July 2012, Volume 105 - Issue 7

Poor Health, but Not Fracture and Fall Risk, Is Associated with Nonattendance at Bone Mineral Density Screening

Kathryn M. Ryder, MD, MS, Andrew Bush, PhD, Catherine Womack, MD, Wayne Pitts, PhD

Abstract: Background: Bone mineral density screening identifies women at risk for fracture. Nonattendance at screening is associated with subsequent hip fracture. Determining reasons for nonattendance may help in the designing of methods to improve screening. Methods: We hypothesize...

(pp 325-328)

Overtreatment and Undertreatment of Hyperlipidemia in the Outpatient Setting

Ashish Verma, MD, Paul Visintainer, PhD, Mohamed Elarabi, MD, Siddharth Wartak, MD, Michael B. Rothberg, MD, MPH

Abstract: Background: National guidelines recommend lipid-lowering therapy for patients with coronary heart disease (CHD), its equivalent (eg, diabetes mellitus, peripheral arterial disease, cerebrovascular disease), and those at high risk of CHD. Quality-of-care studies demonstrate...

(pp 329-333)

Evaluation of Health Literacy among Spanish-Speaking Primary Care Patients Along the US–Mexico Border

Eribeth Penaranda, MD, Marco Diaz, MD, Oscar Noriega, MD, Navkiran Shokar, MD, MPH

Abstract: Objectives: Health literacy (HL) is a measure of the communication skills that are needed by an individual to effectively navigate the healthcare system. Hispanic adults have lower average levels of HL than any other racial/ethnic group; however, the prevalence of adequate...

(pp 334-338)

Influence of Lipoprotein (a) on Inflammatory Biomarkers in Metabolic Syndrome

Juan Francisco Sánchez Muñoz-Torrero, MD, Dolores Rivas, PhD, Rodrigo Alonso, MD, Leandro Crespo, MD, Alberto Costo, MD, Montaña Roman, MD, Carlos Martín, MD, José Zamorano, PhD

Abstract: Objective: To examine the relation between plasma lipoprotein (a) (Lp) levels and oxidative stress biomarkers, serum cytokines, and atherosclerotic burden among individuals recently diagnosed as having metabolic syndrome (MS). Methods: Eighty-four white patients with MS...

(pp 339-343)

Prevalence and Significance of Decreased Bone Density in Pulmonary Arterial Hypertension

Numaan Malik, MD, Kevin McCarthy, RPSGT, Omar A. Minai, MD

Abstract: Objective: Decreased bone mineral density has been found in the advanced stages of various lung diseases. Limited data are available about prevalence and risk factors for osteoporosis/osteopenia (OP) in pulmonary arterial hypertension (PAH). Methods: Patients with PAH...

(pp 344-349)

Pneumonectomy for Non–Small Cell Lung Cancer: Outcomes Analysis

Rohan J. Kalathiya, BS, Sibu P. Saha, MD, MBA

Abstract: Objective: The purpose of this study was to investigate the morbidity and mortality of 100 consecutive patients with pneumonectomy for non–small cell lung cancer at the University of Kentucky. Methods: We retrospectively reviewed the medical records of 100 consecutive...

(pp 350-354)

Commentary on “Pneumonectomy for Non–Small Cell Lung Cancer: Outcomes Analysis”

Paul D. Kiernan, MD

Abstract: Pneumonectomy is associated with the highest morbidity and mortality rates of all elective pulmonary resections1–3; thus, Kalathiya and Saha’s retrospective outcomes analysis is a welcome addition to this month’s issue of the Southern Medical Journal.4 The...

(pp 355-356)

Digital Rectal Examination Versus Spontaneous Passage of Stool for Fecal Occult Blood Testing

Imran Ashraf, MD, Shafaq R. Paracha, MD, Murtaza Arif, MD, Abhishek Choudhary, MD, Michelle L. Matteson, PhD, Robert E. Clark, MD, Jonathan D. Godfrey, MD, Hazem T. Hammad, MD, Matthew L. Bechtold, MD

Abstract: Background: The diagnostic value of a positive fecal occult blood test (FOBT) at the time of digital rectal examination (DRE) is disputed despite being used commonly by a significant number of physicians. A meta-analysis was conducted to evaluate FOBT by DRE for detecting...

(pp 357-361)

Fecal Occult Blood Testing: Where Do We Stand?

Patrick Brady, MD

Abstract: Colorectal cancer (CRC) is the third most common cancer and the third leading cause of cancer death in the United States. The incidence of new cases of CRC is estimated to be 103,170, and approximately 51,000 of these cases will die in 2012, despite the fact that both the...

(pp 362-363)

Variation in Fruit Juice Consumption Among Infants and Toddlers: Associations with WIC Participation

James T. McElligott, MD, MS, James R. Roberts, MD, MPH, Eliza A. Varadi, MD, Elizabeth S. O’Brien, RN, Katherine D. Freeland, BS, William T. Basco, Jr, MD, MS

Abstract: Objectives: Juice is a common component of a child’s diet. Excessive juice consumption may lead to adverse nutritional and dental outcomes. The objective of the study was to evaluate consumption patterns and parental perception regarding juice in a sample of children from...

(pp 364-369)

Update on Raltegravir and the Development of New Integrase Strand Transfer Inhibitors

Caitlin Lee Shamroe, PharmD, Paul Brandon Bookstaver, PharmD, BCPS (AQ-ID), Kristina E.E. Rokas, PharmD, Sharon B. Weissman, MD

Abstract: Raltegravir (RAL) is the first antiretroviral in the integrase strand transfer inhibitors (INSTI) class. The use of RAL has expanded since its approval in October 2007 for multidrug-resistant human immunodeficiency virus type 1 infection in adults. RAL is now a...

(pp 370-378)

Annual Influenza Vaccination: Offering Protection Beyond Infection

Kelly C. Rogers, PharmD, Juliet P. Wallace, PharmD, Stephan L. Foster, PharmD, Shannon W. Finks, PharmD

Abstract: Cardiovascular disease (CVD), the leading cause of death in the world, is largely preventable. An increasing amount of evidence suggests that annual vaccination with inactivated influenza vaccine reduces morbidity and mortality associated with CVD; however, immunization...

(pp 379-386)