abstract：:A 75-year-old woman suffering from symptomatic cholelithiasis was admitted to our hospital for elective laparoscopic cholecystectomy (LC). Intraoperatively, because of severe inflammation and dense adhesions in the region of the Calot triangle and bleeding arising from the porta hepatis which obscured the operating fi...

journal_title：Southern medical journal

authors： Felekouras E,Megas T,Michail OP,Papaconstantinou I,Nikiteas N,Dimitroulis D,Griniatsos J,Tsechpenakis A,Kouraklis G

更新日期：2007-03-01 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：:Prosthetic joint infection with Mycobacterium tuberculosis usually involves the hips or knees and can result from either local reactivation, or less often from hematogenous spread. Predisposing conditions include rheumatoid arthritis, chronic steroid use and pulmonary diseases. The most common symptom at presentation ...

journal_title：Southern medical journal

authors： Khater FJ,Samnani IQ,Mehta JB,Moorman JP,Myers JW

更新日期：2007-01-01 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：:A 51-year-old woman suffered from dyspnea for several days before she came to an outside clinic for help. Pleura biopsy was performed and the histologic diagnosis was malignant mesothelioma. Sixteen months later, a palpable left breast lump was noted. Physical examination revealed a firm mass in the breast, measuring ...

journal_title：Southern medical journal

authors： Sheen-Chen SM,Liu YW,Eng HL,Huang CC,Ko SF

更新日期：2006-12-01 00:00:00

abstract：OBJECTIVES:To determine the documentation frequency of informed consent for women undergoing a trial of nonemergent instrumental delivery. STUDY DESIGN:A retrospective chart review of instrumented vaginal deliveries from 1992 to 2005 was performed. Cases were identified from a Labor and Delivery database and hospital ...

journal_title：Southern medical journal

authors： Nichols CM,Pendlebury LC,Jennell J

更新日期：2006-12-01 00:00:00

abstract：:Nonmenstrual toxic shock syndrome (TSS) due to Staphylococcus aureus can lead to significant morbidity and mortality. While drotrecogin alfa (DA) has been employed in patients with Methicillin-resistant Staphylococcus aureus (MRSA) severe sepsis and septic shock, its utility in TSS remains unclear. The authors report ...

journal_title：Southern medical journal

authors： Haddadin DW,Samnani IQ,Moorman JP

更新日期：2006-11-01 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：OBJECTIVE:To provide a succinct and updated discussion on common ear, nose, and throat (ENT) disorders encountered by primary care physicians. METHODS:Review of recent and pertinent literature. RESULTS:Recent data was identified via a PubMed search as well as commonly utilized texts in otolaryngology. DISCUSSION:Whi...

journal_title：Southern medical journal

authors： Emerick KS,Deschler DG

更新日期：2006-10-01 00:00:00

abstract：:This paper explores the possibility that bed sharing may carry particular risks for children with special healthcare needs (CSHCN). Two cases of CSHCN who may have sustained adverse health effects from bed sharing are described. These two case reports indicate that CSHCN may be particularly susceptible to risks associ...

journal_title：Southern medical journal

authors： Sneed RC

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Use of health services in rural communities has not been well studied. We explored how black and white children used health services in a rural Mississippi community. METHODS:Data were prospectively collected for 396 children attending a private practice to determine if race was associated wi...

journal_title：Southern medical journal

authors： Kum-Nji P,Mangrem CL,Wells PJ,Klesges LM,Herrod HG

更新日期：2006-09-01 00:00:00

abstract：:The diagnosis of granular acute lymphoblastic leukemia (ALL) can be problematic as the cytoplasmic granules found in many blast cells may mimic those seen in acute myelogenous leukemia (AML). This rare variant of B-cell ALL is more commonly diagnosed in children, but may occur in adults. We report a case of granular B...

journal_title：Southern medical journal

authors： Fulcher JW,Allred TJ,Kulharya A,Satya-Prakash KL,Seigler M,Neibarger D,Mazzella FM

更新日期：2006-08-01 00:00:00

abstract：:This review assessed the overall effectiveness of repeated treatments with botulinum toxin type A (BoNTA) across different conditions, as documented in the published literature. Forty-four original research articles reporting on 16 different conditions were identified that included data on the duration or efficacy of ...

journal_title：Southern medical journal

authors： Gordon MF,Barron R

更新日期：2006-08-01 00:00:00

abstract：:Concurrent occurrence of carotid artery stenosis and intracerebral aneurysm is uncommon and poses a therapeutic dilemma. We report a patient with bilateral carotid artery stenosis and a 2.5 cm left middle cerebral artery aneurysm who simultaneously underwent a successful stent-assisted coiling for his intracerebral an...

