MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Southern Medical Journal' source. Sat, 14 Nov 2009 14:31:46 +0100 http://www.medworm.com/index.php?rid=2794667&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00038.htm Page: 990DOI: 10.1097/SMJ.0b013e3181b1dbd2Authors: Young, Jim (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794667 Tue, 15 Sep 2009 16:45:50 +0100 2794667 http://www.medworm.com/index.php?rid=2794666&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00037.htm Page: 989DOI: 10.1097/SMJ.0b013e3181b18b9dAuthors: Mendes de Oliveira, Joao Ricardo MD, PhD; de Lemos, Roberta Rodrigues MS; de Oliveira, Matheus Fernandes (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794666 Tue, 15 Sep 2009 16:45:50 +0100 2794666 http://www.medworm.com/index.php?rid=2794665&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00036.htm Page: 987DOI: 10.1097/SMJ.0b013e3181b077c7Authors: Demir, Mehmet MD; Ataseven, Hilmi MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794665 Tue, 15 Sep 2009 16:45:50 +0100 2794665 http://www.medworm.com/index.php?rid=2794664&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00035.htm Page: 986DOI: 10.1097/SMJ.0b013e3181b22e4cAuthors: Badshah, Aaref MD; Hussain, Noman MD; Janjua, Muhammad MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794664 Tue, 15 Sep 2009 16:45:50 +0100 2794664 http://www.medworm.com/index.php?rid=2794663&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00034.htm Page: 986DOI: 10.1097/SMJ.0b013e3181b20c72Authors: Kurishima, Koichi MD; Kagohashi, Katsunori MD; Nakayama, Hidetsugu MD; Satoh, Hiroaki MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794663 Tue, 15 Sep 2009 16:45:50 +0100 2794663 http://www.medworm.com/index.php?rid=2794662&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00033.htm Page: 985DOI: 10.1097/SMJ.0b013e3181b0c965Authors: Oo, Thein H. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794662 Tue, 15 Sep 2009 16:45:50 +0100 2794662 http://www.medworm.com/index.php?rid=2794661&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00032.htm Page: 985DOI: 10.1097/SMJ.0b013e3181b08db5Authors: Rizvi, Ali A. MD; McLaughlin, Niall MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794661 Tue, 15 Sep 2009 16:45:50 +0100 2794661 http://www.medworm.com/index.php?rid=2794660&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00031.htm A case of life-threatening sternal osteomyelitis after minor trauma is presented. Raised awareness and medical imaging were used to make the diagnosis. Surgery was performed following a poor response to conservative therapy, with a favorable functional result.Page: 982DOI: 10.1097/SMJ.0b013e3181b201f8Authors: Edelman, David A. MD; Losanoff, Julian E. MD; Richman, Bruce W. MA; Jones, James W. MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794660 Tue, 15 Sep 2009 16:45:50 +0100 2794660 http://www.medworm.com/index.php?rid=2794659&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00030.htm We report an immunocompetent female who experienced a urinary tract infection caused by M szulgai and was successfully treated with 4 months of isoniazid, rifampin, and levofloxacin.Page: 979DOI: 10.1097/SMJ.0b013e3181b16bdfAuthors: Lin, Jiun-Nong MD; Lai, Chung-Hsu MD; Chen, Yen-Hsu MD; Huang, Chun-Kai MD; Lin, Hsiu-Fang BS; Eng, Hock-Liew MD; Lin, Hsi-Hsun MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794659 Tue, 15 Sep 2009 16:45:50 +0100 2794659 http://www.medworm.com/index.php?rid=2794658&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00029.htm The initial diagnostic work up of chest pain, a very common presenting complaint, is typically directed towards evaluating etiologies of cardiovascular origin to avoid catastrophic results in case of a missed diagnosis. This case illustrates an unusual cause of chest pain that could be equally devastating if not diagnosed promptly.Page: 977DOI: 10.1097/SMJ.0b013e3181af6aefAuthors: Chakraborty, Kanishka MD; Jenigiri, Bharat MD; Hamati, Agnes K. MD; Hammad, Ahmad Najib MD; Ismail, Hassan M. MD, MPH; Smalligan, Roger D. MD, MPH (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794658 Tue, 15 Sep 2009 16:45:50 +0100 2794658 http://www.medworm.com/index.php?rid=2794657&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00028.htm A 65-year-old female with glioblastoma multiforme (GBM) who developed aplastic anemia from temozolomide is reported. The patient presented with rapidly developing slurred speech, apathy, memory difficulties, an ataxic gait, and right-sided weakness. She was found to have GBM. She received standard external beam radiotherapy concomitant with temozolomide, followed by adjuvant temozolomide. On day 14 of adjuvant treatment, she presented with profound fatigue and spontaneous bruising and was noted to be severely pancytopenic. After an extensive workup, she was found to have aplastic anemia on bone marrow biopsy. This case represents a rare but potentially fatal toxicity from temozolomide.Page: 974DOI: 10.1097/SMJ.0b013e3181b1d2faAuthors: George, Benjamin J. MD; Eichinger, Jessica B. MD; Richa... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794657 Tue, 15 Sep 2009 16:45:50 +0100 2794657 http://www.medworm.com/index.php?rid=2794656&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00027.htm We present a patient with a splenic infarct coexisting with bilateral renal infarcts and hematomas related to PAN.Page: 972DOI: 10.1097/SMJ.0b013e3181b21a29Authors: Unverdi, Selman MD; Altay, Mustafa MD; Duranay, Murat MD; Krbas, Ismail MD [latin dotless i]; Demirci, Selim MD; Yuksel, Enver MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794656 Tue, 15 Sep 2009 16:45:50 +0100 2794656 http://www.medworm.com/index.php?rid=2794655&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00026.htm Commonly, electrocardiographic (ECG) abnormalities in left-sided pneumothorax, with or without tension, include a right QRS axis deviation, low QRS voltage, loss of precordial lead R-wave progression, and anterior T-wave inversions. In contrast to the obvious findings of pneumothorax on chest radiograph, the ECG manifestations are sometimes difficult to identify. Furthermore, in the presence of the apparent causes of loss of precordial lead R-wave progression on ECG, such as acute coronary syndrome, the ECG manifestations of pneumothorax may be easily neglected. The abnormal ECG presentations, including diffuse low voltage and no progression of R-wave in precordial leads in a patient with initially unrecognized pneumothorax is presented. The patient's ECG changes promptly returned to basel... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794655 Tue, 15 Sep 2009 16:45:50 +0100 2794655 http://www.medworm.com/index.php?rid=2794654&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00025.htm A patient presenting with massive swelling of the upper body and weakness of the extremities is presented. He was diagnosed with myopathy due to an alternative treatment with heat and massage. Differential diagnosis of myopathy and possible complications of alternative treatments are reviewed with regard to the patient.Page: 966DOI: 10.1097/SMJ.0b013e3181b08c0aAuthors: Tanriover, Mine Durusu MD; Guven, Gulay Sain MD; Topeli, Arzu MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794654 Tue, 15 Sep 2009 16:45:50 +0100 2794654 http://www.medworm.com/index.php?rid=2794653&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00024.htm Bouveret syndrome is a rare complication of cholelithiasis occurring when a gallstone lodges in the pylorus or proximal duodenum causing a gastric outlet obstruction. The case of a 70-year-old male with Bouveret syndrome is discussed, as well as the management of this presentation by Roux-en-Y duodenojejunostomy.Page: 963DOI: 10.1097/SMJ.0b013e3181b17ddeAuthors: Erlandson, Michael D. MD; Kim, Anthony W. MD; Richter, Harry M. III MD; Myers, Jonathan A. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794653 Tue, 15 Sep 2009 16:45:50 +0100 2794653 http://www.medworm.com/index.php?rid=2794652&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00023.htm We report an unusual case of Burkitt lymphoma presented as a unilateral pleural effusion in a 37-year-old man.Page: 961DOI: 10.1097/SMJ.0b013e3181b08d9cAuthors: Vu, Ho MD; Vildor, Esther MD; Reddy, Shilpa MD; Phillips, James MD; Meenrajan, Senthil MD; Edwards, Linda MD; Hosenpud, Janet MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794652 Tue, 15 Sep 2009 16:45:50 +0100 2794652 http://www.medworm.com/index.php?rid=2794651&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00022.htm A 52-year-old woman presented with ST-segment elevated myocardial infarction. Emergency heart catheterization showed myocardial bridge and takotsubo cardiomyopathy.A review of the literature revealed an association between myocardial bridge and takotsubo cardiomyopathy. Such an association, along with the role of catecholamine surge during severe stress, is discussed.Page: 957DOI: 10.1097/SMJ.0b013e3181b08a30Authors: Boktor, Moheb MD; Mansi, Ishak A. MD, FACP; Troxclair, Sean MD; Modi, Kalgi MD, FACC (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794651 Tue, 15 Sep 2009 16:45:50 +0100 2794651 http://www.medworm.com/index.php?rid=2794650&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00021.htm We present a case of methicillin-sensitive Staphylococcus aureus metastatic endophthalmitis (SAME) that developed from a bacteremia. We compare this to a literature review of similar cases and report unique characteristics of SAME and discuss important considerations in the work-up and treatment of endogenous endophthalmitis.Page: 952DOI: 10.1097/SMJ.0b013e3181b21a40Authors: Nixdorff, Neil A. MPH, MA; Tang, Johnny MD; Mourad, Ronda MD; Skalweit, Marion J. MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794650 Tue, 15 Sep 2009 16:45:50 +0100 2794650 http://www.medworm.com/index.php?rid=2794649&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00020.htm We report a case with severe idiopathic CPPD crystal deposition disease including crowned dens syndrome in the cervical spine.Page: 949DOI: 10.1097/SMJ.0b013e3181b08c26Authors: Unlu, Zeliha MD; Tarhan, Serdar MD; Ozmen, Eylem Mete MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794649 Tue, 15 Sep 2009 16:45:50 +0100 2794649 http://www.medworm.com/index.php?rid=2794648&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00019.htm Traumatic pulmonary pseudocyst (TPP) is a rare clinical event that may occur after a lung contusion as a result of blunt trauma to the chest and rarely, following a penetrating trauma to chest. An unusual case of TPP which developed following trauma to the chest is discussed.Page: 947DOI: 10.1097/SMJ.0b013e3181b18af4Authors: Singh, Saurabh Kumar MD; Garg, Pankaj Kumar MS; Choudhary, Deepti MS; Bhargava, Rakesh MD; Ahmad, Zuber MD; Pandey, Deepak Kumar MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794648 Tue, 15 Sep 2009 16:45:50 +0100 2794648 http://www.medworm.com/index.php?rid=2794647&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00018.htm We describe an extremely rare case of emphysematous cystitis in a nondiabetic, nonimmunocompromised elderly patient and we summarize the pertinent literature. The only risk factors for emphysematous cystitis in our patient were old age and female sex. Emphysematous cystitis can present asymptomatically. In such instances, the diagnosis should be suspected based on imaging findings. Physicians should be aware of this potential lack of typical symptoms and the presentation of this clinical entity in nonimmunocompromised individuals. Rapid, appropriate intervention by an alert physician in these difficult cases will lead to a better patient outcome.Page: 942DOI: 10.1097/SMJ.0b013e3181adf18cAuthors: Kelesidis, Theodoros MD; Osman, Sara MD; Tsiodras, Sotirios MD, MSc, ScD (Source: Southern Medi... