Impact of Evidence-Based Guidelines on Outcomes of Hospitalized Patients With Clostridium difficile Infection.

abstract：:Coronary heart disease (CHD) is the leading cause of morbidity and mortality in patients more than 65 years old. Within this population, elevated cholesterol levels are prevalent and associated with increased risk of CHD. Despite increasing emphasis on lipid-lowering treatment in the elderly population, questions rema...

journal_title：Southern medical journal

authors： Dalal D,Robbins JA

更新日期：2002-11-01 00:00:00

abstract：:Phenformin-associated lactic acidosis is an important though unusual cause of acute abdominal pain. Its clinical picture suggests other catastrophic abdominal entities. A representative case is presented. Aids to arriving at this diagnosis are presented and the specific therapy is outlined. The pathophysiology of this...

journal_title：Southern medical journal

authors： Bartecchi CE,Williams JD

更新日期：1978-03-01 00:00:00

abstract：OBJECTIVES:Insurance status has the potential to play a significant role in an individual's health care by affecting the time of diagnosis and the treatment options used. Our study reviewed insurance status as a determinant of the time of a breast cancer diagnosis as well as the surgical treatment options offered. MET...

journal_title：Southern medical journal

authors： Lukavsky R,Sariego J

更新日期：2015-05-01 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：:This is a prospective clinical study of 41 consecutive patients with isolated tears of the medial meniscus who underwent meniscectomy by conventional arthrotomy. The results are presented in terms of length of hospitalization, complications, analgesic requirements during hospitalization, and ability to regain muscle c...

journal_title：Southern medical journal

authors： Henard DC

更新日期：1983-09-01 00:00:00

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

authors： Gutman E

更新日期：1981-01-01 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：:Buried bumper syndrome (BBS) is an uncommon complication of percutaneous endoscopic gastrostomy (PEG) tube placement. This unusual phenomenon occurs when the internal bumper of a PEG tube erodes and migrates through the gastric wall and becomes lodged anywhere between the gastric wall and the skin. If not removed and ...

journal_title：Southern medical journal

authors： Khalil Q,Kibria R,Akram S

更新日期：2010-12-01 00:00:00

abstract：:We have presented a case of chronic pancreatitis with pseudocyst involvement of the spleen complicated by splenic rupture. This complication is uncommon, only 19 cases having been reported. As illustrated by our case, there is a high risk of hemorrhage from a pseudocyst involving the spleen and pancreas. Immediate sur...

journal_title：Southern medical journal

authors： McMahon NG,Norwood SH,Silva JS

更新日期：1988-07-01 00:00:00

abstract：:A 66-year-old white male presented with jaundice, pruritus, and a 30-pound weight loss over two months. Physical examination revealed scleral icterus. Laboratory evaluation revealed ALT 161 U/L, AST 290 U/L, alkaline phosphatase 2004 U/L, GGT 2,552 U/L, total bilirubin 10.2 mg/dL, and a carbohydrate antigen 19-9 (CA 1...

journal_title：Southern medical journal

authors： Lowe D,Lee J,Schade R,Chaudhary A

更新日期：2006-03-01 00:00:00

abstract：:We have described three cases of adenomyoma of the stomach. These benign lesions are found almost exclusively in the antrum or pylorus and are composed of combinations of ducts, glands, pancreatic tissue, and smooth muscle. Malignancy arising in adenomyomas is rare. ...

journal_title：Southern medical journal

authors： Stewart TW Jr,Mills LR

更新日期：1984-10-01 00:00:00

abstract：BACKGROUND:Between 1995 and 1997, a tuberculosis outbreak occurred in a large, urban jail. We investigated whether the outbreak strain of Mycobacterium tuberculosis (M. tuberculosis) was circulating in the surrounding community after that outbreak. METHODS:We performed a retrospective cohort study of people with tuber...

journal_title：Southern medical journal

authors： Jones TF,Woodley CL,Fountain FF,Schaffner W

更新日期：2003-02-01 00:00:00

abstract：:Digital subtraction angiography (DSA) provides additional information regarding patency or occlusion of vessels that is not always detected by conventional angiography. Patency of distal vessels is a positive prognostic factor in predicting salvage of the foot in patients having various treatment procedures for occlus...

journal_title：Southern medical journal

authors： Gavant ML

更新日期：1989-03-01 00:00:00

abstract：:Seventeen patients with Crohn's disease requiring emergency operative procedures disclosed important factors leading to successful outcome. In seven of the ten patients not known to have Crohn's disease, the history strongly suggested this diagnosis. Two patients died; three others had major complications, including t...

journal_title：Southern medical journal

authors： Flint LM Jr

更新日期：1978-10-01 00:00:00

abstract：:Injuries from sea urchins result from penetration of the calcareous spines into the skin. Local pain of several days' duration is the most common symptom, but systemic reaction from toxins found in certain species can occur. There is no uniformly accepted successful treatment other than cleansing the wound. Attempts t...

journal_title：Southern medical journal

authors： Baden HP,Burnett JW

更新日期：1977-04-01 00:00:00

abstract：BACKGROUND:There is concern that anti-affirmative-action measures will negate gains made ill educating underrepresented minority physicians and that this underrepresentation may have a negative impact on access to health care for these same underrepresented groups. METHODS:A review of the literature was completed to e...