journal_title：Southern medical journal

authors： Navaneethan SD,Kannan VS,Osowo A,Shrivastava R,Singh S

更新日期：2006-07-01 00:00:00

abstract：:This review article provides insight into the evolution of professional healthcare chaplaincy. It identifies key historical developments identifying the training, qualifications, and competencies of chaplains. Consideration is given to both the unique character of the pastoral role in healthcare as well as the contrib...

journal_title：Southern medical journal

authors： Ford T,Tartaglia A

更新日期：2006-06-01 00:00:00

abstract：:Intraorbital hydatid disease (IHD) is quite rare and represents < 1% of the Echinococcus cases. In our current communication, we report two children with solitary, primary intraorbital hydatid cysts. Both children presented with nontender, nonpulsatile proptosis. Imaging workup, including CT and MRI scans of the head ...

journal_title：Southern medical journal

authors： Ciurea AV,Giuseppe G,Machinis TG,Coman TC,Fountas KN

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:The aim of this study was to determine the prevalence of peripheral diseases in diabetics of different age groups, the role of color Doppler in peripheral arterial disease in diabetics, and to compare the prevalence of peripheral arterial disease (PAD) in diabetics taking different therapy modalities. METHO...

journal_title：Southern medical journal

authors： Bembi V,Singh S,Singh P,Aneja GK,Arya TV,Arora R

更新日期：2006-06-01 00:00:00

abstract：:A woman developed anterior uveitis at age 24, inflammatory bowel disease at age 29, and ankylosing spondylitis at age 45 by history. There were frequent recurrences. An HLA-B27 test was positive at age 53. The literature indicates that all of these conditions together in a HLA-B27-positive woman are uncommon. Physicia...

journal_title：Southern medical journal

authors： Singleton EM,Hutson SE

更新日期：2006-05-01 00:00:00

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

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

更新日期：2006-05-01 00:00:00

abstract：:We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous s...

journal_title：Southern medical journal

authors： Kalkan A,Serhatlioglu S,Ozden M,Denk A,Demirdag K,Yilmaz T,Kilic SS

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:Recent studies on the impact of rib fractures after blunt trauma have shown a linear relationship between age, increasing number of rib fractures, and complications, including mortality. Others have documented that age-related morbidity increases before age 65 in trauma patients. We hypothesize that patients...

journal_title：Southern medical journal

authors： Testerman GM

更新日期：2006-04-01 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：:Bile acid sequestrants (BAS) continue to command a position in the treatment of dyslipidemias 25 years after their introduction. Partial diversion of the enterohepatic circulation using BAS depletes the endogenous bile acid pool by approximately 40%, thus stimulating an increase in bile acid synthesis from cholesterol...

journal_title：Southern medical journal

authors： Insull W Jr

更新日期：2006-03-01 00:00:00

abstract：:Transient synovitis of the hip is an acute and self-limited disease commonly seen in children. It is the most common cause of acute hip pain in children ages 3 to 10. It is not considered a disease of adults. It usually only affects one hip. The child may complain of pain that is much worse with walking and may actual...

journal_title：Southern medical journal

authors： Quintos-Macasa AM,Serebro L,Menon Y

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:A significant percentage of high school students participate in athletics, and of those participating, at least one third will experience a sport-related injury. Despite the high risk of injury, there are few guidelines on what type of medical coverage should be provided for high school athletics. Although v...

journal_title：Southern medical journal

authors： Aukerman DF,Aukerman MM,Browning D

更新日期：2006-02-01 00:00:00

abstract：:Pyridium (phenazopyridine hydrochloride) is often prescribed as an analgesic in patients following trauma, surgery, or infections of the urinary tract. Pyridium toxicity has been previously reported, however, most cases result in a single adverse effect. Herein the authors describe an elderly patient who presented wit...

journal_title：Southern medical journal

authors： Haigh C,Dewar JC

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:Pathologic gambling is a disorder with features that implicate abnormal functioning in brain regions involved in addiction, mood, anxiety, and impulse control disorders. Our goal was to examine brain function with neurocognitive tasks that target these brain regions in patients with pathologic gambling. M...

journal_title：Southern medical journal

authors： Patterson JC 2nd,Holland J,Middleton R

更新日期：2006-01-01 00:00:00

abstract：OBJECTIVE:The US Bureau of Primary Health Care has promoted collaboration between federally funded community health centers and neighborhood religious congregations, yet little is known about how such organizations currently interact in underserved neighborhoods. METHODS:Semistructured interviews were conducted with l...

