{"title":"Cardiovascular care: a challenge for Kentucky.","authors":"Sibu P Saha, Thomas F Whayne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Kentucky has a high incidence of cardiovascular (CV) disease, usually ranking it in the top 5 states of the United States as part of this dubious distinction. The most likely explanation lies in poor health habits with an elevated occurrence of cigarette smoking, diabetes, poor diet, obesity, physical inactivity, and a consistent presence of at least 3 of the 5 major components which define the term Metabolic Syndrome. Since 1980, there has been an explosion in the availability of CV technology and CV care throughout Kentucky, yet the state has maintained its undesirable high ranking for CV disease in the United States. Treating CV disease is clearly not enough; lifestyle habits need to be changed before CV disease develops.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 8","pages":"295-7"},"PeriodicalIF":0.0,"publicationDate":"2009-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40033281","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":"Sentinel lymphadenectomy for cutaneous melanoma: who, what, and why.","authors":"Matthew Bower, Charles R Scoggins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Knowledge of the metastastic status of the regional nodes provides important prognostic information for patients with cutaneous melanoma. Sentinel lymph node (SLN) biopsy has become the standard method for staging the regional nodes of patients with melanoma. The decision algorithm for using SLN biopsy is based upon the primary tumor depth, and utilization of SLN biopsy can spare patients the potential morbidity associated with complete lymph node dissection. Current studies are investigating the possibility of further limiting the need for complete lymph node dissections in patients with positive sentinel nodes.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 7","pages":"253-8"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28339394","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":"Exercise and weight control.","authors":"M. Newstadt","doi":"10.1037/e525012010-001","DOIUrl":"https://doi.org/10.1037/e525012010-001","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 7 1","pages":"265-7"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57877719","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}
Pran M Kar, Federico A Montalvo, Diana M Salazar, Sunny M Kar
{"title":"Blastomycosis: case report investigating a persistent pulmonary lesion in an immunocompromised patient.","authors":"Pran M Kar, Federico A Montalvo, Diana M Salazar, Sunny M Kar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Blastomycosis is a well known infection caused by Blastomyces dermatitidis. It appears usually as a mild and self-limited disease, but disseminated cases are seen, especially in immunocompromised patients. In organ transplant recipients, fungal infections play an important role and in some cases can be fatal, but blastomycosis is a rare and uncommon condition in this setting and specifically in renal transplant patients. Its occurrence is probably due to previous exposure, but sometimes there is no clear history that indicates such exposure. We describe a patient who underwent a renal transplant and developed pulmonary blastomycosis.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 7","pages":"259-63"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28339395","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":"Exercise and weight control.","authors":"Mark Newstadt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 7","pages":"265-7"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28339396","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":"KMA flexes defensive muscle in '09 session: achieves priority of an increased cigarette tax.","authors":"Preston P Nunnelley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 6","pages":"207-9"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28292666","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":"School related athletic activities.","authors":"Micheal B Minix","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 6","pages":"227"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28292670","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":"Is enhanced energy utilization the answer to prevention of excessive adiposity?","authors":"Richard N Redinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Excessive adiposity is the result of an imbalance in energy homeostasis whereby excessive food intake is not balanced by increased energy utilization. Much has been learned about the physiology of energy expenditure during resting, eating, and physical activity that allows optimal energy utilization that could reduce excessive adiposity. Resting metabolic rate and diet-induced thermogenesis collectively contribute 75% of energy expenditure that is largely based on carbohydrate rather than fat metabolism. Conversely, physical activity, whether active (planned) or spontaneous (non-exercise activity thermogenesis), predominately utilizes fatty acids as sources of energy expenditure. Such enhanced fat-derived thermogenesis most optimally results in weight loss to achieve maintenance of balanced energy homeostasis. While decreased energy expenditure of 100-200 Kcal/day from sedentary activities can cause weight gain, unplanned spontaneous physical activity expenditure of 100-800 Kcal/day from routine activities such as walking and fidgeting is sufficient to prevent weight gain. Furthermore, planned physical activity can be enhanced up to 16-fold, such that additional fat thermogenesis can be optimized. Such physical activity also achieves adaptive conditioning for more efficient energy utilization and weight loss. It is, therefore, necessary that children as well as adults embrace all forms of non-exercise and planned active exercise activities to achieve optimal fat thermogenesis for optimal energy homeostasis including weight loss for either the overweight or obese. Such lifestyles need to be promoted through educational, environmental, and legislative changes that optimize healthy nutrition and physical activity.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 6","pages":"211-7"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28292667","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":"Liability and disaster relief.","authors":"Uday V Dave","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 6","pages":"201-2"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28292664","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":"Kentucky's shortage of pediatric gastroenterologists affects health care for all children.","authors":"Harohalli Shashidhar, Marlene Belew Huff","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 6","pages":"227"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28295870","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}