SMJ // November 1974, Volume 67 - Issue 11
Editorial
“DELAYED” IATROGENIC DISEASES
Article
Serum Complement Related to skin Lesions of Systemic Lupus Erythematosus
AbstractDepressed levels of serum complement have long been known to be associated with active systemic lupus erythematosus. However, most studies have observed this finding in patients with lupus nephritis. To determine whether serum complement is depressed in patients who have skin involvement as the main manifestation of this disease and…
Article
Postoperative Effect of Halothane and Electrocautery on Liver Enzymes*
AbstractElevation of serum levels of liver enzymes has been shown afte surgical anesthesia with halothane, as well as following thermal burns. The relationship of electrical coagulation and other factors to these enzyme increases were investigated. Serum ornithine carbamoyl transferase (SOCT), glutamic oxaloacetic transaminase (SGOT), glutamic pyruvic transaminase (SGPT), and sulfobromophthalein…
Article
Cromolyn Sodium Therapy in Childhood Asthma
AbstractThirty children, ages of 6 to 16 years, with severe perennial asthma, were subjects in a double-blind, crossover study designed to evaluate the effectiveness of cromolyn sodium therapy for childhood asthma. Assessment of drug effectiveness was based upon comparisons of daily ratings of severity of wheezing and need for additional…
Article
Pelvic Ureteral Injuries Treated by Transureteroureterostomy
AbstractPelvic ureteral injury, such as surgical injury, radiation-induced strictures, and inflammatory or neoplastic obstruction, is a difficult management problem. Eleven such cases were treated by transureteroureterostomy. A good result ws obtained in nine cases. The success rate of this treatment is compared with that of alternative methods, such as nephrectomy,…
Article
Current Diagnosis and Treatment of Acute Pancreatitis
AbstractAcute pancreatic inflammation results in pain, tenderness, nausea, vomiting, and exudation of intravascular fluid into extravascular compartments. An edematous reaction or a more destructive process may occur. Chronic alcoholism and cholelithiasis are the most common precipitating factors. Most cases are easily diagnosable if pancreatitis is considered. However, pancreatitis may mimic…
Article
Staging of Lymphocytic Lymphoma
AbstractA retrospective study of 76 cases of lymphocytic lymphomas was made to evaluate factors affecting survival. All patients were staged according to the Ann Arbor classification for Hodgkin's disease. Symptomatic patients (stage II B, III B, IV B) had a one-year survival rate of 16%. None were alive at three…
Article
Radiologic Study of the Anastomosis After Right Colectomy
AbstractThere are only a few reports in the literature describing the postoperative radiologic appearance of anastomoses after operation on the colon, and most of these describe the end-to-end anastomosis of a colocolostomy on the left colon. The purpose of this paper is to report the radiologic appearance of the anastomotic…
Article
Purulent Pericarditis in South Vietnam Report of 16 Cases
AbstractA series of 16 cases of purulent pericarditis is presented. The classical clinical features of purulent pericarditis were masked by previously administered antibacterial therapy. Early pericardiotomy and drainage appear to be important adjuncts to antibiotic therapy in lowering the mortality and morbidity rates of purulent pericarditis. Drainage through the xiphoid…
Article
Nocturnal Leg Cramps (Systremma) A Progress Report on Response to Vitamin E
AbstractThe following clinical observations confirm an earlier preliminary report of 26 patients, describing the therapeutic response of nocturnal leg cramps and other types of muscle spasms to adequate doses of d, alphatocopheryl acetate. In a total of 125 documented cases of nocturnal cramps only two patients failed to show satisfactory…
Article
Urethral Stenosis in Female Children With Urinary Tract Infection An Overview
AbstractUrethral stenosis in female children with urinary tract infections is a common diagnosis. Recent publications have questioned the validity of this entity and its treatment. The following paper discusses the past history and presents recent conflicting data on this subject. It is suggested that a more critical look should be…
Article
Histologic Correlation of Lymphangiograms in Hodgkin's Disease An Evaluation of Diagnostic Criteria
AbstractA retrospective blind study was conducted for 60 patients with Hodgkin's disease who had a lymphangiogram and subsequent staging laparotomy. The study used histologic correlation to determine accuracy rate (85%) and reliability o diagnostic criteria. Node architecture (“foamy nodes” and “rim sign”) and anterior spine-node measurement were the most valuable…
Article
Oxygen Therapy for Acute Myocardial Infarction Basis for a Practical Approach
AbstractThe immediate reduction in myocardial strength after acute myocardial infarction may be the result of myocardial hypoxia and intracellular acidosis. Pulmonary venoarterial shunting, ventilation/perfusion imbalances, and diffusion abnormalities can reduce systemic arterial oxygen tension. Myocardial hypoxia and systemic hypoxia can perpetuate each other in a vicious cycle. Efforts that increase…
Article
Perceptual Problems in Hemiplegics
AbstractIt is universally agreed that a physical stimulus must be present and excite some sense receptor or receptors before perception occurs. A sense receptor may be stimulated without perception occurring but perception never occurs without prior stimulation of a sense receptor.
Article
Evaluation of Orally Administered Salbutamol in the Relief of Bronchospasm in Bronchial Asthma
AbstractA single oral dose of 2 mg salbutamol produces significantly greater bronchodilatation than a placebo in patients with bronchial asthma. The degree of bronchodilatation is comparable to tha produced by 10 mg isoprenaline given sublingually. The effect of salbutamol starts within half an hour and continues up to six hours….
Current Concepts
Use of Corticosteroids
Case Report
Nasopharyngeal Malignancy in Childhood
Case Report
Vesicular Metastatic Melanoma
AbstractA patient with vesicular metastatic melanoma is presented. The lesions developed at sites of surgical trauma and followed on episode of herpes zoster.