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794647 Tue, 15 Sep 2009 16:45:50 +0100 2794647 http://www.medworm.com/index.php?rid=2794646&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00017.htm This article reviews the physiology, risk factors, and prevalence of each condition, and addresses the use of a combined strategy to treat these airway diseases.Page: 935DOI: 10.1097/SMJ.0b013e3181b01c68Authors: Nathan, Robert A. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794646 Tue, 15 Sep 2009 16:45:50 +0100 2794646 http://www.medworm.com/index.php?rid=2794645&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00016.htm Complaints of loss of memory and lack of concentration have been reported by long-term survivors of breast cancer. This mild cognitive impairment (MCI), also called chemobrain or chemofog, has been the subject of an important amount of studies in the last few years. This cognitive impairment, although usually mild, must be studied to define possible risk factors for its development and for future research into a preventive or therapeutic approach.Page: 929DOI: 10.1097/SMJ.0b013e3181b23bf5Authors: Marin, Alvaro Pinto MD, PhD; Sanchez, Andres Redondo MD, PhD; Arranz, Enrique Espinosa MD, PhD; Aunon, Pilar Zamora MD, PhD; Baron, Manuel Gonzalez MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794645 Tue, 15 Sep 2009 16:45:50 +0100 2794645 http://www.medworm.com/index.php?rid=2794644&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00015.htm In this report, we discuss some of the basic principles of diffusion-weighted imaging (DWI), a sensitive magnetic resonance imaging (MRI) technique that detects the mobility of water molecules within the brain parenchymal tissue. Although the most common cause of what is known as hyperintense lesions on DWI is ischemic stroke, we will present multiple cases that may also have hyperintense lesions but have a diagnosis other than ischemic stroke. Diagnosing this way re-emphasizes that, although the sensitivity of DWI is high for ischemic stroke, the specificity is not.Page: 923DOI: 10.1097/SMJ.0b013e3181a9142aAuthors: Bhatt, Archit MD, MPH; Masih, Amit MD; Grothous, Heather F. BA; Farooq, Muhammad U. MD; Naravetla, Bharath MD; Kassab, Mounzer Y. MD, MA (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794644 Tue, 15 Sep 2009 16:45:50 +0100 2794644 http://www.medworm.com/index.php?rid=2794643&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00014.htm Atrial flutter is a relatively common supraventricular tachycardia. While usually seen in patients with underlying cardiovascular diseases, atrial flutter can also exist in patients with no obvious risk factors. Typical atrial flutter is characterized by a classical saw tooth appearance of P waves on electrocardiogram. Atrial flutter can degenerate into atrial fibrillation; however, proper management can decrease the incidence of atrial fibrillation in such patients.Page: 917DOI: 10.1097/SMJ.0b013e3181b0f4b8Authors: Dhar, Sunil MD; Lidhoo, Pooja MD; Koul, Deepak MD; Dhar, Sanjay MD; Bakhshi, Manvendra MD; Deger, Florin T. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794643 Tue, 15 Sep 2009 16:45:50 +0100 2794643 http://www.medworm.com/index.php?rid=2794642&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00013.htm Page: 916DOI: 10.1097/SMJ.0b013e3181ba0502 (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794642 Tue, 15 Sep 2009 16:45:50 +0100 2794642 http://www.medworm.com/index.php?rid=2794641&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00012.htm Page: 915DOI: 10.1097/SMJ.0b013e3181b71f40 (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794641 Tue, 15 Sep 2009 16:45:50 +0100 2794641 http://www.medworm.com/index.php?rid=2794640&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00011.htm Little is known about the etiology, microbiology and outcome of hospital-acquired thoracic empyema (HATE) in adults. In our study, we classified HATE into two categories: hospital-acquired pneumonia (HAP) related and non-HAP related. We found that HAP-related empyema had a significantly higher incidence of aerobic Gram-negative organisms (76% vs. 38.7%, P = 0.005), polymicrobial pathogens (40% vs. 9.7%, P = 0.008), and anaerobic pathogens (20% vs. 0%, P = 0.009) than non-HAP related empyema. Thus, choice of antibiotic treatment for HATE should be based on the etiology of the pleural infection. In treating HAP-related empyema, antibiotics should cover aerobic Gram-negative, polymicrobial, and anaerobic pathogens.Page: 909DOI: 10.1097/SMJ.0b013e3181b22c52Authors: Chen, Wei MD; Lin, Yu-Chao M... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794640 Tue, 15 Sep 2009 16:45:50 +0100 2794640 http://www.medworm.com/index.php?rid=2794639&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00010.htm Although video-assisted thoracic surgery (VATS) lobectomy has been demonstrated to be safe and technically feasible for non-small cell lung cancer (NSCLC), it is infrequently performed in most hospitals. There has been no clear-cut long-term outcome regarding this procedure until recently. We have, therefore, reviewed our extended experience with 92 cases of VATS lobectomy for NSCLC here in order to determine indications, perioperative results, and long-term outcomes.Page: 905DOI: 10.1097/SMJ.0b013e3181b08dcfAuthors: Yang, Xueying MD; Qu, Jiaqi MD; Wang, Shumin MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794639 Tue, 15 Sep 2009 16:45:50 +0100 2794639 http://www.medworm.com/index.php?rid=2794638&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00009.htm Thirty-two twin pregnancies were treated with 17-alphahydroxyprogesterone (17P, N = 16) while 14 received placebo. There was no difference between the two groups, in terms of gestational age at delivery, incidence of preterm delivery, and birthweight. Likewise, among the neonates, there was no difference in morbidity, mortality, or neonatal death. 17P weekly injections does not reduce the incidence of preterm birth or prematurity complications.Page: 900DOI: 10.1097/SMJ.0b013e3181afee12Authors: Briery, Christian M. MD; Veillon, Edward W. MD; Klauser, Chad K. MD; Martin, Rick W. MD; Chauhan, Suneet P. MD; Magann, Everett F. MD; Morrison, John C. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794638 Tue, 15 Sep 2009 16:45:50 +0100 2794638 http://www.medworm.com/index.php?rid=2794637&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00008.htm Smoking cessation counseling is a recommended component of prenatal care for pregnant smokers, yet several studies have shown that obstetric providers do not universally provide such counseling. The current study, conducted in Northeast Tennessee where pregnancy rates are triple the national average, showed that providers in this area fall well short of adequately addressing smoking with their prenatal patients. Efforts to reduce pregnancy smoking and improve associated birth outcomes should include facilitation of smoking cessation interventions in prenatal care.Page: 894DOI: 10.1097/SMJ.0b013e3181aa579cAuthors: Bailey, Beth A. PhD; Jones Cole, Laura K. MS, MA (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794637 Tue, 15 Sep 2009 16:45:50 +0100 2794637 http://www.medworm.com/index.php?rid=2794636&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00007.htm The purpose of our exploratory study was to examine the association between ε4 status and neurocognitive functioning in African American AD patients. Research indicates that AD is 14-100% more common in African Americans compared to Caucasians (12,13). Therefore, it is important to determine whether there is a particular cognitive phenotype in African American ε4 carriers that might assist with detection and implementation of pharmacologic treatment.Page: 890DOI: 10.1097/SMJ.0b013e3181b21b82Authors: Mount, David L. PsyD; Ashley, Angela V. MD; Lah, James J. MD, PhD; Levey, Allan I. MD, PhD; Goldstein, Felicia C. PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794636 Tue, 15 Sep 2009 16:45:50 +0100 2794636 http://www.medworm.com/index.php?rid=2794635&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00006.htm Direct current cardioversion (DCCV) is an effective therapy to restore sinus rhythm (SR) in patients with atrial fibrillation (AF) and atrial flutter (AFL). Despite a high initial success rate, many patients revert back to AF within one month post DCCV. This retrospective study was designed to investigate whether surface electrocardiogram (ECG) analysis can be used to predict DCCV outcome immediately and at one month after cardioversion. Indeed, the study showed that the size of the atrial fibrillatory wave (fine versus coarse) and the type of the atrial arrhythmia (AF versus AFL) from the surface ECG predicts DCCV outcomes.Page: 885DOI: 10.1097/SMJ.0b013e3181afe5efAuthors: Aloul, Basel Al MD; Adabag, A Selcuk MD, MS; Can, Ilknur MD; Roukoz, Henri MD; McClintock, Susan RN; Benditt, David M... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794635 Tue, 15 Sep 2009 16:45:50 +0100 2794635 http://www.medworm.com/index.php?rid=2794634&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00005.htm Page: 883DOI: 10.1097/SMJ.0b013e3181a90b2fAuthors: Cadili, Ali MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794634 Tue, 15 Sep 2009 16:45:50 +0100 2794634 http://www.medworm.com/index.php?rid=2794633&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00004.htm Page: 881DOI: 10.1097/SMJ.0b013e3181b187d3Authors: Gulbahar, Gultekin MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794633 Tue, 15 Sep 2009 16:45:50 +0100 2794633 http://www.medworm.com/index.php?rid=2794632&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00003.htm Page: 880DOI: 10.1097/SMJ.0b013e3181a31986Authors: Sheerani, Mughis MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794632 Tue, 15 Sep 2009 16:45:50 +0100 2794632 http://www.medworm.com/index.php?rid=2794631&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00002.htm Page: 879DOI: 10.1097/SMJ.0b013e3181ac4acaAuthors: Chen, Jack P. MD, FACC, FSCAI, FCCP (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794631 Tue, 15 Sep 2009 16:45:50 +0100 2794631 http://www.medworm.com/index.php?rid=2794630&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200909000-00001.htm Page: 877DOI: 10.1097/SMJ.0b013e3181b08a4dAuthors: Heston, Thomas F. MD, FAAFP; Cheng, Alan MD, FACC (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2794630 Tue, 15 Sep 2009 10:54:38 +0100 2794630 http://www.medworm.com/index.php?rid=2525102&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00035.htm Page: 778DOI: 10.1097/SMJ.0b013e3181a95c92Authors: Young, Jim (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525102 Sat, 27 Jun 2009 10:56:35 +0100 2525102 http://www.medworm.com/index.php?rid=2525101&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00034.htm Page: 777DOI: 10.1097/SMJ.0b013e3181abdb03Authors: Hamdy, Ronald C. MD, FRCP, FACP (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525101 Sat, 27 Jun 2009 10:56:35 +0100 2525101 http://www.medworm.com/index.php?rid=2525100&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00033.htm Page: 776DOI: 10.1097/SMJ.0b013e3181a88f17Authors: Kittisupamongkol, Weekitt MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525100 Sat, 27 Jun 2009 10:56:35 +0100 2525100 http://www.medworm.com/index.php?rid=2525099&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00032.htm Page: 775DOI: 10.1097/SMJ.0b013e3181a9030aAuthors: Alkhatib, Amer A. MD; Tietze, Christopher C. MD; Peterson, Kathryn A. MD; Go, Mae F. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525099 Sat, 27 Jun 2009 10:56:35 +0100 2525099 http://www.medworm.com/index.php?rid=2525098&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00031.htm Page: 775DOI: 10.1097/SMJ.0b013e3181a91442Authors: Moustafa Hussein, Wesam H. MD; Barzaga, Ricardo MD; Seifi, Ali MD; Shinde, Anita MD; Rodriguez, William MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525098 Sat, 27 Jun 2009 10:56:35 +0100 2525098 http://www.medworm.com/index.php?rid=2525097&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00030.htm Page: 774DOI: 10.1097/SMJ.0b013e3181a93fdcAuthors: Kuo, Chia-Ming MD; Wu, Cho-Kai MD; Lien, Wan-Ching MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525097 Sat, 27 Jun 2009 10:56:35 +0100 2525097 http://www.medworm.com/index.php?rid=2525096&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00029.htm Page: 773DOI: 10.1097/SMJ.0b013e3181a90285Authors: Lin, Mercury Y. MD; Shikle, James F. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525096 Sat, 27 Jun 2009 10:56:35 +0100 2525096 http://www.medworm.com/index.php?rid=2525095&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00028.htm Page: 772DOI: 10.1097/SMJ.0b013e3181a8cab9Authors: Lai, Shih-Wei MD; Liu, Chiu-Shong MD; Lin, Tsann MD, PhD; Lin, Cheng-Chieh MD, PhD; Lai, Hsueh-Chou MD; Liao, Kuan-Fu MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525095 Sat, 27 Jun 2009 10:56:35 +0100 2525095 http://www.medworm.com/index.php?rid=2525094&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00027.htm We report a rare case of cardiac myxoma showing extramedullary hematopoiesis in a patient with beta thalassemia minor.Page: 769DOI: 10.1097/SMJ.0b013e3181a8240cAuthors: Joukhadar, Rene MD; De Las Casas, Luis E. MD; Lalude, Omosalewa MBBS; Gough, David MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525094 Sat, 27 Jun 2009 10:56:35 +0100 2525094 http://www.medworm.com/index.php?rid=2525093&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00026.htm We report a patient with a massive daily intake of ergocalciferol for hypoparathyroidism post-thyroidectomy. This case report demonstrates a lack of toxicity in a patient receiving 3750 mcg (150,000 IU)/day of vitamin D for 28 years.Page: 765DOI: 10.1097/SMJ.0b013e3181a8d1e4Authors: Stephenson, David W. MD, PharmD; Peiris, Alan N. MD, PhD, MRCP, FACP, FACE (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525093 Sat, 27 Jun 2009 10:56:35 +0100 2525093 http://www.medworm.com/index.php?rid=2525092&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00025.htm Hypokalemic rhabdomyolysis caused by vasoactive intestinal peptide (VIP)-producing tumors is extremely rare and the literature is limited to one case report. The second case of an adult who presented with rhabdomyolysis due to severe hypokalemia is reported. Further evaluation revealed that he had a VIP-producing pancreatic neuroendocrine tumor (NET), which was the cause of his hypokalemic rhabdomyolysis.Page: 761DOI: 10.1097/SMJ.0b013e3181a5ceadAuthors: Kibria, Rizwan MD; Ahmed, Sameer MD; Ali, Syed A. MD; Barde, Christopher J. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525092 Sat, 27 Jun 2009 10:56:35 +0100 2525092 http://www.medworm.com/index.php?rid=2525091&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00024.htm A case of bilateral avulsion fracture of the bilateral anterior inferior iliac spine is presented, which is an indiscernable condition from malignancy in chronic phase. The other two reported cases are also discussed.Page: 758DOI: 10.1097/SMJ.0b013e3181a8caceAuthors: Karakas, Hakki Muammer MD; Alicioglu, Banu MD; Erdem, Gulnur MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525091 Sat, 27 Jun 2009 10:56:35 +0100 2525091 http://www.medworm.com/index.php?rid=2525090&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00023.htm The coexistence of multiple and synchronous primary neoplasms in the genitourinary system has rarely been described in the literature. The case presented here is the first report of a very rare tumor, a tubulocystic carcinoma, simultaneously occurring with micropapillary urothelial carcinoma in the bladder and clear cell type renal cell carcinoma in the same kidney. Tubulocystic carcinoma is a recently entitled tumor. It had been thought to arise from the distal collecting duct for a period of time and was therefore named as a low-grade collecting duct carcinoma. Tubulocystic or tubulopapillary architecture and low nuclear grade with hobnail morphology defines the tumor microscopically. Its exact progression and treatment protocol are uncertain.Page: 754DOI: 10.1097/SMJ.0b013e3181a819c1Aut... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525090 Sat, 27 Jun 2009 10:56:35 +0100 2525090 http://www.medworm.com/index.php?rid=2525089&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00022.htm Idiopathic hypereosinophilic syndrome is a leukoproliferative disorder characterized by persistent hypereosinophilia of more than 1500 cells/μl and multi-organ dysfunction. Cardiac manifestations occur in 85% of patients and are the major cause of morbidity and mortality. Endomyocardial fibrosis with restrictive cardiomyopathy is seen in most patients. Pericardial involvement in IHES is an extremely infrequent, potentially life threatening complication.Page: 751DOI: 10.1097/SMJ.0b013e3181a9429dAuthors: Tan, Shevyll Arvie MD; Duggal, Abhijit MD, MPH (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525089 Sat, 27 Jun 2009 10:56:35 +0100 2525089 http://www.medworm.com/index.php?rid=2525088&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00021.htm We report a rare case of pancreatic adenocarcinoma presenting as a symptomatic colon carcinoma in a young man with transplanted kidney. The patient presented with abdominal pain and weight loss. A colonic mass was visualized via colonoscopy and biopsy showed a poorly differentiated adenocarcinoma. Surgery was performed and pathologic examination revealed a metastatic pancreatic carcinoma. Immunosuppression may have played a role in this unusual pattern of metastasis.Page: 748DOI: 10.1097/SMJ.0b013e3181a8fad7Authors: Bellows, Charles MD; Gage, Thomas MD; Stark, Matthew MD; McCarty, Curt MD; Haque, Salima MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525088 Sat, 27 Jun 2009 10:56:35 +0100 2525088 http://www.medworm.com/index.php?rid=2525087&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00020.htm This report details the successful utilization of nitazoxanide and probiotics to treat multi-recurrent Clostridium difficile infection (CDI) in a peritoneal dialysis patient. A 58-year-old female was admitted with hypotension, nausea and vomiting attributed to metronidazole therapy for Clostridium difficile. This was her third CDI treatment regimen in 3 months. During her admission, the patient developed CDI and was started on a 6-week regimen of nitazoxanide and probiotics to assist in re-establishing the colonic flora. The regimen was well tolerated and the patient remained disease-free at follow up, 4 months later.Page: 746DOI: 10.1097/SMJ.0b013e3181a82bbbAuthors: Yangco, Bienvenido G. MD, MPH; Sher, Gulab MD; Bardin, Matthew C. PharmD, BCPS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525087 Sat, 27 Jun 2009 10:56:35 +0100 2525087 http://www.medworm.com/index.php?rid=2525086&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00019.htm Two different women with systemic lupus erythematosus presented with myelitis. In one case, myelitis was associated with antiphospholipid antibodies. Both patients were treated with corticosteroids and cyclophosphamide with complete improvement in symptoms.Page: 744DOI: 10.1097/SMJ.0b013e3181a82a46Authors: Ammouri, Wafa MD; Mezalek, Zoubida Tazi MD, PhD; Harmouche, Hicham MD, PhD; Aouni, Mohammed MD, PhD; Adnaoui, Mohammed MD, PhD; Maaouni, Abdelaaziz MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525086 Sat, 27 Jun 2009 10:56:35 +0100 2525086 http://www.medworm.com/index.php?rid=2525085&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00018.htm An immunocompromised woman presented with waxing and waning pulmonary nodules. A wedge biopsy specimen demonstrated caseating granulomas. Patients with tuberculosis and multiple pulmonary nodules have been reported in the literature, but to our knowledge, this is the first reported case of