Acute myocardial infarction associated with initial cocaine use.

abstract：OBJECTIVES:The authors sought to explore patients' views about discussing spiritual issues with primary care physicians, including perceived barriers to and facilitators of discussions. METHODS:The study was a qualitative, semistructured interview of 10 chronically or terminally ill patients who were deliberately sele...

journal_title：Southern medical journal

authors： Ellis MR,Campbell JD

更新日期：2004-12-01 00:00:00

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

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

更新日期：2019-01-01 00:00:00

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

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

更新日期：1990-08-01 00:00:00

abstract：:In response to the increasing care needs of geriatric patients and attendant hospital costs, the Nashville Veterans Administration Medical Center, which has 393 beds and admits 8400 patients annually, initiated an Intermediate Care Service in 1988. A geriatric team was formed, sharing staff and resources from existing...

journal_title：Southern medical journal

authors： Hauser B,Robinson J,Powers JS,Laubacher MA

更新日期：1991-05-01 00:00:00

abstract：:Fixation of femur fractures in children and adolescents is becoming widely accepted because of the lower chance of iatrogenic infection and prohibitive cost of in-hospital traction and spica cast care. Interlocking nails, which have dramatically improved adult femur fracture care, have posed problems, such as injury t...

journal_title：Southern medical journal

authors： McGraw JJ,Gregory SK

更新日期：1997-07-01 00:00:00

abstract：:Documented fetal inactivity is strongly suggestive of fetal jeopardy, but the significance of excessive activity over a prolonged period has not been reported. Using data gathered from fetal movement charts recorded by 931 patients, fetal hyperactivity was defined statistically as 40 or more movements perceived per ho...

journal_title：Southern medical journal

authors： Rayburn WF,Rayburn PR,Gabel LL

更新日期：1983-02-01 00:00:00

abstract：:This descriptive study prospectively examined the performance and supervision of interpretive and procedural skills during an internal medicine clerkship. Students (N = 150) documented having done 7 required and 12 elective skills. Preceptors of required skills were interns (44%), residents (29%), attending physicians...

journal_title：Southern medical journal

authors： Elnicki DM,Shumway JM,Halbritter KA,Morris DK

更新日期：1996-06-01 00:00:00

abstract：:Disorders of the foregut are an increasingly common cause of symptoms in Western populations. This review summarizes recent advances in the understanding and treatment of gastroesophageal reflux disease, dyspepsia and celiac disease. ...

journal_title：Southern medical journal

authors： Moss AC,Kelly CP

更新日期：2007-03-01 00:00:00

abstract：:Subacute bacterial endocarditis in a 72-year-old woman was found to be caused by nutritionally deficient ("satelliting") Streptococcus sanguis. The organism, which required pyridoxal compounds or thiol substitutes, was identified after the application of relatively unusual but simple laboratory procedures. Normally, t...

journal_title：Southern medical journal

authors： Weinberg MS,Ellis CA,Levy SB

更新日期：1980-12-01 00:00:00

abstract：:We studied the efficacy of infrainguinal bypass for limb salvage in patients with end-stage renal disease. The patency of 42 femoropopliteal and femorodistal bypasses, performed for limb salvage in 37 patients with end-stage renal disease, was assessed with Doppler ultrasonography and dye tests. Patency rates and limb...

journal_title：Southern medical journal

authors： Wassermann RJ,Saroyan RM,Rice JC,Kerstein MD

更新日期：1991-02-01 00:00:00

abstract：:Nitrogen, derived from breakdown of dietary amino acids as ammonia, is normally converted to urea and excreted. Impairment in the conversion process (called the urea cycle) can occur, either as a consequence of primary genetic defects or through secondary suppression of enzyme activity. Either process results in hyper...

journal_title：Southern medical journal

authors： Miga DE,Roth KS

更新日期：1993-07-01 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：:The neuroleptic malignant syndrome (NMS) is a rare but potentially lethal disorder associated with the administration of neuroleptic agents. This syndrome may be underdiagnosed because it is poorly understood and often unrecognized. It affects all age groups and has a 20% mortality. Presenting features include extrapy...

journal_title：Southern medical journal

authors： Rampertaap MP

更新日期：1986-03-01 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：:A case of ruptured interstitial pregnancy is reported, along with review of the literature. Although sonography did not differentiate between interstitial and intrauterine pregnancy, I believe it will prove to be one of the most accurate diagnostic aids in detecting this condition. ...

journal_title：Southern medical journal

authors： Gray CL

更新日期：1980-09-01 00:00:00

abstract：OBJECTIVE:This study compares the primary health care quality of community health centers (CHCs) and health maintenance organizations (HMOs) in South Carolina to elucidate the quality of CHC performance relative to mainstream settings such as the HMO. METHODS:Mail surveys were used to obtain data from 350 randomly sel...

journal_title：Southern medical journal

authors： Shi L,Starfield B,Xu J,Politzer R,Regan J

更新日期：2003-08-01 00:00:00

abstract：:Stroke is a treatable disease. Despite the therapeutic nihilism of the past, the advent of thrombolysis has changed the way stroke is approached. Acute ischemic stroke is a challenging and heterogeneous disease. Treatment needs to be based on an understanding of the underlying pathophysiology of ischemia. Intervention...

