Southern Medical Journal back issues from September 2005:
The right to life versus the right to live.(Editorial)
Sep 01, 2005; ... In our modern technologically sophisticated age, the right to life has all but overwhelmed the right to live. Preoccupied with delaying death, the inherent value of life is often compromised. Earlier this spring, the media was suffused with coverage of Terri Schiavo, and, indeed, the ...
Imiquimod.(dermatologic product for the treatment of genital warts)(Editorial)
Sep 01, 2005; ... In this issue of the Southern Medical Journal, Yuchi Chang and Stephen Tyring present an interesting review of the dermatologic product imiquimod (Aldara, 3M Pharmaceuticals) in their article "Current and Potential Uses of Imiquimod". Although approved by the United States Food and Drug ...
Hematogenous vertebral osteomyelitis due to Staphylococcus aureus in the adult.(Editorial)
Sep 01, 2005; ... Hematogenous vertebral osteomyelitis (HVO) is becoming increasingly common in the developed Western countries. An aging population, frequent use of intravascular catheters for diagnostic and therapeutic procedures with complicating bacteremia, hemodialysis, frequent invasive procedures, ...
Hematogenous vertebral osteomyelitis due to Staphylococcus aureus in the adult: clinical features and therapeutic outcomes.(Original Article)
Sep 01, 2005; ... Objective: Staphylococcus aureus is the most common cause of hematogenous vertebral osteomyelitis in adults. To better define clinical features and therapeutic outcomes, the charts of 40 adult patients with S aureus hematogenous vertebral osteomyelitis were retrospectively reviewed. ...
Telithromycin for the treatment of acute bacterial maxillary sinusitis: a review of a new antibacterial agent.(Original Article)
Sep 01, 2005; ... Objective: Telithromycin, the first approved ketolide antibiotic, was developed to treat community-acquired respiratory tract infections, including acute bacterial maxillary sinusitis (ABMS). A previously published study showed that a 5-day course of 800 mg telithromycin once daily is as ...
Use of complementary and alternative medicine by parents of children with HIV infection and asthma and well children.(Original Article)
Sep 01, 2005; ... Objective: Although the use of complementary and alternative medicine (CAM) in children is increasing, little is known about its use in children with human immunodeficiency virus (HIV) infection. This study investigated the use of CAM by parents of children with HIV infection (H), children ...
Pre-event willingness to receive smallpox vaccine among physicians and public safety personnel.
Sep 01, 2005; ... Background: Planning for voluntary smallpox vaccination of health and safety officials began in December 2002. Materials And Methods: Surveys were conducted among physicians and fire and police department personnel in Atlanta, Georgia. Information on demographics, willingness to ...
Does physician benchmarking improve performance of laparoscopically assisted vaginal hysterectomy?(Original Article)
Sep 01, 2005; ... Background: Benchmarking techniques were implemented to optimize operating time and charges associated with laparoscopically assisted vaginal hysterectomy (LAVH). Materials and Methods: The baseline LAVH profile over a period of 4 years (167 cases) was compared with 1-year data ...
Southern Medical Journal CME topic: insulin resistance and inflammation in polycystic ovarian syndrome.(continuing medical education)
Sep 01, 2005 ... Need Polycystic ovarian syndrome (PCOS) is characterized by chronic anovulation and hyperandrogenism in premenopausal women and is associated with insulin resistance and inflammation. It is estimated that 5-10% of women of reproductive age have PCOS. The use of insulin ...
Knowledge of the principles of judicious antibiotic use for upper respiratory infections: a survey of senior medical students.(Original Article)
Sep 01, 2005; ... Objective: Senior medical students (n = 2,433) from 21 accredited medical schools in New England and the mid-Atlantic states were surveyed to evaluate their knowledge of and compliance with principles of judicious antimicrobial use, as defined by the Centers for Disease Control and others ....
Surgical treatment of acute type II and rostral type III odontoid fractures managed by anterior screw fixation.(Original Article)
Sep 01, 2005; ... Objectives: In the present study, the authors comment on their experience with anterior odontoid screw fixation in the management of odontoid fractures, in an attempt to further assess the safety and the efficacy of this procedure. Materials and Methods: A retrospective analysis ...
CME credit--September 2005; CME topic: insulin resistance and inflammation in polycystic ovarian syndrome.(CME Credit Submission and Evaluation Form)
Sep 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 to ...
