Browse Items (388 total)
- Tags: Middle Aged
Efficacy and Safety of Intravenous-to-oral Lefamulin, a Pleuromutilin Antibiotic, for the Treatment of Community-acquired Bacterial Pneumonia: The Phase III Lefamulin Evaluation Against Pneumonia (LEAP 1) Trial.
Tags: 2019, Administration Intravenous, Adult, Aged, Anti-Bacterial Agents/administration & dosage/adverse effects/therapeutic use, antibiotic, Clinical Infectious Diseases, Das A, Diterpenes/administration & dosage/adverse effects/therapeutic use, Double-Blind Method, Female, File TM, Gasink LB, Gelone SP, Goldberg L, Hospital List, Humans, journalArticle, lefamulin, Linezolid/adverse effects/therapeutic use, Male, Microbial Sensitivity Tests, Middle Aged, Moxifloxacin, Moxifloxacin/administration & dosage/adverse effects/therapeutic use, Paukner S, pleuromutilin, Pneumonia, Pneumonia Bacterial/drug therapy/metabolism, Polycyclic Compounds/administration & dosage/adverse effects/therapeutic use, Randomized Controlled Trials as Topic, Saviski J, Seltzer E, Sweeney C, Talbot GH, Thioglycolates/administration & dosage/adverse effects/therapeutic use, Wicha WW
Safety and efficacy of cangrelor, an intravenous, short-acting platelet inhibitor in patients requiring coronary artery bypass surgery.
Tags: 2013, 80 and over, Adenosine Monophosphate/administration & dosage/*analogs & derivatives, Administration, Adult, Aged, Angiolillo Dominick J, Blood Transfusion/*statistics & numerical data, Brtko Miroslav, Cannon Louis A, Chandna Harish, Chronos Nicholas, Combination/statistics & numerical data, Coronary Artery Bypass/*statistics & numerical data, Dietrich Markus, Drug Therapy, Drug-Related Side Effects and Adverse Reactions/epidemiology, Dyke Cornelius M, Female, Firstenberg Michael S, Holmes David R, Humans, Hutyra Martin, Injections, Intravenous, Liu Tiepu, Male, Manoukian Steven V, Middle Aged, Montalescot Gilles, Oral, Placebo Effect, Platelet Aggregation Inhibitors/administration & dosage, Postoperative Hemorrhage/*epidemiology/*prevention & control, Prats Jayne, Premedication/*statistics & numerical data, Prevalence, Price Matthew, Purinergic P2Y Receptor Antagonists/administration & dosage, Pyridines/*administration & dosage, Ramaiahm Chandrashekar, Risk Assessment, The heart surgery forum, Todd Meredith, Topo Eric J, Treatment Outcome, Tummala Pradyumna, United States/epidemiology, Voeltz Michele, Welsby Ian
The assessment and treatment of back and neck pain: an initial investigation in a primary care practice-based research network.
Tags: *Research, 2015, 80 and over, acute back and neck pain, Acute Disease, Adult, Aged, back pain, Baughman Kristin, chronic back and neck pain, Chronic pain, Chronic Pain/diagnosis/therapy, College of Medicine, Department of Family & Community Medicine, Female, Fischbein Rebecca, Hewit Michael, Human, Humans, Logistic Regression, Low Back Pain, Low Back Pain/*diagnosis/*therapy, Male, McCormick Kenelm, Meeker James, Middle Aged, Neck Pain, Neck Pain/*diagnosis/*therapy, NEOMED College of Medicine, non-malignant back and neck pain, Pain Measurement, primary care providers, Primary Health Care, Primary health care research & development, Primary Health Care/*methods, Prospective Studies, Schrop Susan Labuda, Selius Brian A, Surveys, T-Tests, Treatment Outcome, Young Adult
Cyclosporine disposition and long-term renal function in a 500-pound kidney transplant recipient.
Tags: 1998, American journal of kidney diseases : the official journal of the National Kidney Foundation, Biological Availability, Cadaver, Chronic/surgery, Cyclosporine/administration & dosage/*pharmacokinetics, Diabetes Mellitus, Diabetic Nephropathies/surgery, Fisher R K, Flechner S M, Haug M, Humans, Immunosuppressive Agents/administration & dosage/*pharmacokinetics, Injections, Intravenous, Kidney Failure, Kidney Function Tests, Kidney Transplantation/*physiology, Male, Middle Aged, Modlin C S, Morbid/etiology/*physiopathology, Obesity, Type 1/complications
Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011.
