal

authors： Astor FC,Lechtenberg CL,Banks RD,Hanft KL,Hanson MR,Salanga VD,DeSai MB

更新日期：1997-05-01 00:00:00

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：:Optimal antimicrobial therapy for viridans streptococcal endocarditis remains controversial. Rifampin was bactericidal at less than 0.2 micrograms/ml for ten strains of viridans streptococci isolated from patients with endocarditis. Administration of rifampin to one endocarditis patient already receiving penicillin an...

journal_title：Southern medical journal

authors： Stamm AM,Phillips EK

更新日期：1983-08-01 00:00:00

abstract：BACKGROUND:Although studies have identified physician beliefs that may cause them to avoid spiritual topics in the clinic (eg, lack of time), it is unknown to what extent these beliefs predict behavior. The purpose of the present study was to identify physician beliefs about religion and medicine that predict attention...

journal_title：Southern medical journal

authors： Chibnall JT,Brooks CA

更新日期：2001-04-01 00:00:00

abstract：:We have reported a case of benign papillary mesothelioma of the peritoneum found incidentally during surgical exploration in a patient with rectal carcinoma. Clinicians and pathologists alike may find it difficult to differentiate this uncommon lesion from metastatic tumors. ...

journal_title：Southern medical journal

authors： Tzanakakis G,McCully KS,Vezeridis MP

更新日期：1989-12-01 00:00:00

abstract：:Sarcoidosis is a multisystem disorder of unknown cause, characterized pathologically by noncaseating granulomas. It is more commonly seen in younger adults and African Americans. Myocardial involvement occurs in at least 25% of patients with sarcoidosis and is associated with poor prognosis. In spite of recent advance...

journal_title：Southern medical journal

authors： Ruiz-Arango A,Sharma GK

更新日期：2008-10-01 00:00:00

abstract：:A review of the available clinical and pathologic information suggests that the biologic behavior of prostatic carcinoma can be characterized by one of three different tumor-growth kinetic curves. Failure to identify the biologic potential of the tumor, as indicated by the pattern of its growth curve, can result in in...

journal_title：Southern medical journal

authors： Johnson DE,von Eschenbach AC

更新日期：1980-10-01 00:00:00

abstract：:Anticonvulsant hypersensitivity syndrome (AHS) is a potentially life-threatening adverse drug reaction presenting with fever, skin eruptions, and internal organ involvement. We describe a case of AHS with fulminant hepatitis that occurred two weeks after introduction of lamotrigine in a 40-year-old female patient with...

journal_title：Southern medical journal

authors： Ouellet G,Tremblay L,Marleau D

更新日期：2009-01-01 00:00:00

abstract：:This paper briefly reviews the available evidence for the influence of environmental and occupational factors in the development of cancer of the larynx. Although several occupational exposures have been suggested to play a role in the etiology of this disease, few have been convincingly confirmed. The strong associat...

journal_title：Southern medical journal

authors： Cowles SR

更新日期：1983-07-01 00:00:00

abstract：:Prognosis of angiosarcoma, the most common primary malignant cardiac tumor, is very poor. An early detection and treatment may extend survival beyond one year. Newer imaging modalities, including magnetic resonance imaging (MRI), play an important role in the evaluation of cardiac masses. The case of a man admitted to...

journal_title：Southern medical journal

authors： Vautrin E,Barone-Rochette G,Thony F,Lantuejoul S,Towie DH,Bach V,Baguet JP

更新日期：2010-10-01 00:00:00

abstract：:We have described massive intermittent intestinal hemorrhage due to a vascular anomaly in an ileal duplication cyst in a 30-year-old man. This unusual case illustrates that these lesions disguise themselves symptomatically and must be considered in the differential diagnosis of gastrointestinal bleeding. ...

journal_title：Southern medical journal

authors： Salameh RN,Hausner RJ,Thomas SJ,Johnson CD

更新日期：1984-12-01 00:00:00

abstract：:To show the usefulness of the Society of Thoracic Surgeons (STS) National Database in providing clinical and cost-related outcome data, we studied 297 consecutive patients who had isolated coronary artery bypass grafting (CABG) and who were assigned to either a "fast track" or traditional track. The observed overall m...

journal_title：Southern medical journal

authors： Nikas DJ,Freeman JE,Luterman AR,Warnken LC,Nenstiel RD,Farrell M,Alpert MA