journal_title：Southern medical journal

authors： Gee L,Smucker DR,Chin MH,Curlin FA

更新日期：2005-12-01 00:00:00

abstract：:Though low, the incidence of malaria in the United States is not insignificant and can be the source of infection in febrile travelers returning from endemic areas. Clinicians practicing in the United States must have a basic understanding of the malaria life cycle and its treatments to properly diagnose and treat thi...

journal_title：Southern medical journal

authors： Bledsoe GH

更新日期：2005-12-01 00:00:00

abstract：OBJECTIVES:The objective of this population-based study was to examine the relationship between race, socioeconomic characteristics (socioeconomic status, SES), physician density, and colon cancer incidence in Alabama. METHODS:Data for 5,788 colon cancer cases from 1996 to 1999 provided by the Alabama Statewide Cancer...

journal_title：Southern medical journal

authors： Shipp MP,Desmond R,Accortt N,Wilson RJ,Fouad M,Eloubeidi MA

更新日期：2005-11-01 00:00:00

abstract：:This report describes the case of a 32-year-old male presenting with acute progressive bilateral carpal tunnel syndrome after a benign upper respiratory tract infection. Serial nerve conduction studies confirmed progressive entrapment of the median nerves in the carpal tunnel to the point of axonal damage. Surgical de...

journal_title：Southern medical journal

authors： El Hajj II,Harb MI,Sawaya RA

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:Use of mucolytic agents that result in reduced mucous viscosity of the gastric mucous has been suggested to have an additive effect in curing Helicobacter pylori infection. METHODS:Seventy Hpylori-positive patients were given either eradication treatment consisting of 500 mg clarithromycin bid and 30 mg lan...

journal_title：Southern medical journal

authors： Gurbuz AK,Ozel AM,Ozturk R,Yildirim S,Yazgan Y,Demirturk L

更新日期：2005-11-01 00:00:00

abstract：:Granular cell tumors (GCT) are rare, usually benign neoplasms of Schwann cell origin. Since discovery in 1926, fewer than 80 cases of GCT involving the lung have been reported. This report presents a 45-year-old male who presented with symptoms consistent with chronic pancreatitis associated with night sweats, weight ...

journal_title：Southern medical journal

authors： Yoon Y,Curry K

更新日期：2005-10-01 00:00:00

abstract：:Sarcoidosis rarely involves the genitourinary system or the spinal cord. This report describes a case of sarcoidosis with a scrotal mass, a mass compressing the spinal cord, and lesions in the liver and spleen. This case illustrates an uncommon manifestation of sarcoidosis, which may mimic disseminated testicular canc...

journal_title：Southern medical journal

authors： SultanAli I,Zaman M,Yende S

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:Benchmarking techniques were implemented to optimize operating time and charges associated with laparoscopically assisted vaginal hysterectomy (LAVH). MATERIALS AND METHODS:The baseline LAVH profile over a period of 4 years (167 cases) was compared with 1-year data (47 cases) after a benchmarking educationa...

journal_title：Southern medical journal

authors： Tu FF,Feinglass J,Milad MP

更新日期：2005-09-01 00:00:00

abstract：:This report describes a 42-year-old man with Brugada syndrome (BRS) mimicking acute coronary syndrome. Chest pain, near-syncope, and electrocardiographic changes were thought initially to be due to ischemia. Cardiac catheterization was performed. The coronary arteries and left ventricular function were normal. Careful...

journal_title：Southern medical journal

authors： Yousef SE,Herre JM

更新日期：2005-08-01 00:00:00

abstract：OBJECTIVE:Intraventricular hemorrhage (IVH) represents a clinicopathologic entity with a dismal prognosis. The associated mortality rate has been reported as high as 80%; the morbidity is also quite high. The use of various fibrinolytic agents (streptokinase, urokinase, and recombinant tissue-type plasminogen activator...

journal_title：Southern medical journal

authors： Fountas KN,Kapsalaki EZ,Parish DC,Smith B,Smisson HF,Johnston KW,Robinson JS

更新日期：2005-08-01 00:00:00

abstract：:This article reviews the epidemiology of weight gain and diabetes mellitus in general and in patients with severe mental illness in particular. Body mass index is defined, and possible predictors for weight gain in patients receiving antipsychotic medications are also enumerated. Information on risk of association wit...

journal_title：Southern medical journal

authors： Citrome L,Blonde L,Damatarca C

更新日期：2005-07-01 00:00:00

abstract：:As our population ages, the incidence and prevalence of Alzheimer disease (AD) will increase dramatically. A number of therapies have been investigated for the treatment and prevention of AD. Clinicians should be prepared to provide evidence-based answers to inquiries regarding AD treatment. There is insufficient evid...

journal_title：Southern medical journal

authors： Potyk D

更新日期：2005-06-01 00:00:00

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

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

更新日期：2005-05-01 00:00:00