Issue - Southern Medical Association

Original Article

Nutrition Care of Older Adults with Chronic Disease: Attitudes and Practices of Physicians and Patients

Objectives: Eighty percent of older adults have at least one chronic disease. Most conditions could be improved with nutritional intervention. This scientific study assessed physician and patient knowledge of, and behaviors about nutrition, resulting in tools to guide physicians in nutrition management of chronic diseases. Methods: Surveys were conducted of…

Original Article

Application of Anthropometric Indices in Childhood Obesity

Objectives: The purpose of this study was to determine which anthropometric index can best predict childhood obesity and to investigate the interrelationship between these anthropometric indices and metabolic abnormalities. Methods: This was a cross-sectional study. In March 2000, 2005 children aged 7 to 8 from the first grade of primary…

Original Article

Body Weight Status, Dietary Habits, and Physical Activity Levels of Middle School-aged Children in Rural Mississippi

Objectives: Obesity and cardiovascular diseases are more prevalent in the Southeast as compared with other geographic regions of the United States. However, few investigations have addressed health disparities among children in rural Southeastern areas. The purpose of this investigation was to determine the risk of overweight and obesity in middle…

Original Article

Which Anthropometric Indices Best Predict Metabolic Disorders in Taiwan?

Objectives: The aim of this survey was to assess the association between the three simple anthropometric indices (body mass index [BMI], waist-to-hip ratio (WHR), and waist circumference [WC]) and various metabolic disorders, and to identify which indices can best predict metabolic disorders in Taiwan. Methods: A cross-sectional hospital-based survey was…

Original Article

Molecular Epidemiologic Surveillance of Salmonellosis in Arkansas

Objectives: Salmonella serotype Newport and Salmonella serotype Typhimurium are the most commonly identified serotypes of Salmonella causing human disease in the state of Arkansas. The purpose of our study was to compare the results of standard and molecular epidemiologic methods of investigating human salmonellosis cases due to Salmonella serotype Newport…

Case Report

Renal Failure and Hypercalcemia as Initial Manifestations of Extrapulmonary Sarcoidosis

Sarcoidosis is a granulomatous, multisystem disease. Rarely, sarcoidosis may present with both renal failure and hypercalcemia. A 27-year-old black man presented with severe abdominal pain and renal failure. A kidney biopsy demonstrated features of both interstitial nephritis and membranous glomerulopathy thought to be secondary to nonsteroidal anti-inflammatory drugs. His renal…

Case Report

Plasma Cell Granuloma of the Thyroid and Hashimoto Thyroiditis

Plasma cell granuloma of the thyroid is a rare tumor-like lesion formed by a localized proliferation of inflammatory cells, supported by a stroma of fibrous tissue. Few cases have been previously reported in the medical literature. We report a new case of a 41-year-old man presenting a goiter with primary…

Case Report

Livedo Reticularis: A Rare Manifestation of Graves Hyperthyroidism Associated with Anticardiolipin Antibodies

Livedo reticularis is a common presentation of the anti-cardiolipin syndrome. Although the presence of anticardiolipin (aCL) antibodies was previously reported in association with both Graves disease and Hashimoto thyroiditis, I am aware of no previous report of livedo reticularis in patients with Graves disease. A 29-year-old woman presented with very…

Editorial

Hormonal Replacement Therapy: Quo Vadis?

The National Institutes of Health (NIH) sent shock waves through the medical community on July 9, 2002, when it announced the premature termination of the arm of the Women’s Health Initiative Study in which volunteers were randomly allocated to either a combination of conjugated equine estrogen and medroxyprogesterone acetate or…

Case Report

Thyroid Storm and Ventricular Tachycardia

A 34-year-old woman was brought to our emergency department because of sudden loss of consciousness. Ventricular tachycardia and fibrillation were noted on electrocardiographic monitoring and reverted to sinus rhythm after repeated defibrillation. She was treated as a case of thyroid storm. Although tachycardia and fever normalized after 2 days, she…

Case Report

Water Intoxication Presenting as a Suspected Contaminated Urine Sample for Drug Testing