Tags: 2016, Adolescence, Adolescent, Adult, Aged, Ambulatory Care – Statistics and Numerical Data, Ambulatory Care/*statistics & numerical data, Anti-Bacterial Agents/*therapeutic use, Antibiotics – Therapeutic Use, Bartoces Monina, Child, Department of Internal Medicine, Enns Eva A, Female, File Thomas M Jr, Finkelstein Jonathan A, Fleming-Dutra Katherine E, Gerber Jeffrey S, Health Care Surveys, Hersh Adam L, Hicks Lauri A, Human, Humans, Hyun David Y, Inappropriate Prescribing – Statistics and Numerical Data, Inappropriate Prescribing/*statistics & numerical data, Infant, JAMA, Linder Jeffrey A, Lynfield Ruth, Male, Margolis David J, May Larissa S, Merenstein Daniel, Metlay Joshua P, Middle Age, Middle Aged, NEOMED College of Medicine, Newborn, Newland Jason G, Otitis Media, Otitis Media – Drug Therapy, Pharyngitis – Drug Therapy, Pharyngitis/drug therapy, Physicians'/*statistics & numerical data, Piccirillo Jay F, Practice Patterns, Preschool, Prevalence, Respiratory Tract Infections – Drug Therapy, Respiratory Tract Infections/drug therapy, Roberts Rebecca M, Sanchez Guillermo V, Shapiro Daniel J, Suda Katie J, Suppurative/*drug therapy, Surveys, Thomas Ann, United States, Woo Teri Moser, Zetts Rachel M
Racial differences in performance-based function and potential explanatory factors among individuals with knee osteoarthritis.
Tags: 2020, African Americans, Aged, Allen KD, Arbeeva L, Arthritis Care & Research, Body Mass Index, Callahan LF, Cooke J, Corsi M, European Continental Ancestry Group, Exercise Test, Female, Flowers PPE, Golightly YM, Goode AP, Gupta JJ, Huffman KM, Humans, journalArticle, Knee Joint/physiopathology, Male, Middle Aged, NEOMED College of Medicine Student, NEOMED Student Publications, Osteoarthritis Knee/physiopathology, Pain Measurement, Pathak A, Physical Functional Performance, Schwartz TA, September 2020 List, Socioeconomic Factors
Recognition of subarachnoid hemorrhage.
Tags: 1989, 80 and over, Adolescent, Adult, Aged, Annals of emergency medicine, Central Nervous System Diseases/etiology, Emergency Service, Female, Fontanarosa P B, Headache/etiology, Hospital, Humans, Male, Middle Aged, Nausea/etiology, Neurologic Examination, Retrospective Studies, Subarachnoid Hemorrhage/complications/*diagnosis, Tomography, Vomiting/etiology, X-Ray Computed
Adult epiglottitis.
Tags: *Epiglottitis/diagnosis/therapy, *Laryngitis/diagnosis/therapy, 1989, Adolescent, Adult, Aged, Department of Emergency Medicine, Female, Fontanarosa P B, Goldman G E, Haemophilus Infections/diagnosis/therapy, Haemophilus influenzae, Humans, Male, Middle Aged, NEOMED College of Medicine, Polsky S S, The Journal of emergency medicine
Screening for nephropathy and antiangiotensin use among diabetic patients in an academic community medical center.
Tags: *Guideline Adherence, 2006, Academic Medical Centers, Age Factors, Aged, American journal of therapeutics, Angiotensin II Type 1 Receptor Blockers/*administration & dosage/therapeutic use, Angiotensin-Converting Enzyme Inhibitors/*administration & dosage/therapeutic use, Bourguet Claire C, Coronary Artery Disease/diagnosis, Department of Internal Medicine, Diabetes Mellitus, Diabetic Nephropathies/*diagnosis/epidemiology/etiology, Drug Utilization, Female, Frazee Lawrence A, Humans, Hypertension/diagnosis/drug therapy, Male, Middle Aged, NEOMED College of Medicine, Pfister Eugene W, Practice Guidelines as Topic, Proteinuria/diagnosis, Retrospective Studies, Samandari Seyhoon, Tanphaichitr Natthavat, Type 1/complications/drug therapy, Type 2/complications/drug therapy
Local blistering reaction complicating subcutaneous injection of pegylated interferon in a patient with hepatitis C.
