Southern medical journal
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Southern medical journal · Jul 2007
Osteoporosis preventive care in white and black women in community family medicine settings.
Osteoporosis has been studied predominantly in white postmenopausal women. ⋯ Disparities in osteoporosis preventive care were found between black and white women, after adjustment for other osteoporosis risk factors.
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Southern medical journal · Jul 2007
Review Case ReportsWernicke encephalopathy complicating lymphoma therapy: case report and literature review.
Thiamine deficiency can occur in any disease that results in inadequate intake or excessive loss of vitamin B1. In addition to increased thiamine consumption secondary to high cell turnover, cancer patients frequently have reduced oral intake as a direct result of their cancer or from cancer treatments. ⋯ We report a case of Wernicke encephalopathy in a nonalcoholic patient with lymphoma. Although thiamine deficiency rarely potentiates clinical sequelae in cancer patients, it is important to recognize the risk and the clinical signs and manifestations so that prompt therapy can be initiated to reverse morbidity.
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Southern medical journal · Jul 2007
Does the race or gender of hepatitis C infected patients influence physicians' assessment of hepatitis A and hepatitis B serologic status?
HCV infection with concurrent or superinfection with HAV or HBV has the potential to worsen the liver status of HCV-infected individuals. This study evaluates if patients' race or gender influenced whether HAV or HBV serologic status was determined for the purpose of providing immunization. ⋯ HCV-infected individuals were inconsistently tested for HAV and HBV. Patients' race, but not gender, had a significant impact upon whether HCV-infected individuals were tested for HAV and HBV.
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Southern medical journal · Jul 2007
Case ReportsA case of laryngeal paracoccidioidomycosis masquerading as chronic obstructive lung disease.
Paracoccidioidomycosis (South American blastomycosis) is a systemic infection caused by a dimorphic fungus (Paracoccidioides brasiliensis). It is common in the rural areas of Latin America. The majority of the reported cases come from Brazil, Colombia and Venezuela. ⋯ Patients get infected by inhaling mycelia found in the natural environment or rarely from traumatic inoculation via mucous membranes. The most common lesions frequently occur in the buccal pharynx mucosa. Others lesions occur in the larynx, adrenal glands, liver, bones, gastrointestinal tract, lungs and nervous system.