a tuberculosis patient with waning and waxing pulmonary nodules. Clinicians should keep tuberculosis in mind as an etiology of waxing and waning pulmonary nodules.Page: 741DOI: 10.1097/SMJ.0b013e3181a852e7Authors: Koksal, Deniz MD; Mutluay, Neslihan MD; Boyac, Ebru MD [latin dotless i]; Basay, Nihal MD; Bayiz, Hulya MD; Berktas, M Bahadr MD [latin dotless i]; Aydn, Mehtap MD [latin dotless i]; Kaya, Sadi MD; Berko[latin small letter g with caron]lu, Mine MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525085 Sat, 27 Jun 2009 10:56:35 +0100 2525085 http://www.medworm.com/index.php?rid=2525084&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00017.htm The tumor necrosis factor-α (TNF-alpha) inhibitors are widely used in the treatment of some autoimmune disorders with promising results. However, their safety has been questioned with multiple postmarketing reports of increased risk for malignancies. The case of a patient with ankylosing spondylitis who developed cutaneous adenoid cystic carcinoma after three years of treatment with anti-TNF-α therapy is reported.Page: 738DOI: 10.1097/SMJ.0b013e3181a7fb33Authors: Cansu, Dondu U. MD; Kasifoglu, Timucin MD; Ackaln, Mustafa MD [latin dotless i][latin dotless i]; Korkmaz, Cengiz MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525084 Sat, 27 Jun 2009 10:56:35 +0100 2525084 http://www.medworm.com/index.php?rid=2525083&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00016.htm A case of male breast cancer with an abnormal presentation is discussed. The case illustrates the rarity of breast cancer presenting as an axillary mass, especially in a male. The male breast cancer literature is also reviewed.Page: 736DOI: 10.1097/SMJ.0b013e3181a93d7fAuthors: Schneider, Stacie MD; Sariego, Jack MD, FACS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525083 Sat, 27 Jun 2009 10:56:35 +0100 2525083 http://www.medworm.com/index.php?rid=2525082&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00015.htm Metastatic lesions of the spleen are a rare finding and are generally associated with widespread disease. Moreover, solitary metastases of the spleen are exceptional. A patient who developed an isolated splenic metastasis from colon carcinoma five years following surgery and was successfully treated by splenectomy is described. We also review the scant literature discussing clinical diagnosis and approaches to this uncommon event.Page: 733DOI: 10.1097/SMJ.0b013e3181a93c39Authors: Sileri, Pierpaolo MD, MS, PhD; D'Ugo, Stefano MD; Benavoli, Domenico MD; Stolfi, Vito M. MD; Palmieri, Giampiero MD; Mele, Alessandra MD; Gaspari, Achille L. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525082 Sat, 27 Jun 2009 10:56:35 +0100 2525082 http://www.medworm.com/index.php?rid=2525081&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00014.htm This article combines a case report and review of the English literature on the rupture of a pancreatic pseudocyst into the portal vein and subsequent portal vein thrombosis with a discussion on noninfectious systemic inflammatory response syndrome that may result from this complication.Page: 728DOI: 10.1097/SMJ.0b013e3181a9018cAuthors: Dawson, Brian C. MD; Kasa, David MD; Mazer, Mark A. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525081 Sat, 27 Jun 2009 10:56:35 +0100 2525081 http://www.medworm.com/index.php?rid=2525080&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00013.htm Intra-abdominal actinomycosis is a diminishing worldwide disease representing a relative rarity following laparoscopic cholecystectomy. It is usually polymicrobial, but, in this case, it was associated with the first reported case of associated Klebsiella ozaenae infection. This was successfully managed by open transthoracic drainage and prolonged antibiotic therapy. The presumptive etiopathogenesis of this condition and its clinical presentation and management are presented in this case study.Page: 725DOI: 10.1097/SMJ.0b013e3181abddc5Authors: Zbar, Andrew P. MD, MBBS, FRCS, FRACS; Ranasinghe, Weranja MBBS, MRCS; Kennedy, Philip J. MBBS, FRACS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525080 Sat, 27 Jun 2009 10:56:35 +0100 2525080 http://www.medworm.com/index.php?rid=2525079&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00012.htm Cardiovascular magnetic resonance imaging (CMR) has advanced in the last ten years and has been proven a reliable and flexible method for cardiac diagnosis. Stress perfusion magnetic resonance imaging has been shown to accurately detect coronary heart disease. The role of CMR is also increasing for evaluation of congestive heart failure and cardiomyopathies. Late gadolinium enhancement highlights areas of myocardial scar and helps predict prognosis. CMR usually complements, but does not fully replace other diagnostic modalities. Careful patient selection is required to ensure safety in the presence of this powerful magnetic field. No longer used just for esoteric conditions, CMR is becoming common in the community hospital.Page: 719DOI: 10.1097/SMJ.0b013e3181a8e2c6Authors: Gore, Thomas B. ... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525079 Sat, 27 Jun 2009 10:56:35 +0100 2525079 http://www.medworm.com/index.php?rid=2525078&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00011.htm The use of antidepressants and the risk of suicidal behavior has become a significant issue of debate. The rare potential complication of antidepressantinduced suicidal ideations in adults and the implications for practicing clinicians is discussed.Page: 713DOI: 10.1097/SMJ.0b013e3181a918bdAuthors: Reeves, Roy R. DO, PhD; Ladner, Mark E. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525078 Sat, 27 Jun 2009 10:56:35 +0100 2525078 http://www.medworm.com/index.php?rid=2525077&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00010.htm Page: 712DOI: 10.1097/SMJ.0b013e3181aa6890 (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525077 Sat, 27 Jun 2009 10:56:35 +0100 2525077 http://www.medworm.com/index.php?rid=2525076&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00009.htm Page: 711DOI: 10.1097/SMJ.0b013e3181aa6838 (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525076 Sat, 27 Jun 2009 10:56:35 +0100 2525076 http://www.medworm.com/index.php?rid=2525075&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00008.htm Postage stamps have been used for years to educate the general public and promote programs and policies. Stamps with medical themes have also been used to educate the general public about different aspects of medicine. These include stamps to celebrate the careers of prominent medical scientists, and raise awareness about other aspects of medicine, such as disease prevention, medical technology, immunization, medical instrumentation and the history of medicine. As a result of newer methods of communication, fewer and fewer commemorative postage stamps are used and most members of the general public never see postage stamps with medical themes.Page: 707DOI: 10.1097/SMJ.0b013e3181a90ef2Authors: Titford, Michael BS, HTL (ASCP) (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525075 Sat, 27 Jun 2009 10:56:35 +0100 2525075 http://www.medworm.com/index.php?rid=2525074&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00007.htm The purpose of this article is to assist residents of the area and health practitioners with factual information about the extent and distribution of indoor radon. To our knowledge, this is the first study of concentrations of uranium decay products (radium and radon) concurrently in the soil, tap water, and indoor air in the northern part of the Texas-Mexico border. Using field data collected over a period of four years, we analyzed radon gas in the indoor air and compared it to the levels in the tap water and soil. Other factors that were analyzed included housing characteristics, air temperature, the US or Mexico side of the border, and urban or rural residence. A predictive model for indoor radon was evaluated.Page: 701DOI: 10.1097/SMJ.0b013e3181a940d0Authors: Cech, Irina PhD; Burau, K... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525074 Sat, 27 Jun 2009 10:56:35 +0100 2525074 http://www.medworm.com/index.php?rid=2525073&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00006.htm This study aimed to determine whether morning/night lactate levels are related with apnea-hypopnea, hypoventilation, and hypoxemia in patients with sleep-related breathing disorders (SRBD) and to compare it with patients without SRBD. As a marker of tissue hypoxia, arterial lactate may be used to assess the severity of SRBD.Page: 693DOI: 10.1097/SMJ.0b013e3181a93897Authors: Ucar, Zeynep Zeren MD; Taymaz, Zuhre MD; Erbaycu, Ahmet Emin MD; Kirakli, Cenk MD; Tuksavul, Fevziye MD; Guclu, Salih Zeki MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525073 Sat, 27 Jun 2009 10:56:35 +0100 2525073 http://www.medworm.com/index.php?rid=2525072&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00005.htm Pain in the most commonly seen chief complaint in the emergency department. The purpose of this study was to measure the impact of deep breathing exercises on pain levels. Although deep breathing exercises were ineffective in reducing pain levels, the majority of patients who received deep breathing education felt that it was useful. The exercise was effective in increasing the patient's feelings of rapport and intentions to follow their doctor's directives.Page: 688DOI: 10.1097/SMJ.0b013e3181a93fc5Authors: Downey, La Vonne A. PhD; Zun, Leslie S. MD, MBA (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525072 Sat, 27 Jun 2009 10:56:35 +0100 2525072 http://www.medworm.com/index.php?rid=2525071&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00004.htm We report the first cluster of Kp and Escherichia coli (Ec) cases in Northeast Florida carrying either the KPC-2 or KPC-3 gene. Prompt recognition of these isolates by the laboratory is important for patient management and infection control.Page: 680DOI: 10.1097/SMJ.0b013e3181a93f9eAuthors: Halstead, Diane C. PhD; Sellen, Timothy J. MS; Adams-Haduch, Jennifer M.; Dossenback, Deborah A. AS; Abid, Joan MS; Doi, Yohei MD, PhD; Paterson, David L. MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525071 Sat, 27 Jun 2009 10:56:35 +0100 2525071 http://www.medworm.com/index.php?rid=2525070&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00003.htm Page: 678DOI: 10.1097/SMJ.0b013e3181a94584Authors: Soylu, Secil MD; Gul, Ulker MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525070 Sat, 27 Jun 2009 10:56:35 +0100 2525070 