Current status and future role of health screening.

Abstract:

:To date, screening has largely failed to fulfill the hope that early detection would lead to more effective early treatment and to improved health status in the population served. The future role of screening can be much more positive but only if (1) screening is directed only at diseases and conditions for which early intervention has proven benefits; (2) valid screening methods are developed and used; (3) screening is done in settings in which diagnosis and treatment are assured; and (4) there is continuing scientific evaluation of the benefits and costs of screening.

journal_name

South Med J

journal_title

Southern medical journal

authors

North AF Jr

subject

Has Abstract

pub_date

1977-10-01 00:00:00

pages

1232-6

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

70

pub_type

杂志文章
  • Diabetes insipidus in pregnancy treated with desmopressin acetate.

    abstract::We have presented a case of pregnancy complicated by diabetes insipidus. Treatment with desmopressin acetate (DDAVP) appropriately managed the DI, and was not associated with a worsening of the condition as pregnancy progressed. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198706000-00026

    authors: Diamond MP,Shah DM

    更新日期:1987-06-01 00:00:00

  • Detecting ductal shunting in premature infants by range-gated Doppler echocardiography.

    abstract::Range-gated pulsed Doppler echocardiography has been reported to be a useful noninvasive bedside technic for detecting ductal left-to-right shunting in premature infants. We studied 30 premature infants with a birth weight of less than 1,500 gm, using a 5 MHz system developed by Advanced Technology Laboratories. An um...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198109000-00023

    authors: Rees A,Elbl F,Solinger R,Gattinella J,Lambert L,Cook L

    更新日期:1981-09-01 00:00:00

  • Prediction of Functional Limitations in Balance after Tests of Tandem Walking and Standing Balance in Older Adults.

    abstract:OBJECTIVE:Older adults who may not complain of balance problems may nevertheless be developing subtle balance problems that may affect future functioning. This study sought to determine whether subtle problems could be predicted by standard balance testing. METHODS:At the geriatric medicine clinic at an academic terti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001138

    authors: Cohen HS,Sangi-Haghpeykar H,Williams SP

    更新日期:2020-09-01 00:00:00

  • Ruptured right atrium from nonpenetrating trauma of the chest.

    abstract::As with our case, patients with rupture of the atrium may survive untreated for prolonged periods. Although three survivors have been reported after rupture of the right or left ventricle, ventricular injuries are usually fatal. With improvements in transportation methods, rapid recognition and diagnosis, and early op...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198604000-00027

    authors: Tobin HM,Hiratzka LF,Vargish T

    更新日期:1986-04-01 00:00:00

  • Epidemiology of nontyphoidal salmonellae at a tertiary care center in northeast Florida.

    abstract::Nontyphoidal salmonellae (NTS) are often isolated from stool specimens of individuals having evaluation of gastroenteritis. The significance of isolation of NTS in a stool specimen from previously healthy individuals with gastroenteritis is not clear. The purpose of this study was to determine which serotypes were bei...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199508000-00009

    authors: Rathore MH,Jenkins SG,Williams E

    更新日期:1995-08-01 00:00:00

  • Oxidative stress in diabetic macrovascular disease: does homocysteine play a role?

    abstract:BACKGROUND:Non-insulin-dependent diabetes mellitus (NIDDM) and hyperhomocysteinemia are both associated with increased lipid peroxidation (oxidative stress). This may contribute to the accelerated vascular disease associated with these conditions. It is not known whether the coexistence of elevated homocysteine levels ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199709000-00008

    authors: Fonseca VA,Stone A,Munshi M,Baliga BS,Aljada A,Thusu K,Fink L,Dandona P

    更新日期:1997-09-01 00:00:00

  • Patients' Perceptions of the Role of Physicians in Questioning and Educating in Firearms Safety: Post-FOPA Repeal Era.

    abstract:OBJECTIVES:In this study, we determined patients' attitudes toward discussing firearms and issues of firearms safety with emergency department physicians. We assessed whether patients feel discriminated against should physicians discuss firearms safety, and whether they believed that physician counseling may change how...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000915

    authors: Boge LA,Dos Santos C,Burkholder JD,Koschel BR,Cubeddu LX,Farcy DA

    更新日期:2019-01-01 00:00:00

  • Prevalence of non-group-A beta-hemolytic streptococci in childhood pharyngitis.

    abstract::We studied the prevalence of non-group-A beta-hemolytic streptococci (NGAS) in the pharyngeal cultures of symptomatic and asymptomatic children. Throat cultures were obtained by house officers in the Emergency Department at Children's Hospital of Pittsburgh to aid in the evaluation of children with symptoms or signs o...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198803000-00011

    authors: Hofkosh D,Wald ER,Chiponis DM

    更新日期:1988-03-01 00:00:00

  • Adrenal incidentalomas: adrenal hemangioma in a patient with congenital adrenal hyperplasia.