Tags: *Interferon-alpha/*administration & dosage/*adverse effects, *Polyethylene Glycols, 2003, Blister/*chemically induced/pathology, Brodell Robert T, Gallina Kelly, Hepatitis C/*drug therapy, Humans, Injections, Interferon alpha-2, Journal of drugs in dermatology : JDD, Male, Middle Aged, Naffah Farid, Nedorost Susan, Recombinant Proteins, Subcutaneous
Locked-in syndrome: report of a case.
Accuracy and efficacy of nuclear scintigraphy for the detection of gastrointestinal bleeding.
Subperiosteal deep plane rhytidectomy: the composite midface lift.
Purse-string platysmaplasty: the third dimension for neck contouring.
Medical care use by treated and untreated substance abusing medicaid patients.
Tags: 2001, Adult, Alcoholism/*economics/rehabilitation, Boex J, Bush D, Costs and Cost Analysis, Department of Family & Community Medicine, Female, Follow-Up Studies, Gerson L W, Givens C, Hua K, Humans, Journal of substance abuse treatment, Liebelt R A, Male, Medicaid/*economics, Middle Aged, NEOMED College of Medicine, Ohio, Patient Acceptance of Health Care/*statistics & numerical data, Patient Admission/*economics, Patient Care Team/*economics, Substance-Related Disorders/*economics/rehabilitation, Zumbar W R
US emergency department visits for hip fracture, 1992-2000.
Tags: 2004, 80 and over, Age Factors, Aged, Analgesia/statistics & numerical data, Camargo Carlos A Jr, Emergency Medical Services/*statistics & numerical data, Emond Jennifer A, European journal of emergency medicine : official journal of the European Society for Emergency Medicine, Female, Gerson Lowell W, Hip Fractures/diagnosis/*epidemiology/therapy, Humans, Male, Middle Aged, Sex Factors, United States/epidemiology
Mindfulness as a predictor of positive reappraisal and burnout in standardized patients.
Tags: *Adaptation, *Emotions, *Patient Satisfaction, 2012, 80 and over, Adult, Aged, Burnout, Clinical Assessment Tools, Coefficient Alpha, Convenience Sample, Department of Family & Community Medicine, Descriptive Statistics, Education, Female, Gerzina Holly A, Human, Humans, Job Characteristics, Male, Medical, Middle Aged, Mind Body Techniques, Models, Multiple Regression, NEOMED College of Medicine, Ohio, Patient Simulation, Porfeli Erik J, Professional – Risk Factors, Psychological, Psychological/*complications/psychology, Psychometrics, Questionnaires, Regression Analysis, Risk Assessment, Statistics as Topic, Stress, Summated Rating Scaling, Teaching and learning in medicine
Over diagnosis of chronic obstructive pulmonary disease in an underserved patient population.
Tags: *Diagnostic Errors, *Medically Underserved Area, *Spirometry, *Vulnerable Populations, 2013, Administration, Adult, Awad Magdi H, Bronchodilator Agents/administration & dosage, Cholinergic Antagonists/administration & dosage, chronic obstructive pulmonary disease, Chronic Obstructive/*diagnosis/drug therapy/epidemiology/physiopathology, COPD, Dai Allen, Department of Pharmacy Practice, Female, Forced Expiratory Volume, Gemmel David J, Ghattas Christian, Humans, Inhalation, International journal of chronic obstructive pulmonary disease, Lung/drug effects/*physiopathology, Male, Medically Uninsured, Middle Aged, misdiagnosis, NEOMED College of Pharmacy, Ohio/epidemiology, over diagnosis, Predictive Value of Tests, Prevalence, Pulmonary Disease, Retrospective Studies, Risk Factors, Smoking/adverse effects/epidemiology, Spirometry, underserved, uninsured, Vital Capacity
Diagnosis of pneumothorax on F-18 FDG PET after transbronchial biopsy.
