{"title":"Hyperlipidemia management in patients with cardiovascular and cerebrovascular disease.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"85 1","pages":"26-8"},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20694463","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":"Student volunteerism at the University of Miami School of Medicine.","authors":"C Gyamfi, T E Crowder","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"583-4"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429189","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":"EMS in Florida: current status, future challenges.","authors":"R S Slevinski","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"564-71"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429193","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":"Continuing Medical Education (CME) requirements for relicensure of physicians in Florida.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"600-1"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429200","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":"New technology and medical education.","authors":"M T O'Connell, M S Gordon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"590-3"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429196","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}
Ectopic pregnancy is an increasingly common and potentially catastrophic condition for which patients often present to the ED with abdominal pain or vaginal bleeding. Recent developments in laboratory tests (sensitive beta hCG, progesterone assays), ultrasonography (transvaginal probes, Doppler ultrasound), and combinations of these modalities (hCG Discriminatory Zone for ultrasonographic evidence of intrauterine pregnancy) have allowed the earlier diagnosis of ectopic pregnancy, with an associated reduction in maternal mortality and morbidity. Understanding the strengths and limitations of the variety of diagnostic modalities available will allow the clinician to formulate a rational strategy for the early diagnosis of ectopic pregnancy. Numerous algorithms have been developed. All begin with high clinical suspicion in women of reproductive age with abdominal/pelvic pain or vaginal bleeding. Pregnancy testing with a sensitive beta hCG qualitative test is next. In stable patients found to be pregnant, sonography generally follows, first transabdominally, then transvaginally. Unstable patients require immediate resuscitation and gynecologic consultation; invasive diagnostic methods may supplant laboratory and sonography. Unclear cases may require the use of quantitative beta hCG (discriminatory zone), other pregnancy hormone (progesterone) testing, invasive procedures (laparoscopy, culdocentesis, D & C), or observation (serial beta hCG). A suggested algorithm incorporating these elements is presented (Figure 2).
{"title":"Diagnosis of ectopic pregnancy.","authors":"D F Brennan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ectopic pregnancy is an increasingly common and potentially catastrophic condition for which patients often present to the ED with abdominal pain or vaginal bleeding. Recent developments in laboratory tests (sensitive beta hCG, progesterone assays), ultrasonography (transvaginal probes, Doppler ultrasound), and combinations of these modalities (hCG Discriminatory Zone for ultrasonographic evidence of intrauterine pregnancy) have allowed the earlier diagnosis of ectopic pregnancy, with an associated reduction in maternal mortality and morbidity. Understanding the strengths and limitations of the variety of diagnostic modalities available will allow the clinician to formulate a rational strategy for the early diagnosis of ectopic pregnancy. Numerous algorithms have been developed. All begin with high clinical suspicion in women of reproductive age with abdominal/pelvic pain or vaginal bleeding. Pregnancy testing with a sensitive beta hCG qualitative test is next. In stable patients found to be pregnant, sonography generally follows, first transabdominally, then transvaginally. Unstable patients require immediate resuscitation and gynecologic consultation; invasive diagnostic methods may supplant laboratory and sonography. Unclear cases may require the use of quantitative beta hCG (discriminatory zone), other pregnancy hormone (progesterone) testing, invasive procedures (laparoscopy, culdocentesis, D & C), or observation (serial beta hCG). A suggested algorithm incorporating these elements is presented (Figure 2).</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"549-56"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429183","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":"General management of the poisoned patient.","authors":"S Benjamin, P D Mueller, J L Falk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"557-60"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429187","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":"Acute chest pain suspicious for myocardial ischemia: insights into improved diagnostic accuracy.","authors":"J F O'Brien","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"538-42"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429181","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":"The medical curriculum: then and now.","authors":"J J Braunstein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"574-7"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429186","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}
The demographic and academic profiles of first-year classes entering the three allopathic medical schools in Florida (UM, UF, and USF) between 1990 and 1996 have been summarized. In general, the high academic standards for admission (high GPAs and MCAT scores) have been maintained, and in some cases, increased. The percentages of women admitted to the first-year classes at UM and UF have increased in recent years, and the number of women enrolled in MD programs in Florida has increased by 26% since 1990. At the University of Miami, the student body has reached gender parity. There also has been a marked shift in the ethnicity of medical students in the state of Florida. Non-hispanic white students have decreased by 9% to 64.4% of the total population. Black students and hispanic students have made modest gains, and now constitute 7.4% and 11.5% of the population, respectively. Asian students have made the largest gain (6.4%), now making up 15.8% of all Florida medical students. In contrast, there has been no sustained increase in the overall number of underrepresented minority students admitted to first-year classes despite national programs and institutional commitments to do so. These changes have not occurred just at Florida medical schools. They parallel far broader national trends resulting from a dramatic increase in the number of medical school applicants and demographic changes in the applicant pool.
{"title":"Changes in profiles of students admitted to Florida allopathic medical schools 1990-1996.","authors":"R E Hinkley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The demographic and academic profiles of first-year classes entering the three allopathic medical schools in Florida (UM, UF, and USF) between 1990 and 1996 have been summarized. In general, the high academic standards for admission (high GPAs and MCAT scores) have been maintained, and in some cases, increased. The percentages of women admitted to the first-year classes at UM and UF have increased in recent years, and the number of women enrolled in MD programs in Florida has increased by 26% since 1990. At the University of Miami, the student body has reached gender parity. There also has been a marked shift in the ethnicity of medical students in the state of Florida. Non-hispanic white students have decreased by 9% to 64.4% of the total population. Black students and hispanic students have made modest gains, and now constitute 7.4% and 11.5% of the population, respectively. Asian students have made the largest gain (6.4%), now making up 15.8% of all Florida medical students. In contrast, there has been no sustained increase in the overall number of underrepresented minority students admitted to first-year classes despite national programs and institutional commitments to do so. These changes have not occurred just at Florida medical schools. They parallel far broader national trends resulting from a dramatic increase in the number of medical school applicants and demographic changes in the applicant pool.</p>","PeriodicalId":76670,"journal":{"name":"The Journal of the Florida Medical Association","volume":"84 9","pages":"578-82"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20429188","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}
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