Issue - Southern Medical Association

Original Article

Declining Susceptibility to Neomycin and Polymyxin B of Pathogens Recovered in Otitis Externa Clinical Trials

Background: Otitis externa is usually treated empirically with topical neomycin/polymyxin B/hydrocortisone. The predominant pathogens associated with this infection are Pseudomonas aeruginosa and Staphylococcus aureus. Methods: Two multicenter clinical trials (one in adults and adolescents, and one in children), conducted between 1995 and 1996, compared neomycin/polymyxin B/hydrocortisone with ofloxacin for the…

Original Article

Older Sarcoidosis Patients: Experience of a Medical Center in Turkey

Objectives: Although sarcoidosis is classically defined to be a disease of young adults, it might also be seen at older ages. There are very few clinical studies which focus on the features of patients diagnosed at older ages. In this study, we tried to determine the frequency of patients diagnosed…

Original Article

Nonsurgical Treatment to Regain Hip Abduction Motion in Perthes Disease: A Retrospective Review

The purpose of this study was to document the ability of a nonsurgical program to improve restricted passive hip abduction in children with Perthes disease. Containment as a form of treatment was recommended if passive hip abduction of 30 degrees or more could be achieved. Medical records and radiographs were…

Expired CME Article

Profound Hypothyroidism—A Clinical Review with Eight Recent Cases: Is It Right Before Our Eyes?

Expired CME Article – Profound Hypothyroidism—A Clinical Review with Eight Recent Cases: Is It Right Before Our Eyes?

Expired CME Credit Submission and Evaluation Form

CME Credit—May 2004 CME Topic: Hypothyroidism

Expired CME Credit Submission and Evaluation Form – Hypothyroidism

Review Article

Osteoprotegerin-Receptor Activator of Nuclear Factor-κB Ligand Ratio: A New Approach to Osteoporosis Treatment?

Osteoporosis, the most commonly occurring bone disease, is characterized by enhanced bone fragility and increased risk of fracture. Bone remodeling is the process in which bone is broken down by osteoclasts and then built back again by osteoblasts. In healthy adult bone, these two processes are balanced and a constant…

Case Report

Tuberous Sclerosis Complex in a Young Woman Diagnosed Incidentally on the Basis of Pregnancy Ultrasonography

Tuberous sclerosis complex (TSC) is more prevalent than previously believed and most cases result from new mutations and, hence, do not have affected relatives. Many patients who meet the new diagnostic criteria have unrecognized skin lesions and/or occult lesions in internal organs. As early diagnosis and appropriate intervention can reduce…

Case Report

A Newborn with Cardiac Failure Secondary to a Large Vein of Galen Malformation

We report the case of a term newborn with vein of Galen aneurysm. No antenatal diagnosis was done. The infant was admitted secondary to cardiac failure, with cardiomegaly and pulmonary hypertension. Physical examination was remarkable for acrocyanosis, microcephaly, cranial bruit, bilateral neck swelling, coarse breath sounds, and a hyperdynamic precordium…

Case Report

Reversal of Delayed Union of Anterior Cervical Fusion Treated with Pulsed Electromagnetic Field Stimulation: Case Report

We present a case report of anterior cervical fusion non-union that was successfully treated with pulsed electromagnetic field (PEMF) stimulation. In this case, a C6–C7 nonunion was identified clinically and radiographically 1 year after surgery. Imaging revealed nonunion with partial resorption of the bone graft compared with imaging studies performed…

Case Report

Female Genital Schistosomiasis: Case Report and Review of the Literature

A 37-year-old woman, originally from South Africa, presented for a gynecologic examination. Speculum examination revealed a friable cervical lesion. Both the cervical smear and biopsy contained intact, viable schistosome eggs consistent with those of Schistosoma haematobium. Appropriate treatment was initiated promptly, avoiding significant morbidity. The diagnosis of female genital schistosomiasis…

Case Report

Scar Endometriosis Developing After an Umbilical Hernia Repair with Mesh

A 44-year-old female was initially evaluated for a 3-cm umbilical hernia, which developed after a laparoscopic myomectomy performed seven years prior. The umbilical hernia was repaired using a synthetic mesh. Eight months after the umbilical hernia repair, the patient returned with chronic pain in a 3-cm raised mass originating from…