Tags: *Fluorodeoxyglucose F18, 2005, Biopsy, Bronchoscopy/*adverse effects, Clinical nuclear medicine, Ghofrani Mohsen, Humans, Kim Benedict, Lung/*pathology, Male, Middle Aged, Needle/*adverse effects, Pneumothorax/*diagnostic imaging/*etiology, Positron-Emission Tomography/*methods, Radiopharmaceuticals
Effect of method of administration on longitudinal assessment of quality of life in gynecologic cancer: an exploratory study.
Tags: *Quality of Life, *Sickness Impact Profile, *Surveys and Questionnaires, 2005, Adnexa Uteri, Adult, Computers, Endometrial Neoplasms, Evaluation Studies as Topic, Female, Female/*physiopathology/*psychology/surgery, Frasure Heidi E, Genital Neoplasms, Gil Karen M, Health and quality of life outcomes, Hopkins Michael P, Humans, Jenison Eric L, Longitudinal Studies, Middle Aged, Ohio, Ovarian Neoplasms, Paper, Process Assessment (Health Care)/*methods, von Gruenigen Vivian E
Baseline characteristics influencing quality of life in women undergoing gynecologic oncology surgery.
Tags: *Quality of Life, 2007, 80 and over, Adult, Aged, Body Mass Index, Educational Status, Endometrial Neoplasms/pathology/psychology/*surgery, Female, Gibbons Heidi E, Gil Karen M, Health and quality of life outcomes, Health Status, Hopkins Michael P, Humans, Jenison Eric L, Linear Models, Middle Aged, Ohio, Ovarian Neoplasms/pathology/psychology/*surgery, Surveys and Questionnaires, von Gruenigen Vivian E
Distress and quality of life characteristics associated with seeking surgical treatment for stress urinary incontinence.
Tags: *Health Status, *Quality of Life, 2009, Adult, Aged, Cichowski Sara, Female, Gil Karen M, Health and quality of life outcomes, Humans, Middle Aged, Patient Acceptance of Health Care/*psychology, Savitski Jennifer L, Severity of Illness Index, Somerville Amber M, Stress/classification/psychology/*surgery, Urinary Incontinence
A comparison of the National Ambulatory Medical Care Survey (NAMCS) measurement approach with direct observation of outpatient visits.
Tags: 2004, 80 and over, Adolescent, Adult, Aged, Ambulatory Care/*statistics & numerical data, Bias, Bourguet Claire C, Child, Family Practice/*statistics & numerical data, Female, Flocke Susan A, Gilchrist Valerie J, Health Care Surveys/*methods/standards, Humans, Infant, Male, McCord Gary, Medical care, Middle Aged, Observation/*methods, Office Visits/*statistics & numerical data, Ohio, Preschool, Research Design/standards, Sensitivity and Specificity, Stange Kurt C, Time Factors
Physician activities during time out of the examination room.
Tags: *Family Practice, *Patient Care, *Practice Management, 2005, Adult, Aged, Annals of family medicine, Cowher Michael, Department of Family & Community Medicine, Female, Gilchrist Valerie, Humans, King Bridget D, Maheshwary Rishi, Male, McCord Gary, McCormick Kenelm F, Medical, Middle Aged, NEOMED College of Medicine, Ohio, Oprandi Allison M, Patel Falguni, Schrop Susan Labuda, Selius Brian A, Shah Ami, Task Performance and Analysis, Time and Motion Studies, Tsai Bonny, Zaharna Mia
Access to medical care among the elderly in rural northeastern Ohio.
Ultrastructural aspects of human gallbladder epithelial cells in cholelithiasis: production of anionic mucus.
Tags: 1997, Adult, Aged, Animals, Cholelithiasis/metabolism/*pathology, Cricetinae, Electron, Epithelial Cells/metabolism/ultrastructure, Female, Gallbladder/metabolism/*ultrastructure, Gilloteaux J, Hawkins W S, Humans, Karkare S, Kelly T R, Mesocricetus, Microscopy, Microscopy research and technique, Middle Aged, Mucus/*metabolism
Is mortality due to primary malignant brain and other central nervous system tumors decreasing?
