Lightning strikes at a mass gathering.

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 an event is the predominant predictor of success. This case report describes a young woman who was struck by lightning while talking on a cellular telephone at a mass gathering in an outdoor stadium. The discussion that follows the case centers on the pathophysiology of being struck by lightning and on issues unique to being struck in a stadium full of people.

journal_name

South Med J

journal_title

Southern medical journal

authors

Milzman DP,Moskowitz L,Hardel M

doi

10.1097/00007611-199907000-00010

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

708-10

issue

7

eissn

0038-4348

issn

1541-8243

journal_volume

92

pub_type

杂志文章
  • Cyclophosphamide therapy for Weber-Christian disease associated with alpha 1-antitrypsin deficiency.

    abstract::Weber-Christian disease is an uncommon disorder of unclear etiology whose unifying feature is fatty tissue inflammation. Its association with alpha 1-antitrypsin deficiency produces severe clinical manifestations. Although many agents have been used to treat Weber-Christian disease, current therapy is based on the poo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00024

    authors: Strunk RW,Scheld WM

    更新日期:1986-11-01 00:00:00

  • Acute febrile neutrophilic dermatosis: Sweet's syndrome.

    abstract::A case of acute febrile neutrophilic dermatosis (Sweet's syndrome) is described in a patient with chronic myelogenous leukemia, with a review of all published reports in the English literature. The disease is characterized by an acute febrile illness with painful plaques involving the extremities, face, and neck, and ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197811000-00010

    authors: Chmel H,Armstrong D

    更新日期:1978-11-01 00:00:00

  • Relation Between Physicians' Work Lives and Happiness.

    abstract:OBJECTIVES:Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and well...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000437

    authors: Eckleberry-Hunt J,Kirkpatrick H,Taku K,Hunt R,Vasappa R

    更新日期:2016-04-01 00:00:00

  • Proportion and Characterization of Co-infections of HIV and Hepatitis C or Hepatitis B among People with HIV in Alabama, 2007-2016.

    abstract:OBJECTIVES:People living with human immunodeficiency virus (HIV) have an increased risk of other infections, including viral hepatitis, which can complicate the treatment and progression of the disease. We sought to characterize Alabama cases of HIV co-infected with hepatitis C virus or hepatitis B virus. METHODS:Usin...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001104

    authors: Siza C,Bixler D,Davidson S

    更新日期:2020-06-01 00:00:00

  • Klebsiella pneumoniae Carbapenemase-producing Enterobacteriaceae, Northeast Florida.

    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

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181a93f9e

    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

  • Unexpected economics of ulcer care protocols.

    abstract::The cost of managing chronic ulcers, both venous leg and decubiti (sacral pressure), was reviewed using 36 randomized, controlled studies with a focus on saline, hydrocolloid, and a human skin construct. When one includes the labor intensiveness of dressing changes three to four times per day, the application of hydro...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000082011.70728.8C

    authors: Kerstein MD

    更新日期:2004-02-01 00:00:00

  • 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 earl...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: North AF Jr

    更新日期:1977-10-01 00:00:00

  • Hemolytic-uremic syndrome without evidence of microangiopathic hemolytic anemia on peripheral blood smear.

    abstract::We report the case of an 18-year old man with hemolytic-uremic syndrome (HUS) having a classic clinical presentation and diagnostic renal pathology without evidence of microangiopathic hemolytic anemia (MAHA) by peripheral blood smear. Indirect evidence of hemolysis was suggested by mild anemia, elevation of serum lac...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199603000-00018

    authors: Brilliant SE,Lester PA,Ohno AK,Carlon MJ,Davis BJ,Cushner HM

    更新日期:1996-03-01 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

  • Bilateral endobronchial non-Hodgkin's lymphoma.

