Southern Medical Journal back issues from February 2002:
Urinary incontinence. (Editorial).(Brief Article)(Editorial)
Feb 01, 2002 ... Unless one has experienced urinary incontinence, it is difficult to understand and appreciate the embarrassment, humiliation, psychologic distress, and tremendous impact this symptom has on one's life. Incontinence is usually the straw that breaks the camel's back, the last arrow that ...
Basic Assessment of Urinary Incontinence. (Featured CME Topic: Urinary Incontinence).
Feb 01, 2002; ... Incontinence is a common problem worldwide, with perhaps 200 million or more sufferers around the globe and a prevalence of 15% to 30% in the United States. In the past decade, great advances have been made in understanding the causes of urinary incontinence and in the the ability to ...
Enuresis. (Featured CME Topic: Urinary Incontinence).
Feb 01, 2002; ... ENURESIS is a common pediatric problem that sometimes represents a significant psychosocial problem for children and their parents. The condition is often misunderstood, shrouded in family secrecy, and frequently undertreated. An estimated 5 million to 7 million children and adolescents in ...
Desmopressin (DDAVP). (Medication Update).(Brief Article)
Feb 01, 2002; ... MODE OF ACTION Synthetic vasopressin analogue. EFFECTS ON NOCTURNAL ENURESIS The stimulation of antidiuretic response may help to concentrate the urine, reducing urine volume, which prevents overfilling of the bladder. CONTRAINDICATIONS ...
Oxybutynin (Ditropan, Ditropan XL). (Medication Update).(Brief Article)
Feb 01, 2002; ... MODE OF ACTION Muscarinic receptor antagonist. Direct smooth muscle antispasmodic effects. EFFECTS ON OVERACTIVE BLADDER Decreases the occurrence of uninhibited contractions of the detrusor muscle, relaxes the smooth muscle of the bladder, and delays the ...
Imipramine (Tofranil). (Medication Update).(Brief Article)
Feb 01, 2002; ... MODE OF ACTION AND EFFECTS ON URINARY INCONTINENCE AND ENURESIS Anticholinergic effects, changes in antidiuretic hormone secretion, and effects on sleep patterns. CONTRAINDICATIONS Known hypersensitivity to imipramine or other formulation components. ...
Tolterodine (Detrol and Detrolla). (Medication Update).(Brief Article)
Feb 01, 2002; ... MODE OF ACTION Competitive muscarinic receptor antagonist. EFFECTS ON OVERACTIVE BLADDER Antagonism of cholinergic muscarinic receptors in the overactive bladder reduces urinary frequency and urgency. CONTRAINDICATIONS Known ...
[Alpha.sub.1]-Adrenergic blockers. (Medication Update).(Brief Article)
Feb 01, 2002; ... MODE OF ACTION Relax smooth muscle of the bladder neck and prostatic urethra by blocking post-synaptic [alpha.sub.1]-adrenergic receptors. CONTRAINDICATIONS Known hypersensitivity to the particular [alpha.sub.1]-adrenergic or components in their ...
Selected Guidelines. (Featured CME Topic: Urinary Incontinence).(Brief Article)
Feb 01, 2002; ... Selected Guidelines (*) First International Consultation on Incontinence: Assessment and treatment recommendations. Abrams P. Lancet 2000; 355: 21532158 and WHO Health Publication Ltd, 1999. * Medical experts from the International Consultation on Urological ...
Coverage of Urinary Incontinence Treatment. (Featured CME Topic: Urinary Incontinence).
Feb 01, 2002; ... Coding according to local medical review policy (LMRP) is sometimes easier said than done. An exhaustive search of the SMA territory states' websites for coverage guidelines regarding urinary incontinence treatment quickly became tedious. West Virginia's website ...
Liver Enzymes as Predictors of Liver Damage due to Blunt Abdominal Trauma in Children.
Feb 01, 2002; ... ABSTRACT Background. Blunt abdominal trauma in children can result in injury to the liver. In hemodynamically stable patients, initial evaluation of liver transaminase levels may be useful in determining the need for computed tomography (CT). Methods. We reviewed the ...
Utility of Palmtop Computers in a Residency Program: A Pilot Study.
Feb 01, 2002; ... ABSTRACT Background. With advancing technology and flourishing medical information on the Internet, we studied the use of palmtop (handheld) computers by internal medicine residents. Methods. At a university-community hospital consortium, nine internal medicine ...
Effectiveness and Safety of Image-Directed Biopsies: Coaxial Technique Versus Conventional Fine-Needle Aspiration.(Statistical Data Included)
Feb 01, 2002; ... ABSTRACT Background. We compared the effectiveness and safety of image-guided biopsies done with coaxial guides versus fine-needle aspiration done without coaxial guides. Methods. With the use of hospital computer records and chart reviews, all image-guided biopsies ...
Ocular Trauma from Paintball-Pellet War Games.(Statistical Data Included)
Feb 01, 2002; ... ABSTRACT Background. We studied ocular injuries and visual outcome after blunt trauma from paintball pellets. Methods. We retrospectively reviewed cases of ocular injury from paintball pellets occurring over 32 months. Results. Ten cases of ocular injury ...
Characteristics of Centenarians admitted to a Community Teaching Hospital.(Statistical Data Included)
Feb 01, 2002; ... ABSTRACT Background. The "oldest old" are the most rapidly growing segment of society, and clinicians will increasingly encounter this age group in this century. Methods. To describe the characteristics of a special subgroup of the oldest old, the centenarians, we ...