Tags: 2017, 80 and over, Adult, Age Distribution, Age Factors, Aged, Aging, Barnholtz-Sloan Jill S, Blanda Rachel, Brain tumors, Centers for Disease Control and Prevention (U.S.)/statistics & numerical data, Central Nervous System Neoplasms/*epidemiology/*mortality, Female, Gittleman Haley, Glioma, Glioma/*epidemiology/*mortality, Humans, Incidence, Incidence-based mortality, Journal of neuro-oncology, Kromer Courtney, Kruchko Carol, Male, Middle Aged, Mortality, National Cancer Institute (U.S.)/statistics & numerical data, Ostrom Quinn T, Prevalence, Retrospective Studies, Russell Jeffrey, Sex Factors, Time trends, United States/epidemiology, Young Adult
Epidemiology and clinical outcomes of patients with Fusobacterium bacteraemia.
Tags: *Hospital Mortality, 2013, 80 and over, Adult, Aged, Bacteremia – Mortality, Bacteremia – Physiopathology, Bacteremia/*mortality/physiopathology, Bonilla H F, Creatinine – Blood, Creatinine/blood, Epidemiology and infection, Female, Fusobacterium Infections – Mortality, Fusobacterium Infections – Physiopathology, Fusobacterium Infections/*mortality/physiopathology, Goldberg E A, Hewit M, Hospital Mortality, Hospitals, Human, Humans, Intensive Care Units – Statistics and Numerical Data, Intensive Care Units/statistics & numerical data, Length of Stay – Statistics and Numerical Data, Length of Stay/statistics & numerical data, Male, Middle Age, Middle Aged, Retrospective Design, Retrospective Studies, Risk Factors, Special – Statistics and Numerical Data, Tertiary Care Centers/*statistics & numerical data, Treatment Outcome, Treatment Outcomes, United States, United States/epidemiology, Venkat-Ramani T
Increased serotransferrin and ceruloplasmin turnover in diet-controlled patients with type 2 diabetes.
Tags: *Ceruloplasmin, *Deamidation, *Heavy water metabolic labeling, *High resolution mass spectrometry, *Iron metabolism, *LC-MS/MS, *Non-enzymatic glycation, *Oxidative Stress, *Protein Processing, *Proteome dynamics, *Serotransferrin, *Type 2 diabetes mellitus, 2017, Adult, Amino Acid Sequence, Bena James, Case-Control Studies, Ceruloplasmin/genetics/*metabolism, Department of Pharmaceutical Sciences, Deuterium/metabolism, Diabetes Mellitus, Diabetic, Diet, Female, Free radical biology & medicine, Gene Expression Regulation, Glycated Hemoglobin A/genetics/metabolism, Glycosylation, Golizeh Makan, Humans, Ilchenko Serguei, Iron/*metabolism, Isotope Labeling, Kashyap Sangeeta R, Kasumov Takhar, Lee Kwangwon, Male, Middle Aged, NEOMED College of Pharmacy, Osme Abdullah, Oxidation-Reduction, Oxidative Stress, Post-Translational, Proteolysis, Sadygov Rovshan G, Transferrin/genetics/*metabolism, Type 2/diet therapy/genetics/*metabolism/pathology
Olmesartan Associated Enteropathy: A Rare Underdiagnosed Cause of Diarrhea and Weight Loss.
Tags: *Weight Loss, 2019, Antihypertensive Agents/*adverse effects, Colitis, Department of Internal Medicine, Diarrhea/*chemically induced, Gonakoti Sripriya, Humans, Imidazoles/*adverse effects, Khullar Sanjiv, Lymphocytic/*chemically induced, Male, Middle Aged, NEOMED College of Medicine, Rajkumar Aarthi, Tetrazoles/*adverse effects, The American journal of case reports, Vomiting/*chemically induced
Critical Care Helicopter Overtriage: A Failure Mode and Effects Analysis.
Tags: 2019, Ackerman MH, Adolescent, Adult, Aged, Aged 80 and over, Air Ambulances, Air medical journal, Aircraft, Child, Child Preschool, Emergency Medical Services, Female, Grabowski RL, Healthcare Failure Mode and Effect Analysis/methods, Hospital List, Humans, Infant, journalArticle, Male, McNett M, Middle Aged, Mion LC, Quality Improvement, Schubert C, Triage/standards, Young Adult
Direct care staff and parents'/legal guardians' perspectives on end-of-life care in a long-term care facility for medically fragile and intellectually disabled pediatric and young adult residents.
