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The Journal of the Arkansas Medical Society最新文献

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Aortic stenosis. 主动脉瓣狭窄。
The Journal of the Arkansas Medical Society Pub Date : 2018-08-13 DOI: 10.1002/9781119547808.ch10
O. W. Beard
{"title":"Aortic stenosis.","authors":"O. W. Beard","doi":"10.1002/9781119547808.ch10","DOIUrl":"https://doi.org/10.1002/9781119547808.ch10","url":null,"abstract":"SEE PAGE 1225 I t has been known for decades that once symptoms develop in patients with severe aortic stenosis (AS), the prognosis worsens dramatically (1). Asymptomatic patients have a relatively benign course wherein the risk of the most dire complication, sudden cardiac death is fairly rare, occurring <1% per year (2). At the onset of symptoms this risk increases by a remarkable 25-fold. Thus, there is virtually unanimous agreement that symptom onset demands that the only known definitive therapy for AS, aortic valve replacement (AVR), be performed unless comorbidities or other patient factors militate against it. The exact cause of symptoms in AS is unknown, but symptoms are so important because they are a barometer of pathophysiology. They can arise from left or right ventricular diastolic dysfunction, systolic dysfunction, pulmonary hypertension, abnormal coronary blood flow, reduced cardiac output, or any combination of these factors for which no simple test or magic number is applicable (3). But how sharp is this crucial dividing line between symptomatic and asymptomatic patients? The assessment is straightforward when patients develop angina, syncope, or overt heart failure. However, in many cases the decision regarding symptomatic status rests on subtle changes in exercise tolerance or dyspnea for a given patient that seems out of the ordinary for him or her. In this regard, formal exercise testing adds important objective evidence that symptomatic status has changed (4). A positive exercise test indicates AVR with a “2a” level of support from the American College of Cardiology/American Heart Association valve guidelines (5). Likewise increasing levels of","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"56 1","pages":"447-55"},"PeriodicalIF":0.0,"publicationDate":"2018-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44418354","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: 1092
Spina bifida. 脊柱裂。
The Journal of the Arkansas Medical Society Pub Date : 2018-07-09 DOI: 10.1515/9783110228748
B. J. Buchan, R. T. Morrissy
{"title":"Spina bifida.","authors":"B. J. Buchan, R. T. Morrissy","doi":"10.1515/9783110228748","DOIUrl":"https://doi.org/10.1515/9783110228748","url":null,"abstract":"Spina bifida is a condition in which the neural tube, a layer of cells that ultimately develops into the brain and spinal cord, fails to close completely during the first few weeks of embryonic development. As a result, when the spine forms, the bones of the spinal column do not close completely around the developing nerves of the spinal cord. Part of the spinal cord may stick out through an opening in the spine, leading to permanent nerve damage. Because spina bifida is caused by abnormalities of the neural tube, it is classified as a neural tube defect.","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"73 4 1","pages":"183-6"},"PeriodicalIF":0.0,"publicationDate":"2018-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46580061","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: 207
Development and Environment 发展与环境
The Journal of the Arkansas Medical Society Pub Date : 2018-01-01 DOI: 10.1007/978-3-319-75935-7
{"title":"Development and Environment","authors":"","doi":"10.1007/978-3-319-75935-7","DOIUrl":"https://doi.org/10.1007/978-3-319-75935-7","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/978-3-319-75935-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51030351","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: 3
Pseudomembranous colitis. 伪膜性结肠炎。
The Journal of the Arkansas Medical Society Pub Date : 2018-01-01 DOI: 10.1016/b978-0-323-47778-9.50125-2
W. E. Golden, N. Sanchez, B. Pitts
{"title":"Pseudomembranous colitis.","authors":"W. E. Golden, N. Sanchez, B. Pitts","doi":"10.1016/b978-0-323-47778-9.50125-2","DOIUrl":"https://doi.org/10.1016/b978-0-323-47778-9.50125-2","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"93 7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/b978-0-323-47778-9.50125-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"53979158","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: 120
The Resurgence of Syphilis 梅毒卷土重来
The Journal of the Arkansas Medical Society Pub Date : 2017-08-29 DOI: 10.14740/CII.V2I2-3.36
Shannon Carroll, Rebecca Tamarkin, Emmanuel Decade
