Southern Medical Journal back issues from February 2003:
Thromboembolism prophylaxis and cesarean section. (Editorial).
Feb 01, 2003; ... Venous thromboembolism is extremely underrepresented in the obstetric literature, yet it is the leading cause of obstetric death. Cesarean section remains a significant contributing factor in thromboembolic disease, yet textbooks (1,2) currently emphasize treatment and fail to address the ...
Can intensive primary care prevent primary intensive care? (Editorial).(hospitals are developing criteria for admission, discharge, and transfer from their intensive care units)
Feb 01, 2003; ... In these days of increasing medical costs, the health care system is paying more attention to resource use and cost avoidance. Nowhere is this effort more tangible than in the intensive care unit (ICU), where costs account for as much as 20% of health care expenditures in the United ...
Heart failure mortality among older medicare beneficiaries: association with left ventricular function evaluation and angiotensin-converting enzyme inhibitor use. (Original Article).
Feb 01, 2003; ... Background: Left ventricular function evaluation and angiotensin-converting enzyme (ACE) inhibitor use are the two basic indicators of heart failure quality of care. In this retrospective follow-up study, we analyzed the association between these two quality indicators and mortality in ...
Personal breast-feeding behaviors of female physicians in Mississippi. (Original Article).
Feb 01, 2003; ... Background: In this study, we examined the personal breast-feeding behaviors of female physicians in Mississippi. Method: Two hundred fifteen of 350 female physicians responded to a survey inquiring of their personal breast-feeding behaviors. Results: One hundred ...
Gracias.(a personal narrative of a doctor's relationship with a patient)(Column)
Feb 01, 2003; ... She sat down in the chair surrounded by eight children--some of her grandchildren and great-grandchildren, she proudly told me. Extended family of her seven sons and four daughters, the living-birth children of her 18 pregnancies, each of whom had to remain in the village that day to tend ...
Percutaneous drainage for treatment of infected pancreatic pseudocysts. (Original Article).(a study of the effectiveness of percutaneous catheter drainage of infected pancreatic pseudocysts)
Feb 01, 2003; ... Background: Infection of pancreatic pseudocysts is a potentially fatal complication that must be treated immediately. Despite numerous published reports about percutaneous treatment, the effectiveness of percutaneous catheter drainage (PCD) of infected pancreatic pseudocysts is still under ...
Anxiety and depression in hospitalized patients in resistant organism isolation. (Original Article).(research indicates that placement in resistant organism isolation may increase hospitalized patients' anxiety and depression)
Feb 01, 2003; ... Background: Previous studies have reported an increase in psychiatric symptoms in seriously ill patients who were placed in resistant organism isolation. We conducted this study to assess whether there is an increase in symptoms of anxiety and depression in patients who are not critically ...
Thromboembolism prophylaxis and cesarean section: a survey of general obstetricians. (Original Article).
Feb 01, 2003; ... Background: Venous thromboembolism (VTE) has historically remained a risk factor for obstetric patients, particularly those requiring cesarean section. The objective of this survey was to assess the response of general obstetricians to risk factor considerations for VTE prophylaxis and ...
Access to health care professionals in rural Mississippi. (Original Article).
Feb 01, 2003; ... Background: The location and identification of health professionals' practice sites is the first step in enhancing the availability of quality medical care to all regions of the state. Identification of specific areas of need is difficult, as provider data is often collected and housed ...
Increased incidence of the outbreak strain of Mycobacterium tuberculosis in the surrounding community after an outbreak in a jail. (Original Article).
Feb 01, 2003; ... Background: Between 1995 and 1997, a tuberculosis outbreak occurred in a large, urban jail. We investigated whether the outbreak strain of Mycobacterium tuberculosis (M. tuberculosis) was circulating in the surrounding community after that outbreak. Methods: We performed a ...
Thoracic esophageal perforations. (Original Article).(a study finds a needs for aggressive surgery to treat thoracic esophageal perforations)
Feb 01, 2003; ... Background: Recognition of the importance of early diagnosis and aggressive, definitive surgical intervention has brought about a dramatic decline in mortality related to distal esophageal perforation. Methods: We retrospectively analyzed all cases of thoracic esophageal ...
Her middle name was crystal.(murder of Martha Crystal Myers)
Feb 01, 2003 ... She was one of three killed on December 30, 2002, by a gunman hiding a semiautomatic rifle under his robe and jacket to make it resemble a child. We were saddened but not surprised by the news. Few survive 4 years of medical school without forming strong relationships and strong ...
Cutaneous metastasis: a meta-analysis of data. (Original Article).
Feb 01, 2003; ... Background: Previous studies of the incidence and the most common causes of cutaneous metastasis have not led to a consensus. We compiled data from many retrospective studies and from patient data registries and autopsies to increase the total number of cases available for a larger ...
McCarthy M.(World Health Organization's Director General Gro Harlem Brundtland)(Brief Article)
Feb 01, 2003 ... What's going on at the World Health Organization? Lancet 2002;360:1108-1110. Abstracted by Staci E. Lewis Despite growing concern that the WHO's Director-General Gro Harlem Brundtland, has decided not to seek a second term, few can deny the benefit of current and ...
Evaluation of a comprehensive loving support program among state women, infants, and children (WIC) program breast-feeding coordinators. (Original Article).
Feb 01, 2003; ... Background: Mississippi was selected as a pilot state in the national breastfeeding promotion campaign titled Loving Support Makes Breastfeeding Work (LSMBW). To reinforce the national LSMBW project, the Mississippi Women, Infants and Children (WIC) Breastfeeding Promotion Project Team ...
