SMJ // December 2002, Volume 95 - Issue 12
Case Report
Microscopic Polyangiitis in a Pregnant Woman
&NA; Patients who have vasculitis in pregnancy generally have a grim prognosis. Vasculitis occurring during pregnancy may have a more aggressive course and require more aggressive treatment than vasculitis occurring at other times. A 29‐year‐old woman who presented in the 16th week of her third intrauterine pregnancy was diagnosed as…
Case Report
Neurologic and Cardiac Progression of Glycogenosis Type VII Over an Eight‐Year Period
&NA; Little is known about the progression of phosphofructokinase deficiency (glycogenosis type VII, Tarui's disease). We describe a 66‐year‐old woman who had this disease diagnosed in 1997. Initial manifestations had included simple partial seizures since 1977, anginal chest pain since 1982, and muscle cramps since 1983. To prevent recurrent myocardial…
Case Report
Celecoxib‐Induced Upper Gastrointestinal Hemorrhage and Ulceration
&NA; COX‐2 inhibitors are a new class of nonsteroidal anti‐inflammatory drugs with a reported benefit of less gastric and duodenal ulceration and hemorrhage. We describe a 67‐year‐old man taking a higher than usual dose of celecoxib (Celebrex) for osteoarthritis with resultant gastric erosions, ulceration, and a significant gastrointestinal (GI) hemorrhage.
Expired CME Topic
Systematic Review of Clinical Trials Examining the Effects of Religion on Health
&NA; Using MEDLINE, (limited to the English language and the reference lists of the randomized controlled trials (RCTs), we assessed the impact of religion on health outcomes via systematic, critical review of the medical literature. All RCTs published from 1966 to 1999 and all non‐RCTs published from 1996 to 1999…
Original Article
Evidence‐Based Medicine in Internal Medicine Clerkships A National Survey
Background. Although evidence‐based medicine (EBM) has become widely accepted, the extent of its implementation during clinical clerkships is not well described. This study was done to characterize the implementation of formal EBM curricula in internal medicine clerkships.
Original Article
Bacterial Contamination of Paper Currency
&NA; One‐dollar bills were collected from the general community in western Ohio to survey for bacterial contamination. Pathogenic or potentially pathogenic organisms were isolated from 94% of the bills. These results suggest a high rate of bacterial contamination of one‐dollar bills.
Original Article
Work, Social, and Family Disabilities of Subjects With Anxiety and Depression
Background. Functional impairment scales are increasingly used to evaluate subjects with a variety of mental disorders.
Original Article
Medical Spirituality Defining Domains and Boundaries
&NA; The rapidly accumulating evidence that personal spirituality has important influences on health care outcomes is somewhat difficult to integrate into daily medical practice, in part because accepting it requires adjustments to the standard biomedical worldview, and in part because it challenges established boundaries between chaplaincy and evidence‐based medicine. We…
Original Article
Familial Mediterranean Fever
Background. The pathogenesis of familial Mediterranean fever (FMF) is unknown, and since no specific laboratory test is yet available, the diagnosis of FMF remains clinical. The purpose of this study was to review clinical characteristics of patients with FMF.
Original Article
Effect of Spirituality on Successful Recovery From Spinal Surgery
Background. Many patients believe prayer helps them recover from health problems. Benefits of spirituality on other illnesses and surgical procedures have been reported. It is unknown whether patients with strong spiritual beliefs have a greater propensity for successful recovery from spinal surgery.
Original Article
Risk Factors for Gallstone Disease in a Hospital‐Based Study
Background. We investigated the risk factors for gallstone disease in Taiwan.
Original Article
Characteristics and Outcomes of Patients With Goodpasture's Syndrome
Background. Goodpasture's syndrome is a rare disorder characterized by pulmonary hemorrhage, glomerulonephritis, and antiglomerular basement membrane antibodies.
Original Article
Health Care Providers' Duty to Warn
&NA; Since the fifth century BC, physicians have sworn to uphold the Hippocratic Oath that includes the statement, “Whatever, in connection with my professional service, … I see or hear, in the life of men, which ought not be spoken abroad, I will not divulge, as reckoning that all such…
Original Article
Surgical Treatment of Parotid Tumors in the General Community Hospital
&NA; We reviewed 51 consecutive parotidectomies done at a general community hospital and gathered data on age and sex of the patients, length of stay in the hospital, perioperative outcome, complications, and surgical pathology. Statistical method included logistic regression and ANOVA to determine relationship and dependence of the variables. There…
WAKE FOREST CENTENNIAL
Private Southern Institution Serves as Model for Minority Medical Education
WAKE FOREST CENTENNIAL
Wake Forest University International Medicine
Book Review
Managing Contraceptive Pill Patients
Book Review
Drug Interaction Facts 2003
Book Review
Blood Feud
Book Review
Asthma (Key Diseases Series)
Book Review
A Symphony in the Brain
Case Report
Celecoxib-Induced Upper Gastrointestinal Hemorrhage and Ulceration
COX-2 inhibitors are a new class of nonsteroidal anti-inflammatory drugs with a reported benefit of less gastric and duodenal ulceration and hemorrhage. We describe a 67-year-old man taking a higher than usual dose of celecoxib (Celebrex) for osteoarthritis with resultant gastric erosions, ulceration, and a significant gastrointestinal (GI) hemorrhage.