Insulin resistance in polycystic ovarian disease.(CME Topic)
Sep 01, 2005; ... Abstract: The classic polycystic ovarian syndrome (PCOS) was originally described by Stein and Leventhal as the association of amenorrhea with polycystic ovaries and, variably, hirsutism and/or obesity. It is estimated that 5 to 10% of women of reproductive age have PCOS. Although insulin ...
Questions for CME: insulin resistance in polycystic ovarian disease.(continuing medical education)
Sep 01, 2005 ... 1. Which of the following is not a part of diagnostic criteria for polycystic ovarian syndrome (PCOS)? a. Insulin resistance b. Irregular ovulation c. Hyperandrogenism d. Presence of follicles in ovaries 2. Which of the following ...
Functioning neural network grown from stem cells.
Sep 01, 2005 ... NEWS For Immediate Release July 13, 2005 LOS ANGELES -- Research published in the June edition of Neurosurgery, the official journal of the Congress of Neurological Surgions, documents how physicians in Stockholm, Sweden and Oslo, Norway collaborated with ...
Current and potential uses of imiquimod.(Review Articles)
Sep 01, 2005; ... Abstract: Imiquimod, an imidazoquinoline amine, is an immune response modifier first FDA-approved for the treatment of external genital and perianal warts in 1997. Since its appearance on the market, its antiviral and antitumor properties have been used in the treatment of a variety of ...
Group C streptococcal sepsis complicating Fournier gangrene.(Case Report)
Sep 01, 2005; ... Abstract: Fournier gangrene is a life-threatening necrotizing fasciitis of the perineal-scrotal area that occurs in diabetic males. Patients typically present with systemic toxicity and significant inflammatory changes in the scrotum and perineum. Most cases of Fournier gangrene are ...
Mycobacterium tuberculosis infection of a presumed Charcot joint.(Case Report)
Sep 01, 2005; ... Abstract: A 65-year-old male with peripheral neuropathy and small lymphocytic lymphoma presented with erythema and edema of the left foot. A Charcot midfoot was diagnosed and treated with a total contact cast and restricted weight bearing. However, subsequent analysis of bone and synovial ...
Unusual endoscopic and microscopic view of Enterobius vermicularis: a case report with a review of the literature.(Case Report)
Sep 01, 2005; ... Abstract: Enterobius vermicularis has the broadest geographic range of any helminth and is the most common intestinal parasite seen in the primary care setting. Underappreciated is the fact that it is not always a benign disorder and could even cause life-threatening medical problems ....
Coccidioidomycosis diagnosed in South Carolina.(Case Report)
Sep 01, 2005; ... Abstract: Primary care physicians in the Eastern United States rarely consider coccidioidomycosis in the differential diagnosis of pulmonary infections or febrile illnesses. However, the mobility of the population mandates consideration of this diagnosis, particularly in patients with ...
Kaposi sarcoma secondary to pulmonary tuberculosis: a rare case.(Case Report)
Sep 01, 2005; ... Abstract: Kaposi sarcoma commonly occurs in HIV-positive and immunocompromised patients. We describe a case of Kaposi sarcoma that developed in an HIV-negative patient with tuberculosis. The Kaposi sarcoma completely regressed with antituberculous therapy without the institution of ...
Sarcoidosis mimicking disseminated testicular cancer.(Case Report)
Sep 01, 2005; ... Abstract: Sarcoidosis rarely involves the genitourinary system or the spinal cord. This report describes a case of sarcoidosis with a scrotal mass, a mass compressing the spinal cord, and lesions in the liver and spleen. This case illustrates an uncommon manifestation of sarcoidosis, which ...
Necrotizing lymphadenitis associated with the phenytoin-induced hypersensitivity syndrome.(Case Report)
Sep 01, 2005; ... Abstract: A 32-year-old black female was started on phenytoin for seizure prophylaxis following the clipping of an aneurysm. This was stopped after 3 weeks when she developed a generalized skin rash. Over the next week she developed fever, sore throat, dysphagia, and headache. She had an ...
Beneficial effect of immunosuppressive drugs on Parry-Romberg syndrome: a case report and review of the literature.(Case Report)
Sep 01, 2005; ... Abstract: Progressive facial hemiatrophy, also known as Parry-Romberg syndrome (PRS), is characterized by slowly progressive atrophy of one side of the face, primarily involving the subcutaneous tissues and fat. Involvement of the central nervous system with impairment of neurologic ...
