Issue - Southern Medical Association

Primary Article

Juvenile Dermatomyositis and Polymyositis: A Follow-up Study of Long-term Sequelae

Abstract Background. Juvenile dermatomyositis/polymyositis (JDMS/PM) are childhood inflammatory myopathies that normally affect children between 2 and 15 years of age. The disease is manifested as severe proximal muscle weakness and, in JDMS, as a characteristic cutaneous eruption. It is difficult to predict the course of the disease. This study is…

Current Concepts

Low-molecular-weight Heparins in Clinical Practice

Abstract Background. Low-molecular-weight heparin (LMWH), because of its efficacy and ease of use, is an attractive alternative to unfractionated heparin in treatment and prophylaxis of venous thromboembolism Methods. Using MEDLINE, I searched for relevant clinical trials using LMWH. I carefully reviewed these trials, allowing development of recommendations for use of…

Primary Article

Transudative Malignant Pleural Effusions: Prevalence and Mechanisms

Abstract Background. Malignant pleural effusions are classically exudative, though occasionally they can be transudative. We attempted to determine the prevalence of transudative malignant pleural effusions and to describe their clinical and radiographic characteristics Methods. We studied the medical records of 215 patients with malignant pleural effusion, which contained complete data…

Current Concepts

Video Display Terminals: Risk of Electromagnetic Radiation

Abstract Background. Technologic advances have led to increased use of computers at home and in the workplace. It is estimated that more than 100 million workers in the United States and Canada will be using computers daily by the year 2000. Anecdotal reports have suggested a link between video display…

Primary Article

Alcoholism Among Indigent Inpatients: Identification and Intervention by Internal Medicine Residents

Abstract Background. This study examined alcoholism identification and interventions by internal medicine residents, determined the prevalence of alcoholism among indigent inpatients, and examined some variables related to alcoholism in this population Methods. The alcohol abuse and dependence section of the Diagnostic Interview Schedule was administered to 197 inpatients, and chart…

Case Report

Pregnancy-Associated Osteoporosis: Preliminary Densitometric Evidence of Extremely Rapid Recovery of Bone Mineral Density

ABSTRACT: Pregnancy-associated osteoporosis (PAO) is considered a rare complication of pregnancy and lactation, but the actual incidence is unknown. Pregnancy-associated osteoporosis is self-limited and usually does not recur during subsequent pregnancies, but little is known about its pathogenesis or the dynamics of bone density during the evolution and recovery phases…

Case Report

Catheter-Related Bacteremia Due to Mycobacterium smegmatis

ABSTRACT: Rapidly growing mycobacteria have occasionally been reported to cause catheterrelated infections. We report a case of a central venous catheter-related bacteremia, caused by Mycobacterium smegmatis, in a patient with cancer. Cultures of the catheter tip and blood cultures grew M smegmatis and Enterococcus faecalis. The patient responded to catheter…

Author Index

AUTHOR INDEX

Editorial

BREAKING THE SILENCE OF FACTITIOUS DISORDER

Editorial

Eagle's Syndrome

Editorial

Interventricular Septal Endocarditis

Medical Education

James H. Quillen College of Medicine, East Tennessee State University

Editorial

Passive Smoking Exposure on Submarines

Editorial

Recording of Occupational Information In Adult Patients