Case Report
Microscopic Polyangiitis in a Pregnant Woman
Patients who have vasculitis in pregnancy generally have a grim prognosis. Vasculitis occurring during pregnancy may have a more aggressive course and require more aggressive treatment than vasculitis occurring at other times. A 29-year-old woman who presented in the 16th week of her third intrauterine pregnancy was diagnosed as having…
Case Report
Neurologic and Cardiac Progression of Glycogenosis Type VII Over an Eight-Year Period
Little is known about the progression of phosphofructokinase deficiency (glycogenosis type VII, Tarui's disease). We describe a 66-year-old woman who had this disease diagnosed in 1997. Initial manifestations had included simple partial seizures since 1977, anginal chest pain since 1982, and muscle cramps since 1983. To prevent recurrent myocardial infarction,…
Correspondence
Volvulus of the Transverse Colon
Correspondence
Extreme Leukocytosis Without Hematologic Malignancy
Correspondence
Hematoma and Enoxaparin Use
Expired CME Article
Systematic Review of Clinical Trials Examining the Effects of Religion on Health
Using MEDLINE, (limited to the English language and the reference lists of the randomized controlled trials (RCTs), we assessed the impact of religion on health outcomes via systematic, critical review of the medical literature. All RCTs published from 1966 to 1999 and all non-RCTs published from 1996 to 1999 that…
Original Article
Risk Factors for Gallstone Disease in a Hospital-Based Study
Background.We investigated the risk factors for gallstone disease in Taiwan.
Original Article
Evidence-Based Medicine in Internal Medicine Clerkships: A National Survey
Background.Although evidence-based medicine (EBM) has become widely accepted, the extent of its implementation during clinical clerkships is not well described. This study was done to characterize the implementation of formal EBM curricula in internal medicine clerkships.
Original Article
Familial Mediterranean Fever
Background.The pathogenesis of familial Mediterranean fever (FMF) is unknown, and since no specific laboratory test is yet available, the diagnosis of FMF remains clinical. The purpose of this study was to review clinical characteristics of patients with FMF.
Original Article
Characteristics and Outcomes of Patients With Goodpasture’s Syndrome
Background.Goodpasture's syndrome is a rare disorder characterized by pulmonary hemorrhage, glomerulonephritis, and antiglomerular basement membrane antibodies.
Original Article
Bacterial Contamination of Paper Currency
One-dollar bills were collected from the general community in western Ohio to survey for bacterial contamination. Pathogenic or potentially pathogenic organisms were isolated from 94% of the bills. These results suggest a high rate of bacterial contamination of one-dollar bills.
Original Article
Medical Spirituality: Defining Domains and Boundaries
The rapidly accumulating evidence that personal spirituality has important influences on health care outcomes is somewhat difficult to integrate into daily medical practice, in part because accepting it requires adjustments to the standard biomedical worldview, and in part because it challenges established boundaries between chaplaincy and evidence-based medicine. We propose…
Original Article
Surgical Treatment of Parotid Tumors in the General Community Hospital
We reviewed 51 consecutive parotidectomies done at a general community hospital and gathered data on age and sex of the patients, length of stay in the hospital, perioperative outcome, complications, and surgical pathology. Statistical method included logistic regression and ANOVA to determine relationship and dependence of the variables. There were…
Original Article
Effect of Spirituality on Successful Recovery From Spinal Surgery
Background.Many patients believe prayer helps them recover from health problems. Benefits of spirituality on other illnesses and surgical procedures have been reported. It is unknown whether patients with strong spiritual beliefs have a greater propensity for successful recovery from spinal surgery.
Original Article
Health Care Providers’ Duty to Warn
Since the fifth century bc, physicians have sworn to uphold the Hippocratic Oath that includes the statement, “Whatever, in connection with my professional service, … I see or hear, in the life of men, which ought not be spoken abroad, I will not divulge, as reckoning that all such should…
Original Article
Work, Social, and Family Disabilities of Subjects With Anxiety and Depression
Background.Functional impairment scales are increasingly used to evaluate subjects with a variety of mental disorders.