A patient was evaluated medically after submitting a urine sample for drug screening that was considered inappropriately dilute. Although it was thought that the dilute urine was the result of purposely adding water, the medical evaluation revealed that the patient had chronic water intoxication from a very strict weight loss…

Case Report

Erythema Multiforme Associated with Candesartan Cilexetil

Candesartan cilexetil is an angiotensin II receptor antagonist that is widely used in the treatment of hypertension. It is generally well tolerated and rarely has adverse effects. We report the case of a 50-year-old man with a 3-year history of hypertension that was difficult to manage because of intolerance to…

Expired CME Article

Our Osteoporosis Report Card: ‘A’ for Apathy, ‘D’ for Effort, and ‘F’ for Results

Expired CME Article – Our Osteoporosis Report Card: ‘A’ for Apathy, ‘D’ for Effort, and ‘F’ for Results

Expired CME Article

Low Bone Mineral Density in Premenopausal Women

With the proliferation of bone densitometers, an increasing number of premenopausal women are having their bone density tested. Approximately 15% of premenopausal women have bone mineral density that is more than 1 standard deviation less than the young-adult mean, and approximately 0.6% are more than 2.5 standard deviation below young-adult…

Expired CME Article

Osteoporosis Self-management: Choices For Better Bone Health

Despite recent pharmacologic advances in the prevention and treatment of osteoporosis, the disease remains incurable. Effective disease management ultimately lies in the hands of the individual patient, who must take responsibility for key health behaviors related to bone health. One behavior modification strategy that has proven effective, but which has…

Expired CME Article

Prevention of Glucocorticoid-induced Osteoporosis

Patients taking low-dose glucocorticoids for 3 months or more are at risk for rapid bone loss. The loss may be as high as 15% in the first 3 to 6 months of treatment, and can lead to osteoporotic fractures, with an increase in morbidity and mortality. This article discusses an…

Expired CME Credit Submission and Evaluation Form

CME Credit—June 2004 CME Topic: Osteoporosis

Expired CME Credit Submission and Evaluation Form – Osteoporosis

Case Report

An Unusual Cause of Hypercalcemia

We describe a case of pronounced symptomatic hypercalcemia as a consequence of thyrotoxicosis alone. Primary hyperparathyroidism and other secondary causes of hypercalcemia were excluded. Hypercalcemia completely abated after treatment of thyrotoxicosis. Notwithstanding that hypercalcemia is an unusual manifestation of hyperthyroidism, asymptomatic elevation of serum calcium concentration had been documented in…

Case Report

Thyroid Storm Induced by Strangulation

Thyroid storm most often occurs in patients with known thyrotoxicosis. This report discusses a severe case of thyroid storm developing as a direct result of strangulation in a patient without a preexisting history of thyroid disease. Classification and treatment of this entity are discussed.

Case Report

Vancomycin Therapy and the Progression of Methicillin-resistant Staphylococcus aureus Vertebral Osteomyelitis

Vancomycin therapy is the standard treatment for methicillin-resistant Staphylococcus aureus (MRSA), the most common cause of vertebral osteomyelitis, an increasingly frequent complication of nosocomial bacteremia. We report five recent cases suggesting that, while giving the appearance of success by conventional clinical and laboratory criteria (eg, resolution of fever and leukocytosis),…

Expired CME Article

Osteoporosis

Expired CME Article – Osteoporosis

Expired CME Article

Diagnosis and Evaluation of Patients with Osteoporosis

Expired CME Article – Diagnosis and Evaluation of Patients with Osteoporosis

Expired CME Article

Peripheral Bone Densitometry

Expired CME Article – Peripheral Bone Densitometry

Book Review

The UV Advantage

Information overload is typical of our society. We are bombarded constantly by information: magazines, books, advertisements, and of course, well-meaning friends. The easy access to the Web has also added a totally different dimension to the available information.

Book Review

Dr. David Sherer’s Hospital Survival Guide

The practice of medicine and the modus operandi of hospitals have changed dramatically over the past few years. Long gone are the days when hospitalization could last a few weeks. Now the emphasis is on discharging the patient as quickly as possible. Day surgeries and 23-hour observation periods are becoming…

Acknowledgment

Books Received

Books Received