Exposure risks and tetanus immunization status in farmers ages 50 and over.

abstract：:A middle-aged man presented with joint pain and muscle weakness that had begun 2 months before presentation. Three months before presentation, he had begun to take the herbal preparation Chinese red rice. Laboratory testing revealed a moderately elevated creatine phosphokinase level. Symptoms and laboratory abnormalit...

journal_title：Southern medical journal

authors： Smith DJ,Olive KE

更新日期：2003-12-01 00:00:00

abstract：:Subdural hematomas are among the most common forms of intracranial hemorrhage encountered in clinical practice and are a surgically remediable cause of dementia. When the symptom presentation is subtle or diffuse, a subdural hematoma can be overlooked. This is especially true among elderly people who may exhibit unrel...

journal_title：Southern medical journal

authors： Velasco J,Head M,Farlin E,Lippmann S

更新日期：1995-09-01 00:00:00

abstract：:Sixty-six cases of serologically documented Rocky Mountain spotted fever (RMSF) from North Carolina are reviewed. Gastrointestinal manifestations were present in 80% of these patients. Because other common expressions of RMSF occasionally do not accompany severe gastrointestinal dysfunction, improper diagnosis and the...

journal_title：Southern medical journal

authors： Middleton DB

更新日期：1978-06-01 00:00:00

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

authors： Ballantyne JC

更新日期：2006-11-01 00:00:00

abstract：OBJECTIVES:To explore factors that might contribute to misattribution of mental status changes to psychiatric illness when an elderly patient actually has a delirium (mental status changes due to a medical condition). METHODS:Records of 900 elderly patients referred to a Veterans Affairs psychiatric inpatient unit and...

journal_title：Southern medical journal

authors： Reeves RR,Parker JD,Burke RS,Hart RH

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:In 2003, the South Carolina Department of Health and Environmental Control established the Carolina Antibiotic Resistance Surveillance System (CARSS), an active sentinel surveillance system for antibiotic-resistant Streptococcus pneumoniae. METHODS:CARSS includes twelve hospitals. Each hospital was assigned...

journal_title：Southern medical journal

authors： Dauner DG,Roberts DF,Kotchmar GS

更新日期：2007-01-01 00:00:00

abstract：:I describe the case of a 25-year-old man who, after a scuba dive, had ocular barotrauma caused by mask squeeze. As in most cases, the condition occurred because the patient failed to exhale into the mask during descent to equalize the pressure within the mask. Although alarming in appearance, the condition is generall...

journal_title：Southern medical journal

authors： Rudge FW

更新日期：1994-07-01 00:00:00

abstract：:To make informed career decisions, physicians must acquire a basic knowledge in medical management and health care economics as they evaluate the potential survival and growth of a primary care practice. Health care providers considering a specific community and local leaders and hospital administrators attempting to ...

journal_title：Southern medical journal

authors： Miller KA,Miller D,Doeksen G,Shelton P

更新日期：1994-04-01 00:00:00

abstract：:The accuracy of the noninvasive carotid system studies done in our laboratory during an 18-month period were reviewed. The usefulness of these procedures was found to be limited when used as a "blind" screen for extracranial vascular disease. The overall correlation with angiography was good, with few false-negatives ...

journal_title：Southern medical journal

authors： Prendes JL

更新日期：1982-05-01 00:00:00

abstract：:Penetrating neck trauma may be managed operatively or nonoperatively, depending on precise anatomic location. Conservative management of zone II injuries is currently an issue under debate. We present a brief case report followed by a description of the current strategies for operative exploration and diagnostic maneu...

journal_title：Southern medical journal

authors： Siegrist B,Steeb G

更新日期：2000-06-01 00:00:00

abstract：:The comparative value of palpation, light percussion, and auscultatory percussion for detecting the liver below costal margin was studied in 45 normal subjects and 20 patients. The presence of the liver 2 cm or more below the costal margin was considered abnormal, since this organ was found no more than 1 cm below in ...

journal_title：Southern medical journal

authors： Gilbert VE

更新日期：1994-02-01 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：:Arsenic poisonings occur in Mississippi despite public education campaigns to prevent poisonings in the home. We reviewed 44 Mississippi cases of arsenic exposures occurring from January 1986 to May 1990. We compared the epidemiologic differences between unintentional and intentional poisonings. Cases were found and c...

journal_title：Southern medical journal

authors： Park MJ,Currier M

更新日期：1991-04-01 00:00:00

abstract：BACKGROUND:Since 2001 there have been several reported outbreaks due to carbapenem-resistant Klebsiella pneumoniae (Kp), particularly in the northeastern states. METHODS:Carbapenemase-producing Enterobacteriaceae from healthcare facilities in Northeast Florida were phenotypically identified and confirmed using PCR amp...

journal_title：Southern medical journal

authors： Halstead DC,Sellen TJ,Adams-Haduch JM,Dossenback DA,Abid J,Doi Y,Paterson DL

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Tobacco use causes significant morbidity and mortality. Resident physicians at the George Washington University Medical Center are trained to counsel patients to stop smoking. METHODS:I retrospectively reviewed charts of 300 patients treated by resident physicians in the Department of Medicine (200) and the...

journal_title：Southern medical journal

authors： Borum ML

更新日期：1999-10-01 00:00:00

abstract：:We have reported a case of septicemia and meningitis due to alpha-hemolytic Streptococcus in a 5-day-old infant. The microbiologic and clinical characteristics of neonatal infection with this organism lead us to conclude that this bacterium can be pathogenic in the newborn and should not be dismissed as a contaminant....