    abstract::We describe a case of an adrenal incidentalomas in the setting of congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. The adrenal mass was shown to be a cavernous hemangioma. Such neoplasms are rare but have the risk of retroperitoneal hemorrhage and may be difficult to differentiate from malignant ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Pignatelli D,Vendeira P,Cabral AC

    更新日期:1998-08-01 00:00:00

  • Illusional tarsometatarsal synostosis.

    abstract::Two cases are reviewed which presented findings strongly suggesting congenital synostosis between the third metatarsal and third cuneiform bones. Supplementary x-ray films proved these joints to be present and intact. This point, though well known to skeletal radiologists, is worthy of emphasis to nonskeletal radiolog...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Gutman E

    更新日期:1981-01-01 00:00:00

  • Barrett's esophagus: a multifaceted condition.

    abstract::Five patients with Barrett's esophagus, each with a differing presentation, serve as the basis of this report. Hiatal hernia is noted to be frequently present in Barrett's esophagus, and the incidence of adenocarcinoma is thought to be distinctly increased. The condition is easily diagnosed by fiberoptic endoscopy and...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Burke EL,Mullen JT

    更新日期:1976-03-01 00:00:00

  • Pulmonary arterial hypertension: evaluation and management.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e31802f2ff1

    authors: LaRaia AV,Waxman AB

    更新日期:2007-04-01 00:00:00

  • Developing and Piloting a Tool to Identify Food Insecurity in Older Adults.

    abstract:OBJECTIVE:The literature shows that food insecurity (FI) can negatively affect the trajectory of many chronic illnesses. FI can be acutely severe for older adults, but screening for FI is not regularly performed in the hospital setting. Our goal was to develop a tool to screen for FI upon hospital discharge to identify...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001007

    authors: King A,Roofeh R,Nouryan C,Zhang M,Carney MT

    更新日期:2019-08-01 00:00:00

  • The history of lupus erythematosus.

    abstract::This article explores the history of lupus erythematosus from the origins of the name to the most modern therapeutic advances. The review includes information about the origin of the name "lupus," the first clear description of the skin lesions, the discovery of the systemic and discoid forms, and further advances whi...

    journal_title:Southern medical journal

    pub_type: 历史文章,杂志文章

    doi:10.1097/SMJ.0b013e318073c9eb

    authors: Mallavarapu RK,Grimsley EW

    更新日期:2007-09-01 00:00:00

  • Role of biological agents in immune-mediated inflammatory diseases.

    abstract::A new era in the treatment of immune-mediated inflammatory disorders has begun with the clinical availability of anticytokine therapy. Biological agents that are currently available include 3 agents that decrease the activity of tumor necrosis factor-alpha (infliximab, adalimumab, etanercept) and an interleukin-1 rece...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000153119.37032.8B

    authors: Efthimiou P,Markenson JA

    更新日期:2005-02-01 00:00:00

  • Total hip arthroplasty: review of long-term results in 185 cases.

    abstract::Review of 185 consecutive Muller total hip arthroplasties five to nine years after operation showed that 14 patients had died and that three deaths were directly related to the surgery. Of these, 37 patients (54 hips) could not be located and were excluded. Another patient, nonambulatory for an unrelated cause, was al...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Dunn AW

    更新日期:1982-08-01 00:00:00

  • Attempted self-administration of electroconvulsive therapy.

    abstract::Rarely, a misguided or delusional patient will attempt to self-administer a relatively more invasive form of medical or surgical treatment. I believe this report to be the first described case of an attempt to self-administer ECT. A patient with schizoaffective disorder reported benefits from regularly applied electri...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198908000-00036

    authors: Bishop LC

    更新日期:1989-08-01 00:00:00

  • Age-Related Macular Degeneration and Coronary Artery Disease in a VA Population.

    abstract:OBJECTIVES:Age-related macular degeneration (AMD) is the leading cause of blindness in the United States. Although AMD shares multiple risk factors with coronary artery disease (CAD), the association between AMD and CAD has not been established. The objective of our study was to demonstrate an association between the d...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000329

    authors: Thomas J,Mohammad S,Charnigo R,Baffi J,Abdel-Latif A,Ziada KM

    更新日期:2015-08-01 00:00:00

  • Compliance with doxycycline therapy for outpatient treatment of pelvic inflammatory disease.

    abstract::Women discharged from a municipal emergency department with the diagnosis of pelvic inflammatory disease were surveyed by telephone about their compliance with a standard 10-day regimen of doxycycline. Of the 386 women who completed the survey, 31% reported complete compliance; 28% reported that they did not fill thei...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199411000-00006

    authors: Brookoff D

    更新日期:1994-11-01 00:00:00

  • Insulin resistance syndrome: options for treatment.

