Home dialysis program of the Nashville VA Hospital.


:Since 1965, 330 patients have received chronic dialysis treatment at the Nashville VA Hospital. Home hemodialysis training was established in 1968, and a unique class format has been used since 1970. Despite the national trend of fewer patients beginning home dialysis each year, more than 50 percent of our patients have chosen this form of therapy yearly since 1969. A total of 182 patients (55 percent) from 15 states have completed home training with an attrition rate of only 8 percent. Mean distance of patients' homes from the training center is 185 miles. Five-year survival for home hemodialysis patients is 91 percent, compared to 59 percent and 55 percent for patients receiving renal transplant and center dialysis, respectively. Seventeen deaths have occurred in home dialysis patients, half of which were due to cardiovascular disease. Home dialysis offers an excellent mode of therapy for patients with chronic renal failure and probably is particularly suitable for patients over 50 years of age.


South Med J


Southern medical journal


Latos DL,Spannuth CL,Stone WJ




Has Abstract


1977-12-01 00:00:00


1431-5, 1439










  • Optimal enzyme test combination for diagnosis of acute myocardial infarction.

    abstract::One hundred consecutive patients admitted to our cardiology service with the suspected diagnosis of acute myocardial infarction were evaluated with serical enzyme and isoenzyme determinations in an attempt to develop the medically and financially optimal combination of enzyme tests. In patients with onset of chest pai...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Gann D,Cabello B,DiBella J,Rywlin AM,Samet P

    更新日期:1978-12-01 00:00:00

  • Innovar as a preoperative medication.

    abstract::Innovar, administered intramuscularly 45 minutes preoperatively, provides excellent operative sedation, analgesia, and patient cooperation. Postoperative complications are minimized, and the quantity of postoperative analgesics and antiemetics is drastically reduced when Innovar is used as a preoperative medication. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sloan JB

    更新日期:1975-11-01 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


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

    更新日期:2019-01-01 00:00:00

  • Statin therapy in rheumatoid arthritis.

    abstract::Rheumatoid arthritis, a chronic inflammatory polyarthritis that destroys synovial joints, is associated with systemic as well as local inflammation and with an increased risk of cardiovascular disease and death not fully explained by traditional cardiac risk factors. Statins (HMG-coA reductase inhibitors), medications...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Costenbader KH,Coblyn JS

    更新日期:2005-05-01 00:00:00

  • Increased Anesthesia Usage in a Large-Volume Endoscopy Unit: Patient Acuity Is Not the Main Predictor.

    abstract:OBJECTIVES:The use of monitored anesthesia care (MAC) for colonoscopy sedation continues to increase. This study examined trends during a 9-year period in the use of MAC and explored which patient variables may have influenced these trends. METHODS:This was a retrospective review of all colonoscopies performed in our ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Aravapalli A,Norton HJ,Rozario N,Simpson J,DelGrosso B,Scobey MW

    更新日期:2015-09-01 00:00:00

  • Interstitial pregnancy.

    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

    pub_type: 杂志文章


    authors: Gray CL

    更新日期:1980-09-01 00:00:00

  • Haemophilus influenzae endocarditis.

    abstract::Haemophilus influenzae endocarditis on a prosthetic valve has previously been reported only once. Routine physical and laboratory evaluation does not distinguish endocarditis from this organism from other causes of endocarditis. Our patient with prosthetic mitral valve endocarditis was successfully treated with antibi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Blair TP,Baker WP

    更新日期:1985-06-01 00:00:00

  • American mucocutaneous leishmaniasis.

    abstract::Presented is a well-documented, autochthonous case of mucocutaneous leishmaniasis, a protozoan disease endemic to Asia, Africa, Southern Europe, South America, and Central America, which until recently was not found in North America. Diagnosis is made by positive culture on NNN media, positive serodiagnosis, positive ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Barlow D,Lonergan M,Tio FO,Meyerhoff WL

    更新日期:1977-02-01 00:00:00

  • Malacoplakia of the prostate.

    abstract::Malacoplakia is a granulomatous disease of unknown cause often associated with a coliform urinary infection. It is occasionally a self-limiting disease with diverse clinical presentations and roentgenographic appearances. The importance of a differential diagnosis which considers malignancy is emphasized. A rare insta...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rubenstein M,Bucy JG

    更新日期:1977-03-01 00:00:00

  • Barium appendicitis.