{"title":"The Resurgence of Syphilis","authors":"Shannon Carroll, Rebecca Tamarkin, Emmanuel Decade","doi":"10.14740/CII.V2I2-3.36","DOIUrl":"https://doi.org/10.14740/CII.V2I2-3.36","url":null,"abstract":"Syphilis is a sexually transmitted infection that can lead to deadly outcomes in both the male and female population if not treated appropriately and in a timely manner. This is a case of a 27-year-old Caucasian male with no past medical history who presented with a generalized, erythematous, maculopapular rash for the past 2 weeks. Patient initially presented with prodromal symptoms 2 weeks prior to rash development. After failure of multiple treatments, screening for sexually transmitted infections was performed, which returned a rapid plasma reagin (RPR) titer of 1:128. The patient was diagnosed with secondary syphilis and immediately treated with three injections of bicillin L-A (penicillin G) for three consecutive weeks. This case is important to current medical practice due to the rise of primary and secondary syphilis in the adult male and female population, especially those aged 20 - 29 years. According to the Centers for Disease Control (CDC), the rate of reported primary and secondary syphilis cases has increased 19% since 2001. Prompt treatment of primary or secondary syphilis can prevent progression to tertiary syphilis and potential development of neurosyphilis, decreased visual acuity, hearing loss, vascular disease leading to thrombosis, ischemia and infarction, ataxia, and paresis. Clin Infect Immun. 2017;2(2-3):31-35 doi: https://doi.org/10.14740/cii64e","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"8 1","pages":"31-35"},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67211772","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
CPR Blitzkrieg: Training 500 High School Students in less than 48 hours. CPR闪电战:在48小时内训练500名高中生。
The Journal of the Arkansas Medical Society Pub Date : 2017-06-01
David P Fitzgerald, Daniel M Bingham, Margo Bushmiaer, Spencer W Hansen, Elise F Howser, Daniel A Smith, James G Williams, Stephen M Schexnayder
{"title":"CPR Blitzkrieg: Training 500 High School Students in less than 48 hours.","authors":"David P Fitzgerald,&nbsp;Daniel M Bingham,&nbsp;Margo Bushmiaer,&nbsp;Spencer W Hansen,&nbsp;Elise F Howser,&nbsp;Daniel A Smith,&nbsp;James G Williams,&nbsp;Stephen M Schexnayder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>BACKGROUND Many states, including Arkansas, require CPR training before high school graduation. METHODS We modified the American Heart Association's CPR in Schools curriculum to deliver CPR and AED training with maximal individual practice. RESULTS 520 students were trained over a two-day period at Little Rock Central High School. Three students were unable to effectively participate due to physical limitations. The model was later applied at the five other district public high schools. CONCLUSIONS Training large numbers of students in a time-compressed formal is feasible with a highly dedicated, practiced instructor team. This model may be applicable to workplace settings.</p>","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 12","pages":"284-287"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36007043","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
The Microbiota, Cancer and the "Human Superorganism". 微生物群、癌症和“人类超级有机体”。
The Journal of the Arkansas Medical Society Pub Date : 2017-06-01
{"title":"The Microbiota, Cancer and the \"Human Superorganism\".","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 12","pages":"282"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36007042","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 Department Assessment and Treatment for Medicaid Patients. 急诊科对医疗补助病人的评估和治疗。
The Journal of the Arkansas Medical Society Pub Date : 2017-06-01
Gloria Boone, Kellie Cornelius
{"title":"Emergency Department Assessment and Treatment for Medicaid Patients.","authors":"Gloria Boone,&nbsp;Kellie Cornelius","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 12","pages":"288-289"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36007044","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
Amiodarone Induced Interstitial and Organizing Pneumonia Reversed with Steroids. 胺碘酮诱导的间质性和组织性肺炎用类固醇逆转。
The Journal of the Arkansas Medical Society Pub Date : 2017-06-01
Kshitij Chatterjee, Yogita M Rochlani, Kevin Kuriakose, AndrewDunn, Khaled Khasawneh, Hakan Paydak
{"title":"Amiodarone Induced Interstitial and Organizing Pneumonia Reversed with Steroids.","authors":"Kshitij Chatterjee,&nbsp;Yogita M Rochlani,&nbsp;Kevin Kuriakose,&nbsp;AndrewDunn,&nbsp;Khaled Khasawneh,&nbsp;Hakan Paydak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Amiodarone is a widely used antiarrhythmic agent for supraventricular and ventricular tachyarrhythmias. It is known to cause pulmonary toxicity, which can manifest in a variety of presentations, ranging from asymptomatic to fatal. We present a case of chronic interstitial pneumonia with organizing pneumonia induced by amiodarone that was successfully treated with drug cessation and use of corticosteroids. The patient experienced complete resolution of symptoms and full recovery of lung function after the course of steroids.</p>","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 12","pages":"294-296"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36007046","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
Acute Renal Infarction - Presentation and Causes: Two Case Reports. 急性肾梗死的表现和原因:两例报告。
The Journal of the Arkansas Medical Society Pub Date : 2017-06-01
Tulika Pandey, Darrell R Over, James C Campbell, Steven Wright, Nicholas Willis, Abdul Ezeldin
{"title":"Acute Renal Infarction - Presentation and Causes: Two Case Reports.","authors":"Tulika Pandey,&nbsp;Darrell R Over,&nbsp;James C Campbell,&nbsp;Steven Wright,&nbsp;Nicholas Willis,&nbsp;Abdul Ezeldin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75122,"journal":{"name":"The Journal of the Arkansas Medical Society","volume":"113 12","pages":"290-293"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36007045","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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