Journal of the Tennessee Medical Association最新文献

{"title":"Peripartum cardiomyopathy.","authors":"S. Goland, U. Elkayam","doi":"10.1002/9781119409861.ch10","DOIUrl":"https://doi.org/10.1002/9781119409861.ch10","url":null,"abstract":"—Peripartum cardiomyopathy is a potentially life-threatening pregnancy-associated disease that typically arises in the peripartum period and is marked by left ventricular dysfunction and heart failure. The disease is relatively uncommon, but its incidence is rising. Women often recover cardiac function, but long-lasting morbidity and mortality are not infrequent. Management of peripartum cardiomyopathy is largely limited to the same neurohormonal antagonists used in other forms of cardiomyopathy, and no proven disease-specific therapies exist yet. Research in the past decade has suggested that peripartum cardiomyopathy is caused by vascular dysfunction, triggered by late-gestational maternal hormones. Most recently, information has also indicated that many cases of peripartum cardiomyopathy have genetic underpinnings. We review here the known epidemiology, clinical presentation, and management of peripartum cardiomyopathy, as well as the current knowledge of the pathophysiology of the disease. ( Circulation . 2016;133:1397-1409. DOI: 10.1161/ CIRCULATIONAHA.115.020491.) peripartum","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/9781119409861.ch10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44362471","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}

{"title":"Drug abuse.","authors":"J. H. Wolaver","doi":"10.4135/9781412963848.n77","DOIUrl":"https://doi.org/10.4135/9781412963848.n77","url":null,"abstract":"","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70539152","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}

{"title":"Bone Marrow Failure","authors":"Gregory H. Reaman, G. Kupfer, Franklin O. Smith","doi":"10.1007/978-3-319-61421-2","DOIUrl":"https://doi.org/10.1007/978-3-319-61421-2","url":null,"abstract":"","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/978-3-319-61421-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51026531","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}

{"title":"Primary care clinics.","authors":"Amado Amado Clinic","doi":"10.1201/b10406-31","DOIUrl":"https://doi.org/10.1201/b10406-31","url":null,"abstract":"Aguila Aguila Elementary School Adelante Healthcare 50023 N 514th Ave 50023 N 514th Ave 85320 623-386-6114 Ajo Desert Senita Dental Center Desert Senita Community Health Center 140 W Estrella Ave 140 W Estrella Ave 85321 520-387-4500 Ajo Main Clinic/dental Center Desert Senita Community Health Center 410 N Malacate St 85321 520-387-5651 520-387-5347 Amado Amado Clinic United Community Health Center, Inc. 28720 S Nogales Hwy 28720 S Nogales Hw 85645 Amado Sopori Elementary School United Community Health Center, Inc. 5000 W Arivaca Rd 5000 W Arivaca Rd 85645 520-625-3502 Apache Junction Apache Junction Clinic Pinal County Health Department 575 N Idaho Rd Ste 301 575 N Idaho Rd Ste 3 85119 480-982-0230 Apache Junction Desert Vista Elementary School Banner Health Foundation 3701 E Broadway Ave 3701 E Broadway Av 85119 602-495-4348 Apache Junction Mountain Health & Wellness M Mountain Health & Wellness 2805 S Ironwood Dr 2805 S Ironwood Dr 85120 4809834866 Apache Junction Mountain Health and Wellness Mountain Health and Wellness 625 N Plaza Dr 625 N Plaza Dr 85120 623-583-3001 Apache Junction Sun Life Family Health Center Sun Life Family Health Center, Inc. 2080 W Southern Ave 2080 W Southern Av 85120 520-381-0341 Arivaca United Community Health Center United Community Health Center, Inc. 17388 W 3rd St 17388 W 3rd St 85601 520-398-2621 520-398-2613 Arlington Arlington Elementary Adelante Healthcare 9410 S 355th Ave 9410 S 355th Ave 85322 623-386-6114 Ash Fork Ash Fork Clinic North Country HealthCare 112 Park Ave 112 Park Ave 86320 928-637-2305 928-637-2343 Ash Fork Ashfork Health Center North Country HealthCare PO Box 191 Po Box 191 86320 928-637-2305 Ashburn Smallwood Prison Dental Service 44031 Pipeline Plaza Ste 300 44031 Pipeline Plaza 20147 703-729-9464 703-729-1227 Avondale Adelante Healthcare OB/GYN Av Adelante Healthcare 3400 N Dysart Rd Ste F121 85392 Avondale AMDx, Ltd. Dba NeuroDiagnosti AMDx, Ltd. Dba NeuroDiagnostics Labor 10320 W McDowell Rd Ste 10320 W McDowell 85392 602-424-4450 602-424-4451 Avondale Avondale Elem School Banner Health Foundation 45 S 3rd Ave 45 S 3rd Ave 85323 602-495-4348 Avondale Avondale Family Health Center Maricopa Integrated Health System 950 E Van Buren St 950 E Van Buren St 85323 623-344-6800 623-344-6801","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42526802","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}

