Southern Medical Journal back issues from March 2005:
In-hospital death in patients with chronic obstructive pulmonary disease.(Editorial)
Mar 01, 2005; ... Chronic obstructive pulmonary disease (COPD) is escalating in importance in the United States. With an aging population and the continued effects of cigarette smoking, the number of patients with COPD is growing. COPD is the fourth leading cause of death in the United States. (1) In COPD, ...
Sarcoidosis presenting as acute respiratory failure.(Editorial)
Mar 01, 2005; ... Sarcoidosis is a multisystem disease of unknown cause with a myriad of potential clinical manifestations. A vast majority of patients with sarcoidosis present with lymph node and lung involvement. In the acute stage, sarcoidosis can present clinically as one of the well-defined classic ...
Peak expiratory flow rate as predictor of inpatient death in patients with chronic obstructive pulmonary disease.(Original Article)
Mar 01, 2005; ... Objectives: Few studies analyze hospital deaths and related factors in patients with acute exacerbation of chronic obstructive pulmonary disease who require hospitalization. Methods: A cross-sectional study was done with 284 patients who had been admitted consecutively to the ...
Enteral nutrition by a Forward Surgical Team in Afghanistan.(Original Article)
Mar 01, 2005; ... Objectives: The modern practice of trauma surgery is a global physiologic approach to caring for the injured patient. Included in that approach is consideration of the traumatized patient's nutritional needs and implementing early enteral feeding. This is routine practice in the United ...
Southern Medical Journal featured CME topic: complementary and alternative medicine.(CME Topic)
Mar 01, 2005 ... Need Complementary and alternative medicine has become a prominent aspect of clinical care, and is increasingly being incorporated into education and research programs throughout the United States. Some of the topics that will be discussed in this CME feature include ...
Introduction.(Featured CME Topic: Complementary and Alternative Medicine)
Mar 01, 2005; ... The fields of complementary and alternative medicine (CAM) and its evolving progeny, integrative medicine (IM), have become highly visible areas in clinical care as well as education and research. Although patient use of alternative therapies has been very high in multiple surveys, ...
Music as therapy.(Featured CME Topic: Complementary and Alternative Medicine)
Mar 01, 2005; ... Abstract: Music is widely used to enhance well-being, reduce stress, and distract patients from unpleasant symptoms. Although there are wide variations in individual preferences, music appears to exert direct physiologic effects through the autonomic nervous system. It also has indirect ...
Approach to communicating with patients about the use of nutritional supplements in cancer care.(Featured CME Topic: Complementary and Alternative Medicine)
Mar 01, 2005; ... Abstract: In recent years, complementary and alternative medicine has become popular among the general population in the Western world. Cancer patients have joined this global trend, often seeking supplements to conventional oncologic care, usually without their physicians' knowledge ....
Pain management in children: developmental considerations and mind-body therapies.(Featured CME Topic: Complementary and Alternative Medicine)
Mar 01, 2005; ... Abstract: One of the most challenging roles of medical providers serving children is to appropriately assess and treat their pain. Pain is one of the most misunderstood, underdiagnosed, and undertreated/untreated medical problems, particularly in children. New JCAHO regulations regard pain ...
Inflammation: nutritional, botanical, and mind-body influences.(Featured CME Topic: Complementary and Alternative Medicine)
Mar 01, 2005; ... Abstract: Chronic inflammation is becoming an important risk factor to identify in regard to inhibiting disease onset and its progression. Nutritional science attempted to improve health by manipulating fats so that we could consume "healthy" nonsaturated fats while simultaneously allowing ...
Use of Echinacea in upper respiratory tract infection.(Featured CME Topic: Complementary and Alternative Medicine)
Mar 01, 2005; ... Abstract: The significant burden of upper respiratory tract infection in adults and children, coupled with a lack of specific treatment options, invites the use of alternative therapies. Echinacea is an herb widely used for the prevention or treatment of upper respiratory tract infection ....
Integrative therapies for menopause.(Featured CME Topic: Complementary and Alternative Medicine)
Mar 01, 2005; ... Abstract: Menopause is a transitional time for women. This gives practitioners an opportunity to focus on recommending healthy life-style changes. Hormone replacement therapy (HRT) has been the mainstay of therapy for menopausal symptoms. With recent research findings, women and their ...
CME questions: complementary and alternative medicine.(Featured CME Topic: Complementary and Alternative Medicine)(Author Abstract)
Mar 01, 2005 ... Frenkel et al, "An Approach to Communicating with Patients About the Use of Nutritional Supplements in Cancer Care" 1. 20-50% of cancer patients take nutritional supplements. True False 2. Patients tend to report their use of supplements or ...
CME credit--March 2005; Featured CME topic: arthritis.(CME Credit Submission and Evaluation Form)(Author Abstract)
Mar 01, 2005 ... To request a CME certificate, complete all sections of this form and mail it with a check (payable to SMA) to: SMA, Attn: SMJ CME, PO Box 190088, Birmingham, AL 35219-0088. Deadline ...
Acupuncture: a clinical review.(Review Article)
Mar 01, 2005; ... Abstract: This article summarizes the research base, probable mechanism of actions, and clinical applications of acupuncture. It offers the clinician a deeper understanding of appropriate conditions for which acupuncture may be useful, outlines how to integrate acupuncture into a clinical ...