journal_title：Southern medical journal

authors： Fraser JJ Jr,Marks MI,Welch DF

更新日期：1983-03-01 00:00:00

abstract：OBJECTIVES:Transcranial Doppler ultrasound (TCD) effectively identifies children with sickle cell anemia (SCA) who are at increased risk of stroke. We evaluated a low-cost quality improvement (QI) intervention to increase the proportion of children screened by TCD. METHODS:We measured the proportion of children with S...

journal_title：Southern medical journal

authors： Muntz DS,Bundy DG,Strouse JJ

更新日期：2016-09-01 00:00:00

abstract：:Using local anesthesia, we did 97 carotid endarterectomies--48 of them for acute completed stroke, stroke in evolution, or stroke associated with unstable neurologic status, and 49 for transient cerebral ischemic attack. The neurologic status of the awake patients was monitored continuously. Neurologic deterioration r...

journal_title：Southern medical journal

authors： Khanna HL,Garg AG

更新日期：1989-12-01 00:00:00

abstract：OBJECTIVE:To compare mobile health (mHealth) usage by residents of West Virginia with national estimates. METHODS:Pew Research Center data from its Internet and American Life Project were accessed for secondary data analysis. These data, available to the public, are a probability sample of Internet use in the United S...

journal_title：Southern medical journal

authors： Giacobbi P Jr,Cushing P,Popa A,Haggerty T,Hansell A,Sedney C

更新日期：2018-10-01 00:00:00

abstract：:A patient with pancytopenia, severe sensory neuropathy, and a six-year history of excessive vitamin intake showed portal hypertension on evaluation. A liver biopsy revealed hypervitaminosis A. His sensory findings were characteristic of a recently described syndrome of sensory neuropathy secondary to megadoses of vita...

journal_title：Southern medical journal

authors： Davidson RA

更新日期：1984-02-01 00:00:00

abstract：OBJECTIVES:To evaluate the statewide experience in mode of delivery for pregnancies complicated by stillbirth by annual delivery volume and presence of graduate medical education programs. METHODS:This is a descriptive study of all stillbirths without known congenital anomalies or aneuploidy born in our state from Jul...

journal_title：Southern medical journal

authors： Ramseyer AM,Whittington JR,Magann EF,Warford B,Ounpraseuth S,Nembhard WN

更新日期：2020-12-01 00:00:00

abstract：:Guar gum is a high polymer carbohydrate that undergoes considerable expansion and thickening when placed in water. Because of this property, guar gum has been used in "weight loss" tablets marketed by several pharmaceutical manufacturers. These tablets undergo expansion in the stomach and are expected to cause early s...

journal_title：Southern medical journal

authors： Halama WH,Mauldin JL

更新日期：1992-06-01 00:00:00

abstract：BACKGROUND:Transmission of echocardiograms via telemedicine links has allowed remote hospitals direct access to pediatric cardiology subspecialty care. This study assessed the accuracy of echocardiogram interpretation across an integrated services digital network (ISDN) telemedicine link. METHODS:Telemedicine systems ...

journal_title：Southern medical journal

authors： Cotton JL,Gallaher KJ,Henry GW

更新日期：2002-09-01 00:00:00

abstract：:In a retrospective review of one year's experience in the management of neck trauma, 88 cases comprising 42 gunshot wounds, 29 stab or slash injuries, and 17 injuries by blunt trauma were reviewed. Multiple injuries were noted in all groups, but a higher percentage was found in the blunt trauma series. Anesthetic mana...

journal_title：Southern medical journal

authors： Herrin TJ,Brzustowicz R,Hendrickson M

更新日期：1979-09-01 00:00:00

abstract：OBJECTIVES:Patients awaiting heart transplantation can be listed for prolonged periods of time and, as a result, the prevalence of anxiety and depression is high. Our study evaluates the feasibility of canine-assisted therapy (CAT) in this population. METHODS:A prospective, multicenter study was performed on all statu...

journal_title：Southern medical journal

authors： Snipelisky D,Smidt J,Gallup S,Myrick J,Bauer B,Burton MC

更新日期：2019-06-01 00:00:00

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

authors： Granberry MC,Fonseca VA

更新日期：1999-01-01 00:00:00

abstract：:We reviewed our experience with thyroid sonography of 60 patients with nonfunctioning (cold) solitary thyroid nodules proven by iodine 123 scan. Twenty-two patients had surgery; the remaining 38 had thyroid scan and ultrasound only. In the first group, the echograms did not demonstrate the surgically proven nodules in...

journal_title：Southern medical journal

authors： Abdel-Nabi H,Falko JM,Olsen JO,Freimanis AK

更新日期：1984-09-01 00:00:00

abstract：:The objective of this study was to determine the effect(s) of pregnancy and of advancing gestation on maternal serum amylase and lipase levels. Thus, serum amylase and lipase concentrations were quantitated in three groups of women. Groups included (1) 118 pregnant women whose serum amylase and lipase levels were meas...

journal_title：Southern medical journal

authors： Xydas NP,May JH,Henson MC

更新日期：1996-02-01 00:00:00

abstract：OBJECTIVES:Accurate and consistent documentation of pain management, including patient responses regarding improvement in pain scores, is essential for improving patient care. The objective of the project was to evaluate the current prescribing patterns and to review the current documentation for opioid-managed, chroni...

journal_title：Southern medical journal

authors： DeRemer CE,Fleming VH,Brown S,May JR

更新日期：2011-09-01 00:00:00

abstract：:Two siblings had frequent seizures from the second and third day of life until one week and seven months, respectively. The mother, grandmothers, and three other family members were similarly affected. Known causes of neonatal seizures were excluded. The condition is inherited as an autosomal dominant trait. Its etiol...

journal_title：Southern medical journal

authors： Giacoia GP

更新日期：1982-05-01 00:00:00