journal_title：Southern medical journal

authors： Felberg RA,Naidech AM

更新日期：2003-04-01 00:00:00

abstract：:This paper discusses the pathology produced by pit viper venom and the pharmacologically active substances released by the action of venom on human tissue. The risks of many of the popular methods of treatment such as tourniquets, cryotherapy, incisions, excisions, and cortisone are also discussed. A prospective treat...

journal_title：Southern medical journal

authors： Arnold RE

更新日期：1979-08-01 00:00:00

abstract：:Maffucci's syndrome in a 17-year-old girl is reported. Since the entity was first described in 1881 by Maffucci, 105 additional cases have been recorded. Several series have reported a small but significant percentage of cases (up to 18%) with malignant change. Our case, although not particularly unique in comparison ...

journal_title：Southern medical journal

authors： Gutman E,McCutcheon S,Garber P

更新日期：1978-04-01 00:00:00

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

authors： Dunn AW

更新日期：1982-08-01 00:00:00

abstract：:After a pilot study had suggested that a drug augmented delayed hypersensitivity, we conducted a control study in which 19 normal volunteers had the same skin test battery applied as in the pilot study, on two occasions one month apart with no intervening treatment. No change was observed in delayed hypersensitivity r...

journal_title：Southern medical journal

authors： Maguire LC,Lackey SD,Roszman TL,Kidwell NS

更新日期：1986-09-01 00:00:00

abstract：BACKGROUND:Several previous studies of invasive Group A streptococcal (GAS) disease have been hindered by small sample sizes (< or = 100 patients) and limited generalizability. METHODS:We conducted a population-based study of invasive GAS disease. The objectives of the study were to describe the clinical features of i...

journal_title：Southern medical journal

authors： Mulla ZD,Leaverton PE,Wiersma ST

更新日期：2003-10-01 00:00:00

abstract：:We present a case of renal cell carcinoma extending into the inferior vena cava and resulting in total occlusion. Perioperative transesophageal echocardiography allowed us to assess cardiac function, follow the extent of vascular involvement, and prevent embolization of tumor and air. ...

journal_title：Southern medical journal

authors： Hasnain JU,Watson RJ

更新日期：1994-02-01 00:00:00

abstract：:Gingivitis occurring with a cystic lesions in young patients with facial cellulitis is highly suggestive of a pneumococcal etiology. Two cases of pneumococcal cellulitis and gingivitis with bacteremia are reported, and the pertinent literature is reviewed. ...

journal_title：Southern medical journal

authors： Kehne S,Rodgriquez W,Goldenberg R,Ross S,Khan W

更新日期：1978-04-01 00:00:00

abstract：BACKGROUND:To design and evaluate interventions for reducing the impact of stroke in Georgia, we assessed knowledge of signs, risk factors, and burden of stroke. METHODS:Adults in Georgia were studied with a random digit dial telephone survey. RESULTS:Answering an unaided question, 39% of 602 respondents named > or =...

journal_title：Southern medical journal

authors： Rowe AK,Frankel MR,Sanders KA

更新日期：2001-06-01 00:00:00

abstract：:Patients with recurrent thrombosis may have one of the thrombophilias described in recent literature. These clotting disorders may involve abnormalities in platelets, fibrinogen, plasminogen, protein C, protein S, or antithrombin III. There is usually a family history of clotting disorders, since most of these are inh...

journal_title：Southern medical journal

authors： Patton D

更新日期：1988-10-01 00:00:00

abstract：:Two cases of recurrent psychotic depression are reported in which ECT (electroconvulsive therapy) was administered with good results for previous episodes of depression, but treatment of the current episode with combined drug therapy (antidepressant and antipsychotic drugs) in one case and antidepressant chemotherapy ...

journal_title：Southern medical journal

authors： Solomon JG

更新日期：1978-12-01 00:00:00

abstract：:Among natural disasters, lightning is a leading cause of morbidity and mortality throughout the world. A well-informed bystander and an astute physician can make the difference between an outcome of death or lifelong disability versus complete or near-complete recovery. What is done in the first few minutes after such...

journal_title：Southern medical journal

authors： Milzman DP,Moskowitz L,Hardel M

更新日期：1999-07-01 00:00:00

abstract：:Cardiac ascites is a rare condition. Diagnosis is aided by liver histology, which characteristically shows diffuse hepatic congestion affecting the centrilobular region. In our case of refractory ascites due to constrictive pericarditis, diagnosis was delayed because centribular hepatic congestion was absent histologi...

journal_title：Southern medical journal

authors： Kirsch M,Fleshler B

更新日期：1992-11-01 00:00:00

abstract：:Our purpose was to determine the discovery method and stage of newly discovered breast cancers at two different medical centers. To do this, we conducted a retrospective chart review at our urban and suburban teaching hospitals during 1991 through 1992 and 1992, respectively. Only 29 (26%) of 112 cancers at our urban ...

journal_title：Southern medical journal

authors： Tigges S,Monticciolo DL,Kessler L

更新日期：1995-11-01 00:00:00