Journal of the Mississippi State Medical Association最新文献

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Precision Medicine in Cancer Prevention: Exploring Applications in Mississippi and Beyond. 精准医学在癌症预防:探索应用在密西西比州和超越。
Srinivasan Vijayakumar, Paul Russell Roberts, Satyaseelan Packianathan
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引用次数: 0
Rural Hospital Survival Depends on Infusion of Monies, Especially to cover Uncompensated Care: Could Medicaid Expansion Provide Critical Relief? 农村医院的生存依赖于资金的注入,特别是覆盖无偿医疗:医疗补助扩张能提供关键的救济吗?
William Lineaweaver
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引用次数: 0
Sandbagging Medicaid is a futile Weapon Against the ACA and Short-Changes Mississippians Hundreds of Millions. “沙袋式医疗补助”是反对《平价医疗法案》和减少密西西比人数亿的无用武器。
W Lamar Weems
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引用次数: 0
Physicians Should Support Universal Healthcare. 医生应该支持全民医疗。
David L Smith
{"title":"Physicians Should Support Universal Healthcare.","authors":"David L Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17380,"journal":{"name":"Journal of the Mississippi State Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36651411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency Physician-Performed Bedside Ultrasound in the Evaluation of Acute Appendicitis in a Pediatric Population. 急诊医师床边超声对儿童急性阑尾炎的评估。
Brian Tollefson, Jaryd Zummer, Phillip Dixon
{"title":"Emergency Physician-Performed Bedside Ultrasound in the Evaluation of Acute Appendicitis in a Pediatric Population.","authors":"Brian Tollefson,&nbsp;Jaryd Zummer,&nbsp;Phillip Dixon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Background/Objective Many pediatric emergency departments in the United States have adopted a staged ultrasound and CT pathway for the diagnosis of acute appendicitis. However, most algorithms only include radiology-performed ultrasound (RUS) and not emergency physician- performed bedside ultrasound (BUS). Our objective was to determine if emergency physician-performed BUS provides sufficient diagnostic accuracy for acute appendicitis in a pediatric population, thereby limiting additional cost and/or delays in disposition. Methods This is a single-center prospective study of pediatric patients with concern for and requiring further work-up for acute appendicitis. Each patient had a focused bedside ultrasound (BUS) performed by an emergency physician with training in BUS. Diagnostic accuracy was compared with surgical pathology standard, as well as radiology- performed ultrasound (RUS), computed tomography (CT), and clinical follow-up. Results Among46 enrolledpatients, 12were diagnosed with acute appendicitis (26%). There were no negative laparotomies in those who had surgery. There was one case of missed appendicitis at 4-week follow-up. BUS had a sensitivity of 100% (95% Cl: 72% to 100%) and. a specificity of 81% (61% to 93%) when the app6ndix'was visualized (37). This resulted in positive likelihood ratio of5.2 and a negative likelihood ratio ofo. In the cases where the appendix was not visualized on BUS (9), 1 patient was diagnosed with appendicitis, and the other 8 patients were negative for appendicitis. In RUS both the sensitivity and specificity was 100% when the appendix was visualized. The sensitivity and specificity of CT in our studywas 90% and 100% respectively. Conclusions Emergency physicians can perform bedside ultrasound with high accuracy for acute appendicitis in a pediatric population. When the appendix is not visualized by ultrasound, a staged ultrasound and CT pathway should be considered.</p>","PeriodicalId":17380,"journal":{"name":"Journal of the Mississippi State Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36651414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Working for Cures in the 21st Century. 为21世纪的治愈而努力。
Lee Voulters
{"title":"Working for Cures in the 21st Century.","authors":"Lee Voulters","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17380,"journal":{"name":"Journal of the Mississippi State Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36698887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Top 10 Facts You Should Know About Screening for Critical Congenital Heart Disease. 关于筛查严重先天性心脏病你应该知道的10个事实。
Hasti Sanandajifar, Mary B Taylor, Sarosh P Batlivala
{"title":"Top 10 Facts You Should Know About Screening for Critical Congenital Heart Disease.","authors":"Hasti Sanandajifar,&nbsp;Mary B Taylor,&nbsp;Sarosh P Batlivala","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17380,"journal":{"name":"Journal of the Mississippi State Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36698885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mississippi Perspective: Dermatologic Manifestations of Arsenic Poisoning. 密西西比视角:砷中毒的皮肤病学表现。
Caroline Daggett, Amanda Daggett, Robert T Brodell, C Ralph Daniel
{"title":"Mississippi Perspective: Dermatologic Manifestations of Arsenic Poisoning.","authors":"Caroline Daggett,&nbsp;Amanda Daggett,&nbsp;Robert T Brodell,&nbsp;C Ralph Daniel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A Mississippi perspective on arsenic poisoning is largely related to thousands of asthma patients cared for by one physician, Elmer D. Gay, MD, in the 1950s. The general medical uses of arsenic and its specific use in intractable asthma are reviewed along with the dermatologic manifestations of arsenic poisoning.</p>","PeriodicalId":17380,"journal":{"name":"Journal of the Mississippi State Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36698886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"I'm coughing up blood". “我在咳血”。
Sarah E Barowka, T Ray Perrine, Karen Hughes
{"title":"\"I'm coughing up blood\".","authors":"Sarah E Barowka,&nbsp;T Ray Perrine,&nbsp;Karen Hughes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An 18-year-old female presents with acute hemoptysis and rapidly deteriorates into fulminant pulmonary and renal failure. She is ultimately diagnosed with microscopic polyangiitis with pauci- immune glomerulonephritis. This case report will delineate her presentation, work-up, broad differential diagnosis, and outcome.</p>","PeriodicalId":17380,"journal":{"name":"Journal of the Mississippi State Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36594229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telemedicine in Mississippi: Can It Improve Our Last Place in Health?. 密西西比的远程医疗:它能改善我们在健康方面的最后地位吗?
Sara B Parker, Richard D deShazo, Michael Adcock, Kathryn Rodenmeyer
{"title":"Telemedicine in Mississippi: Can It Improve Our Last Place in Health?.","authors":"Sara B Parker,&nbsp;Richard D deShazo,&nbsp;Michael Adcock,&nbsp;Kathryn Rodenmeyer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17380,"journal":{"name":"Journal of the Mississippi State Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36551854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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