Original Article

Personal Digital Assistant Use in Florida Obstetrics and Gynecology Residency Programs

Objectives: Improvements in electronic technologies have resulted in affordable, smaller computers that operate at faster speeds. The personal digital assistant (PDA) is a tool that has the potential to enhance residency education by allowing residents immediate access to an abundance of information. This article assesses the current use of this…

Original Article

Comparison of Pediatric Airway Foreign Bodies Over Fifty Years

Prevention and early recognition remain critical factors in the treatment of foreign body inhalation in children. Accidental inhalation of both organic and nonorganic foreign body material continues to be a cause of childhood morbidity and mortality. The University of North Carolina Department of Otolaryngology has collected foreign bodies acquired from…

Original Article

Florida Health Care Providers’ Knowledge of Folic Acid for the Prevention of Neural Tube Defects

Objectives: The purpose of this study was to determine the impact of an educational program on the knowledge and practice behavior of health care providers regarding folic acid use for the prevention of neural tube defects. Methods: A survey was mailed to selected Florida health care providers to determine baseline…

Original Article

Is Eclampsia Preventable? A Case Control Review of Consecutive Cases from an Urban Underserved Region

Objectives: The purpose of this study was to determine whether eclampsia is potentially preventable. Methods: This was a retrospective case control study comparing 25 cases of eclampsia, 33 cases of preeclampsia and 50 pregnant controls. Eclampsia cases were classified as follows: group A was potentially preventable by patient education if…

Original Article

Correlates of Breastfeeding Initiation in Southeast Arkansas

Objectives: Southeast Arkansas is a primarily rural, low-income area with low breastfeeding rates. Given the demonstrated positive impacts of breastfeeding on a variety of health indicators, it is important to understand and counteract this situation. Methods: We reviewed the medical records of 1,260 women who delivered infants at the only…

Original Article

Sedation During Mechanical Ventilation in Infants and Children: Dexmedetomidine Versus Midazolam

Background: We sought to compare the efficacy of midazolam versus dexmedetomidine for sedation during mechanical ventilation in infants and children. Methods: We performed a prospective, randomized trial in a pediatric intensive care unit in a tertiary care center. Infants and children requiring mechanical ventilation underwent a continuous infusion of either…

Original Article

Dynamic Weight-bearing Cervical Magnetic Resonance Imaging: Technical Review and Preliminary Results

Background: Conventional magnetic resonance imaging (MRI) of complex cervical spine disorders may underestimate the magnitude of structural disease because imaging is performed in a nondynamic non-weight-bearing manner. Myelography provides additional information but requires an invasive procedure. Methods: This was a prospective review of the first 20 upright weight-bearing cervical MRI…

Original Article

Ureteral Injury Due to Penetrating Trauma

Objectives: We sought to evaluate the diagnosis and management of penetrating ureteral injuries at our trauma center. Methods: We retrospectively reviewed the cases of 12 patients with ureteral injuries secondary to penetrating ureteral trauma. Results: From January 1995 to December 2000, a total of 12 patients were diagnosed and treated…

Case Report

Mitochondrial Encephalomyopathy with Lactic Acidosis and Strokelike Episodes (MELAS): A Mitochondrial Disorder Presents as Fibromyalgia

This case report describes a patient who presented with symptoms and signs of longstanding fibromyalgia. Routine laboratory tests revealed an elevated anion gap. Evaluation of the elevated anion gap demonstrated elevated lactate and pyruvate levels and a lactate-to-pyruvate ratio greater than 20:1. A muscle biopsy was performed, exhibiting red ragged…

Expired CME Article


Expired CME Article – Hypothyroidism


J. Marion Sims: A Defense of the Father of Gynecology

In this month’s edition of the Southern Medical Journal, Jeffrey Sartin, MD, elucidates certain aspects of the practice and life of J. Marion Sims, the legendary founder of the specialty of gynecology. 1 This discussion is faithful in its depiction of many of the events in Sims’ life and practice,…

Original Article

Income, Income Inequality, and Cardiovascular Disease Mortality: Relations Among County Populations of the United States, 1985 to 1994

Objectives: Despite the major contribution of cardiovascular disease (CVD) to total mortality, and reports demonstrating strong relations between income and CVD, the joint relations of population-level income and income inequality with CVD mortality are not well described. This study was undertaken to describe relations among population-level income, income equality, and…