Southern medical journal
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Southern medical journal · Aug 2011
Eliminating disparities in hypertension care for Hispanics and blacks using a heart failure disease management program.
This study assessed if patients enrolled in a heart failure disease management program (HFDMP) reach the JNC VII target goals for blood pressure (BP) control, eliminate disparities in hypertension control by race/ ethnicity and the impact BP control has on survival. ⋯ HFDMPs are an effective way to reduce BP in hypertensive patients. Disparities by race and ethnicity were not seen after adjustment for disease modifiers. There was no mortality difference in those who reached BP goal.
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Tetanus is a preventable illness occurring worldwide with a high mortality, mostly affecting neonates in developing countries. Effects are toxin mediated and the diagnosis is clinical. Antibiotics, antitoxin, immunoglobulin and wound care are the mainstays of management.
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Southern medical journal · Aug 2011
Randomized Controlled TrialAdditional therapeutic effect of balneotherapy in low back pain.
Balneotherapy has been widely used for treatment of chronic low back pain recently. However there are only a few clinical controlled trials on balneotherapy. The aim of the present study was to evaluate the effects of balneotherapy in patients with chronic low back pain. ⋯ The results of the present study reiterate that besides conventional physiotherapy, balneotherapy may be effective in the treatment of patients with chronic low back pain.
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Southern medical journal · Aug 2011
Iron insufficiency and hypovitaminosis D in adolescents with chronic fatigue and orthostatic intolerance.
More than 10% of adolescents suffer from severe fatigue and/or orthostatic intolerance. Adult studies show correlations between iron insufficiency and fatigue as well as between hypovitaminosis D and non-specific pain. We sought to determine whether there were correlations between nutritional factors (iron status, and serum vitamin D levels) and chronic ill health. ⋯ In patients presenting with chronic fatigue and/or orthostatic intolerance, low ferritin levels and hypovitaminosis D are common, especially in patients with PT.
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Southern medical journal · Aug 2011
Socioeconomic disparities in prostate cancer mortality and the impact of geographic scale.
To examine socioeconomic disparities in prostate cancer mortality and to assess the scale effect on the results of the disparity analysis. ⋯ The selection of geographic scale and socioeconomic indicators affects the results of socioeconomic disparity analysis in prostate cancer mortality. Most census tract and block group level socioeconomic indicators are appropriate for analyzing disparities in prostate cancer mortality. County level socioeconomic indicators should be avoided if possible.