Issue - Southern Medical Association

Primary Article

Weight Loss and Bulimic Eating Behavior: Changing Patterns Within a Population of Young Adult Women

ABSTRACT: A survey of 364 college freshman women was conducted to examine weight loss practices. Nearly 60% of women were currently on a diet to lose or to maintain weight. Since entering college 7 months earlier, 29% had used crash dieting or fasting as a means of weight control. Even…

Primary Article

Panic Disorder Among Patients With Chronic Fatigue

ABSTRACT: Among 200 adults with a chief complaint of chronic fatigue evaluated in an internal medicine practice, currently active panic disorder was diagnosed in 26 patients (13%), a frequency tenfold greater than that in the general population. Panic disorder preceded or was coincidental with the onset of chronic fatigue in…

Primary Article

Arsenic Exposures in Mississippi: A Review of Cases

ABSTRACT: Arsenic poisonings occur in Mississippi despite public education campaigns to prevent poisonings in the home. We reviewed 44 Mississippi cases of arsenic exposures occurring from January 1986 to May 1990. We compared the epidemiologic differences between unintentional and intentional poisonings. Cases were found and characterized through the two toxicology…

Primary Article

Ownership of the Medical Radiograph

ABSTRACT: Current hospital policies controlling original diagnostic radiographs do not serve the best interests of either the patients or the institutions. A survey of 200 randomly selected hospitals shows that approximately 40% of the hospitals would not release the original radiograph directly to the patient. Even more important, hospitals will…

Primary Article

Seizures in Patients Simultaneously Receiving Theophylline and Imipenem or Ciprofloxacin or Metronidazole

ABSTRACT: Five patients had apparently drug-induced seizures while simultaneously receiving theophylline and either imipenem (three patients), ciprofloxacin (one patient), or ciprofloxacin and metronidazole (one patient). Seizures ceased upon reduction in dosage or discontinuation of the suspected offending agents. Imaging studies failed to reveal new structural lesions in the central nervous…

Primary Article

Differences in Black and White Infant Birth Weights: The Role of Maternal Demographic Factors and Medical Complications of Pregnancy

ABSTRACT: In a retrospective study of 18 631 deliveries among women of low income, we examined the association of racial disparities in mean birth weight with population differences in maternal demographic characteristics and antepartum-intrapartum medical complications. The study population consisted of inborn, nonreferred, singleton, low-income patients delivered on the nonprivate…

Primary Article

Endoscopic Palliative Management of Rectal Cancer

ABSTRACT: Laser ablation and bipolar coagulation have been used to palliate rectal cancer and avoid surgery. Indications are distal metastatic disease, extensive local invasion, obstruction and bleeding from nonresectable rectal tumor, or refusal of surgery. From Jan 1, 1986, to Jan 1, 1989, I saw 26 patients who met those…

Primary Article

Immunogenicity of Low-Dose Intradermal Recombinant DNA Hepatitis B Vaccine

ABSTRACT: Low-dose intradermal vaccination with plasma-derived hepatitis B vaccine has been shown to give high rates of seroconversion at greatly reduced vaccine cost. We report a study comparing two groups given lower doses (1.0 or 1.5 µg) of recombinant-derived vaccine intradermally with a control group given the standard intramuscular dose….

Primary Article

Improving Palliation in Pancreatic Cancer: Intraoperative Celiac Plexus Block for Pain Relief

ABSTRACT: Most patients with pancreatic carcinoma are not curable. Surgical palliation of obstructive jaundice and gastric outlet obstruction leaves many patients with severe pain from pancreatic carcinoma. Anesthesiologists have drawn increasing attention to the successful use of postoperative percutaneous celiac plexus block for the treatment of pancreatic pain. Ironically, little…

Primary Article

Pregnancy Outcome in Patients With Repeat Visits to the Labor Observation Area Near Term

ABSTRACT: Patients whose pregnancies are near term and who repeatedly visit the labor observation area but are found not to be in labor and have no clear diagnosis for their complaints remain a source of concern for the obstetrician. In order to determine whether this is a population with special…