更新日期：1996-11-01 00:00:00

abstract：:A "life stress" scale is applied to the antecedent events motivating 179 patients to seek outpatient psychiatric help. Intake evaluation reports of patients who kept their appointments at the Adult Psychiatric Outpatient Clinic of Vanderbilt University Hospital over a three-month period were reviewed. Almost half of t...

journal_title：Southern medical journal

authors： Corney RT,Roback HB

更新日期：1976-02-01 00:00:00

abstract：OBJECTIVES:The objective of this study was to assess the cardiovascular health status of baby boomers with diabetes mellitus (DM) in comparison to the same-age population with DM 10 years previously. METHODS:The study was conducted in baby boomers with DM using data from the National Health and Nutrition Examination S...

journal_title：Southern medical journal

authors： King DE,Xiang J,Kulshreshtha A

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:A significant percentage of high school students participate in athletics, and of those participating, at least one third will experience a sport-related injury. Despite the high risk of injury, there are few guidelines on what type of medical coverage should be provided for high school athletics. Although v...

journal_title：Southern medical journal

authors： Aukerman DF,Aukerman MM,Browning D

更新日期：2006-02-01 00:00:00

abstract：:Cobalamin (vitamin B12) deficiency warrants appropriate evaluation because cobalamin is necessary in certain biochemical functions. R-binder deficiency, which causes low cobalamin levels, is a rare and benign pseudodeficiency. If not further evaluated by determining levels of methylmalonic acid and homocysteine, howev...

journal_title：Southern medical journal

authors： Adcock BB,McKnight JT

更新日期：2002-09-01 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：OBJECTIVES:Hematological malignancies of the breast share a presentation similar to primary breast carcinomas but differ substantially in therapeutic approach and clinical outcomes. In this study, we investigate the frequency of hematological malignancies, their relative primary and secondary occurrences, and further c...

journal_title：Southern medical journal

authors： Alsadi A,Lin D,Alnajar H,Brickman A,Martyn C,Gattuso P

更新日期：2017-10-01 00:00:00

abstract：:Results of treating 238 transverse, longitudinal, and osteochondral fractures of the patella are reviewed. Of these, 89 patients had partial patellectomy and extensor mechanism reconstruction. After an average follow-up of four years, functional results have been excellent; there have been no late patellectomies and t...

journal_title：Southern medical journal

authors： Andrews JR,Hughston JC

更新日期：1977-07-01 00:00:00

abstract：:Coronary artery spasm can occur in the presence of excessive alpha-adrenergic tone. A decrease in protective coronary vasodilator substance and enhanced alpha-adrenergic responsiveness, which occurs in the setting of hypothroidism and beta blockade, predisposes to coronary artery spasm. The case presented supports the...

journal_title：Southern medical journal

authors： Schoolmeester WL,Jackman WM

更新日期：1979-07-01 00:00:00

abstract：BACKGROUND:The aim of this study was to determine the prevalence of impairments relevant to upper extremity following breast cancer surgery and its impact on disability and health-related quality of life. METHODS:Sixty-seven female patients being treated with modified radical mastectomy or breast conserving surgery we...

journal_title：Southern medical journal

authors： Kaya T,Karatepe AG,Günaydn R,Yetiş H,Uslu A

更新日期：2010-01-01 00:00:00

abstract：:We evaluated 100 primary care outpatients for signs of cognitive impairment using the Mini-Mental State Examination (MMSE). The 23 subjects scoring abnormal values (less than 24/30) were found to be cognitively impaired. Seventeen had previously undetected cognitive impairment, while six had prior diagnoses consistent...

journal_title：Southern medical journal

authors： Goldschmidt TJ,Mallin R,Still CN

更新日期：1983-10-01 00:00:00

abstract：OBJECTIVES:To assess the efficacy of laparoscopic Nissen fundoplication for esophageal reflux in a community hospital. METHODS:One hundred nineteen patients (76%) of 157 patients having laparoscopic fundoplication for symptomatic reflux disease completed a questionnaire. All patients were evaluated with esophagoscopy,...

journal_title：Southern medical journal

authors： Tucker LE,Blatt C,Richardson NL,Richardson DT,Cassat JD,Riechers TB

更新日期：2005-04-01 00:00:00

abstract：OBJECTIVES:In 2014, 726 bicyclists were killed and an additional 50,000 were injured in crashes with motor vehicles. The number of cyclists in the United States is increasing, and as a result there has been a call for more bike lanes. We examined the difference in the severity of injury of bicyclists involved in motor ...

journal_title：Southern medical journal

authors： Helak K,Jehle D,McNabb D,Battisti A,Sanford S,Lark MC

更新日期：2017-07-01 00:00:00