Journal of the Mississippi State Medical Association
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J Miss State Med Assoc · Oct 2003
Excess mortality due to diabetes in Mississippi and the estimated extent of underreporting on death certificates.
To develop alternative estimates of the excess mortality attributable to diabetes in Mississippi. ⋯ When reporting diabetes mortality numbers, public health agencies should consider reporting total registered diabetes deaths, not just registered underlying deaths. Better education of providers and others to increase the awareness of the importance of listing diabetes on the death certificate would help to increase concern and make diabetes a priority for public health action. Persons with diabetes have higher mortality rates and excess premature mortality, and diabetes ranks consistently among the leading causes of death in Mississippi and the U.S. Yet it has long been known that mortality attributable to diabetes is underestimated. Cause-of-death statistics are unreliable due to underreporting of diabetes on death certificates, and estimates based on attributable risk calculations do not take into account competing risks for mortality. In view of the public health importance of diabetes, it would be useful to develop alternative estimates of the burden of excess mortality attributable to it. In this paper I estimate the excess mortality attributable to diabetes for the diabetic population of Mississippi using epidemiologic data on the prevalence of diabetes and the relative risk of mortality among persons with diabetes.
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J Miss State Med Assoc · Sep 2003
Biography Historical ArticleLooking back: Sluder method of tonsillectomy.
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J Miss State Med Assoc · Aug 2003
The sural sensory nerve is usually spared in Guillain-Barre syndrome.
Sensory nerve conduction (NC) studies that were performed on patients with Guillain-Barre syndrome (GBS) were reviewed. These were compared with the sensory NC findings in patients with peripheral neuropathy of the axonal-loss type (axonopathies) and chronic inflammatory demyelinating polyneuropathy (CIDP). ⋯ The reverse pattern was seen in axonopathies and CIDP, in which the sural nerve showed more abnormalities than the median and ulnar nerves. This pattern of sensory NC abnormalities may assist the examiner in differentiating GBS from other types of peripheral polyneuropathy.
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It is clear from the data that hunting injuries in Mississippi mirror those which occur nationwide. The vast majority of these injuries are easily preventable by following common sense hunting safety rules. As with firearm injuries, tree stand injuries are clearly preventable by following common sense rules (Table 1). ⋯ At all times, the bow and nocked arrow should be pointed in a safe direction. Reminding hunters of the major causes of accidents as well as how to prevent them will help to decrease hunting injury and death rates in Mississippi. Careful planning and safety precautions on the part of all hunters are essential to their own safety as well as that of others.