    abstract::Pulmonary involvement with non-Hodgkin's lymphoma, while well recognized, is less common than with Hodgkin's lymphoma. Endobronchial non-Hodgkin's lymphoma is even rarer and usually occurs in the presence of disseminated disease. We present a case of bilateral endobronchial non-Hodgkin's lymphoma. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199503000-00025

    authors: Hardy K,Nicholson DP,Schaefer RF,Hsu SM

    更新日期:1995-03-01 00:00:00

  • Acute abdominal pain precipitated by phenformin-associated lactic acidosis.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-197803000-00039

    authors: Bartecchi CE,Williams JD

    更新日期:1978-03-01 00:00:00

  • Primary angiosarcoma of the spleen: a case report and review of the literature.

    abstract::We describe a 47-year-old man with shoulder pain, multiple bony lesions, and a 1-cm lesion in the spleen. T-1 facetectomy revealed a poorly differentiated malignant neoplasm. Several months after chemotherapy, multiple splenic lesions were found by computed tomography and liver-spleen scan. A splenectomy showed a mali...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199508000-00020

    authors: McGinley K,Googe P,Hanna W,Bell J

    更新日期:1995-08-01 00:00:00

  • Epithelial tumors of the ovary in women less than 40 years old.

    abstract::From Jan 1, 1978 through Dec 31, 1983, 64 patients with epithelial ovarian tumors, frankly malignant or borderline, were managed at one institution. Nineteen patients (29.7%) were under age 40. The youngest patient was 19 years old. Nulliparity was present in 32% of this group of patients. Of these young patients, 58%...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198801000-00003

    authors: Gallup DG,Cody WM,Metheny WP,Talledo OE

    更新日期:1988-01-01 00:00:00

  • Seat belt use and automobile safety counseling by pediatricians.

    abstract::Safety restraints have proven effective in the prevention of serious automobile injuries and deaths, but safety education has been ineffective in getting consumers to use restraints. We surveyed the personal and counseling practices of a group of pediatricians over a one-year period to determine whether prenatal and p...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198110000-00003

    authors: Greenberg LW,Coleman AB

    更新日期:1981-10-01 00:00:00

  • Chronic intermittent intestinal obstruction from a seat belt injury.

    abstract::Most patients with intestinal obstruction have had previous surgery. Rarely, the development of adhesions and resulting small bowel obstruction is attributed to previous intra-abdominal trauma. We present the case of a young man, without a history of surgery, who had been a restrained driver in a motor vehicle crash. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Harrison JR,Blackstone MO,Vargish T,Gasparaitis A

    更新日期:2001-05-01 00:00:00

  • Proximal gastric vagotomy for duodenal ulcer disease.

    abstract::Proximal gastric vagotomy is a useful operation for duodenal ulcer disease that is intractable to medical management. It is also useful in selected patients with acute duodenal ulcer perforation. We present an overview of the indications for proximal gastric vagotomy, along with its results. The major benefits of prox...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198906000-00014

    authors: Malangoni MA,Mullins RJ

    更新日期:1989-06-01 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

    doi:10.1097/00007611-197702000-00041

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

    更新日期:1977-02-01 00:00:00

  • Intracardiac thrombosis and antiphospholipid antibodies: a case report and review of the literature.

    abstract::A case report and review of the literature are reported concerning the relationship of intracardiac thrombosis and antiphospholipid antibody syndromes. Nine cases are identified, divided into three categories: three patients had antiphospholipid syndrome associated with systemic lupus erythematosus, three had primary ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199409000-00014

    authors: Baum RA,Jundt JW

    更新日期:1994-09-01 00:00:00

  • Cervical chlamydial infections: diagnostic accuracy of the Papanicolaou smear.

    abstract::To assess the reliability and accuracy of the Papanicolaou smear for the detection of cervical Chlamydia trachomatis infections, we obtained chlamydial cultures and cervical smears from 252 patients attending a gynecologic service during an eight-month time period. In 12 of these patients (4.8%), the cervical culture ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Clark RB,Schneider V,Gentile FG,Pechan B,Dalton HP

    更新日期:1985-11-01 00:00:00

  • Complications of megavitamin therapy.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-198402000-00018

    authors: Davidson RA

    更新日期:1984-02-01 00:00:00

  • Disseminated Strongyloides stercoralis: a fatal case eluding diagnosis.