Left ventricular endocardial calcification in a patient with myeloproliferative disease.(Case Report)
Sep 01, 2005; ... Abstract: The case of a 57-year-old male with a history significant for myeloproliferative disease, chronic renal failure, hypertension, and prostate cancer is described. His complete blood count was remarkable for neutrophilia and, notably, eosinophilia. Subsequent to two syncopal ...
Four primary tumors of lung, bladder, prostate, and breast in a male patient.(Case Report)
Sep 01, 2005; ... Abstract: We present a very rare case of quadruple cancers in a 65-year-old male patient. It is a case of both synchronous and meta-chronous primary malignant neoplasms occurring in four different organs. Immunohistochemical stains showed tumor cell nuclei to be negative for p53 ...
Reversible ST-segment elevation associated with atelectasis of the left lung.(Case Report)
Sep 01, 2005; ... Abstract: A 22-year-old male with cerebral palsy and respiratory failure had acute reversible ST-segment elevation in the inferior leads during acute collapse of the left lung, which resolved with re-expansion of the left lung several hours later. This suggests that major lung actelectasis ...
Substance-abuse slang terms and implications for cultural groups including orthodox Jews.(Letters to the Editor)
Sep 01, 2005; ... To the Editor: The article by Hamid et al (1) regarding the numerous medical and slang terms used to describe various types of substance abuse is quite comprehensive. One area not discussed is the implication of recognizing these terms for diverse cultural populations. Culture and language ...
Cast abscess.(Letters to the Editor)(fractures)
Sep 01, 2005; ... To the Editor: Patients who present with fractures are often given the choice of treatment with nonoperative casting or surgery. While surgery is invasive and carries the risk of infection, casting is considered to be conservative, and the risk of infection is often thought to be ...
Fatal Trichosporon asahii septicemia in a Guatemalan farmer with acute lymphoblastic leukemia.(Letters to the Editor)
Sep 01, 2005; ... To the Editor: Trichosporon species are found in nature; predominantly in soil, water, and on plants. They have been cultured from many animal droppings, including cattle, sheep, and goat. (1) The six Trichosporon species associated with human infection are Trichosporon asahii, ...
Unintentional carbon monoxide poisoning cases in Ciudad Juarez, Mexico.(Letters to the Editor)
Sep 01, 2005; ... To the Editor: In the last 12 years, governmental reports indicate that 1,381 people living in Ciudad Juarez, Mexico have been intoxicated, and 167 killed by carbon monoxide (CO) poisoning. (1) Studies in the U.S. have identified low temperatures and small heating and cooking appliances as ...
Double balloon GliaSite in the management of recurrent glioblastoma multiforme.(Letters to the Editor)
Sep 01, 2005; ... To the Editor: Glioblastoma multiforme (GBM) is the most common and aggressive of the malignant adult primary brain tumors. (1) Despite significant advances over the last several years in imaging capability, neurosurgical techniques, and radiation treatments, the prognosis for individuals ...
Response to type 2 diabetes: epidemiologic trends, evolving pathogenic concepts, and recent changes in therapeutic approach.(Letters to the Editor)
Sep 01, 2005; ... To the Editor: I recently read with interest the Rizvi article in the November issue of the Southern Medical Journal. (1) The author neatly outlined some important issues regarding epidemiology and pathophysiology of type 2 diabetes. A discussion about the treatment of this disease was ...
Pleural effusion as presentation of metastatic adenocarcinoma of prostate.(Letters to the Editor)
Sep 01, 2005; ... To the Editor: Prostate carcinoma is one of the most common malignancies in men, (1) and spreads most frequently to bone, lung, and liver. (2) Pleural involvement is rare. Pleural effusion as determined by autopsy ranged from 2.3 to 5%. (3,4) We describe two elderly male ...
Medical webwatch.(Special Section)(http://www.cche.net/usersguides/main.asp)(http://www.aldanesthesia.com/)(http://www.ddc.musc.edu/ddc_pro/index.htm)
Sep 01, 2005; ... To access Critical Appraisal of Biomedical Literature by Alan O'Rouke of the Wisdom Centre, Sheffield University, free registration is required at http://www.wisdomnet.co.uk/ with the seminar residing at http://www.wisdomnet.co.uk/ebpsem2.html. The appraisal provides algorithms for the ...
The patient's page.(arlternative medicine)
Sep 01, 2005; ... Cast Care If you've ever had to wear a cast, you know that it won't be long before it begins to itch. It can be maddening and relentless, and despite your physician's warnings about scratching it with, say, a coat hanger, sometimes the urge can be overwhelming. Giving in to ...