    abstract:BACKGROUND:Insulin resistance is characterized by impaired responsiveness to endogenous or exogenous insulin. Loss of responsiveness is associated with a "clustering" of cardiovascular risk factors that includes abdominal obesity, hypertension, dyslipidemia, glucose intolerance, and hyperinsulinemia; this association i...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199901000-00002

    authors: Granberry MC,Fonseca VA

    更新日期:1999-01-01 00:00:00

  • How common are various causes of dizziness? A critical review.

    abstract:BACKGROUND:Although dizziness is a common symptom in both primary care and referral practices, the relative frequency of various causes has not been well delineated. METHODS:A MEDLINE search identified 12 articles containing original data on the etiology of dizziness in consecutive patients. Study sites included prima...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Kroenke K,Hoffman RM,Einstadter D

    更新日期:2000-02-01 00:00:00

  • Laparoscopic Nissen fundoplication in a community hospital: patient satisfaction survey.

    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

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000146585.51335.76

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

    更新日期:2005-04-01 00:00:00

  • Occupational lead intoxication: report of four cases.

    abstract::We discuss the cases of four immigrant workers in whom lead intoxication developed via inhalation while they were cutting steel beams removed from a dismantled bridge. They all had toxic lead levels with symptoms and received chelation therapy; the therapy was followed by a decrease in blood lead levels. Rebound incre...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199407000-00003

    authors: Grimsley EW,Adams-Mount L

    更新日期:1994-07-01 00:00:00

  • Chronic calcific pancreatitis with pancreatic duct lithiasis due to stenosing papillitis.

    abstract::We have described a case of chronic pancreatitis due to stenosing papillitis relieved by sphincteroplasty and removal of pancreatic duct stones, as opposed to a major pancreatic resection. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198310000-00033

    authors: Sutherland CM,Muchmore JH,Browder IW,Vega PJ

    更新日期:1983-10-01 00:00:00

  • Treatment decisions in "white coat" hypertension: do we need the whole 24 hours?

    abstract::Twenty-four hour ambulatory blood pressure monitoring (24BP) is an emerging technology used to further evaluate elevated blood pressure readings obtained during office visits. We wondered whether a less costly approach than 24BP would lead clinicians to similar treatment decisions. Eleven faculty general internists se...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199006000-00003

    authors: Rucker L,Mabourakh S,Onishi R

    更新日期:1990-06-01 00:00:00

  • Common ENT disorders.

    abstract:OBJECTIVE:To provide a succinct and updated discussion on common ear, nose, and throat (ENT) disorders encountered by primary care physicians. METHODS:Review of recent and pertinent literature. RESULTS:Recent data was identified via a PubMed search as well as commonly utilized texts in otolaryngology. DISCUSSION:Whi...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000233214.49561.c1

    authors: Emerick KS,Deschler DG

    更新日期:2006-10-01 00:00:00

  • Primary splenic lymphoma complicated by hematemesis and gastric erosion.

    abstract::Gastrosplenic fistula resulting from erosion of a primary splenic lymphoma is a rare cause of massive upper gastrointestinal hemorrhage associated with benign peptic ulcer disease, gastric Crohn's disease, gastric adenocarcinoma, and primary gastric and splenic lymphomas. Upper intestinal hemorrhage can be successfull...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Bird MA,Amjadi D,Behrns KE

    更新日期:2002-08-01 00:00:00

  • Current controversies in pouch surgery.

    abstract::Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional res...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000047720.97917.03

    authors: Garbus JE,Potenti F,Wexner SD

    更新日期:2003-01-01 00:00:00

  • Central pontine myelinolysis as a manifestation of the paraneoplastic syndrome.

    abstract::We have described a patient who had lung carcinoma, syndrome of inappropriate antidiuretic hormone, and central pontine myelinolysis (CPM). Although this association is well-known, it appears to be the first report having radiographic documentation of both the intracranial and intrathoracic abnormalities. When searchi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199204000-00019

    authors: Hardjasudarma M,Husain F,Fowler M,Eisenberg RL,Mirfakhraee M

    更新日期:1992-04-01 00:00:00

  • Herpes simplex type 2 causing fulminant hepatic failure.

    abstract::Although exceedingly rare, fulminant hepatic failure (FHF) in immunocompetent patients can develop with primary or recurrent infection due to herpes simplex virus (HSV). The diagnosis is frequently obscured by the absence of mucocutaneous involvement. Elevated transaminase values with leukopenia and a relatively low b...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Fahy RJ,Crouser E,Pacht ER

    更新日期:2000-12-01 00:00:00