    abstract::We have described a patient who died of disseminated strongyloidiasis as a result of steroid therapy, despite an extensive diagnostic evaluation in the face of eosinophilia, but before any immunosuppressive therapy. This death might have been prevented by presumptive treatment after work-up but before immunosuppressiv...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198311000-00030

    authors: Klein RA,Cleri DJ,Doshi V,Brasitus TA

    更新日期:1983-11-01 00:00:00

  • Oxybutynin effects on Staphylococcus epidermidis biofilm production.

    abstract:BACKGROUND:Oxybutynin is a tertiary amine and has chemical similarities like protamine sulfate. Protamine sulfate's effect on bacterial viability has been shown in some studies; however, there is scanty data regarding the effect of oxybutynin on bacterial viability. Accordingly, the aim of the present study was to inve...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000305885.23903.71

    authors: Gedik A,Ersay A,Atmaca S,Sener A

    更新日期:2008-03-01 00:00:00

  • Needle-catheter jejunostomy for postoperative nutritional support.

    abstract::Use of the needle-catheter feeding jejunostomy at Richland Memorial Hospital and the Dorn Veterans Administration Hospital, both clinical teaching institutions of the University of South Carolina School of Medicine, has been evaluated in 114 patients ranging from 20 to 90 years old. The results of this survey span a 3...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00018

    authors: Strickland GF,Greene FL

    更新日期:1986-11-01 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

    doi:10.1097/00007611-198009000-00044

    authors: Gray CL

    更新日期:1980-09-01 00:00:00

  • Blind-ending branch of a bifid ureter.

    abstract::An example of a blind-ending branch of a bifid ureter in a woman presenting with a urinary tract infection is reported. Definition, diagnosis, and treatment of this anomaly are discussed. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197907000-00031

    authors: Dalton DL

    更新日期:1979-07-01 00:00:00

  • Hyperammonemia: the silent killer.

    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

    pub_type: 杂志文章

    doi:10.1097/00007611-199307000-00004

    authors: Miga DE,Roth KS

    更新日期:1993-07-01 00:00:00

  • The impact of global warming on health and mortality.

    abstract::Initial concern about the possible effects of global warming on infections has declined with the realization that the spread of tropical diseases is likely to be limited and controllable. However, the direct effects of heat already cause substantial numbers of deaths among vulnerable people in the summer. Action to pr...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000144635.07975.66

    authors: Keatinge WR,Donaldson GC

    更新日期:2004-11-01 00:00:00

  • Risk stratification in acute pulmonary embolism: frequency and impact on treatment decisions and outcomes.

    abstract:OBJECTIVES:Guidelines have recommended that risk stratification be performed in patients diagnosed with an acute pulmonary embolism (PE). No study has described the use of risk stratification in routine clinical practice. The purpose of this study was to measure the frequency and impact of risk stratification on treatm...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0000000000000053

    authors: Stamm JA,Long JL,Kirchner HL,Keshava K,Wood KE

    更新日期:2014-02-01 00:00:00

  • Emergency department orthopedics observation unit as an alternative to admission.

    abstract:OBJECTIVES:Inclusion of select orthopedic problems in the orthopedics observation unit (OOU) may reduce hospital admissions. Our system allows OOU status for 24 hours, but the effect on admissions is unknown. Our primary hypothesis was that we could predict which OOU patients required admission based on the presence of...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000181

    authors: Ernst AA,Jones J,Weiss SJ,Silva O

    更新日期:2014-10-01 00:00:00

  • Ectopic pregnancy in an urban teaching hospital: can tubal rupture be predicted?

    abstract::We evaluated the medical history, physical examination, and laboratory tests done on 245 patients with laparoscopically proven ectopic pregnancies. The absence of abdominal pain was the only clinically useful negative predictive value (91%) regarding tubal rupture. Although mean levels of serum human chorionic gonadot...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199112000-00014

    authors: Hirata AJ,Soper DE,Bump RC,Hurt WG

    更新日期:1991-12-01 00:00:00