Does profit impact quality of care?(Brief Article)
Feb 01, 2003 ... Devereaux PJ, Schunemann HJ, Ravindran N, Bhandari M, Garg AX, Choi PT, et al: Comparison of mortality between private for-profit and private not-for-profit hemodialysis centers. JAMA 2002;288:2449-2457. Abstracted by Esther L. Smith Every year as many as 2,500 deaths ...
Ambulatory care-sensitive conditions: clinical outcomes and impact on intensive care unit resource use. (Original Article).
Feb 01, 2003; ... Background: We identified risk factors and clinical outcomes associated with ambulatory care-sensitive conditions requiring intensive care unit (ICU) admission. Methods: This prospective cohort study included 4,144 patients admitted to the medical ICU of an urban teaching ...
Repair of small abdominal aortic aneurysms not beneficial.(Brief Article)
Feb 01, 2003 ... Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, et al. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 2002;346:1437-1444. Repair of abdominal aortic aneurysms 4.0 to 5.4 cm in diameter did not improve the ...
Lipodystrophy, insulin resistance, diabetes mellitus, dyslipidemia, and cardiovascular disease in human immunodeficiency virus infection. (Featured CME Topic: Lipodystrophy Syndrome in HIV Infection).
Feb 01, 2003; ... Abstract The introduction of highly active antiretroviral therapy has significantly reduced morbidity and mortality in patients infected with the human immunodeficiency virus. Treatment with antiretroviral agents--protease inhibitors in particular--has uncovered a syndrome of ...
Spinal metastasis as the initial manifestation of a nonsecretory glucagonoma. (Case Report).
Feb 01, 2003; ... Abstract Glucagonomas are rare functional endocrine tumors of the pancreas that classically present with symptoms of glucagon excess, including rash, hyperglycemia, diarrhea, and weight loss. Metastatic disease at presentation is common but is often limited to the liver and ...
Early diet affects intelligence.(breastfeeding)
Feb 01, 2003 ... Mortensen EL, Michaelsen KF, Sanders SA, Reinisch JM. The association between duration of breastfeeding and adult intelligence. JAMA 2002;287:2365-2371. Children who are breastfed may experience long-term positive effects on cognitive and intellectual development. Possible ...
Panhemispheric infarction: a complication of cuffed catheter. (Case Report).
Feb 01, 2003; ... Abstract The need for reliable vascular access remains the Achilles heel of hemodialysis. Complications of vascular access are a leading cause of morbidity and mortality in patients who undergo hemodialysis, especially in those patients with end-stage renal disease. Among ...
Membranous glomerulonephritis in a patient with choriocarcinoma: case report. (Case Report).
Feb 01, 2003; ... Abstract A 26-year-old woman presented at our hospital with pretibial edema, swelling, and vaginal bleeding. She had nephroticlevel proteinuria and was diagnosed with choriocarcinoma after a histologic examination of her uterine curetting was performed. The renal biopsy specimen ...
Phenytoin-induced toxic cholestatic hepatitis in a patient with skin lesions: case report. (Case Report).
Feb 01, 2003; ... Abstract Phenytoin is a highly effective and widely prescribed anticonvulsant agent, but it can be associated with dose-related side effects and hypersensitivity reactions. We present a case of phenytoin-induced cholestatic hepatotoxicity in a 47-year-old woman who had ...
Blind boomers.(Brief Article)
Feb 01, 2003 ... Vastag B. Blindness increasing in aging. JAMA 2002;287:1930. More than 1 million middle-aged and elderly Americans are blind, and another 2.4 million are visually impaired, and these numbers could double in the next 30 years as baby boomers age toward retirement. These findings ...
Pseudo-central hypothyroidism. (Case Report).
Feb 01, 2003; ... Abstract Central hypothyroidism is an exceedingly rare form of hypothyroidism that results from a variety of conditions affecting the hypothalamus and the pituitary gland. The classic biochemical abnormality seen in these patients includes a low serum level of circulating ...
Staphylococcal acalculous cholecystitis in a child. (Case Report).
Feb 01, 2003; ... Abstract Acute acalculous cholecystitis is inflammation of the gallbladder in the absence of gallstones. It usually occurs in critically ill patients and is rare in the pediatric age group. We describe a 12-year-old boy who presented with fever, jaundice, and abdominal pain and ...
Prolactinoma and other head and neck tumors after scalp irradiation. (Case Report).
Feb 01, 2003; ... Abstract Tumors of the thyroid and parathyroid glands may develop together or separately in patients who previously have been exposed to head and neck irradiation. Whether cranial irradiation confers an increased risk for pituitary adenoma remains unknown. We report the case of ...
First-degree atrioventricular block and restrictive physiology as cardiac manifestations of Fabry's disease. (Case Report).
Feb 01, 2003; ... Abstract Fabry's disease is an X-linked disorder of glycosphingolipid catabolism related to the defective activity of glycosphingolipid, mainly ceramide trihexoside, in the vascular smooth muscle, myocardium, cells of the sympathetic central nervous system, and epithelial cells ...
Central venous catheter infection in a child: case report and review of Kluyvera infection in children. (Case Report).
Feb 01, 2003; ... Abstract Kluyvera is an opportunistic pathogen that can occur in immunosuppressed as well as immunocompetent hosts. We report a case of Kluyvera species infection involving a central venous catheter, and we review the literature on Kluyvera infections in children. Our case ...