To the Editor: In his letter to the editor, Quinton points out the problem of using high levels of estrogen for long periods of time in men who have undergone gender reassignment surgery. These individuals appear to be at a high risk for myocardial infarction, and yet the Women’s Health…
Objectives: The objective of this study was to examine the associations among race, education, income, and health-related quality of life (HRQoL) in self-care of type 2 diabetes mellitus among adults in North Carolina. Methods: A secondary analysis was conducted using data from the 2009 Behavioral Risk Factor Surveillance Survey (BRFSS),…
Objectives: Studies have found that some health lines and physician’s offices have provided treatment advice other than “call 9-1-1 for an ambulance” to patients who present with a stroke scenario. We assessed the treatment advice given by selected pharmacies in the United States regarding stroke. Methods: The investigators called 73…
To the Editor: Dous et al provide a comprehensive and coherent critique of the current evidence in the area of sex hormone therapy1 ; however, because of the paucity of data, a question of huge interest to clinicians and their patients remains necessarily unaddressed: are different estrogen products associated with…
Objectives: To examine the impact of the Central Hillsborough Healthy Start Project (CHHS) on human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) diagnosis rates in women in Hillsborough County, Florida. Methods: Project records were linked to hospital discharge data and vital statistics (Florida, 1998–2007; N = 1,696,221). The χ 2 test…
Objectives: Lung cancer is the leading cause of cancer-related mortality in the United States. Kentucky has the highest age-adjusted lung cancer rate and has one of the highest death rates from lung cancer in the country. Lobectomy is considered the standard therapy for non–small-cell lung cancer (NSCLC), whereas sublobar resection…
Objectives: Perceived discrimination in healthcare settings is reported frequently by Latino adults and is associated with reductions in healthcare utilization and having a usual source of care. Little is known about discrimination perceived by Latino adults with limited English proficiency (LEP) who also frequently experience difficulties with healthcare access and…
In this month’s issue of the Southern Medical Journal, May and colleagues detail their use of validated tools to measure learning styles in students.1 The authors conclude that the students’ approaches to learning did change, with a significant decrease in the surface apathetic approach and the students self-identifying as being…
Prostate cancer remains a significant cause of cancer-related deaths in men in the United States. Significant advances in the treatment of metastatic castration-resistant prostate cancer have been made in recent years with the arrival of new therapeutic targets and options. The definition of progression of disease must be thought of…
Objectives: We hypothesized that medical students exposed to a case-based curriculum in years 1 and 2 and clinical cases in the year 3 clerkship would demonstrate a longitudinal increase in the deep approach to learning and a decrease in the surface apathetic approach. Methods: A cohort of first-year medical students…
In this issue of the Southern Medical Journal, Karzai and colleagues1 stress the message ‘‘the use of PSA [prostatespecific antigen] criteria alone should not be used to determine the progression of disease; instead, PSA should be evaluated in combination with other clinical data.’’ This accurate statement corrects the generally perceived…
The treatment of acute ischemic stroke (AIS) during the past several years has made significant strides with the use of recombinant tissue plasminogen activator (rt-PA). rt-PA is the most readily available treatment for AIS, which can be given in small and large hospitals, and is one of only a limited…
The Centers for Disease Control and Prevention initiated the Behavioral Risk Factors Surveillance System (BRFSS) in 1984 to supplement their annual series of surveillance surveys to monitor the prevalence of infectious and chronic diseases, as well as risk factors for future disease in the US population.1 The BRFSS is a…
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