Journal of the Mississippi State Medical Association
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J Miss State Med Assoc · May 2010
Blunt renal trauma and the predictors of failure of non-operative management.
While non-operative management of renal trauma in selected patients is now an accepted management option, predictors of failure of this treatment strategy are still unclear. ⋯ Non-operative management of blunt renal injuries is successful in most cases. Patients with a high base deficit, ongoing transfusion requirements, and greater Injury Severity Scores have a higher likelihood of requiring operation, but these procedures most often are to address non-renal abdominal injuries. High-grade blunt renal injuries that are hemodynamically stable can be treated expectantly on an individual basis with close follow-up. Any patient with hemodynamic instability, renal pedicle injury, renal artery thrombosis, or urinary extravasation will likely require operative intervention.
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J Miss State Med Assoc · Oct 2009
Comparative StudyMississippi burnout part II: satisfaction, autonomy and work/family balance.
Documented Mississippi physician shortages' make evidence about factors shaping physicians' career choices especially important if Mississippi policymakers are to devise workable strategies to maximize the physician workforce. Work-life interactions influence physicians' choices about how they manage their careers and professional burnout is one documented cause of physicians' decisions to change work hours or to choose early retirement. ⋯ Additionally, physicians who experience burnout are less likely to report being satisfied with nearly every aspect of their professional life and work-life balance indicating that burnout permeates several dimensions of physicians' lives. The associations in our findings are suggestive; however, to minimize deleterious effects of burnout on the Mississippi physician workforce, future research should examine the causal factors underlying stress and burnout.
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This article is a follow up of an original article by the author on the crucifixion of Jesus published in the March 1989 issue of the JMSMA. The pathogenesis of the death of Jesus is still widely debated with vastly divergent views as to the specific cause of His death. ⋯ As a result, he has done spirometry studies of volunteers hanging on a cross and has a better understanding of the physiology of the terminal events. That information is presented in this update.