{"title":"Rocky Mountain spotted fever.","authors":"C. E. Kossmann","doi":"10.1542/9781610021128-rocky","DOIUrl":"https://doi.org/10.1542/9781610021128-rocky","url":null,"abstract":"","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49341584","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}

{"title":"Natural history of aortic stenosis.","authors":"F. Bärtschi, M. Zuber, M. Namdar, B. Seifert, R. Jenni","doi":"10.4414/CVM.2010.01507","DOIUrl":"https://doi.org/10.4414/CVM.2010.01507","url":null,"abstract":"Background: Management of patients with aortic stenosis is challenging since only few data exists indicating the rate of progression and the correlation to relevant determinants. We investigated whether analysis of the long-term progression, etiology and vascular risk factors could help to define optimal control intervals. Methods: We included 77 patients (age 51.1 ± 14.3 years) in one referral centre with an echocardiographyproven aortic stenosis (mean gradient >12 mm Hg) and a long-term follow-up of three echocardiographic examinations. Missing clinical data were supplemented by a questionnaire to the general practitioner. Two retrospective examination time intervals were defined as a second interval of <2 years (1.3 ± 0.4) and a first interval of >2 years (6.0 ± 2.4) dating back to the initial examination (maximum of 10.6 years prior to the last examination). Results: During 6.0 ± 2.4 years, the mean pressure gradient increased from 24.2 ± 13.6 to 38.1 ± 20.4 mm Hg (p <0.0001); respectively 2.1 ± 3.0 mm Hg/year in the first time period and 4.2 ± 8.2 mm Hg/year in the second time period (p = 0.049), for the entire population. According to severity, patients with mild or moderate aortic stenosis showed an increase from 2.0 ± 2.7 to 4.0 ± 6.6 mm Hg/year (p = 0.04) or from 2.2 ± 3.2 to 3.5 ± 10.9 mm Hg/year respectively (p = 0.66). The group with severe aortic stenosis had an increase of 9.6 ± 12.0 mm Hg/year (group too small for statistical analysis). During the total examination period, left ventricular mass index increased from 149 ± 60 g/m2 to 168 ± 63 g/m2 (p <0.0001), which corresponds to an increase of 3.2 to 7.8 g/m2 per annum (p = 0.52), and the relative wall thickness increased from 40.0 ± 8.5 to 43.0 ± 9.8% (p = 0.002). Ejection fraction remained stable and we found no correlation between etiology, vascular risk factors and progression of the disease. Conclusions: Progression of the mean pressure gradient in patients with aortic stenosis went from 2 mm Hg/year for mild stenosis, to 4 mm Hg/year for moderate stenosis. We found no correlation to conventional vascular risk factors. In patients with mild aortic stenosis and preserved left ventricular ejection fraction, echocardiographic follow-up every 3 to 5 years, until a mean transvalvular pressure gradient of 30 mm Hg is reached, might be a safe and cost-effective follow-up strategy. In patients with more severe aortic stenosis, follow-up has to be more frequent.","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70752385","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}

{"title":"Hair Transplantation: Frontmatter","authors":"M. Avram, Nicole E. Rogers","doi":"10.1017/CBO9780511635663","DOIUrl":"https://doi.org/10.1017/CBO9780511635663","url":null,"abstract":"","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57085868","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}

{"title":"Guidelines for the appropriate use of do-not-resuscitate orders.","authors":"S. Quintana, R. Font, I. Sandalinas, M. Mañas","doi":"10.1001/jama.1991.03460140096034","DOIUrl":"https://doi.org/10.1001/jama.1991.03460140096034","url":null,"abstract":"","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/jama.1991.03460140096034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50826264","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}

{"title":"President's Page.","authors":"F. Cole","doi":"10.1177/109135059600100102","DOIUrl":"https://doi.org/10.1177/109135059600100102","url":null,"abstract":"","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109135059600100102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65383272","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}

{"title":"Pulmonary abscess due to Corynebacterium striatum.","authors":"J H Batson,&nbsp;R Mukkamala,&nbsp;R P Byrd,&nbsp;T M Roy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Non-diphtheria corynebacteria are normal commensals of the skin and mucous membranes of humans. Increasingly, however, these saprophytic organisms are being recognized as pathogens. Patients infected with these bacteria typically have an underlying immunosuppressive process and/or an indwelling venous catheter. Pleuropulmonary infection with Corynebacterium striatum is rare. We present a patient with diabetes mellitus who developed an intrapulmonary abscess due to C. striatum.</p>","PeriodicalId":73992,"journal":{"name":"Journal of the Tennessee Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1996-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19832034","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}