Evaluation of state-provided Postexposure Prophylaxis against Rabies in Florida.
Feb 01, 2002; ... ABSTRACT Background. One key component of human rabies prevention is the use of postexposure prophylaxis (PEP). No information is routinely available to evaluate the appropriateness of this intervention. Methods. A survey queried county health departments regarding ...
Epidemiology of Human Immunodeficiency Virus Testing among patients with Tuberculosis in North Carolina.(Statistical Data Included)
Feb 01, 2002; ... ABSTRACT Background. Human immunodeficiency virus (HIV) testing is recommended for all patients with tuberculosis (TB). Methods. Surveillance data for all reported cases of TB in North Carolina from 1993 to 1999 were examined to assess HIV testing practices. ...
Anesthetic Care in Developing Countries: Equipment and Techniques. (Review Article).
Feb 01, 2002; ... ABSTRACT: Various organizations have been formed to provide short-term surgical services in developing countries. In these countries, the ability to provide effective anesthetic care requires the team to transport most of the equipment necessary to provide perioperative care for various ...
Large, Vascular Cecal Mass. (Case Histories).
Feb 01, 2002; ... ABSTRACT: A 74-year-old woman had a recent weight loss and history of breast and cutaneous malignancy. Medical evaluation included colonoscopy, which showed a 4 x 3 cm, vascular-appearing mass in the cecum. It was blue-tinged, soft, and easily deformed by pressure. Endoscopic ...
Scrotal Enlargement in Boys with a History of Scrotal Trauma: Two Unusual Findings.
Feb 01, 2002; ... ABSTRACT: The presentation of a boy with an acutely painful scrotum is often associated with a history of trauma. Two recent patients with a history of scrotal trauma and an enlarged hemiscrotum were found on surgical exploration to have unusual causes for the scrotal enlargement. In the ...
Resolution of Dyshidrotic Dermatitis of the Hand After Treatment with Continuous Positive Airway Pressure for Obstructive Sleep Apnea.
Feb 01, 2002; ... ABSTRACT: Eczema of the palm and obstructive sleep apnea (OSA) are common disorders. Proinflammatory cytokines and cell adhesion molecules are elevated in both of these disorders. We describe an unusual patient with OSA who had recurrent free remission of dermatitis after treatment with ...
Salvage of Limb and Function in Necrotizing Fasciitis of the Hand: Role of Hyperbaric Oxygen Treatment and Free Muscle Flap Coverage.
Feb 01, 2002; ... ABSTRACT: We report a case of necrotizing fasciitis of the hand treated by urgent debridement followed by serial debridements, hyperbaric oxygen, and delayed free muscle flap coverage. After control of the infection, a major soft-tissue defect remained on the dorsum of the wrist and hand, ...
Hypercalcemia Induced by Parathyroid Hormone-Related Peptide after Treatment of Carcinoma.
Feb 01, 2002; ... ABSTRACT: Squamous cell carcinoma of the head and neck is a rare cause of humoral hypercalcemia of malignancy. This paraneoplastic syndrome is usually one of the presenting symptoms of the disease. We report a case of squamous cell carcinoma of the oral cavity that presumably elaborated ...
Intragastric Gallstone-Induced Bezoar: An Unusual Cause of Acute Gastric Outlet Obstruction.
Feb 01, 2002; ... ABSTRACT: Bezoars are an uncommon cause of acute gastric outlet obstruction. To our knowledge, this is the first report of a bezoar formed around a gallstone that migrated to the stomach via a cholecystogastric fistula. Our patient was a 42-year-old African American woman with ...
Recurrent Respiratory Tract Infections and Dysphagia in a Child with an Aortic Vascular Ring.
Feb 01, 2002; ... ABSTRACT: Recurrent respiratory tract infections and dysphagia after the first years of life are rarely caused by vascular rings, and only a high index of clinical suspicion helps to avoid diagnostic delay and inappropriate treatment. Diagnostic workup in a 2-year-old girl with acute ...
Compartment Syndrome of the Leg after Less Than 4 Hours of Elevation on a Fracture Table.
Feb 01, 2002; ... ABSTRACT: Compartment syndrome of the leg is usually associated with significant trauma. It has also been associated with prolonged surgery in the hemilithotomy position. Fracture tables that are used for the internal fixation of proximal femur fractures under fluoroscopy place a patient ...
Medical Management of Cronkhite-Canada Syndrome.
Feb 01, 2002; ... ABSTRACT: We report the case of a patient with Cronkhite-Canada syndrome (CCS) successfully treated with combination medical therapy. This rare, noninherited gastrointestinal polyposis syndrome is associated with characteristic ectodermal abnormalities. The etiology and pathogenesis of CCS ...
Acute Paraparesis due to Terbutaline Sulfate.
Feb 01, 2002; ... ABSTRACT: A woman who was 30 weeks pregnant was given terbutaline sulfate to prevent premature labor contractions. Within several days, she had an acute paraparesis with myalgias and was unable to walk. Full neurologic investigation failed to show any obvious cause. Terbutaline therapy was ...
Correspondence.(Letter to the Editor)
Feb 01, 2002 ... (Letters to the Editor are welcomed. They may report new clinical or laboratory observations and new developments in medical care or may contain comments on recent contents of the journal. They will be published, if found suitable, as space permits. Like other material submitted for ...