Tags: 2013, Adolescence, Adolescent, Adult, Aged, Benore Ethan, Blackford Martha, Caregivers – Psychosocial Factors, Caregivers/*psychology, Child, Clinical Assessment Tools, Disabled – Psychosocial Factors, Disabled Children/*psychology, Female, Friebert Sarah, Grossberg Richard I, Hospital – Psychosocial Factors, Hospital/*psychology, Human, Humans, Impact of Events Scale, Infant, Long Term Care – Psychosocial Factors, Long-Term Care/*psychology, Male, Middle Age, Middle Aged, Newborn, Nursing Staff, Ohio, Palliative & supportive care, Parents – Psychosocial Factors, Parents/*psychology, Pediatric Nursing, Preschool, Reed Michael D, Scales, Terminal Care – Psychosocial Factors, Terminal Care/*psychology, Young Adult
Disseminated brown tumors from hyperparathyroidism masquerading as metastatic cancer: a complication of parathyroid carcinoma.
Tags: 2001, Carcinoma, Carcinoma/*complications, Diagnosis, Differential, Female, Gupta A, Horattas M C, Humans, Hyperparathyroidism/complications, Kidney Neoplasms/pathology, Middle Aged, Moattari A R, Osteitis Fibrosa Cystica/*diagnosis/*etiology, Parathyroid Neoplasms/*complications, Renal Cell/secondary, Shorten S D, The American surgeon
Hemolytic-uremic syndrome associated with ingestion of quinine.
Tags: 1992, American journal of nephrology, Biopsy, Davis H H, Female, Hagley M T, Hemolytic-Uremic Syndrome/*chemically induced/pathology, Hosney I A, Hulisz D T, Humans, Kidney Glomerulus/pathology, Kidney/diagnostic imaging, Middle Aged, Muscle Cramp/drug therapy, Quinine/*adverse effects/therapeutic use, Radionuclide Imaging, Technetium Tc 99m Mertiatide
Nosocomial fungemia in a large community teaching hospital.
Tags: *Cross Infection, *Hospitals, 1987, Adult, Amphotericin B/therapeutic use, Archives of internal medicine, Candidiasis/complications/drug therapy/*etiology/mortality, Community, Department of Internal Medicine, Harvey R L, Hematologic Diseases/complications/drug therapy/*etiology/mortality, Humans, Middle Aged, Myers J P, NEOMED College of Medicine, Retrospective Studies, Sepsis/complications, Teaching
Spectrum of excess mortality due to carbapenem-resistant Klebsiella pneumoniae infections.
Tags: *beta-Lactam Resistance, 2016, 80 and over, Aged, Bacteremia/microbiology/mortality, Bacterial/microbiology/mortality, Bonomo R A, carbapenem-resistant Enterobacteriaceae, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, Cober E, Department of Internal Medicine, Doi Y, Epidemiology, Evans S, Female, Fowler V G Jr, Hauck C, Humans, Kalayjian R C, Kaye K S, Klebsiella Infections/*microbiology/*mortality, Klebsiella pneumoniae, Klebsiella pneumoniae/*drug effects/isolation & purification, Longitudinal Studies, Male, Middle Aged, Mortality, NEOMED College of Medicine, Perez F, Pneumonia, Prospective Studies, Richter S S, Salata R A, Scalera N M, Survival Analysis, Urinary Tract Infections/microbiology/mortality, van Duin D, Watkins R R
Painless enlarging subcutaneous mass in a 58-year-old woman.
Tags: 2000, Abdominal Pain/diagnosis, Arm, Biopsy, Clear Cell/*diagnosis/pathology, Clinical orthopaedics and related research, Diagnosis, Differential, Female, Hazra S, Humans, Middle Aged, Sarcoma, Senior M E, Seth A, Skin Neoplasms/*diagnosis/pathology, Skin/pathology, Soft Tissue Neoplasms/*diagnosis/pathology, Vomiting/diagnosis, Weiner S D
Infliximab-induced headache and infliximab-induced meningitis: two ends of the same spectrum?
Tags: 2005, Antibodies, Aseptic/*chemically induced/diagnosis, Crohn Disease/drug therapy, Department of Internal Medicine, Female, Gayomali Charina, Headache/*chemically induced, Hegde Nikita, Humans, Infliximab, Meningitis, Middle Aged, Monoclonal/*adverse effects, NEOMED College of Medicine, Rich Michael W, Serum Sickness/*etiology, Southern medical journal