Recognition of cognitive impairment in primary care outpatients.

abstract：:Obsessive-compulsive disorder (OCD) is an intriguing, difficult problem characterized by anxiety-producing intrusive thoughts and performance of anxiety-reducing rituals. Current evidence suggests that OCD may be associated with dysregulation of serotonin and dopamine neurotransmission. Numerous early studies involvin...

journal_title：Southern medical journal

authors： Jackson CW,Morton WA,Lydiard RB

更新日期：1994-03-01 00:00:00

abstract：OBJECTIVES:Pulmonary arterial hypertension (PAH) is a progressive disease that can be treated with several medications. Macitentan, an endothelin receptor antagonist (ERA), has received approval as a PAH therapy. We report our data regarding the tolerability in patients with PAH who were switched from bosentan to macit...

journal_title：Southern medical journal

authors： Safdar Z,Thakur A,Frost A

更新日期：2017-03-01 00:00:00

abstract：:This report describes a 42-year-old man with Brugada syndrome (BRS) mimicking acute coronary syndrome. Chest pain, near-syncope, and electrocardiographic changes were thought initially to be due to ischemia. Cardiac catheterization was performed. The coronary arteries and left ventricular function were normal. Careful...

journal_title：Southern medical journal

authors： Yousef SE,Herre JM

更新日期：2005-08-01 00:00:00

abstract：:Three neonates with gram-negative bacillary meningitis were treated with moxalactam after therapy with ampicillin plus aminoglycoside, trimethoprim-sulfamethoxazole, or chloramphenicol failed to sterilize the CSF. Clinical improvement and CSF sterility occurred after therapy with moxalactam was initiated. Moxalactam c...

journal_title：Southern medical journal

authors： Ramos OM,Kaplan SL,Mason EO Jr,Denson S,Pickering LK

更新日期：1982-05-01 00:00:00

abstract：:Kleptomania, a disorder of impulse control in which the patients feel a compelling urge to steal objects of no value to them, has long been considered a disorder related in some fashion to sexual impulses. Recent advances in the clinical understanding of human sexual functioning have not been accompanied by an effort ...

journal_title：Southern medical journal

authors： Turnbull JM

更新日期：1987-08-01 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：:We describe two patients who had tuberculomas that were initially misdiagnosed as neurosarcoidosis, leading to prolonged steroid therapy before initiation of antituberculous medications. Neither patient was infected with the human immunodeficiency virus, and one of the patients had a negative tuberculosis skin test. ...

journal_title：Southern medical journal

authors： Cortez K,Kottilil S,Mermel LA

更新日期：2003-05-01 00:00:00

abstract：:Reported is the fifth known case of Addison's disease due to adrenal involvement by North American blastomycosis (Blastomyces dermatitidis infection). The fact that amphotericin B therapy precipitated an addisonian crisis suggests that patients with disseminated blastomycosis should have their adrenal function and res...

journal_title：Southern medical journal

authors： Chandler PT

更新日期：1977-07-01 00:00:00

abstract：:Thirty-three anterior staple capsulorrhaphies of the shoulder were reviewed at an average 49.7 months postoperatively (range 12 to 127 months); one postoperative dislocation occurred. The patients' quality of athletic participation improved with surgical therapy in 50%, remained the same in 38%, and was lowered in 12%...

journal_title：Southern medical journal

authors： Ward WG,Bassett FH 3rd,Garrett WE Jr

更新日期：1990-05-01 00:00:00

abstract：:Gastrointestinal side effects from nonsteroidal anti-inflammatory drugs (NSAIDs) result mainly from inhibition of the enzyme cyclooxygenase (COX)-1; it is responsible for the synthesis of prostaglandin E2, which leads to increased mucosal blood flow, increased bicarbonate secretion, and mucus production, thus protecti...

journal_title：Southern medical journal

authors： Linder JD,Mönkemüller KE,Davis JV,Wilcox CM

更新日期：2000-09-01 00:00:00

abstract：:As residency programs adapt to the need to promote primary care, the importance of quantitating qualitative issues increases. In this study, a questionnaire based on reported residency stressors was answered by 238 internal medicine residents. The Profile of Mood States (POMS) was also completed by 64. Factor analysis...

journal_title：Southern medical journal

authors： Seelig CB,DuPre CT,Adelman HM

更新日期：1995-07-01 00:00:00

abstract：:Patients with non-insulin-dependent diabetes mellitus (NIDDM) failing to respond to therapy with a maximum dose of glyburide (GB) or glipizide (GZ) are often given a trial of the alternate second-generation sulfonylurea (SGS) before insulin therapy is considered. The efficacy of this therapeutic maneuver has not been ...

journal_title：Southern medical journal

authors： Simcic KJ,McDermott MT,White JC,Kidd GS

更新日期：1991-06-01 00:00:00

abstract：:Whipple disease (WD) is a rare disease caused by Tropheryma whipplei. The classic profile of the patient is that of a middle-aged man presenting with fever, chronic diarrhea, and arthralgias. Extragastrointestinal manifestations are not rare. A high degree of clinical suspicion for the disease is needed in atypical ca...

journal_title：Southern medical journal

authors： Basagiannis CS,Panagoulias GS,Tentolouris N,Basoukeas S,Sambaziotis D,Ladas SD

更新日期：2010-04-01 00:00:00

abstract：:Pulmonary arterial hypertension (PAH), a rare disease involving the pulmonary vascular circuit, is defined as an elevation in pulmonary arterial pressures and is characterized by symptoms of dyspnea, chest pain, and syncope. If left untreated, the disease carries a high mortality rate, with the most common cause of de...