    abstract::We report a case of acute appendicitis with perforation associated with retained appendiceal barium. Abnormally retained barium may lead to appendicitis and this should be kept in mind when a barium-filled appendix is seen in an asymptomatic patient. Routine follow-up films on all patients whose appendix fills with ba...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sisley JF,Wagner CW

    更新日期:1982-04-01 00:00:00

  • Beneficial effect of epidural anesthesia on oxygen consumption in a parturient with adult respiratory distress syndrome.

    abstract::Multifactorial increases in oxygen consumption during labor may exceed available oxygen supply. Cumulative subclinical oxygen debt could be clinically detrimental to both patient and fetus. We have reported the use of continuous mixed venous oxygen saturation monitoring to identify changes in oxygen consumption after ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Ackerman WE 3rd,Molnar JM,Juneja MM

    更新日期:1993-03-01 00:00:00

  • The cost of auditing outpatient records.

    abstract::When patient records are to be auditied in a program designed to assess the quality of medical care rendered, careful consideration must be given to the cost of the system implemented. Structured data collection and a defined treatment plan are advantageous in facilitating the use of nonphysicians for the majority of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Ahlers P,Sullivan RJ,Hammond WE,Walter EL,Tolley HD

    更新日期:1976-10-01 00:00:00

  • Intervention and alcoholism.

    abstract::It is difficult for some alcoholics to admit their illness and recognize their need for help. From experience a process called intervention has evolved. Basically it consists of a well planned and rehearsed scenario, devoid of coercion and criticism, in which the alcoholic can find no acceptable alternative to treatme...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Barefoot SW,Smith VW

    更新日期:1985-11-01 00:00:00

  • Diabetic care: an integrated subspecialty and primary care approach.

    abstract::The University of Virginia Department of Medicine has reorganized its adult diabetic ambulatory care program to provide optimal primary care and subspecialty services. This new program, the Diabetes Consult Service of the University Medical Associates, is organized to provide primary care by a single physician in addi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Pohl SL,Hodge RH Jr,Evans WS,Hodge SS,Lumelsky-Weinbaum J

    更新日期:1981-01-01 00:00:00

  • Survey of major neurologic disorders in a biracial United States population: the Copiah County Study.

    abstract::To determine the prevalence of frequently occurring neurologic disorders in a biracial population, a survey of households and chronic care institutions was carried out for all residents of Copiah County, Mississippi. Along with a complete census, interviews were held using extensive questions about diagnoses, signs, a...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Haerer AF,Anderson DW,Schoenberg BS

    更新日期:1987-03-01 00:00:00

  • Routine pregnancy testing: is it a standard of care?

    abstract::Increasingly the courts are expanding the scope of viable causes of action and the nature of damages, as well as the spectrum of plaintiffs to include the unborn. Generally the courts accept medically established standards of care, but on occasion courts create the standard of care. Predicated on this type of scenario...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Hirsh HL

    更新日期:1980-10-01 00:00:00

  • The prevalence of a diabetic condition and adhesive capsulitis of the shoulder.

    abstract:OBJECTIVES:Adhesive capsulitis is characterized by a progressive and painful loss of shoulder motion of unknown etiology. Previous studies have found the prevalence of adhesive capsulitis to be slightly greater than 2% in the general population. However, the relationship between adhesive capsulitis and diabetes mellitu...

    journal_title:Southern medical journal

    pub_type: 杂志文章,多中心研究


    authors: Tighe CB,Oakley WS Jr

    更新日期:2008-06-01 00:00:00

  • Thoracic splenosis.

    abstract::Thoracic splenosis is rare, with fewer than two dozen reported cases. Patients uniformly have a history of splenectomy with combined abdominal and thoracic trauma. Clinical signs and symptoms are usually absent, and the condition is most often discovered on routine chest radiography. The interval between trauma and cl...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Buchino JJ,Buchino JJ

    更新日期:1998-11-01 00:00:00

  • Gastric rupture and death caused by ipecac syrup.

    abstract::We have reported a fatal complication of a therapeutic dose of ipecac syrup administered in a hospital emergency room. This child received 15 ml of ipecac syrup shortly after ingesting one to five tablets of chlorpheniramine maleate (4 mg). A prolonged course of vomiting (more than 24 hours) eventually resulted in gas...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Knight KM,Doucet HJ

    更新日期:1987-06-01 00:00:00

  • Tubo-ovarian abscess in postmenopausal patients.