journal_title：Southern medical journal

authors： Thurmond VB,Kirch DG

更新日期：1998-11-01 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 conclude that DIC can occur as a result of sickle cell crisis in the absence of sepsis and we recommend that patients with sickle cell disease, particularly those with hemoglobin SC disease, presenting in crisis should be considered at risk for the development of disseminated intravascular coagulation. With symptom...

journal_title：Southern medical journal

authors： Corvelli AI,Binder RA,Kales A

更新日期：1979-04-01 00:00:00

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

authors： Hirsh HL

更新日期：1980-10-01 00:00:00

abstract：:We have reported a case of reversible acute renal transplant failure due to the Page kidney phenomenon, which followed routine diagnostic needle biopsy. Duplex Doppler ultrasonography differentiated between allograft rejection and graft failure due to perirenal and mechanical abnormalities. Renal transplant failure ma...

journal_title：Southern medical journal

authors： Dempsey J,Gavant ML,Cowles SJ,Gaber AO

更新日期：1993-05-01 00:00:00

abstract：:Cirrhosis affects millions of people around the world and is associated with increased morbidity and mortality. Spontaneous bacterial peritonitis (SBP) is a common complication of liver disease with cirrhosis and accounts for up to 30% of infections in patients with cirrhosis. Patients with a history of SBP and those ...

journal_title：Southern medical journal

authors： Oliver A,Wong M,Sanchez C

更新日期：2018-11-01 00:00:00

abstract：:Perioperative consultations may play a major role in the care of surgical patients in an era of prospective payments. Since insurance reimbursement policy favors limitations in the number of consultants on a case, general medicine ("holistic") consultation services may become preferred perioperative consultants in the...

journal_title：Southern medical journal

authors： Golden WE,Lavender RC

更新日期：1989-03-01 00:00:00

abstract：:Stercoraceous perforation of the colon is most often unsuspected and is usually diagnosed at operation or autopsy. Abdominal radiographs show large fecal masses in the rectum and sigmoid colon, and occasionally lying free in the peritoneal cavity. Free intraperitoneal air is present. We have reported a single case, wi...

journal_title：Southern medical journal

authors： McCrea ES,Diaconis JN

更新日期：1979-10-01 00:00:00

abstract：:It has been claimed that sonographic techniques offer no advantages over palpation of the maternal abdomen for detection of macrosomatia. We studied a group of 498 pregnant patients, 36 (7.2%) of whom gave birth to infants having macrosomatia. A sensitivity of 67%, specificity of 97%, and positive predictive value of ...

journal_title：Southern medical journal

authors： Rossavik IK,Joslin GL

更新日期：1993-10-01 00:00:00

abstract：: Acute pulmonary embolism (PE) is a common clinical condition with presentations that may vary from asymptomatic subsegmental emboli to massive vascular obstruction and shock with high risk of death. Identifying patients at highest risk for death is critical to select those who would benefit most from thrombolytic the...

journal_title：Southern medical journal

authors： Vyas PA,Donato AA

更新日期：2012-10-01 00:00:00

abstract：:From January 1986 to December 1987, 32 patients with recurrent colorectal cancer had second-look radioimmunoguided surgery (RIGS system). All patients had pathologic confirmation of recurrence. The RIGS system identified 81% of recurrences, and in six patients recurrent tumor was identified only by RIGS. All patients ...

journal_title：Southern medical journal

authors： Sardi A,Agnone CM,Nieroda CA,Mojzisik C,Hinkle G,Ferrara P,Farrar WB,Bolton J,Thurston MO,Martin EW Jr

更新日期：1989-10-01 00:00:00

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

authors： Bird MA,Amjadi D,Behrns KE

更新日期：2002-08-01 00:00:00

abstract：:Medical inpatients in inner-city hospitals have both potentially lead-related disorders and potential lead exposure. To see whether there is substantial unexpected lead intoxication in this population, we did a cross-sectional study of 117 consecutively admitted patients to a general medical ward of an inner-city univ...

journal_title：Southern medical journal

authors： Kilmarx PH,Allen DW,Brancati FL

更新日期：1996-05-01 00:00:00

abstract：:We report four cases of group A streptococcal vulvovaginitis in prepubertal children. All cases were acute in onset. This illness presents with nonspecific signs and symptoms of labial inflammation. In a suburban community, streptococcal vulvovaginitis in prepubescent girls may be more common then genital infections d...

journal_title：Southern medical journal

authors： Schwartz RH,Wientzen RL,Barsanti RG

更新日期：1982-04-01 00:00:00

abstract：:Appropriate use of antibiotics is enhanced by the effective application of data on antimicrobial susceptibility. A number of methods are currently available for routine determination of susceptibilities, including agar dilution, broth dilution, agar diffusion, and several semiautomated methods. If susceptibility testi...

journal_title：Southern medical journal

authors： Moellering RC Jr,Kunz LJ,Poitras JW,Cameron M,Mercier BA

更新日期：1977-10-01 00:00:00