journal_title：Southern medical journal

authors： LaRaia AV,Waxman AB

更新日期：2007-04-01 00:00:00

abstract：:Sixteen patients with spinal epidural compression by metastatic small-cell lung cancer were given radiotherapy for palliation. Lower limb motor deficit was the most prominent clinical manifestation. Neurologic dysfunction was commonly present for more than 48 hours before the diagnosis of compression. Median interval ...

journal_title：Southern medical journal

authors： Ampil FL,Abreo F

更新日期：1992-03-01 00:00:00

abstract：:We retrospectively reviewed 20 surgically confirmed tubo-ovarian abscesses in postmenopausal women for the period 1973 to 1989. Pain and bleeding were the two most common presenting symptoms. Nine of the 20 patients (45%) had recently had endometrial instrumentation. Fever and the presence of a pelvic mass and elevate...

journal_title：Southern medical journal

authors： Lipscomb GH,Ling FW

更新日期：1992-07-01 00:00:00

abstract：:We have described a 38-year-old woman with a lesion of the cervix found on routine physical examination. The lesion proved to be a primary leiomyosarcoma of the cervix. Despite radiation therapy, surgery, and chemotherapy, the tumor recurred and grew relentlessly. She is alive with disease at two years seven months af...

journal_title：Southern medical journal

authors： Jawalekar KS,Zacharopoulou M,McCaffrey RM

更新日期：1981-04-01 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：:Considerable controversy exists with regard to therapeutic efficacy of plasmapheresis in the immune-mediated demyelinating disorders of the peripheral and central nervous system: acute inflammatory polyneuropathy (Guillain-Barré syndrome), chronic inflammatory demyelinating polyneuropathy, and multiple sclerosis. In a...

journal_title：Southern medical journal

authors： Tindall RS,Rollins JA

更新日期：1986-08-01 00:00:00

abstract：BACKGROUND:Psychiatric emergency room (ER) patients are thought to be at increased risk of suicide. The prevalence and characteristics of suicidal behavior in a recent sample of patients who came to the ER for psychiatric evaluation were examined. METHODS:Charts of 311 consecutive psychiatric ER patients were reviewed...

journal_title：Southern medical journal

authors： Dhossche DM

更新日期：2000-03-01 00:00:00

abstract：:In 1979 more than 54% of women with children less than 18 years old were in the labor force. The purpose of this study was to study the attitudes of pediatricians toward maternal employment and substitute child care arrangements. To survey their attitudes toward maternal employment and substitute child care, we sent a...

journal_title：Southern medical journal

authors： Sinal SH,Herndon A

更新日期：1984-06-01 00:00:00

abstract：:We have reported two cases involving bacteremic patients who failed to respond adequately to the investigational agent daptomycin. Despite apparent sensitivity of the organisms, therapy was unsuccessful in both patients using the recommended dosage. The sponsor of daptomycin is currently reevaluating the recommendatio...

journal_title：Southern medical journal

authors： Garrison MW,Rotschafer JC,Crossley KB

更新日期：1989-11-01 00:00:00

abstract：:Prednisone therapy induced prompt clinical remission in a 38-year-old woman with hypereosinophilic vasculitis. Smoldering vasculitis accounts for the 38% fatality rate in treated patients with the Churg-Strauss syndrome. Complete suppression of the peripheral hypereosinophilia will reflect the efficacy of therapy more...

journal_title：Southern medical journal

authors： Gilbert GJ

更新日期：1987-02-01 00:00:00

abstract：OBJECTIVES:People living with human immunodeficiency virus (HIV) have an increased risk of other infections, including viral hepatitis, which can complicate the treatment and progression of the disease. We sought to characterize Alabama cases of HIV co-infected with hepatitis C virus or hepatitis B virus. METHODS:Usin...

journal_title：Southern medical journal

authors： Siza C,Bixler D,Davidson S

更新日期：2020-06-01 00:00:00

abstract：:We reviewed the records of 100 consecutive patients who had gastroscopy. All endoscopic work was done by our four-man surgical group. Roentgenographic and endoscopic diagnoses are compared with reference to degree of accuracy. The expanded uses of gastroscopy in surgical practice are illustrated and a plea is made for...

journal_title：Southern medical journal

authors： Futch CB,Jennings ER,Egan RW,Addison BA

更新日期：1978-02-01 00:00:00

abstract：:Sepsis due to Pseudomonas aeruginosa continues to be an important source of morbidity and mortality in hospitalized patients. Early recognition of this condition is of paramount importance in choosing specific therapy at the earliest possible moment. We present three cases in which P aeruginosa bacteremia was manifest...

journal_title：Southern medical journal

authors： Campo RE,Ratzan KR,Melnick SJ

更新日期：1994-02-01 00:00:00

abstract：:The range of procedures now routinely done through the laparoscope has continued to expand due to improved equipment for insufflation, hemostasis, and tissue manipulation, and to imaginative approaches to otherwise "routine" gynecologic problems traditionally treated by laparotomy. As with all new technologies, advoca...

journal_title：Southern medical journal

authors： Wagner J,Droesch J,Mann WJ

更新日期：1993-06-01 00:00:00

abstract：:From our retrospective review of 30 patients having hepatic resection, we have made the following conclusions: (1) Hepatic resection is an uncommon procedure. (2) The majority of liver injuries require only drainage or suture ligation and drainage. (3) Midline incision, early arterial occlusion, and resectional debrid...

journal_title：Southern medical journal

authors： Lang NP,Westbrook KC,Read RC

更新日期：1981-06-01 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：: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

authors： Haigh C,Dewar JC

更新日期：2006-01-01 00:00:00