    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

    pub_type: 杂志文章


    authors: Lipscomb GH,Ling FW

    更新日期:1992-07-01 00:00:00

  • Duodenal stricture: a complication of chronic fibrocalcific pancreatitis.

    abstract::Over the past 10 years, one of us (M.C.A.) has treated 92 patients who required operation for symptoms associated with alcohol-induced chronic fibrocalcific pancreatitis. Four of these patients had duodenal obstruction. All four had had lateral pancreaticojejunostomy to relieve pancreatic ductal obstruction and associ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Taylor SM,Adams DB,Anderson MC

    更新日期:1991-03-01 00:00:00

  • Fever of unknown origin from a left atrial myxoma: an immunologic basis and cytokine association.

    abstract::Myxoma is the most common primary tumor of the heart. The typical presentations include a triad of embolic phenomena, intracardiac flow obstruction, and constitutional symptoms. We report a case of cardiac myxoma presenting as prolonged fever. Leukocytosis with a left shift, anemia, and elevated C-reactive protein wer...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Lin JN,Lai CH,Lu LF,Lin HH

    更新日期:2011-05-01 00:00:00

  • Sleep disturbance in patients with lichen simplex chronicus and its relationship to nocturnal scratching: A case control study.

    abstract:BACKGROUND:Lichen simplex chronicus (LSC) is a common pruritic disorder resulting from repeated rubbing and scratching. Nighttime pruritus is a common feature in LSC and may disrupt the sleep pattern. The aim of this study is to determine whether there are sleep abnormalities in patients with LSC. PATIENTS AND METHODS...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Koca R,Altin R,Konuk N,Altinyazar HC,Kart L

    更新日期:2006-05-01 00:00:00

  • Cronkhite-Canada syndrome with hypothyroidism.

    abstract::Cronkhite-Canada syndrome is a rare, noninherited gastrointestinal polyposis syndrome associated with characteristic ectodermal abnormalities. This report describes a 60-year-old female who was diagnosed with Cronkhite-Canada syndrome with hypothyroidism after presenting with chronic diarrhea, alopecia, intermittent a...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Qiao M,Lei Z,Nai-Zhong H,Jian-Ming X

    更新日期:2005-05-01 00:00:00

  • Fate of retained foreign bodies in the peritoneal cavity.

    abstract::Two patients with retained laparotomy pads after laparotomy had pain, abscess formation, and bleeding, with erosion of the pad into the small bowel and colon. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Richards WO,Keramati B,Scovill WA

    更新日期:1986-04-01 00:00:00

  • Use of a national data base to assess perioperative risk, morbidity, mortality, and cost savings in coronary artery bypass grafting.

    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

    pub_type: 杂志文章


    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

  • House Staff Participation in Patient Safety Reporting: Identification of Predominant Barriers and Implementation of a Pilot Program.

    abstract:OBJECTIVES:Patient safety event (PSE) reporting is a critical element for healthcare organizations that are striving for continuous quality improvement. Although resident physicians routinely provide the majority of direct patient care, the level of their participation in PSE reporting historically has been low. In add...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Stewart DA,Junn J,Adams MA,Spencer-Segal JL,Perdoncin E,Lopez K,Kim CS

    更新日期:2016-07-01 00:00:00

  • Opioids for chronic nonterminal pain.

    abstract::This article first reviews the evidence for and against chronic opioid therapy. Evidence supporting the opioid responsiveness of chronic pain, including neuropathic pain, includes multiple randomized trials conducted over months (up to 8 months). Observational studies are conducted for longer, and many also support op...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Ballantyne JC

    更新日期:2006-11-01 00:00:00

  • Hyponatremia in pediatric patients with HIV-1 infection.

    abstract::Hyponatremia has been recognized as a complication in adults with acquired immunodeficiency syndrome (AIDS). We did a retrospective study evaluating the medical records of 86 children (age 4 months to 21 years) with human immunodeficiency virus (HIV-1) infection to determine the frequency and clinical associations of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Tolaymat A,al-Mousily F,Sleasman J,Paryani S,Neiberger R

    更新日期:1995-10-01 00:00:00

  • Managing depression in the '70s.

    abstract::Depression is among the most common of clinical conditions. Like problems such as anemia, it is not one disease, but a constellation of signs and symptoms which may occur as the result of several psychopatho-physiologic processes. This paper summarizes the recent dramatic advances in research into the neurochemistry o...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bowden CL

    更新日期:1975-02-01 00:00:00