http://www.medworm.com/index.php?rid=2525069&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00002.htm Page: 677DOI: 10.1097/SMJ.0b013e3181a93bc0Authors: Gentilini, Oreste MD; Zurrida, Stefano MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525069 Sat, 27 Jun 2009 10:56:35 +0100 2525069 http://www.medworm.com/index.php?rid=2525068&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200907000-00001.htm Page: 675DOI: 10.1097/SMJ.0b013e3181a93d96Authors: Goldin, Steven MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2525068 Fri, 26 Jun 2009 23:53:14 +0100 2525068 http://www.medworm.com/index.php?rid=2460608&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00037.htm Page: 673DOI: 10.1097/SMJ.0b013e3181a5ca15Authors: Young, Jim (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460608 Sun, 07 Jun 2009 21:56:57 +0100 2460608 http://www.medworm.com/index.php?rid=2460607&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00036.htm Page: 672DOI: 10.1097/SMJ.0b013e3181a13c76Authors: Jolobe, Oscar M. P. MRCP (UK), DPhil (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460607 Sun, 07 Jun 2009 21:56:57 +0100 2460607 http://www.medworm.com/index.php?rid=2460606&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00035.htm Page: 671DOI: 10.1097/SMJ.0b013e3181a55da9Authors: Walid, M Sami MD, PhD; Heaton, Richard L. MD, FACOG (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460606 Sun, 07 Jun 2009 21:56:57 +0100 2460606 http://www.medworm.com/index.php?rid=2460605&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00034.htm Page: 671DOI: 10.1097/SMJ.0b013e3181a56a07Authors: Loganathan, Muruga MD; Kandel, Madhavi MD; Salamat, Sumera MD; Lippmann, Steven MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460605 Sun, 07 Jun 2009 21:56:57 +0100 2460605 http://www.medworm.com/index.php?rid=2460604&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00033.htm Page: 670DOI: 10.1097/SMJ.0b013e3181a31e2bAuthors: Momin, Riamiza Natalie BMBS; Rajendran, Nallathamby MBBS, MRCP, FRCP; Chong, Vui Heng MRCP, FAMS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460604 Sun, 07 Jun 2009 21:56:57 +0100 2460604 http://www.medworm.com/index.php?rid=2460603&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00032.htm Page: 669DOI: 10.1097/SMJ.0b013e3181a5662eAuthors: Suzuki, Keisuke MD, PhD; Hirata, Koichi MD, PhD; Takiguchi, Yoshiteru MD, PhD; Hori, Kenichiro MD; Aso, Yoshimasa MD, PhD; Inukai, Toshihiko MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460603 Sun, 07 Jun 2009 21:56:57 +0100 2460603 http://www.medworm.com/index.php?rid=2460602&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00031.htm Page: 668DOI: 10.1097/SMJ.0b013e3181a5a923Authors: Kagohashi, Katsunori MD; Satoh, Hiroaki MD; Nishimagi, Hideo MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460602 Sun, 07 Jun 2009 21:56:57 +0100 2460602 http://www.medworm.com/index.php?rid=2460601&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00030.htm We report the case of a previously healthy man who presented with hypotension, abdominal pain, and weight loss and was found to have primary adrenal insufficiency secondary to lung adenocarcinoma.Page: 665DOI: 10.1097/SMJ.0b013e3181a56042Authors: Mohammad, Khalid MD; Sadikot, Ruxana T. MD, MRCP (UK) (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460601 Sun, 07 Jun 2009 21:56:57 +0100 2460601 http://www.medworm.com/index.php?rid=2460600&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00029.htm A 5-month-old boy presented with swelling and discoloration of the right third toe because of hair-thread tourniquet syndrome. This was treated with urgent surgical release of the constricting band, with a successful outcome.Page: 663DOI: 10.1097/SMJ.0b013e3181a2e33eAuthors: Unlu, Cagdas MD; Gundlach, Udo MD; Vrouenraets, Bart C. MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460600 Sun, 07 Jun 2009 21:56:57 +0100 2460600 http://www.medworm.com/index.php?rid=2460599&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00028.htm We describe a 67-year-old man with oncocytic carcinoma arising in the left submandibular gland with disseminated bone metastases.Page: 659DOI: 10.1097/SMJ.0b013e3181a39629Authors: Lee, Ji-Sun MD; Choi, Jung-Hye PhD, MD; Oh, Young-Ha PhD, MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460599 Sun, 07 Jun 2009 21:56:57 +0100 2460599 http://www.medworm.com/index.php?rid=2460598&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00027.htm We report a rare case of isolated granulomatous hepatitis due to histoplasmosis in a 35-year-old female with dermatomyositis receiving low-dose prednisone and methotrexate.Page: 656DOI: 10.1097/SMJ.0b013e3181a56b7eAuthors: Kibria, Rizwan MD; Bari, Khurram MD; Ali, Syed A. MD; Barde, Christopher J. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460598 Sun, 07 Jun 2009 21:56:57 +0100 2460598 http://www.medworm.com/index.php?rid=2460597&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00026.htm A rare case of retrosternal abscess and acute superior vena cava obstruction caused by group A beta hemolytic Streptococcus complicating adult varicella zoster with type 2 diabetes mellitus is reported. A high index of suspicion is needed for early diagnosis. An urgent computed tomographic scan is essential for diagnosis and planning for optimal surgical drainage. Prompt administration of broad spectrum antimicrobials, antiviral treatments, and surgical drainage are crucial for survival.Page: 653DOI: 10.1097/SMJ.0b013e3181a49a71Authors: Bin Yap, Felix Boon MD, MRCP; Kiung, Sze Ting MBBS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460597 Sun, 07 Jun 2009 21:56:57 +0100 2460597 http://www.medworm.com/index.php?rid=2460596&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00025.htm A case of vitamin D deficiency in a woman with refractory, drug-susceptible, and pulmonary tuberculosis (TB) is reported. With aggressive correction of deficiency with oral vitamin D added to conventional TB therapy, the patient demonstrated improved microbiologic and clinical outcomes with negative sputum cultures and a resolution of her TB-related symptoms. The basis for vitamin D/TB interaction and a brief literature review are discussed. More data from randomized controlled trials are needed to evaluate the efficacy of vitamin D as adjunctive therapy in TB.Page: 649DOI: 10.1097/SMJ.0b013e3181a5d37eAuthors: Yamshchikov, Alexandra V. MD; Oladele, Alawode MD; Leonard, Michael K. Jr MD; Blumberg, Henry M. MD; Ziegler, Thomas R. MD; Tangpricha, Vin MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460596 Sun, 07 Jun 2009 21:56:57 +0100 2460596 http://www.medworm.com/index.php?rid=2460595&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00024.htm A head-on collision of two Southern Railway passenger trains in a rural area in eastern Tennessee in 1904 resulted in multiple casualties, including 60 deaths. Two surgeons responded to the scene in a relief train and provided initial surgical stabilization of the injured and evacuation to a city hospital. Disaster management, community responses, and the contemporary role of a surgeon are reviewed.Page: 645DOI: 10.1097/SMJ.0b013e31819ea068Authors: Testerman, George M. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460595 Sun, 07 Jun 2009 21:56:57 +0100 2460595 http://www.medworm.com/index.php?rid=2460594&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00023.htm Diabetic bullae (DB) are a rare finding associated with diabetes, characterized by tense, usually painless blisters. The diagnosis of bullosis diabeticorum in a nondiabetic patient should prompt screening for diabetes. A case of recurrent bullae in a prediabetic patient is presented, with a review of the clinical features and significance of bullosis diabeticorum.Page: 643DOI: 10.1097/SMJ.0b013e3181a506d6Authors: Lopez, Pablo R. MD; Leicht, Stuart MD; Sigmon, Justin R. BA; Stigall, Landon BS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460594 Sun, 07 Jun 2009 21:56:57 +0100 2460594 http://www.medworm.com/index.php?rid=2460593&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00022.htm We present the case of a patient who presumably developed a mycotic coronary artery aneurysm and infective pericarditis after undergoing PCI.Page: 640DOI: 10.1097/SMJ.0b013e3181a1613dAuthors: Badshah, Aaref MD; Younas, Fahad MD; Janjua, Muhammad MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460593 Sun, 07 Jun 2009 21:56:57 +0100 2460593 http://www.medworm.com/index.php?rid=2460592&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00021.htm We present a case of a United States Marine with an open abdominal injury from a single gunshot wound to the chest and abdomen, who was placed in the prone position after suffering from ARDS.Page: 637DOI: 10.1097/SMJ.0b013e31819ec6e6Authors: Guerrero, Melanie MD; Cannizzo, Francis MD; Falta, Edward MD; Berndt, George MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460592 Sun, 07 Jun 2009 21:56:57 +0100 2460592 http://www.medworm.com/index.php?rid=2460591&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00020.htm Psoriasis is common, affecting about 2-3% of the population, and has major effects on patients' quality of life. Psoriasis varies in its manifestations and in how patients perceive the condition. Successful treatment involves addressing the clinical, psychological, and social aspects of the disease. Treatment options include topical agents, phototherapy and systemic treatment. Topical treatments are only practical for fairly limited area of involvement. Phototherapy is practical for larger areas of involvement, but office phototherapy treatments are inconvenient. Traditional systemic medications are limited by side effects. New biologic agents that target specific components of the immune system are the most recent addition to our list of medication and provide higher efficacy with improve... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460591 Sun, 07 Jun 2009 21:56:57 +0100 2460591 http://www.medworm.com/index.php?rid=2460590&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00019.htm Using antitrust laws, the Connecticut Attorney General (AG) recently investigated the Infectious Diseases Society of America (IDSA). The investigation revealed financial conflicts of interest in members of the panel that authored IDSA's 2006 clinical practice guidelines for Lyme disease. It also revealed that the panel failed to consider all available scientific knowledge regarding Lyme and its treatment protocols. IDSA has entered into a legal agreement with the AG that requires a new panel to review the guidelines. Both the investigation and the legal agreement are unprecedented.Page: 626DOI: 10.1097/SMJ.0b013e3181a5dcceAuthors: Ronn, Susan JD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460590 Sun, 07 Jun 2009 21:56:57 +0100 2460590 http://www.medworm.com/index.php?rid=2460589&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00018.htm Hantaviruses were first described as the etiological agent of hemorrhagic fever with renal syndrome (HFRS) in Korea in 1978. Since then, numerous related enveloped, negative-stranded RNA viruses have been identified, forming the genus Hantavirus within the family Bunyaviridae. The hantavirus pulmonary syndrome is the primary hantaviral disease in North America and will thus be the focus of this review.Page: 620DOI: 10.1097/SMJ.0b013e3181a4eedaAuthors: Vinh, Donald C. MD, FRCPC; Embil, John M. MD, FRCPC (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460589 Sun, 07 Jun 2009 21:56:57 +0100 2460589 http://www.medworm.com/index.php?rid=2460588&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00017.htm This article describes a report of myopericarditis following smallpox immunization and provides a review of all cardiac complications associated with vaccination.Page: 615DOI: 10.1097/SMJ.0b013e31819fe55bAuthors: Mora, Luis F. MD; Khan, Akbar H. MD; Sperling, Laurence S. MD, FACC, FACP, FAHA (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460588 Sun, 07 Jun 2009 21:56:57 +0100 2460588 http://www.medworm.com/index.php?rid=2460587&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00016.htm Maintenance of healthy body weight is a function of total energy expenditure including household and workplace activity. Light to moderate physical activity has been found to be effective in motivating sedentary and obese individuals and has been found to be at least as effective as structured exercise in lowering weight in some studies. In this article, several suggestions to change the architectural design of buildings so as to promote more physical activity are presented and discussed. Standard national building codes that incorporate health concerns should be devised.Page: 610DOI: 10.1097/SMJ.0b013e3181a4f67aAuthors: Mansi, Ishak A. MD, FACP; Mansi, Nardine AIA; Shaker, Hayam MD; Banks, Daniel MD, MS, FACP (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460587 Sun, 07 Jun 2009 21:56:57 +0100 2460587 http://www.medworm.com/index.php?rid=2460586&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00015.htm Page: 609DOI: 10.1097/SMJ.0b013e3181a71fb3 (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460586 Sun, 07 Jun 2009 21:56:57 +0100 2460586 http://www.medworm.com/index.php?rid=2460585&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00014.htm Page: 608DOI: 10.1097/SMJ.0b013e3181a71f9f (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460585 Sun, 07 Jun 2009 21:56:57 +0100 2460585 http://www.medworm.com/index.php?rid=2460584&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00013.htm Utilization rates of appropriate medications, use of revascularization procedures and in-hospital outcomes in over 1200 patients admitted to a teaching hospital over a ≥2 year period were examined. No major differences in the process of care and short-term outcomes based on the time of the year in which patients were admitted to the hospital were found. Our results, therefore, do not support the notion of a July phenomenon.Page: 602DOI: 10.1097/SMJ.0b013e3181a2f8caAuthors: Garcia, Santiago MD; Canoniero, Mariana MD; Young, Larry MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460584 Sun, 07 Jun 2009 21:56:57 +0100 2460584 http://www.medworm.com/index.php?rid=2460583&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00012.htm This study explored the factors related to internet use for medical information among primary care clinic patients in the rural, remote and border areas of West Texas. A convenience sample was drawn from nine clinics that serve low-income rural and border area populations. Survey questions were adapted from a study in the Journal of the American Medical Association. The findings revealed a much lower rate of internet use for medical/health information compared with a nationwide survey. The determinants of internet use included health insurance, self-rated health, health confidence, and number of worried days. This finding suggests that promoting health/medical information through websites or other on-line resources might not be the most effective way to reach a majority of patients in remo... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460583 Sun, 07 Jun 2009 21:56:57 +0100 2460583 http://www.medworm.com/index.php?rid=2460582&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00011.htm The aim of this study was to objectively evaluate the benefits of prolonged and sustained treatment for obstructive sleep apnea-hypopnea (OSAH) on cognitive impairment and emotional disturbances of patients with OSAH. The study was performed at two sleep centers serving rural community hospitals. Fifty-six patients diagnosed with OSAH syndrome underwent extensive psychological testing before initiation of treatment. Repeated testing after six months of therapy with positive airway pressure was performed. The study noted significant improvement in memory function, symptoms of depression and anxiety after six months of treatment with positive airway pressure.Page: 589DOI: 10.1097/SMJ.0b013e3181a3a03bAuthors: Joseph, Sharon PhD; Zuriqat, Muqdad MD, FCCP; Husari, Ahmad MD, FCCP, D'ABSM (Source... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460582 Sun, 07 Jun 2009 21:56:57 +0100 2460582 http://www.medworm.com/index.php?rid=2460581&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00010.htm A case series of eleven elderly patients with persistent leakage from gastrocutaneous fistulas is reported. They all underwent combined electrochemical cautery and endoscopic clip placement. These eleven patients had failed conservative therapy and were deemed unsuitable candidates for surgical closure. This procedure resulted in complete closure of the gastrocutaneous fistula in nine patients (82%). One patient had partial closure of the fistula which was sealed using a new PEG tube. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.Page: 585DOI: 10.1097/SMJ.0b013e3181a5a6a2Authors: Duddempudi, Sushil MD; Ghevariya, Vishal MD; Singh, Malvinder MD; Krishnaiah, Mahesh MD; Anand, Sury MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460581 Sun, 07 Jun 2009 21:56:57 +0100 2460581 http://www.medworm.com/index.php?rid=2460580&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00009.htm Page: 580DOI: 10.1097/SMJ.0b013e3181a5cec9Authors: Alkhatib, Amer A. MD; Lam, Angela PharmD; Shihab, Fuad MD; Adler, Douglas G. MD, FACG, FASGE (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460580 Sun, 07 Jun 2009 21:56:57 +0100 2460580 http://www.medworm.com/index.php?rid=2460579&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00008.htm The purpose of this investigation was to review our experience employing outpatient parenteral antibiotic therapy (OPAT) for infective endocarditis (IE). After patients were assessed to have clinical stability prior to discharge, we found that OPAT could be relied upon to complete treatment of this high risk illness. Special interest centered on our experience with staphylococcal IE, the percentage of total antibiotic therapy rendered in the out-of-hospital setting, and one year clinical outcomes. Our findings may help to refine indications to OPAT for this disease.Page: 575DOI: 10.1097/SMJ.0b013e3181a4eef2Authors: Larioza, Julius MD; Heung, Lena MD; Girard, Amy RN; Brown, Richard B. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460579 Sun, 07 Jun 2009 21:56:57 +0100 2460579 http://www.medworm.com/index.php?rid=2460578&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00007.htm The core temperature descriptive data in football linemen during twice daily workouts in the heat and humidity of the southeastern United States is examined. Some predictors and relationships leading to higher core temperature readings in elite football athletes exercising in the heat are explored. Significant TGI elevations in asymptomatic athletes are clearly common in extreme heat during football practice. Intense morning practices in full gear result in a higher net temperature gain and rate of temperature gain than evening practices. Offensive linemen trended toward higher TGI than defensive linemen. As players acclimatized, a decrease in the rate of TGI increase was appreciable, particularly in the morning practices. Appreciating cumulative heat stress and variations in heat stress r... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460578 Sun, 07 Jun 2009 21:56:57 +0100 2460578 http://www.medworm.com/index.php?rid=2460577&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00006.htm Page: 567DOI: 10.1097/SMJ.0b013e3181a2ed3dAuthors: Oud, Lavi MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460577 Sun, 07 Jun 2009 21:56:57 +0100 2460577 http://www.medworm.com/index.php?rid=2460576&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00005.htm Page: 565DOI: 10.1097/SMJ.0b013e3181a594e9Authors: Stricker, Raphael B. MD; Johnson, Lorraine JD, MBA (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460576 Sun, 07 Jun 2009 21:56:57 +0100 2460576 http://www.medworm.com/index.php?rid=2460575&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00004.htm Page: 563DOI: 10.1097/SMJ.0b013e3181a4f49eAuthors: Pierce, J Rush Jr MD, MPH; Milton, J Scott MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460575 Sun, 07 Jun 2009 21:56:57 +0100 2460575 http://www.medworm.com/index.php?rid=2460574&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00003.htm Page: 561DOI: 10.1097/SMJ.0b013e31819ea189Authors: Leggiadro, Robert J. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460574 Sun, 07 Jun 2009 21:56:57 +0100 2460574 http://www.medworm.com/index.php?rid=2460573&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00002.htm Page: 559DOI: 10.1097/SMJ.0b013e3181a59750Authors: Popescu, Gabriel-Adrian MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460573 Sun, 07 Jun 2009 21:56:57 +0100 2460573 http://www.medworm.com/index.php?rid=2460572&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200906000-00001.htm Page: 557DOI: 10.1097/SMJ.0b013e3181a56800Authors: Wexler, Randell K. MD, MPH, FAAFP (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2460572 Sat, 06 Jun 2009 23:44:45 +0100 2460572 http://www.medworm.com/index.php?rid=2393307&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00041.htm Page: 556DOI: 10.1097/SMJ.0b013e3181a0da6eAuthors: Young, Jim (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393307 Thu, 07 May 2009 16:03:21 +0100 2393307 http://www.medworm.com/index.php?rid=2393306&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00040.htm Page: 555DOI: 10.1097/SMJ.0b013e3181a99810 (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393306 Thu, 07 May 2009 16:03:21 +0100 2393306 http://www.medworm.com/index.php?rid=2393305&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00039.htm Page: 554DOI: 10.1097/SMJ.0b013e31819f3490Authors: Pan, Hai-Feng MD; Wu, Guo-Cui MM; Li, Xiang-Pei MD; Ye, Dong-Qing MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393305 Thu, 07 May 2009 16:03:21 +0100 2393305 http://www.medworm.com/index.php?rid=2393304&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00038.htm Page: 554DOI: 10.1097/SMJ.0b013e3181a06639Authors: Kittisupamongkol, Weekitt MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393304 Thu, 07 May 2009 16:03:21 +0100 2393304 http://www.medworm.com/index.php?rid=2393303&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00037.htm Page: 553DOI: 10.1097/SMJ.0b013e3181a09205Authors: Lim, Myong Cheol MD, PhD; Jung, Dae Chul MD; Park, Sang-Yoon MD, PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393303 Thu, 07 May 2009 16:03:21 +0100 2393303 http://www.medworm.com/index.php?rid=2393302&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00036.htm Page: 553DOI: 10.1097/SMJ.0b013e3181a0ae98Authors: Bell, David S. H. MB, FACE (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393302 Thu, 07 May 2009 16:03:21 +0100 2393302 http://www.medworm.com/index.php?rid=2393301&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00035.htm Page: 552DOI: 10.1097/SMJ.0b013e3181a06cd3Authors: Casale, Manuele MD; Rinaldi, Vittorio MD; Bressi, Federica MD; Salvinelli, Fabrizio Prof (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393301 Thu, 07 May 2009 16:03:21 +0100 2393301 http://www.medworm.com/index.php?rid=2393300&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00034.htm Page: 551DOI: 10.1097/SMJ.0b013e3181a09331Authors: Chong, Vui Heng MRCP, FAMS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393300 Thu, 07 May 2009 16:03:21 +0100 2393300 http://www.medworm.com/index.php?rid=2393299&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00033.htm Page: 551DOI: 10.1097/SMJ.0b013e31819cb06dAuthors: Kauffman, Robert P. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393299 Thu, 07 May 2009 16:03:21 +0100 2393299 http://www.medworm.com/index.php?rid=2393298&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00032.htm Neuroleptospirosis can cause hydrocephalus of unknown origin. To our knowledge, we present the first known case of a patient with leptospirosis and very elevated cerebrospinal fluid (CSF), which caused hydrocephalus.Page: 549DOI: 10.1097/SMJ.0b013e3181a0ae80Authors: Sakellaridis, Nikolaos MD; Panagopoulos, Demetrius MD; Androulis, Antonios BSc (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393298 Thu, 07 May 2009 16:03:21 +0100 2393298 http://www.medworm.com/index.php?rid=2393297&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00031.htm We report two patients with cisplatin-refractory, metastatic, nonseminomatous, extragonadal GCT treated successfully with gemcitabine plus vinorelbine (GV). One patient achieved good partial remission and had a five month progression-free period. Another patient is still alive with stable disease after 4 cycles of treatment. Grade 3 neutropenia was the only toxicity observed. In heavily treated, cisplatin-refractory GCT patients, GV could be considered an effective chemotherapeutic regimen.Page: 546DOI: 10.1097/SMJ.0b013e3181a0ae6aAuthors: Chen, Jia-Hong MD; Chang, Ping-Ying MD; Yao, Nai-Shun MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393297 Thu, 07 May 2009 16:03:21 +0100 2393297 http://www.medworm.com/index.php?rid=2393296&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00030.htm We describe a case of dural venous thrombosis in a patient with hereditary spherocytosis and splenectomy and review the potential mechanisms associated with thrombosis formation in this population and its treatment.Page: 542DOI: 10.1097/SMJ.0b013e31819e90b5Authors: Perkins, Linda A. MD; Jones, Shirley F. MD; Bhargava, Ranjana S. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393296 Thu, 07 May 2009 16:03:21 +0100 2393296 http://www.medworm.com/index.php?rid=2393295&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00029.htm This case highlights the difficulty in determining the appropriate work-up of patients presenting with an adrenal incidentaloma and concomitant systemic disease.Page: 537DOI: 10.1097/SMJ.0b013e3181a06613Authors: Kim, Kyoung-Ah MD; Kim, Se Won MD; Park, Gunmin MD; Kwak, Beom Seok MD; Choi, Jae Sung MD; Kim, Sun Ho MD; Yeo, Jeong Seok MD; Kim, Eo-Jin MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393295 Thu, 07 May 2009 16:03:21 +0100 2393295 http://www.medworm.com/index.php?rid=2393294&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00028.htm A 35-year-old female with altered sensation on the left side on her face is presented. Initially V1 and V2 divisions of the trigeminal nerve were involved, but later, all three were affected. On MRI, a cerebellopontine angle (CPA) epidermoid cyst was detected. After 18 months of follow up, her symptoms remain stable and she is being managed conservatively.Page: 534DOI: 10.1097/SMJ.0b013e31819dc79bAuthors: Muzammil, Sadat MBBS; Leong, King Sun MBBS, FRCP (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393294 Thu, 07 May 2009 16:03:21 +0100 2393294 http://www.medworm.com/index.php?rid=2393293&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00027.htm Urticarial vasculitis as a distinct dermatologic entity is discussed and the classic clinical and histopathologic features, as well as pharmacologic options for treatment, are evaluated. A unique case of a localized, recurrent, urticarial vasculitis eruption is presented.Page: 531DOI: 10.1097/SMJ.0b013e3181a0ae4cAuthors: Stigall, Landon E. BS; Sigmon, Justin R. BA; Leicht, Stuart S. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393293 Thu, 07 May 2009 16:03:21 +0100 2393293 http://www.medworm.com/index.php?rid=2393292&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00026.htm Pancreatic involvement of hydatid disease is very rare. The diagnosis may be difficult because of the similarity of the presenting symptoms to other, more commonly encountered cystic lesions of the pancreas. In addition to cystic neoplasms of the pancreas, echinococcal cyst should be included in the differential diagnosis of cystic lesions of the pancreas, especially in endemic areas.Page: 529DOI: 10.1097/SMJ.0b013e31819c3befAuthors: Ibis, Cem MD; Albayrak, Dogan MD; Altan, Aydin MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393292 Thu, 07 May 2009 16:03:21 +0100 2393292 http://www.medworm.com/index.php?rid=2393291&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00025.htm We report a case of cardiomyopathy thought to be associated with WNV.Page: 527DOI: 10.1097/SMJ.0b013e31819e9bf7Authors: Khouzam, Rami N. MD, FACC, FACP, FASNC (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393291 Thu, 07 May 2009 16:03:21 +0100 2393291 http://www.medworm.com/index.php?rid=2393290&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00024.htm As in older patients, recognition of a myocardial infarction (MI) in younger adults requires a careful history that covers common risk factors. Unlike MI in older patients, however, MI in young adults is a condition more distinctly associated with both traditional and less conventional risk factors that clinicians should be aware of.Page: 523DOI: 10.1097/SMJ.0b013e31819984fcAuthors: Vivo, Rey P. MD; Krim, Selim R. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393290 Thu, 07 May 2009 16:03:21 +0100 2393290 http://www.medworm.com/index.php?rid=2393289&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00023.htm The brown recluse spider in the southeastern United States varies from being extremely common and abundant to being nonexistent. The likelihood of a loxoscelism event should be correlated with the historical presence of recluse spiders, yet often, recluse bites are diagnosed in areas where the spiders do not exist. Better knowledge of the distribution of brown recluse spiders should aid physicians in determining the probability of loxoscelism in the southeastern United States.Page: 518DOI: 10.1097/SMJ.0b013e3181a0abb3Authors: Vetter, Richard S. MS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393289 Thu, 07 May 2009 16:03:21 +0100 2393289 http://www.medworm.com/index.php?rid=2393288&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00022.htm This case of pacemaker endocarditis highlights the increasing incidence of opportunistic infections in immunocompromised hosts caused by the filamentous fungus Scedosporium apiospermum. It also emphasizes the importance of routine mycologic cultures for the correct diagnosis of hyalohyphomycosis since the morphologic features on tissue sections are not specific.Page: 515DOI: 10.1097/SMJ.0b013e3181a0b01cAuthors: Laurini, Javier A. MD; Carter, J Elliot MD; Kahn, Andrea G. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393288 Thu, 07 May 2009 16:03:21 +0100 2393288 http://www.medworm.com/index.php?rid=2393287&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00021.htm To evaluate if the documentation of asthma management is consistent with the National Institutes of Health/National Asthma Education and Prevention Program (NIH/NAEPP) guidelines, a retrospective chart review was conducted for patients (ages 18-49) admitted to the hospital with a primary diagnosis of asthma. There were 233 admissions for 144 unique patients analyzed. At discharge, 85% of patients lacked documentation of asthma education; 97% lacked documentation of a written asthma action plan; 79% did not have referral to an asthma specialist. Documentation of several aspects of asthma management in the medical record is insufficient, and not consistent with NIH/NAEPP Guidelines.Page: 510DOI: 10.1097/SMJ.0b013e31819ecb03Authors: Arnold, Lori B. PharmD; Usery, Justin B. PharmD, BCPS; Finch... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393287 Thu, 07 May 2009 16:03:21 +0100 2393287 http://www.medworm.com/index.php?rid=2393286&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00020.htm We describe a patient with microangiopathic hemolysis, renal failure, and headache-a well-known presentation of hypertensive emergency that also shares many of the similar features with TTP, a rather lethal and uncommon medical disorder. Management and prognosis of these two entities differ widely, so it is important to recognize this entity and manage it accordingly.Page: 504DOI: 10.1097/SMJ.0b013e31819f330eAuthors: Patel, Anil MD; Patel, Harsh MD; Patel, Anush MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393286 Thu, 07 May 2009 16:03:21 +0100 2393286 http://www.medworm.com/index.php?rid=2393285&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00019.htm Page: 503DOI: 10.1097/SMJ.0b013e3181a4062a (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393285 Thu, 07 May 2009 16:03:21 +0100 2393285 http://www.medworm.com/index.php?rid=2393284&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00018.htm Page: 502DOI: 10.1097/SMJ.0b013e3181a405c0 (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393284 Thu, 07 May 2009 16:03:21 +0100 2393284 http://www.medworm.com/index.php?rid=2393283&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00017.htm Ultrasound-guided fine needle aspiration cytology (US-FNAC) represents the most effective test available to distinguish between benign and malignant thyroid nodules. The major limit is the rate of inadequate specimens, which generates a much higher cost. The adoption of a stylet needle significantly improves diagnostic performance, reducing the expenditure per diagnostic procedure by about 14%. Therefore, we suggest that stylet needles should be widely adopted to perform US-FNAC of thyroid nodules.Page: 498DOI: 10.1097/SMJ.0b013e31819c7343Authors: Cappelli, Carlo MD; Pirola, Ilenia MD; Gandossi, Elena MD; De Martino, Elena MD; Agosti, Barbara MD; Castellano, Maurizio MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393283 Thu, 07 May 2009 16:03:21 +0100 2393283 http://www.medworm.com/index.php?rid=2393282&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00016.htm Sodium polystyrene sulfonate (SPS, Kayexalate) has been implicated in the development of intestinal necrosis, especially when administered with sorbitol. Previous studies documented intestinal injury primarily in postoperative, dialysis, and transplant patients. We conducted a retrospective review of all patients at our institution from December 1998 to June 2007 to further describe characteristics of patients with probable SPS-induced intestinal necrosis. Findings from our study indicate that patients may be susceptible to SPS-sorbitol intestinal injury even in the absence of end-stage renal disease, surgical intervention, or significant comorbidities. Use of this potassium-lowering therapy might warrant greater caution.Page: 493DOI: 10.1097/SMJ.0b013e31819e8978Authors: McGowan, C E. MD; ... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393282 Thu, 07 May 2009 16:03:21 +0100 2393282 http://www.medworm.com/index.php?rid=2393281&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00015.htm The CURRENT study assessed participant satisfaction with monthly ibandronate, and also collected important information specific to the topic of gastrointestinal (GI) tolerability. This subanalysis of the CURRENT study assessed GI tolerability in those women who reported GI symptoms at baseline (as indicated from their responses to questions pertaining to side effects from the Osteoporosis Patient Satisfaction Questionnaire™) and change in satisfaction in those who had reported stomach upset within 48 hours of taking their previous bisphosphonate, as indicated at screening.Page: 486DOI: 10.1097/SMJ.0b013e31819ed0ddAuthors: Binkley, Neil MD; Martens, Mark G. MD; Silverman, Stuart L. MD; Derman, Richard J. MD; Greenwald, Maria MD; Kohles, Joseph D. PhD; Bachmann, Gloria A. MD (Source: ... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393281 Thu, 07 May 2009 16:03:21 +0100 2393281 http://www.medworm.com/index.php?rid=2393280&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00014.htm This study gives an overview of the structure and function of ethics committees in nine small, rural, East Tennessee hospitals. All of the hospitals studied were connected administratively to a larger network allowing each to function with the sophistication and level of organization of a larger medical center. However, the small size of the hospital itself allowed for more efficient and effective communication, thus reducing the number of formal ethics consults.Page: 481DOI: 10.1097/SMJ.0b013e31819ecaebAuthors: Jackson, Erin W. BA; Olive, Kenneth E. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393280 Thu, 07 May 2009 16:03:21 +0100 2393280 http://www.medworm.com/index.php?rid=2393279&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00013.htm A study was undertaken to examine the impact of various anticoagulation agents in head injury patients. All adult trauma patients using aspirin, clopidogrel bisulfate (Plavix®), warfarin (Coumadin®), or heparin admitted to the hospital with computed tomography (CT) scan evidence of brain injuries were included in the study. Patients were classified into three groups; the anticoagulation group, antiplatelet group (29 patients total), and the control group (63 patients). There were no significant differences among the groups regarding age, gender, Glasgow Coma Scale, Injury Severity Score, mortality (P = 0.65), ventilator days (P = 0.69), intensive care unit (ICU) days (P = 0.65), total hospital days (P = 0.41) or discharge disposition (P = 0.65).Page: 476DOI: 10.1097/SMJ.0b013... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393279 Thu, 07 May 2009 16:03:21 +0100 2393279 http://www.medworm.com/index.php?rid=2393278&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00012.htm In recent years, body packing has become a common method used for drug smuggling. Although most body packers swallow the drug packets, the insertion of packets into body cavities such as the rectum and vagina has also been reported. Radiological imaging plays an important role in detecting body packing in potential drug carriers. Plain abdominal radiography is imperfect as a screening method because it is difficult to delineate the margins of the packets and differentiate them from residual bowel contents, especially after enemas and multiple bowel movements. Thus, the assessment of imaging characteristics by other imaging modalities, such as CT scan, may be useful.Page: 470DOI: 10.1097/SMJ.0b013e31819ecaccAuthors: Yang, Rui-Meng MD; Li, Long MD; Feng, Jie MD; Lai, Sheng-Sheng BE; Lin, Bin... Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393278 Thu, 07 May 2009 16:03:21 +0100 2393278 http://www.medworm.com/index.php?rid=2393277&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00011.htm A 23-year retrospective case series review of all-terrain vehicle (ATV) deaths of persons 65 years of age or older in West Virginia shows that the frequency and rate of death from ATV crashes in this group continues to rise in the new millennium, at a pace greater than that observed nationally. This trend, coupled with increasing life spans, more attention to healthier lifestyles, and preventive care, highlights the beginning of a shift in recreational injuries among older adults - perhaps reflecting the common catchphrase that 60 is the new 40.Page: 465DOI: 10.1097/SMJ.0b013e31819d97f2Authors: Helmkamp, James C. PhD, MS; Carter, Mary W. PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393277 Thu, 07 May 2009 16:03:21 +0100 2393277 http://www.medworm.com/index.php?rid=2393276&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00010.htm All-terrain vehicles (ATVs) have exploded in popularity in recent years. Reports on ATV-related accidents have noted significant morbidity and mortality rates, especially in younger riders. A retrospective review of a trauma center experience with 300 ATV accidents confirms that ATVs may be hazardous in all age groups and consume significant hospital resources.Page: 461DOI: 10.1097/SMJ.0b013e3181929b83Authors: Testerman, George M. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393276 Thu, 07 May 2009 16:03:21 +0100 2393276 http://www.medworm.com/index.php?rid=2393275&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00009.htm Page: 460DOI: 10.1097/SMJ.0b013e31819c9bbcAuthors: Gujral, Jaspal S. MBBS, MRCP(UK), FACP, FRCP(Edin) (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393275 Thu, 07 May 2009 16:03:21 +0100 2393275 http://www.medworm.com/index.php?rid=2393274&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00008.htm Page: 458DOI: 10.1097/SMJ.0b013e3181a0b043Authors: Brar, Somjot S. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393274 Thu, 07 May 2009 16:03:21 +0100 2393274 http://www.medworm.com/index.php?rid=2393273&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00007.htm Page: 457DOI: 10.1097/SMJ.0b013e31819ed508Authors: McDermott, Michael MD; Catrambone, Cathy PhD, RN (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393273 Thu, 07 May 2009 16:03:21 +0100 2393273 http://www.medworm.com/index.php?rid=2393272&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00006.htm Page: 455DOI: 10.1097/SMJ.0b013e3181a0cd5fAuthors: Braverman, Albert S. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393272 Thu, 07 May 2009 16:03:21 +0100 2393272 http://www.medworm.com/index.php?rid=2393271&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00005.htm Page: 454DOI: 10.1097/SMJ.0b013e3181a0aeacAuthors: Heimburger, Richard A. MD, FACS (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393271 Thu, 07 May 2009 16:03:21 +0100 2393271 http://www.medworm.com/index.php?rid=2393270&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00004.htm Page: 453DOI: 10.1097/SMJ.0b013e3181a0aec0Authors: Zylstra, Bob EDD, LCSW (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393270 Thu, 07 May 2009 16:03:21 +0100 2393270 http://www.medworm.com/index.php?rid=2393269&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00003.htm Page: 452DOI: 10.1097/SMJ.0b013e318199d32cAuthors: Lewis, James V. MD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393269 Thu, 07 May 2009 16:03:21 +0100 2393269 http://www.medworm.com/index.php?rid=2393268&cid=s_34161_22_f&fid=34161&url=http%3A%2F%2Fwww.smajournalonline.com%2Fpt%2Fre%2Fsmj%2Fabstract.00007611-200905000-00002.htm Page: 450DOI: 10.1097/SMJ.0b013e31819db0aeAuthors: de Beer, S A. MD; Fa-Si-Oen, P R. PhD (Source: Southern Medical Journal) Southern Medical Journal journals http://www.medworm.com/rss/comments.php?id=2393268 Thu, 07 May 2009 16:03:21 +0100 2393268