Article

Practice-Based Research: Opportunities for the Clinician

ABSTRACT: Practice-based research is the performance of clinical trials in physicians' offices, often involving multiple sites in multicenter studies. The purpose of this presentation is to inform the clinician of the opportunities available in practice-based research, discussing both the contributions that clinicians can make and the advantages to them of…

Primary Article

Effects of Prednisone on Human Immunodeficiency Virus Infection

ABSTRACT: Prednisone is used to treat a number of complications of the human immunodeficiency virus (HIV) infection, but there is little information about the immunologic consequences of such therapy. We gave prednisone to six boys with hemophilia who were infected with HIV in order to study its effects on their…

Medical Education

Journal Clubs in Family Practice Residency Programs in the Southeast

ABSTRACT: The prevalence and structure of journal clubs in family medicine training programs in the southeastern United States was ascertained by a survey of directors of residency training programs and family practice residents in this region. There are journal clubs in 84% of the 74 programs included. The journal club…

Review Article

Identification and Treatment of Retinopathy of Prematurity: An Update and Review

ABSTRACT&colon; The risk of retinopathy of prematurity (ROP) is higher in infants with a birth weight<1501 g (3 lb 5 oz). Identification programs coupled with refined treatment procedures can reduce visual impairment in infants with ROP. Physicians providing in-hospital care to these infants should ensure that ophthalmologic referral has been…

Primary Article

Patient Attitudes Toward Testing for Maternal Serum Alpha-Fetoprotein Values When Results Are False-Positive or True-Negative

ABSTRACT&colon; We investigated the attitudes toward the maternal serum alpha-fetoprotein (MSAFP) test of patients whose results from MSAFP testing were either false-positive or true-negative. Forty-six women who had previous false-positive results from MSAFP testing and 46 who had previous true-negative values participated. Patients were matched for age and socioeconomic status,…

Case Report

Abscess of the Iliopsoas Muscle Diagnosed by Magnetic Resonance Imaging and Ultrasonography

Letter to the Editor

Advance Directives and the Critically III

Case Report

Combined Use of Nifedipine and Diltiazem for the Treatment of Severe Hypertension

Editorial

Diversions

Clinical Brief

Earlobe Creases and Macrophage Receptors

Letter to the Editor

Echocardiography in Mitral Valve Prolapse

Case Report

Endocarditis in a Father and Daughter

Case Report

Human Immunodeficiency Virus Associated With Thrombotic Thrombocytopenic Purpura: Successful Treatment With Zidovudine

Case Report

Lactic Acidosis Associated With High-Dose Niacin Therapy

Letter to the Editor

Lovastatin and Nephrotic Syndrome

Case Report

Lymphomatous Involvement of Peripheral Nerves: Clinical and Pathologic Features

Case Report

Management of the Injured Renal Transplant Recipient

Case Report

Maternal Cocaine Abuse and Fetal Anomalies: Evidence for Teratogenic Effects of Cocaine

Evagations

Peeing Is Believing

Case Report

Penopubic and Penile Testicular Ectopia

Case Report

Posttraumatic Stress Disorder in Burn Patients

Case Report

Pott’s Disease of the Cervical Spine

Editorial

PRACTICE-BASED RESEARCH

Case Report

Pregnancy After Fontan Repair of Tricuspid Atresia

Case Report

Primary Angiosarcoma of the Brain

Case Report

Purpura Fulminans and Adrenal Hemorrhage Due to Group Y Meningococcemia in an Elderly Woman

Case Report

Repeated Intestinal Ulcerations in a Patient With Systemic Lupus Erythematosus and High Serum Antiphospholipid Antibody Levels

Editorial

Some Musings On The Alchemy Of Change

Case Report

Stroke in a Young Adult With Fletcher Trait

Case Report

The Scimitar Syndrome

Case Report

Tracheobronchitis Due to Corynebacterium pseudodiphtheriticum

Letter to the Editor

Urinary Tract Infections: Need for Pure Culture Technology in Clinical Laboratory Diagnosis