Neoadjuvant therapy: an emerging concept in oncology.(Review Article)
Mar 01, 2005; ... Abstract: Neoadjuvant therapy, an adjunctive therapy given before the main therapy, has become an integral part of modern multidisciplinary cancer management. Organized by the primary organ involved by cancer, this review summarizes the outcomes of neoadjuvant therapy for common malignant ...
Extrapulmonary small cell carcinoma.(Review Article)
Mar 01, 2005; ... Abstract: This article reviews the recent literature on extrapulmonary small cell carcinomas. Until now, only four cases have been published in the English literature, two of those in the Southern Medical Journal. Sharing the information on diagnosis and treatment of these cases is ...
Substance abuse: medical and slang terminology.(Review Article)
Mar 01, 2005; ... Abstract: Substance abuse is among one of the major problems plaguing our society. It has come to the attention of several healthcare professionals that a communication gap exists between themselves and substance abusers. Most of the time the substance abusers are only familiar with the ...
Strategies for insulin therapy in type 2 diabetes.(Review Article)
Mar 01, 2005; ... Abstract: Chronic hyperglycemia in type 2 diabetes is responsible for an array of microvascular and macrovascular complications that can lead to significant morbidity and mortality. Several well-conducted large clinical studies have shown that normalizing blood glucose levels can help ...
Critical care aspects of alcohol abuse.(Review Article)
Mar 01, 2005; ... The authors reviewed MEDLINE and references of major articles in the published literature over the last 30 years regarding the complications of alcohol abuse and discuss the critical care aspects of alcohol abuse. This article discusses the severe medical conditions associated with alcohol ...
Pulmonary sarcoidosis presenting with acute respiratory failure.(Case Report)
Mar 01, 2005; ... Abstract: This is a case report of pulmonary sarcoidosis presentingwith acute respiratory failure. A 33-year-old black man presented with 4 days of headache and fever. He had subsequent development of respiratory failure on the seventh hospital day. Workup showed high serum ...
Acupuncture therapy rapidly terminates intractable hiccups complicating acute myocardial infarction.(Case Report)
Mar 01, 2005; ... Abstract: Acupuncture is a well-known alternative therapy in practice worldwide. Its dramatic effect on hiccups has been rarely reported. We describe a 77-year-old male who had hiccups after an acute myocardial infarction. Despite aggressive treatment including breath-holding to interrupt ...
Primary non-Hodgkin lymphoma of the larynx.(Case Report)
Mar 01, 2005; ... Abstract: A rare case of primary large B-cell non-Hodgkin lymphoma of the larynx is reported. The patient was an 80-year-old female who presented with pharyngeal discomfort and dysphagia. Radiotherapy was instituted with complete remission of the tumor. Nine months afterward, she presented ...
Acute Epstein-Barr virus infection causing bilateral conjunctival hemorrhages.(Case Report)
Mar 01, 2005; ... Abstract: The systemic and ocular manifestations of acute Epstein-Barr virus infection are protean. Conjunctival hemorrhage has been described once. This report describes a young male who had bilateral conjunctival hemorrhages in the setting of acute Epstein-Barr virus infection. ...
Thrombotic thrombocytopenic purpura without schistocytes on the peripheral blood smear.(Case Report)
Mar 01, 2005; ... Abstract: A hallmark of the clinical syndrome of thrombotic thrombocytopenic purpura (TTP) is evidence of microangiopathic hemolytic anemia. The presence of schistocytes on the peripheral blood smear, elevated plasma lactic dehydrogenase, and decreased haptoglobin concentration are used as ...
On omeprazole and iron replacement.(Letters to the Editor)
Mar 01, 2005; ... I read with great interest the article (1) entitled "Effect of Omeprazole on Oral Iron Replacement in Patients With Iron Deficiency Anemia." The authors declared that the patients presented here are the first of their kind to be reported. However, this relation has been well known for a ...
March madness-associated deep vein thrombosis.(Letters to the Editor)
Mar 01, 2005; ... We describe a case of March madness-associated deep vein thrombosis in a spectator. Review of the literature revealed one previously reported case of pulmonary embolism related to prolonged television viewing. (1) An 83-year-old male with a history of prostate cancer presented ...
The unseen aesthetics of double-decker televisions: a southernism.(Letters to the Editor)
Mar 01, 2005; ... To the Editor: With certainty, it can be said that the television set is not a recognizable, or even desirable, Southern cultural phenomenon. But, like it or not, televisions have become ubiquitous in the Southern home. These virtual carpetbaggers have contributed mightily in homogenizing ...
Medical webwatch.(Special Section)
Mar 01, 2005; ... Medical Rounds (www.medicalrounds.com) is a webbased educational project developed by Kenneth F. Cunningham, MD, FRCPC, Department of Medicine, St. Paul's Hospital, University of British Columbia. It presents multimedia online education utilizing recordings of webcasts, presentations, and ...
The patient's page.(Special Section)
Mar 01, 2005 ... Pain Control for Children Breathing techniques can be a very effective form of pain relief. Children in pain will often hold their breath or take very shallow breaths. Breathing deeply can help your child relax. Use of a rhythmic, deep-chest breathing technique, or patterned, ...