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Peteet, John R.
Southern Medical Journal. 103(9):853, September 2010.
doi: 10.1097/SMJ.0b013e3181e6e144
Bell, David S.H.
Southern Medical Journal. 103(9):854-855, September 2010.
doi: 10.1097/SMJ.0b013e3181e6dd95
Brown, Candy Gunther; Mory, Stephen C.; Williams, Rebecca; McClymond, Michael J.
Southern Medical Journal. 103(9):864-869, September 2010.
doi: 10.1097/SMJ.0b013e3181e73fea
Proximal intercessory prayer (PIP) is a common complementary and alternative medicine (CAM) therapy. This prospective study used an audiometer (Earscan® 3) and vision charts (40 cm, 6 m “Illiterate E”) to measure auditory and visual acuity before and after PIP in rural Mozambique. Results were analyzed for 14 auditory and 11 visual consecutive subjects. Significant auditory (P < 0.003) and visual (P < 0.02) improvement across both tested populations was measured. Hearing thresholds for two subjects improved by over 50 dB HL; visual acuity for 3 subjects improved from 6/120 or worse to 6/24 or better.
Miramontes, Roque; Lambert, Lauren; Haddad, Maryam B.; Boaz, Valerie; Hawkins, Stephen; Zylstra, Margaret; Allen, Rachel; Rivers, Sheliah; Ali, Brenda; Chewning, Sarah Stuart; Holt, Erin; Warkentin, Jon
Southern Medical Journal. 103(9):882-886, September 2010.
doi: 10.1097/SMJ.0b013e3181eba488
In June 2007, the Tennessee Department of Health notified the Centers for Disease Control and Prevention (CDC) of four multidrug-resistant (MDR) tuberculosis (TB) cases in individuals of Guatemalan descent. An investigation was conducted to determine the source of the outbreak and epidemiologic links in this cluster. This report describes the public health response to the outbreak, interventions implemented to stop further Mycobacterium tuberculosis transmission, results of the contact investigation, and factors that led to the outbreak.
Salkind, Alan R.
Southern Medical Journal. 103(9):896-902, September 2010.
doi: 10.1097/SMJ.0b013e3181eab419
Clostridium difficile infection (CDI) can range from mild diarrhea to life-threatening conditions. A hypervirulent strain causing severe disease has been recently identified. Optimal care for patients with CDI requires an understanding of its epidemiology and clinical manifestations, interpretation of diagnostic tests, treatment selection based on disease severity, and the care of patients with recurrent disease. This article updates those topics for the primary care clinician.
Trikudanathan, Guru; Dasanu, Constantin A.
Southern Medical Journal. 103(9):903-910, September 2010.
doi: 10.1097/SMJ.0b013e3181ebadbd
Despite its rarity worldwide, adenosquamous carcinoma (ASC) of the pancreas is increasingly recognized and reported. Often, pancreatic ASC features larger tumors, produces severe abdominal symptoms, and has a higher potential for metastasis compared to the more common pancreatic adenocarcinoma. Similar to pancreatic adenocarcinoma, a complete surgical resection of pancreatic ASC, along with adjuvant chemotherapy or chemoradiotherapy, are critical for survival rate. Survival in patients with pancreatic ASC has been uniformly poor, with a median duration of only five months. Concerted efforts of basic scientists and clinicians are necessary in order to improve the clinical outcome of this cancer subtype.
Fowler, Grant C.; Vasudevan, Deepa A.
Southern Medical Journal. 103(9):911-916, September 2010.
doi: 10.1097/SMJ.0b013e3181eb34b2
Durable glycemic control is important in minimizing the micro- and macrovascular complications of diabetes mellitus. Effective control can also minimize the risk of hypoglycemia. Most patients are unable to maintain durable glycemic control on monotherapy. Therefore, combination therapy with agents that act upon postprandial glucose (PPG) and fasting plasma glucose (FPG) to effectively lower glycated hemoglobin A1c (HbA1c) levels is usually beneficial. Two or more agents with complementary mechanisms of action with clinically proven safety, minimal risk of hypoglycemia, and the ability to effectively maintain euglycemia are an attractive treatment scenario. Newer therapies, such as dipeptidyl peptidase-4 (DPP-4) inhibitors or glucagon-like peptide-1 (GLP-1) agonists, used alone or in combination with mainstays of type 2 diabetes mellitus (T2DM) treatment, like metformin, are efficacious, generally safe, and well-tolerated.
Cappell, Mitchell S.; Batke, Mihaela
Southern Medical Journal. 103(9):943-946, September 2010.
doi: 10.1097/SMJ.0b013e3181ebd1c0
In the reported case, the diminutive polyp that harbored cancer initially appeared as a relatively innocuous anorectal fold. This case report adds to the previous literature by illustrating with endoscopic photographs how easily an early cancer in a diminutive colonic polyp can be missed when in difficult colonic areas, such as behind a colonic fold or immediately above the anus.
Mazumder, Shirin A.; Cleveland, Kerry O.; Norwood, John
Southern Medical Journal. 103(9):960-962, September 2010.
doi: 10.1097/SMJ.0b013e3181ebe665
The successful treatment of pulmonary Scedosporium apiospermum in a patient with acquired immune deficiency syndrome (AIDS) is described. The pulmonary findings were unique in that the patient presented with both multiple cavitary lesions and a pneumothorax. To our knowledge, concomitant pneumothorax and nonsolitary cavitary lesions caused by Scedosporium species has not been previously described in the literature. Treatment options were limited, due to the inherent resistance of the fungus and drug interaction with the patient's antiretroviral regimen.
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Current Issue: September 2010 - Volume 103 - Issue 9
Editor-in-Chief:
Ronald C. Hamdy, MD, FACP, FRCP
ISSN: 0038-4348
Online ISSN: 1541-8243
Frequency: 12 issues / year
Ranking: Medicine, General & Internal 79/132
Impact Factor: 0.924
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Announcements
SMA's Annual Scientific Assembly
November 4-6, 2010
Gaylord Palms Hotel and Convention Center
Kissimmee, Florida
More information or to register
Or call: 800.423.4992 ext. 620
Please Note: Requests for credit on SMJ CME articles should be faxed to 205-945-1548
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Call for Papers - Alternative Therapies
The SMJ is interested in publishing a series of articles on various forms of alternative therapies; to include art therapy, music therapy, and various forms of exercise therapy. The articles should be scientifically based, research oriented, and should focus on the aspects of the therapy that enhance the overall medical health of the patient. As our primary audience consists of internal medicine physicians and other primary healthcare providers, we would like the manuscripts to be of practical use to the clinician. In other words, how can primary care clinicians help their patients utilize these types of arts-centered and body-centered therapies to improve their medical health?
As we are a peer-reviewed journal, all of the manuscripts will be sent for review, and therefore, publication can not be guaranteed. Additionally, the manuscripts should not exceed 3000 words (including references). Our Instructions for Authors may be viewed on the home page, under the For Authors tab. Please feel free to contact the editorial office at
smjedit@etsu.edu if you have any questions.
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