Showing papers in "The American Journal of the Medical Sciences in 2008"

TL;DR: Women who had high hurricane exposure were at an increased risk of having low birth weight infants and future disaster preparedness may need to include the planning of earlier evacuation of pregnant women to minimize their exposure to severe disaster events.

TL;DR: To avoid a decreased therapeutic response, therapeutic failure, or toxic reactions when rifampin is added to or discontinued from medication regimens, clinicians need to be cognizant of these interactions.

TL;DR: Substantial minorities of HIV-infected patients have CKD, and HTN, AA race, or HTN and DM were the only significant predictors of CKD.

TL;DR: Through the use of a rapid point-of-care test for adenovirus, much of the cost to society caused by acute conjunctivitis can be avoided through more timely and accurate diagnosis.

TL;DR: The clinical presentation, diagnostic approach, and treatment of sarcoidosis are reviewed, and therapy is not mandated for the disease.

TL;DR: The incidence of the fat embolism syndrome depends on the bone involved, whether fractures are isolated or multiple, the age of the patient and the gender.

TL;DR: A 39-year-woman with no prior lung disease who had episodic wheezing, severe dyspnea with expectoration of large and thick secretions, branching in appearance, which she described as resembling squid is described.

TL;DR: The increased disease symptoms present in patients with very low levels of vitamin D suggests a role for supplementation with exogenous vitamin D to optimize therapeutic outcomes, and the possibility that such treatment could lead to increased autoantibody levels requires further study.

TL;DR: Smoking exacerbates progression of early to advanced DM2 nephropathy and its cessation is an effective kidney-protective intervention in the early nephrupathy of DM2.

TL;DR: The findings in the index case present interesting novel aspects, including a previously undescribed coexistence of the 3-kb STX16 deletion and AHO-like features and a clinical course complicated by concomitant 25-[OH]-vitamin D deficiency, which may have resulted, at least partly, from long-term use of antiepileptic drugs.

TL;DR: Elevations in serum PTH in keeping with secondary hyperparathyroidism are only found in AA with decompensated HF, where hypovitaminosis D and other factors are contributory, and are prevalent amongst AA residing in Memphis, with or without HF.

TL;DR: Despite initial response, the common cisplatin-based chemotherapy plus radiotherapy failed to improve outcome markedly, and improvement will come from understanding the biology of the disease and integrating new targeted therapies into the treatment of this rare and aggressive tumor.

TL;DR: Investigation of the roles of carotid plaque vulnerability and inflammation in the pathogenesis of acute ischemic stroke suggests that inflammation plays a crucial role in carOTid plaque vulnerable and, together with carotID plaque morphology, in the course of acute Ischemic Stroke.

TL;DR: The clinician must formulate a prethoracentesis diagnosis based on the clinical presentation, blood tests, and radiographic imaging to achieve a definitive or confident clinical diagnosis in up to 95% of patients.

TL;DR: The incidence of left ventricular thrombus early after AMI is very low if primary PCI with stenting is successful, probably due to the salvage of myocardium at risk.

TL;DR: Early incorporation of moderate exercise into weight management treatments may have considerable value beyond just energy expenditure, as it may have positive effects on sustained weight loss due to associated changes in self-appraisal and mood factors.

TL;DR: The incidence of VTE in patients with HIV in the postprotease inhibitor era (after 1996) was higher than in HIV patients before 1996, but the incidence was also higher in non-HIV patients after 1996.

TL;DR: Opportunities exist to improve disaster planning and prescription refill processes and increase medication adherence and hypertension control postdisasters.

TL;DR: The hypoxia altitude simulation test and the 6-minute walk test are useful when additional evaluation for supplemental in-flight oxygen is needed.

TL;DR: Lessons learned from those on the ground administering health care during disasters should inform future disaster preparations and may enhance future interagency disaster preparedness.

TL;DR: Baseline hyperglycemia, including stress-induced hyperglyCEmia, is common in patients with severe sepsis and is related to a more severe disease and poorer prognosis.

TL;DR: A chylothorax develops after injury or obstruction of the thoracic duct, leading to a chyle leak into the pleural space that is characterized by an increased triglyceride concentration and the presence of chylomicrons.

TL;DR: After rapid ascent to high altitude, autonomic nervous activities were suppressed and sympathetic activity was relatively predominant, and the discordant changes in SDRR, TP, LF, and HF may reflect varying capacity of acute hypobaric hypoxic adaptation between the subjects with and without acute mountain sickness.

TL;DR: In patients with ANCA-related pulmonary vasculitis several clinical factors, but not pathologic findings or ANCA titers, are associated with ICU admission and/or 28-day mortality.

TL;DR: Increased mortality was significantly associated with the magnitude of change in serum creatinine between admission and initiation of CRRT, and patient ARF classification was significant associated with mortality.

TL;DR: Practical solutions to the problem of cancer health disparities among ethnic minorities in both rural and urban areas are focused on through 3 programs of the University of Alabama at Birmingham: the Deep South Network for Cancer Control (DSN), the Racial and Ethnic Approaches to Community Health 2010 (REACH 2010), and the Community Health Advisors in Action Program (CHAAP).

TL;DR: Interventions, such as regulated dietary Na+, prolonged bed rest, intermittent periods of semirecumbency, water immersion, thermal neutrality, and pharmacologic interference with the generation and activity of RAAS hormones, can be used to attenuate the salt avidity found in patients with CHF.

TL;DR: Data lend credence to the suggestion that the nature of CD may be different in African-Americans compared with whites, but despite this apparent difference in disease manifestation, the contribution of socioeconomic factors, access to health care, and understanding of the disease likely play a role as well.

TL;DR: Effective intervention strategies for this controllable disease must circumvent existing societal barriers to care and provide a comprehensive, structured program that emphasizes asthma controller therapy, disease-specific education, and regular periodic assessment of asthma control, preferably in a convenient, familiar setting that promotes patient engagement.