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The Journal of the Kentucky Medical Association最新文献

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Highlights from the Louisville breast cancer update. An update on the management of high-risk breast cancer and preinvasive disease. 路易斯维尔乳腺癌最新进展要闻。关于高危乳腺癌和侵袭前疾病管理的最新进展。
The Journal of the Kentucky Medical Association Pub Date : 2008-11-01
Anees B Chagpar
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引用次数: 0
The black box. 黑盒子。
The Journal of the Kentucky Medical Association Pub Date : 2008-11-01
Kimberly A Alumbaugh
{"title":"The black box.","authors":"Kimberly A Alumbaugh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 11","pages":"533-4"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27880837","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
Dacryocystitis: an unusual form of Mucorales infection. 泪囊炎:一种不寻常的粘膜感染。
The Journal of the Kentucky Medical Association Pub Date : 2008-11-01
Ahmad Halawa, George Yacoub, Muhanad Al Hassan, Ryland P Byrd, Thomas M Roy
{"title":"Dacryocystitis: an unusual form of Mucorales infection.","authors":"Ahmad Halawa,&nbsp;George Yacoub,&nbsp;Muhanad Al Hassan,&nbsp;Ryland P Byrd,&nbsp;Thomas M Roy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mucormycosis is an acute fungal infection in humans that is often fulminant and potentially fatal. It occurs most frequently in immunocompromised individuals. We report a diabetic patient who presented in ketoacidosis with lacrimal sac infection from this organism. To the best of our knowledge, this is only the second patient with dacryocystitis caused by this fungus described in the medical literature. Our patient is unique in that she had no evidence of concurrent sinus involvement. Surgical debridement and antifungal therapy were combined to ensure a successful outcome.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 11","pages":"520-4"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27880835","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
Synopsis of an epidemiologic study of a Kentucky county in the Coronary Valley. 冠状山谷肯塔基县流行病学研究摘要。
The Journal of the Kentucky Medical Association Pub Date : 2008-11-01
Vivian M Abascal, Judy C Zielke, Stephen D Spady, Jay W Mason, Thomas F Whayne
{"title":"Synopsis of an epidemiologic study of a Kentucky county in the Coronary Valley.","authors":"Vivian M Abascal,&nbsp;Judy C Zielke,&nbsp;Stephen D Spady,&nbsp;Jay W Mason,&nbsp;Thomas F Whayne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Kentucky is part of the Coronary Valley, which comprises ten states along the Ohio and Mississippi Rivers that rank among those with the highest incidence of heart disease in the United States. Kentucky consistently ranks near the highest in the nation, and within the state, the incidence is markedly higher in the eastern, Appalachian region. In a study of heart disease risk factors among residents of Clay County, which is located in this region, woe found, surprisingly, that the prevalence of elevated plasma cholesterol is slightly lower than in the United States overall. However, we noted a higher incidence of other traditional risk factors, including hypertension, cigarette smoking, obesity, and physical inactivity in this county, as well as a greater frequency of metabolic syndrome (MS) components. These findings may explain the high prevalence of cardiovascular (CV) disease in general and coronary heart disease (CHD) in particular, in parts of rural Appalachia even without the presence of significantly elevated cholesterol levels.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 11","pages":"527-31"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27880836","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 Fair and Accurate Credit Transaction Act (FACTA) Red Flag Rules. 公平准确信用交易法案(FACTA)红旗规则。
The Journal of the Kentucky Medical Association Pub Date : 2008-11-01
{"title":"The Fair and Accurate Credit Transaction Act (FACTA) Red Flag Rules.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 11","pages":"515-7"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27880834","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
Fatal iatrogenic hyperphosphatemia. 致命的医源性高磷血症。
The Journal of the Kentucky Medical Association Pub Date : 2008-09-01
Semaan Kosseifi, Dima Nassour, Ryland P Byrd, Thomas M Roy
{"title":"Fatal iatrogenic hyperphosphatemia.","authors":"Semaan Kosseifi,&nbsp;Dima Nassour,&nbsp;Ryland P Byrd,&nbsp;Thomas M Roy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypertonic sodium phosphate enemas are available for relief of constipation. They are widely used as colorectal laxatives because of their efficacy and because most patients tolerate the preparation well. Nevertheless, their use has been associated with decreases in intravascular volume as well as measurable changes in serum phosphorus and calcium levels. Usually these effects are transient and cause no ill effects. Severe toxicity may occur when the osmotically active hypertonic phosphate enema is retained or when it is administered to a patient with a decreased glomerular filtration rate. We report an elderly patient with previously normal renal function who developed severe hyperphosphatemia, hypocalcemia, and cardiac arrest after the administration of hypertonic sodium phosphate enemas for the treatment of an ileus. We review the patient characteristics that increase the risk of adverse effects from hypertonic sodium phosphate enemas and emphasize the danger that moderate dehydration poses when considering the use of these cathartics.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 9","pages":"431-4"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27705911","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
Medicare GPCIs, the GEM coalition, and KMA. 医疗gpci, GEM联盟和KMA。
The Journal of the Kentucky Medical Association Pub Date : 2008-09-01
{"title":"Medicare GPCIs, the GEM coalition, and KMA.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 9","pages":"427-8"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27705913","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
Advocacy in action. 倡导行动。
The Journal of the Kentucky Medical Association Pub Date : 2008-09-01
Thomas K Slabaugh
{"title":"Advocacy in action.","authors":"Thomas K Slabaugh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 9","pages":"425-6"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27706068","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
Evaluation of consequences of implementation of police crisis intervention team in Louisville. 路易斯维尔警察危机干预小组实施的后果评价。
The Journal of the Kentucky Medical Association Pub Date : 2008-09-01
Rif S El-Mallakh, Denise Spratt, Christina Butler, Gordon Strauss
{"title":"Evaluation of consequences of implementation of police crisis intervention team in Louisville.","authors":"Rif S El-Mallakh,&nbsp;Denise Spratt,&nbsp;Christina Butler,&nbsp;Gordon Strauss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The police crisis intervention team (CIT) for managing emergent situations that involve mentally ill subjects was instituted in Louisville in 2002. The program was described in a special article that appeared in the Journal of the Kentucky Medical Association in June 2003. To determine the impact of CIT on the outcome of police calls, we reviewed police records for 2002, the first full year of CIT operation, and 2004, the year after consolidation of city and county police forces, and compared them with pre-CIT statistics (2001), when available. We also reviewed local jail occupancy records after the introduction of CIT and compared them to pre-CIT records. Louisville Metro Police average some 2672 CIT runs annually. The majority of these runs (90%) result in bringing a subject to the hospital. Arrest rate for CIT runs is lower than non-CIT runs (2.1% vs 6.2%, respectively, P < 0.01). Hostage negotiation team callouts dropped by half. While the occupancy of the mental health unit in Jefferson County Jail has stayed relatively constant at around 1,100 patients/year, the referrals to intense psychiatric services (eg, Central State Hospital) has greatly dropped (from 53% in 2001 to 26.8% in 2004, P < 0.01). The data suggests that the introduction of CIT has had an overall positive effect on outcomes of situations in which mentally ill subjects are confronted by police officers.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 9","pages":"435-7"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27705916","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
Care for the elderly patient. 照顾老年病人。
The Journal of the Kentucky Medical Association Pub Date : 2008-09-01
Bryan D Murphy
{"title":"Care for the elderly patient.","authors":"Bryan D Murphy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"106 9","pages":"447-8"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27705914","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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